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Medical Forum / Diseases and Disorders / Sinusitis / July 2005anyone used antibiotics for long term here ?
hello , i have just heard that sinus/polyps peoples have to use antibiotics almost all of there life . ( atleast few peoples use it ) ... so is there any one here who used antibiotics to almost all his/her life or used it for long term ... ???what is the percentage of peoples who get side effects ... is there anyone who got serious dieases like with use of anti biotics .... are these anti biotics r safe ? ... as polyps treatment needs 2-3 years regular use of antibiotics what is the percentage of risk that it may effect someone's kidney/lungs or kill anyone ? .. > hello , i have just heard that sinus/polyps peoples have to use > antibiotics almost all of there life . ( atleast few peoples use it ) [quoted text clipped - 5 lines] > antibiotics what is the percentage of risk that it may effect > someone's kidney/lungs or kill anyone ? .. You want to only take what antibiotics that are necessary to stop the sinusitis infection you have. Generally that takes 3 weeks at a minimum, but not that much longer. Taking anitbiotics for extended periods with no infection present would serve no purpose except to create resistant bacteria, which of course you don't want. Polyps don't need antibiotics to cure or prevent them, at least not to my knowledge. For polyps an anti-inflamatory steriod spray such as Rhinocort will prevent polyp recurrence. ...Allen >>hello , i have just heard that sinus/polyps peoples have to use >>antibiotics almost all of there life . ( atleast few peoples use it ) [quoted text clipped - 9 lines] > sinusitis infection you have. Generally that takes 3 weeks at a minimum, but > not that much longer. No, it can take much longer. Sometimes up to a full year. Intravenous antibiotics tend to be more effective and a shorter course of IV antibiotics should be considered as an alternative to a long course of oral antibiotics.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. >> You want to only take what antibiotics that are necessary to stop the >> sinusitis infection you have. Generally that takes 3 weeks at a minimum, but [quoted text clipped - 4 lines] >antibiotics should be considered as an alternative to a long course of >oral antibiotics. If his complaint is polyps and a little white drainage, with no pain, does he really need to take antibiotics? Could he just decide to live with what might at most be a low-grade infection? >>>You want to only take what antibiotics that are necessary to stop the >>>sinusitis infection you have. Generally that takes 3 weeks at a minimum, but [quoted text clipped - 9 lines] > > Could he just decide to live with what might at most be a low-grade infection? That is for his physician to decide. If he has asthma, for example, then even a chronic low-grade infection could make the asthma much harder to control. That has been my experience. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. >> If his complaint is polyps and a little white drainage, with no pain, does he >> really need to take antibiotics? >> >> Could he just decide to live with what might at most be a low-grade infection? > >That is for his physician to decide. It sounds as if he is getting conflicting advise from his doctors..... >If he has asthma, for example, then even a chronic low-grade infection >could make the asthma much harder to control. That has been my experience. That is a good point... > That is for his physician to decide. > > If he has asthma, for example, then even a chronic low-grade infection > could make the asthma much harder to control. That has been my experience. I can vouch for this. I don't typically have any asthma, but last winter, each sinus infection triggered constant ashtmatic symptoms, even when low grade (having been treated with weeks of Augmentin XR). Susan On 7/11/05 9:47 AM, in article CoxAe.104167$j51.58494@tornado.texas.rr.com, >> hello , i have just heard that sinus/polyps peoples have to use >> antibiotics almost all of there life . ( atleast few peoples use it ) [quoted text clipped - 16 lines] > > ...Allen I know of no indication to take antibiotics continuaously for nasal/sinus polyps. We have never prescribed them for polyps on a continuous basis. Besides, I don't think that would be of value. Does Depression cause sinus infection ... i just read an article few days ago claiming that sympthoms of depression in children is while thin material draining from there nose .... .. also if polyps donot need regular antibiotics why then its usually written that antibiotics r the first step of treatment . even some one told in group that 90% of polyps can be cured with anti biotics ?? so is it 3-4 weeks use of anti biotics or long term use ..... also as a doctor you may have treated number of peoples .. what is your experience . what is the percentage of peoples complaining that medicines r producing side effects and what is the percentage of peoples who get serious side effects ( life threatning )(to murray Grossan) . also i am feeling little puss falling in my throat . sympthoms appeared science i started nussle irrigation or started consuming homeopathic medicines ..... salt have great power to shrink anything ... so does dryness of nose can be one reason that puss is falling in my throat as my nose is almost open all the time and polyps dont bother me until i go to cold places and eat too much icecreams ... does going to deserts will solve my polyps problem forever cause i get problem in cold only //./ eating substances that dry nose will it help .. like " Dates " have great power to dry nose so there r lot of foods which dry nose .. will it shrink polyps too ... also i am producing about 20 gram of white puss daily ( jelly like while puss) or sometimes little light great thin puss ... why is it happening .. why my body produces it and how to permanently cure it ?? is there any natural way to cure it Thanks also can " nasal polyps cause Facial/ear pressue or not ? also can " nasal polyps cause Facial/ear pressue or not ? On 7/11/05 11:07 PM, in article 1121148470.829639.219420@g44g2000cwa.googlegroups.com, "Ankur" <ankurarora17@yahoo.co.in> wrote: > Does Depression cause sinus infection ... i just read an article few > days ago claiming that sympthoms of depression in children is while [quoted text clipped - 9 lines] > peoples who get serious side effects ( life threatning )(to murray > Grossan) . Antibiotics are of value on a temporary basis when you are giving prednisone. Without the prednisone I don't think they are of routine value. Polyps do enlarge with infection. I found this at http://www.drmirkin.com/morehealth/8988.html : "Antibiotics can help a little, but they do not stop polyps from forming or recurring." ok then what medicines you give to treat polyps . ? 