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Doctor insights on: What Antibiotics Are Used For Sinus Infections

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Dr. Robert Stachler
Board Certified, ENT and Head and Neck Surgery
25 years in practice
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1
What kind of antibiotics can be used for sinus infections that are not typical?

What kind of antibiotics can be used for sinus infections that are not typical?

Sinus infection: The choice of antibiotics to treat sinus infections is a complex one. If a patient has never had an antibiotic one would choose an antibiotic based on the likely bacteria to be found in the sinus. First choice antibiotics are amoxicillin, erythromycin, and a first generation. Cephalosporin, like keflex. If you have seen an antibiotic before:augmentin, biaxin, clidamycin, and Levaquin are good. ...Read more

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Dr. Crystal Twynham
Board Certified
27 years in practice
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Dr. Milroy Samuel
3 doctors shared insights

Sinus (Definition)

In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more


Dr. Ankush Bansal
Board Certified, Internal Medicine
11 years in practice
33M people helped
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Aren't antibiotics used for sinus infections or congestion? Why does the doctor not want to prescrib

Aren't antibiotics used for sinus infections or congestion? Why does the doctor not want to prescrib

Usually doesn't help: In fact, the vast majority of adult cases of sinusitis, pharyngitis, upper respiratory congestion, % ear infections do not require antibiotics. They are viral & some are allergic. Certain criteria suggest bacterial infections; e.g. Time course, specific signs, & no response to over-the-counter treatment. Also, flu % colds are caused by viruses only so bacterial antibiotics will not work at all. ...Read more

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Dr. Crystal Twynham
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27 years in practice
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Dr. Farhad Sigari
Board Certified, ENT and Head and Neck Surgery
14 years in practice
1M people helped
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3
Can an antibiotic sinus rinse be used in place of oral antibiotics for people who have chronic uris and sinus infections?

Can an antibiotic sinus rinse be used in place of oral antibiotics for people who have chronic uris and sinus infections?

Yes: It is a good option for those who can't tolerate a long course (more than three weeks) of antibiotic or have another reason why they can't take the oral form. It can also be used in conjunction with a steroid mixed in the rinse. This might be the only option for some who have chronic sinus disease and whom surgery is not an option (or they are trying to avoid surgery). It is a worth a try. ...Read more

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Dr. Mark Kuhnke
Board Certified, General Surgery
34 years in practice
1M people helped
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Can sinus infections get better on its own or do I need antibiotics?

Can sinus infections get better on its own or do I need antibiotics?

Decongestant vs abx: A true sinus infection, with bacterial overgrowth, face pain, fever, etc would need abx and need managed by a physician. Sinus congestion would best be managed by decongestants. I suggest an evaluation by a qualified healthcare provider if you have any concerns. Good luck. ...Read more

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Dr. Crystal Twynham
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27 years in practice
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Dr. Cornelia Franz
Board Certified, Pediatrics
8M people helped
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My 9 month old has constant sinus infections(4 in the last 3 months) and antibiotics don't help any suggestions on what I should do?

My 9 month old has constant sinus infections(4 in the last 3 months) and antibiotics don't help any suggestions on what I should do?

Yes: If you are breastfeeding stop all dairy in your diet. See a craniosacral therapist. It helps promote drainage and resolve sinus infections. See a chinese medicine practitioner. Herbs can help. Homeopathy can help. The first two things I do are eliminate dairy and gluten from the diet... ...Read more

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Dr. Farhad Sigari
Board Certified, ENT and Head and Neck Surgery
14 years in practice
1M people helped
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What can b done for chronic sinus infections? I normally suck it up, but it's getting more painful. Also don't like to take antibiotics.

What can b done for chronic sinus infections? I normally suck it up, but it's getting more painful. Also don't like to take antibiotics.

ENT: See an ENT. You need to have a full eval which met include CT scan, endoscopy, and or Allergy testing . Depending on the results a proper intervention can be recommended to help you brake the cycle. ...Read more

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Dr. Steven Tucker
Board Certified, Internal Medicine
21 years in practice
369K people helped
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Is the medication ceftin a mild or major antibiotic for sinus infections?

Is the medication ceftin a mild or major antibiotic  for sinus infections?

That depends....: Ceftin (cefuroxime axetil) is a 2nd generation cephalosporin antibiotic (there are 4 generations now). It is commonly given for infections across the lungs, sinuses, gut, and skin. Mild or major, depends on perspective but overall i would say that antibiotics are over-prescribed. The key at this point is to finish the course you were given. ...Read more

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Dr. David Mann
Board Certified, ENT and Head and Neck Surgery
24 years in practice
386K people helped
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What are some treatments for sinus infections in addition to antibiotics?

What are some treatments for sinus infections in addition to antibiotics?

Sinus treatment: Yes, medications like decongestants( sprays and tablets) help decrease swelling allowing drainage. Saline spray helps to clean the nose of germs, pus, etc. It also acts as mild decongestant. Nasal steroid sprays may help. Steroid pills may help by decreasing swelling and inflammation. Chronic infection is treated with surgery. ...Read more

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Dr. Shaym Puppala
Board Certified, Internal Medicine
19 years in practice
3M people helped
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Is there a test for sinus infections? How does dr. Know when to prescribe antibiotics?

Overall picture: A number of exam findings can suggest a sinus infection especially if >1 of them present eg "red streak sign" next to uvula, fever, swollen glands in the neck, pain with tapping over sinuses. History gives clues; eg symptoms were improving (eg virus) but suddenly worsened (secondary infection). Even if sinus infection, may not need antibiotics: if early, sometimes neti-pot & nasal steroid work. ...Read more

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Dr. Stephen Calendine
Board Certified, Dentistry
28 years in practice
168K people helped
10

10
Wife has had 3 sudden onset sinus infections since October. Each has required a course of antibiotics. Worried that not getting rid of this. Ideas?

Wife has had 3 sudden onset sinus infections since October. Each has required a course of antibiotics. Worried that not getting rid of this. Ideas?

Frequent Sinus Rinse: If she isn't already doing sinus irrigation twice a day she would really benefit from starting. Kits are available at the pharmacy. Warm water is mixed with pre-measured packets in a squeeze bottle then squirted several times in each nostril. Once you get used to doing it it really feels good and can help tremendously! ...Read more

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Dr. Thomas Klein
686 doctors shared insights

Sinus Pain (Definition)

Sinus pain is a symptom in which a person has pain in the sinus spaces of the face. The sinuses are hollow spaces in the facial bones, with the largest spaces in each cheekbone and in the forehead. Sinus infections can cause sinus pressure, sinus pain, headaches, fever, cloudy ...Read more


Dr. Gerald Mandell
9 doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more


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Dr. Crystal Twynham
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