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Medical Forum / Diseases and Disorders / Sinusitis / February 2005

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Desperate - advice needed

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The Mullen ® - 25 Dec 2004 22:19 GMT
Hi, I got what I thought was a heavy cold a couple of weeks ago, and a
few days into it my nasal discharges got pretty bad and the nasal
blockage didn't let up. Went to the docs and got a 7-day course of
amoxocillin which I have just come to the end of.

Things now seem to be getting worse; the discharges are thick green
(previously clear and white), the blockages are still there in both
nostrils alternating between left and right nostril but not both at the
same time and much worse on the left side. When I blow hard I am
getting what also seems like 'blocked ears' ? and last night got a pain
which felt like it was behind my left eye.

I have tried homeopathic nasal sprays, irrigation with warm salt water,
Sudafed tablets and steam inhalation with menthol crystals. None seem
to work; although steam inhalation gives me about 5-minutes relief
where my sinuses seem to clear, but the menthol made my eyes water
really badly.

Can anyone tell me what the Dickens is going on? My missus also seems
to be getting wound up with my pre-occupation of trying to get well.

Regards

TM

P.S. Just remembered that a couple of days before I got sick, I had an
irritating painful pustule in my left nostril which I zapped. Could
this be a contributory factor?
CanDo - 26 Dec 2004 00:39 GMT
Perhaps some of the bacteria from that painful pustule in your left nostril,
which you zapped, was able to spread into your nasal areas and turbinates?

After I suffered with multiple sinus infections, year after year, for
decades, I experimented with flooding my nasal passages with a mixture of
diluted 3% hydrogen peroxide, baking soda and kosher salt. In order to flood
my nasal passages and keep them flooded, I keep my forehead pointed
downward. I keep my forehead down for quite a while, hoping that the
anti-infective mixture can get to the infected area(s) within my sinuses and
nasal passages.
.
It works! I have been sinus infection free for about 3 years. I think that I
had chronic infection problems with my turbinates, so flooding my nasal
passages with the anti-infective mixture worked very well, for me, since the
infected areas were fairly easy to reach.
.
I have fully documented my experience and how I did it at Healthboards.com.
There are posts there by people who have tried my "upside down sinus
flooding" and have received either partial relief or total relief. There are
also posts there from those who it hasn't helped, and by those who don't
think that it is a good idea. I have no connection at all with Healthboards.
I use it because I consider it to be the best facility for discussing health
problems on the Internet.
.
To find out more, select one of the following links:
.
Here is the link to the detailed documentation of the "Upside Down Sinus
Flooding" and also discussion:
.
http://www.healthboards.com/boards/showthread.php?t=139765
.
.
Here is the link to discussion about the "Upside Down Sinus Flooding" in the
Allergy Board:
.
http://www.healthboards.com/boards/showthread.php?t=129210
.
Here is the link to discussion about the "Upside Down Sinus Flooding" in the
Colds/Flu Board:
.
http://www.healthboards.com/boards/showthread.php?t=124803
.
.
"If you save one life, it is as though you save the world"
The Mullen ® - 26 Dec 2004 01:56 GMT
Hi thanks for the info and links.  There's loads of positive info
there.

Some questions...,

I have never heard of kosher salt., what is it and where can I get
some?

Also is hydrogen peroxide that stuff that people use for bleaching
their hair? Presumably you would buy this from the chemist?

One last sympton, sorry to be so graphic, but I since I have been ill
with this sinus trouble, I have also had a sore throat, although this
is off and on - when I clear mucus from the back of my throat, I am
also bringing up small hardened green/brown lumps that smell
disgusting; it feels like bits of peanuts. My missus reckons it part of
my lungs. Have you ever heard anything like this and is it related?
Preesi - 26 Dec 2004 02:28 GMT
The Mullen ? wrote:
> Hi thanks for the info and links.  There's loads of positive info
> there.
[quoted text clipped - 13 lines]
> disgusting; it feels like bits of peanuts. My missus reckons it part
> of my lungs. Have you ever heard anything like this and is it related?