90% of polyps can be cured with medicines ? how ?plus can a doctor tell that these polyps can not be cured with medicines just by watching it externally ? Hey Don according to that link : "People with nasal polys are often miserable from irritation and obstruction of the passageway in their noses, usually have no allergic cause and do not benefit from allergy injections, have symptoms 12 months a years, often also have asthma". about 2% of world population have nasal polyps about 120 million and probably polyps are not life threatning .... but how would anyone compare polyps with Asthma which is life threating ...i can just found 1000-2000 posts on google on nasal polyps even though millions of peoples have it .i think peoples dont care about it . whats write Quote : " peoples with polyps have asthma often " or " peoples with asthma have polyps often " also i have found a website claiming that eating high fiber diet and staying away from pollution will either kill polyps or shrink them . a univ. website . how true is this fact ? according to that link there is no cure for polyps and one can even die if he/she takes asprin........i have consulted number of doctors and when i tell them i have polyps they say its nothing ..........and according to that link its life threatning ( indiectly asssociating with Asthma).. >according to that link there is no cure for polyps and one can even die >if he/she takes asprin They have to mention the extreme cases just in case... >........i have consulted number of doctors and >when i tell them i have polyps they say its nothing I think that is about correct. It is not all that big a deal. > ..........and >according to that link its life threatning ( indiectly asssociating >with Asthma).. I think you are reading too much into it. If you don;t have asthma, you don;t have asthma and do not need to worry about it. They are talking about popuation statistics. I probably should not have posted that link. I just thought that the wording on one quote was interesting. I did not mean that everything on that site was worthwhile. A lot of it is probably out of date as it is based on old radio shows. He is a radio show host so his stuff has a "news bulletin" type flavor to it. He is Board Certified in Allergy and Immunology but he is not really a national expert or anything. I would look elsewhere. >Hey Don according to that link : > [quoted text clipped - 11 lines] >" peoples with polyps have asthma often " or > " peoples with asthma have polyps often " I think mainly the asthma comes first in such cases. In any case, they are only talking about statistics among people who already have those conditions. What you are actually interested in is: "are people who have polyps but not asthma likely to get asthma also?" I do not think this is necessarily the case at all. In other words, I would not worry too much about asthma. But do try to avoid infections etc. that might trigger asthma eventually in anyone (but cause and effect are not understood). >also i have found a website claiming that eating high fiber diet and >staying away from pollution will either kill polyps or shrink them . a >univ. website . how true is this fact ? Well pollution at least will be an irritating factor but I doubt that those two factors alone will make all that much difference in *most* people with polyps, since Dr.Grossan and others have not particularly mentioned them. There might be a big factor for *some* individuals. What you have to do is eventually observe whic *possible* factors make a big dfference for *you*. Thanks Don , but according to your previous post in some other discussion you mentioned that according to Dr. " forgot name" . 90% of polyps can be Cured with medicines ... but according to link ( website ) given in this discussion there is no cure for polyps . it just says injections may provide temrorily relief and surgery does the same . these both are opposite statements .... plus still i am trying to find an answer that what can be consecunces if i leave my polyps untreated .... that is in how much percentage of peoples polyps may effect sinuses . >Thanks Don , but according to your previous post in some other >discussion you mentioned that according to Dr. " forgot name" . 