Our expert says:
1. You should consult an ENT to have an endoscopic examination of the nose, to establish a possible cause for your problem. The swollen glands in the neck is not common with a sinusitis, so another cause should be excluded.
2. The problem is becoming chronic, so he should refer.
3. It is advisable to have a letter, but it is your right to seek the opinion of a specialist if you feel the problem is not addressed.
4. It would be helpful, but this is not always possible, so this should not put you off from seeking an opinion.
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