Tonsillithes!
YUK!
Stinkypoo!

Tonsil stone: A tiny stone (calculus) in the tonsils.

These stones, called tonsilloliths, are found within little pockets
(crypts) in the tonsils that typically form in chronic recurrent
tonsillitis and harbor bacteria.

The stones are foul-smelling. They tend to contain high quantities of
sulfa. When crushed, they give off the characteristic rotten egg smell
which is well known to cause bad breath.

Tonsilloliths may also give the sense of something being caught in the
back of the throat.

Also referred to as a tonsillith.
Signature

preesi
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The Mullen ® - 26 Dec 2004 02:35 GMT
Yes, just spotted something at www.doctorspiller.com that seems to make
sense of it all. Guess I need to go and see an ENT.

"People with chronic sinusitis and post nasal drip may develop
tonsiloliths, or tiny, white, foul smelling stones which lodge in the
tonsilar crypts.  Tonsiloliths sometimes give the feeling of something
lodged in the throat. They can also contribute to bad breath.   Some
people have chronic problems with tonsiloliths.  The only sure
treatment for chronic tonsiloliths is removal of the tonsils.  The
operation is performed by an ear, nose and throat specialist (ENT) and
is fairly simple and safe.  As noted above, in adults the operation
causes a very serious sore throat for two weeks post-op.  Short of
removing the tonsils, the bad breath can be treated with mouth rinses,
and the condition itself may be lessened by gargling with Peridex®
mouth wash which is available by prescription from your dentist or
physician, and possibly by the use of decongestants to lessen the post
nasal drip which is part of the cause of tonsiloliths. "
CanDo - 26 Dec 2004 15:30 GMT
> I have never heard of kosher salt., what is it and where can I get
> some?

Kosher salt can be found in most supermarkets in the US. I don't know about
other countries. If you use regular salt, it can sting the sinuses. I have
done the sinus flooding with just the 3% hydrogen peroxide, diluting greatly
with filtered water, and the baking soda, and have left out the salt. Salt
usually won't kill germs, but bacteria doesn't like salty areas.

> Also is hydrogen peroxide that stuff that people use for bleaching
> their hair? Presumably you would buy this from the chemist?

3% hydrogen peroxide can be found it most grocery or drug stores throughout
the US for about $1 per bottle. The most common use for peroxide is for the
treatment of minor cuts and abrasions and as a gargle to kill germs in the
mouth. It is an antiseptic and oral debriding agent.

I use it once a day to brush my teeth and for rinsing my gums, to keep my
mouth, gums and teeth healthy.

Regards...... Merry Christmas and a Happy New Year!
Johnny1000@webtv.net - 26 Dec 2004 04:21 GMT
Hello TM... I would carry on with the irrigation. ...And don't blow the
nose!!  Just exhale lightly. ...Let the nose clear itself. Use the
irrigation fluid to help flush the bad away.
  ...I also had some luck clearing my plugged sinuses by lying face
down on a frozen (pre-dampened) face cloth. This caused a bit of
snapping and cracking within; however, after 15 min., I flushed the
entire infective material out.    Good luck to you.... Jon
Don Brady - 26 Dec 2004 05:25 GMT
>Hello TM... I would carry on with the irrigation. ...And don't blow the
>nose!!  Just exhale lightly. ...Let the nose clear itself. Use the
[quoted text clipped - 3 lines]
>snapping and cracking within; however, after 15 min., I flushed the
>entire infective material out.

That's an original idea and it is very worthwhile knowing it!  Thanks.....

>   Good luck to you.... Jon
blades - 26 Dec 2004 13:32 GMT
Find a good ENT, one that isn't too inclined to recommend surgery quickly.
--
Bruce
Steven L. - 26 Dec 2004 18:27 GMT
> Find a good ENT, one that isn't too inclined to recommend surgery quickly.

