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Sinusitis

Question
Posted by: Liam | 2019/01/05

Q.

Sinusitis

Hello, I have had a sinus infection for over 2 months now. I am a generally healthy 30 year old man who has some stomach ibs issues but no other major ongoing health issues. I have only been aware that it was a sinus infection for about 2 weeks. The first month and a half I thought it was a very stubborn flu that kept coming back because I was getting up and doing stuff. During this time I probably did everything to make a sinus infection worse. I was in a freezing room with cold air on my face. I stopped doing dishes and cleaning up after about 2 and a half weeks so there was garbage and moldy dishes everywhere. There was wildfire smoke outside so I was also forced to keep my windows shut for over a week during this time. Needless to say I would only get slowly better in these conditions and as soon as I tried to have a semi productive day it would all come back way worse. Mostly aches, feverish, yellow phlegm and a flush feeling covering the left side of my head. Finally on christmas eve I went to a doctor who prescribed me 500mg of amoxicillin twice a day for a week. I was a little concerned taking antibiotics because of my stomach issues but I did and started using a netti pot and flonase. I was still in a freezing, dry room during this time and my symptoms improved but not all the way. Next he prescribed me Amoxicillin-Clav 875-125mg a day for a week and I started to feel a lot better after a few days even able to take 15 min walks a few day without feeling much worse, the fluish feeling was mostly gone but I did have a very stiff left cheek and temple. I asked my doctor if it was ok to engage in sexual activity with my partner at this time and I did twice in one day and the fluish feeling and yellow phlegm immediately came back after that though the stiffness in my face seemed reduced. I'm now 2 days from finishing this antibiotic I have a light fluish feeling not much yellow phlegm and a lighter stiff feeling in my left temple and a bit in the cheek. My doctor said if the antibiotics don't work at this time that he I should go see a specialist. I would love your expert opinion on my situation and what you would advise. Is it possible and would be helpful to take antibiotics for longer? Since it seemed to help the conditions quite a bit until the sexual activity and why would that make things worse? Can I be taking a stronger or different antibiotics? Is my only option seeing a specialist? Thanks so much and Happy New Year!

Expert's Reply

A.

Sinusitis Expert
- 2019/01/09

The sexual activity, housework, cold room etc will make no difference either way. Persist with the netti pot and Flonase 2 each side twice a day and see your ENT if no better after another 10 days. They can scope your nose and arrange a CT scan if needed.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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