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Does hashimoto's thyroiditis cause immunosuppression? Can prednisone cause latent TB to become active in a patient with chronic sinusitis?
Several common forms of thyroiditis. Subacute thyroidits is from a virus. Your thyroid is tender, transient hyperthyroidism, but then resolution. Hashimotos thyroiditis is usually without pain, eventually causes hypothyroidism, but can coexist with graves hyperthyroidism. Two other forms are post partum thyroiditis and "painless" thyroiditis; transient hyper followed by ...Read more
Inflammation: Sinusitis is an inflammation of the sinuses (in your head and face). It can be caused by infection or allergies, but usually a virus. Antibiotics don't have benefit for most people with sinusitis (they usually resolve on their own in 10-14 days). Things like neti pots, Ibuprofen and decongestants help with the symptoms. Antibiotics used improperly just cause yeast infections and resistant bugs. ...Read moreSee 2 more doctor answers
Simple to complex: Many sinus infections will resolve on their own. Simply using saline nasal spray and a topical decongestant may be all that is needed. For prolonged symptoms >10 days, you may need a course of antibiotics. For symptoms > 2-3 weeks, you may need antibiotics and steroids. For recurrent infections or chronic infections (symptoms > 3 months), surgery may be indicated. Allergies should be addressed. ...Read moreSee 1 more doctor answer
7+ days: Early sinusitis symptoms are indistinguishable from cold/ URI symptoms. Nasal congestion, stuffy, runny nose, post nasal drip, cough, sore throat, facial pressure or fullness. Usually, as cold symptoms resolve over 7-14 days, you feel better. If symptoms worsen, treatment which includes saline nasal spray, nasal corticosteroids, pain relievers and antibiotics (if needed), allergy control will help. ...Read more
Bacteria vs. viral: Acute sinusitis is characterized by pus in the nose, significant post nasal drainage, pain and pressure in the face and pain between the eyes. You must differentiate this group of symptoms from a viral rhinitis (cold). Relief of symptoms are increased fluids, vitamin c, pain meds. But as always, you need a specific diagnosis. Patients use the term sinusitis very loosely. Get a diagnosis. ...Read more
Sinus infection: Sinus infections are caused by blockage of the sinus cavities. These may be bacterial or viral in nature. Symptoms include fevers, malaise, nasal congestion, & pressure in the face and cheek area. Depending on the cause and severity, treatments include nasal rinses, antibiotics and steroids. ...Read moreSee 1 more doctor answer
Taste: Hello. For adequate taste, smell is needed. Often times when patients suffer with sinusitis, their smell is diminished. See your ENT doctor for an endoscopic exam and treatment. Once sinusitis resolves and smell improves I would expect your taste to follow. ...Read moreSee 2 more doctor answers
By History: Most sinus infections are diagnosed by the history. Typically, if you have a "cold" that lasts for more than 7-10 days... It's most likely a sinus infection. If you see your ENT he can use a camera to look in your nose to confirm the diagnosis. A ct scan can also be helpful as well. ...Read moreSee 1 more doctor answer
Augmentin: There are a variety of antibiotics that can be used to treat sinusitis, so there isn't one best answer. My preferred choice for acute bacterial sinusits (with fever, pain and tenderness over the sinuses) is Augmentin for anyone who is not allergic to penicillin. A two week course of treatment is needed, because sinus infections can be difficult to cure completely. ...Read moreSee 2 more doctor answers
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