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Medical Forum / Diseases and Disorders / Sinusitis / March 2005Just over 2 weeks post-op, bad sinus infection
I was doing well and last Friday started feeling bad, lethargic, very congested and a horrible headache. My doctor wasn't in so I couldn't see him until today. Sure enough, I have a really bad infection on the side the surgery was done. I was so disheartened but he gave me an antibiotic and told me to take it for 10 days. They also gave me THE SHOT in the rear that usually helps. I just wonder what could have caused this. I haven't been out in the weather or around any pollen, etc. I haven't even left my house since the surgery on March 3rd. Am I doomed to have this crap forever? I felt so good for many years after my last sinus surgery. I wasn't expecting an infection 2 weeks after this one. Has this happened to anyone else? > I was doing well and last Friday started feeling bad, lethargic, very > congested and a horrible headache. My doctor wasn't in so I couldn't see [quoted text clipped - 6 lines] > > Am I doomed to have this crap forever? Yes. > I felt so good for many years after > my last sinus surgery. I wasn't expecting an infection 2 weeks after this > one. > > Has this happened to anyone else? Yes. > > I was doing well and last Friday started feeling bad, lethargic, very > > congested and a horrible headache. My doctor wasn't in so I couldn't see [quoted text clipped - 16 lines] > > Yes. Would you mind elaborating a bit? I would really appreciate some input. Vicki >>>I was doing well and last Friday started feeling bad, lethargic, very >>>congested and a horrible headache. My doctor wasn't in so I couldn't [quoted text clipped - 41 lines] > > Vicki Don't listen to him. Studies have shown that FESS has a cure rate of between 70% and 80%. That means you have roughly a 3 out of 4 chance of being rid of sinusitis permanently--if the surgery was done properly. This NG tends to be a biased sample. Here you will encounter folks like me who are in the unlucky 1/4 of FESS patients for whom the surgery provided only a partial cure. Because those patients who were cured have gone back to their lives and don't hang around here.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > I was doing well and last Friday started feeling bad, lethargic, very > congested and a horrible headache. My doctor wasn't in so I couldn't see > him until today. Sure enough, I have a really bad infection on the side the > surgery was done. I was so disheartened but he gave me an antibiotic and > told me to take it for 10 days. They also gave me THE SHOT in the rear that > usually helps. I just wonder what could have caused this. It's quite common. It happened to me too, after each of the two surgeries I had. Remember there is no way to maintain a sterile field inside your nasopharynx when they operate. The trauma of the surgery damages your cilia which are your first line of defense against germs. And after the surgery, all that dried blood makes a great growth medium for bacteria. The infection should clear as part of the healing process of the surgery. What's of more concern to me is that they didn't start you on antibiotics immediately. Weren't you on an antibiotic IV drip during the surgery? And didn't your ENT tell you to start taking oral antibiotics the day after the surgery? Mine did and he gave me 3 weeks' worth. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > > I was doing well and last Friday started feeling bad, lethargic, very > > congested and a horrible headache. My doctor wasn't in so I couldn't see [quoted text clipped - 16 lines] > antibiotics the day after the surgery? Mine did and he gave me 3 weeks' > worth. That has always puzzled me. This is the second surgery this doctor has done on me. The last was 15 or so years ago. I had one about 3 years prior to that. In all 3 surgeries I was never given any antibiotics. When I see him again, I am going to try to remember to ask why. There must be some reason. Thanks for your input. I have been so upset about getting sick again so soon after the surgery when I was feeling better. This is my third day on antibiotics, still having pain and still feel infected, if that makes any sense. I will be taking them a total of 10 days. Hopefully there will be relief soon. Vicki >>>I was doing well and last Friday started feeling bad, lethargic, very >>>congested and a horrible headache. My doctor wasn't in so I couldn't [quoted text clipped - 39 lines] > sense. I will be taking them a total of 10 days. Hopefully there will be > relief soon. I hope so too. BTW, there's an interesting story about the antibiotics on my last surgery. I'm allergic to the penicillins and the cephalosporins, so my ENT was having trouble finding another IV antibiotic he could administer during my surgery. I came up with the right answer. I told my ENT to inquire if the dispensary had IV Cipro. Since I take Levaquin safely, I knew I could take Cipro. And I knew the dispensary had to have IV Cipro in stock. Because that's the first-line antibiotic treatment for a terrorist anthrax attack, and all the Boston hospitals are stockpiling it now as part of Homeland Security. It turned out I was right. So I had IV Cipro during my surgery. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > >>>I was doing well and last Friday started feeling bad, lethargic, very > >>>congested and a horrible headache. My doctor wasn't in so I couldn't [quoted text clipped - 55 lines] > It turned out I was right. > So I had IV Cipro during my surgery. That was great thinking, Steven. Had I been given antibiotics during and after surgery maybe I wouldn't be suffering right now. This is day 4 on antibiotics and I am still hurting. He told me if I didn't feel a whole lot better by Friday to call him. If I don't, I most certainly will. Thanks for all of your positive input to me. Vicki > BTW, there's an interesting story about the antibiotics on my last > surgery. I'm allergic to the penicillins and the cephalosporins, so my > ENT was having trouble finding another IV antibiotic he could administer > during my surgery. Didn't they have erythromycin? I had so many IV bags of that during a (presumed) bout of pneumonia that they had to ice my arms down from the burning. Of course, it wasn't pneumonia at all, but adult-onset asthma... Vicki...I had antibiotics before, during, and after all of my sinus surgeries. Like Steve, I have many allergies to antibiotics, the only ones I can take are called Quinolons. The site where the IV Tequin goes gets pretty sore and red. I take a one month cycle of oral antibiotic after surgery along with Diflucan because it always causes severe yeast infections. I can't believe you didn't get these automatically. There is also an antibiotic to put into your nasal wash called Gentamycin and it works quite well. Some use the NeilMed squeeze bottle with sterile saline and this and have found great results. This is Friday and I hope you are feeling better by now. Let us know. Good luck. Trudy. > Vicki...I had antibiotics before, during, and after all of my sinus > surgeries. Like Steve, I have many allergies to antibiotics, the only ones [quoted text clipped - 4 lines] > also an antibiotic to put into your nasal wash called Gentamycin and it > works quite well. CAUTION: The Cleveland Clinic is one hospital that has recently stopped using Gentamicin irrigation. They have found that among their most sensitive patients, enough Gentamicin is entering the bloodstream thru the nose to cause very serious systemic effects (neurological). They have switched to recommending irrigation with an aqueous solution of Bactroban. > Some use the NeilMed squeeze bottle with sterile saline > and this and have found great results. I use it too, especially when I'm on travel and can't tote around my Grossan irrigator. But my ENT doesn't mind if I use tap water. Tap water is safe in most major metropolitan areas. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. >>BTW, there's an interesting story about the antibiotics on my last >>surgery. I'm allergic to the penicillins and the cephalosporins, so my >>ENT was having trouble finding another IV antibiotic he could administer >>during my surgery. > > Didn't they have erythromycin? Erythromycin is ineffective on sinus infections in adults, due to insufficient coverage. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. On 3/24/05 3:17 AM, in article DMSdnQ9OXblIPN_fRVn-1Q@comcast.com, >> BTW, there's an interesting story about the antibiotics on my last >> surgery. I'm allergic to the penicillins and the cephalosporins, so my [quoted text clipped - 4 lines] > (presumed) bout of pneumonia that they had to ice my arms down from the > burning. Of course, it wasn't pneumonia at all, but adult-onset asthma... Ask your doctor about administering the antibiotic via pulsatile irrigation.
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