I think it's a little early for him to be seeing an ENT.  There are
still a lot of treatment options that a knowledgeable primary-care
physician can do.

I've come to believe in a "three strikes and you're out" rule:  If three
different antibiotics, each taken for a couple of weeks, have failed to
knock out the sinus problem, then it's time to think about seeing an ENT.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Steven L. - 26 Dec 2004 18:24 GMT
> Hi, I got what I thought was a heavy cold a couple of weeks ago, and a
> few days into it my nasal discharges got pretty bad and the nasal
[quoted text clipped - 16 lines]
> Can anyone tell me what the Dickens is going on? My missus also seems
> to be getting wound up with my pre-occupation of trying to get well.

Well, you obviously need to see a doctor who can diagnose you properly.

But if it is a bacterial sinus infection that is secondary to your
catching cold, then it's entirely possible that it's resistant to the
amoxicillin.  There are other antibiotics to try in that case.

What happens is that the viral cold causes the sinus cavities to swell
shut.  Then bacteria can multiply inside the now-closed sinus cavity.

Sinus infections tend to be stubborn.  Even after you find the right
antibiotic, it can take 3 weeks' worth of antibiotic to completely knock
out the infection.

If all that fails, the next step is to see an otolaryngoloist
(Ear-Nose-Throat/ENT) specialist.

In the meantime, frequent nasal irrigation can give a lot of relief.
Sometimes, if you're lucky, frequent nasal irrigation can even knock out
the infection.

If you search the Google archive, you will find the various FAQs for
this NG--the original one plus the one I authored.  They'll explain all
this in more detail.

Good luck.

Signature

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Email:  sdlitvin@earthlinkNOSPAM.net

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Paminifarm CyberArt - 31 Dec 2004 17:58 GMT
Hello, Mullen,
Strange the medication didnot work; stranger yet is you didnot call
back your Doc to tell him it didnot work. Before you screw up big-time,
call your Doc. immediately and tell him what is happening, so he can
immediately change your prescription. Tell him about the pimple, as
it sounds as if you may have a Staph. infection, and i donot know if
amoxocillin works on Staph. Iwill look it up and let you know. Next
time donot wait the entire prescription if youare actually getting
worse on the medication, to call the Doc. and tell him!!!!!!!  Youhave
a bad infection, so donot listen to every jerk you come across on the
Internet. CALL YOUR DOCTOR NOW!!!!!! PLEASE!!!!!!!
Paminifarm CyberArt - 31 Dec 2004 18:39 GMT
Amoxicillin Alert:
http://snipurl.com/bp54
or
http://www.amoxicillinattorney.com/index.html?source=overture

http://www.marvistavet.com/html/body_amoxicillin.html
Staphylococci (an important group of bacteria) have developed an enzyme
to break the Penicillin molecule apart and are thus rarely susceptible
to Penicillin.

Amoxicillin represents a synthetic improvement upon the original
Penicillin molecule.  Amoxicillin is better able to resist damage from
stomach acid so less of an oral dose is wasted. While it is still
susceptible to destruction by Staphylococcal enzymes, it does have a
much broader spectrum against the Gram negative cell wall and is able
to last a bit longer

In other words "Amoxicillin" isnot a good antibiotic for a Staph.
infection.

http://www.rlc.dcccd.edu/mathsci/reynolds/micro/lab_manual/KBchart.htm
Methicillin is used for Staph. only

http://www.medhelp.org/forums/dermatology/messages/31953a.html
This is a good read for you.

Cephalexin has done a lot for my sinus problems, and i bet you it will
work for you too, not that you actually have a "sinus problem", but
will if you donot get rid of that infection immediately.
The Mullen ® - 31 Dec 2004 23:17 GMT
hi, thanks for the info

I'm having good days and bad days since my original post..., the bad
days are better than they were, not so heavy discharge and not blocked
all the time..., my ears aren't causing me a problem as they were, but
I do feel like I got a red hot spot in my right ear.
if i'm still stuggling by tuesday, i will go to the docs

thanks again
The Mullen ® - 04 Jan 2005 18:38 GMT
Success!  I have been feeling better recently and earlier today I felt
my left nostril (the most problematic one) running and I gently blew
out...nothing...then blew a bit harder, felt something coming, then
blew again and this big green jelly-like blob flew out and landed on my
sleeve. Was this the infection coming out?  I feel brilliant now and no
blockage at all.

Also, I have read loads of times that dairy products cause mucus, so I
had my last cup of coffee with full milk contained on Dec 31, and
haven't touch any diary since. Could this have been a catalyst?
Good luck!
The Mullen ® - 18 Jan 2005 01:36 GMT
It came back!

I'm blocked up, but the 'green' stuff is coming out real easy without
blowing too hard.

Could this be the end of it?
iJah - 20 Jan 2005 18:55 GMT
>It came back!
>
>I'm blocked up, but the 'green' stuff is coming out real easy without
>blowing too hard.
>
>Could this be the end of it?

Sorry to hear you are blocked up again, but glad to hear the gunk
flowing out easily.

Perhaps a mucus thinner would help? Like the active ingredient in
Robitussin - I don't know how to spell it - gnuefissan? There is a
prescription strength form I'd been using called Humibid LA.

iJah
Me :) - 21 Jan 2005 12:53 GMT
>Sorry to hear you are blocked up again, but glad to hear the gunk
>flowing out easily.
>
>Perhaps a mucus thinner would help? Like the active ingredient in
>Robitussin - I don't know how to spell it - gnuefissan? There is a
>prescription strength form I'd been using called Humibid LA.

Guifanesin.

Also available OTC   (Humibid, Mucinex, etc)
ENTconsult - 24 Jan 2005 17:32 GMT
Best mucus thinner is still
Hot tea
Lemon
Honey.
Murray Grossan, M.D.
http://www.ent-consult.com
Doug - 24 Feb 2005 16:17 GMT
It's great to see an M.D. helping out people here. Thanks Dr. Grossan!

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> Best mucus thinner is still
> Hot tea
> Lemon
> Honey.
> Murray Grossan, M.D.
> http://www.ent-consult.com
Paminifarm CyberArt - 27 Jan 2005 21:45 GMT
>On 17 Jan 2005 17:36:57 -0800, "The Mullen ?"
><singh_ding_ring@boltblue.com> wrote:
[quoted text clipped - 14 lines]
>
>iJah

Hello,
I just discovered Robitussin has about six different bottles out now. The
green "label" (there is more than one), right under the word Robitussin,
you will find exactly one (1) ingredient: "Guaifenesin Syrup" and that is
the one you want. I just discovered you cannot stop taking it - i did - and
now i am back on antibiotic, which i never heard of before, and can find
no information on it. I donot think it is an English word or something, as
the word seems to be Tripach; probably a German medication. You only take
3 and it lasts for 10 days. I think that is dangerous. What happens if you
are allergic to it? At least if you were taking the medication daily, and
you got allergic to it you could stop taking it. My Doc knows i am extremely
allergic (upper 10%). Is he a wacko or what? It can take about 3 days before
allergy shows up on a medication. He also knows i just got over Amphotericin
B poisoning, which he keeps saying he doesnot think it was that that gave
me the gout, which i have never had in my life, and he wasnot even my Doctor
at the time in the beginning when i started doing the nasal wash with it.
I was still under the surgeon's care. I was supposed to be on it for about
3 to 6 months however i developed the allergy on the end of the 3rd week.
It was a couple weeks after that, when i was able to walk that i went to
this new Doc. Who knows everything and can do nothing.
http://lillyrouge.tripod.com/enter.html
http://paminifarm.faithweb.com
http://www.geezer.com/artisan/257

 

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