90% of [quoted text clipped - 3 lines] >just says injections may provide temrorily relief and surgery does the >same . these both are opposite statements .... I think it is the case that - in many/most people they do return (lots of posters here have said that) - under *very careful* medical management by an experienced doctor, it *may* be possible to prevent them from returning in a good number of individuals (Dr. Grossan says that) But the second case may require continuous medical management (ie. drugs). > plus still i am trying >to find an answer that what can be consecunces if i leave my polyps >untreated .... that is in how much percentage of peoples polyps may >effect sinuses . Well there may indeed be some in the sinuses. That is not not necessarily a problem. If they are not blocking anything or causing any problems, is there any point removing them? I doubt it personally from what has been said so far, but I am not a doctor - you can ask Dr. Grossan here...... Most people are going to say that it is not possible to express an opinion without knowing your doctor's clinical interpretations..... Did you ever get a CT scan? That should show whether there is a problem in your particular case. If there is no problem now, then maybe you can just get a CT scan every 10 years or so and see that there is no need for immediate surgery.... >>also i have found a website claiming that eating high fiber diet and >>staying away from pollution will either kill polyps or shrink them . a >>univ. website . how true is this fact ? Is it possible this website is discussing intestinal polyps and not sinus polyps? Regards, David >Is it possible this website is discussing intestinal polyps and not sinus >polyps? Good point! >>Is it possible this website is discussing intestinal polyps and not sinus >>polyps? > > Good point! Huh? The page is clearly about nasal polyps. Second line... Bold print... NASAL POLYPS >>>Is it possible this website is discussing intestinal polyps and not sinus >>>polyps? [quoted text clipped - 4 lines] > >NASAL POLYPS Oh for goodness sake he wasn't talking about that site at that point. It is beyond me why everyone has to spend so much time trying to prove that everybody else is an idiot instead of just making some constructive comments. >>>>Is it possible this website is discussing intestinal polyps and not sinus >>>>polyps? [quoted text clipped - 9 lines] > It is beyond me why everyone has to spend so much time trying to prove that > everybody else is an idiot instead of just making some constructive comments. Oh for goodness sake I thought he was. It has nothing to do with making him into an idiot. accrding to this study polyps do return with in few weeks of surgery ??? i have doubt ... doctors i consulted claim that surgery gives great relief... even they say in 50% peoples it never returns and in most peoples it gives years of releif ( say 5-10 years ) ....... the study was conducted by US University claming that nasal polyps either shrink or disappear in peoples who use high fiber diet and lives in pollution free enviorment > accrding to this study polyps do return with in few weeks of surgery > ??? i have doubt ... doctors i consulted claim that surgery gives [quoted text clipped - 4 lines] > either shrink or disappear in peoples who use high fiber diet and > lives in pollution free enviorment Ankur, I *do* hope you do solve this polyp problem soon or you will also have to have mental help to deal with your constant worry about it. Either go to some highly recommended doctors in your country and get opinions and then analyze them and come to some conclusion, be it good or bad. I would consider the MD Doctor's opinions, and basically forget the homopathic doctor's opinions. *You* need to chose one or the other soon, or you will need another kind of doctor also. This is my opinion only, and I'm no doctor, but can see neurosis, if it's developing as obvious as yours, but I *do* understand your concern for your problem. ...Allen > I found this at http://www.drmirkin.com/morehealth/8988.html : > > "Antibiotics can help a little, but they do not stop polyps from forming or > recurring." You should read on at his site... http://www.drmirkin.com/morehealth/G220.htm 90 percent of people with chronic nasal congestion lasting more than one year had positive cultures by polymerase chain reaction to chlamydia, 90 percent had positive antibody titers to chlamydia and 90 percent had positive immunohistochemical biopsy findings. All burning and stuffy nose symptoms disappeared after patients took azithromycin or clarithromycin for several weeks, but the symptoms recurred, presumably because the patients were not treated long enough to be cured. This study supports several previous studies showing that mycoplasma, an intracellular bacteria similar to chlamydia, also causes nasal polyps, small finger-like projections formed from blisters on the inner lining of the nose, that can block air flow (18). People with polyps often wheeze and cough, particularly when they get infections and they also lose their sense of smell. Allergy injections, antihistamines and decongestants do not help the vast majority of people who suffer chronic non-seasonal nasal congestion. Many people can be cured by taking 500 mg azithromycin twice a week or 100 mg of minocycline twice a day or both together for 6 to 18 months. >You should read on at his site... > >http://www.drmirkin.com/morehealth/G220.htm Oh I read it the first time. But that is a very old reference and I am not sure that that approach has been borne out to work. If it had, I assume it would be in use today. But it would be worthe looking into, I agree.... >90 percent of people with chronic nasal congestion lasting more than >one year had positive cultures by polymerase chain reaction to [quoted text clipped - 14 lines] >people can be cured by taking 500 mg azithromycin twice a week or >100 mg of minocycline twice a day or both together for 6 to 18 months. >>You should read on at his site... >> [quoted text clipped - 25 lines] >>people can be cured by taking 500 mg azithromycin twice a week or >>100 mg of minocycline twice a day or both together for 6 to 18 months. My ENT agreed to give me a PCR test. He also gave me zithromax 500mg every other day for 18 months. I wanted the pcr test bad! Then I came down with a double ear infection from irrigating. The doc said I looked like a two year old. I started the zithromax then for something like 5 days and at my wifes prodding I kept on it under the long term prescription. So I never got the pcr test and would have to stop the meds for a while to get it. However I have improved greatly under the zithro and can even smell! No more yellow snot. At this point I have a little white mucus when I irrigate maybe an 1/8 teaspoon. Still am slightly congested but not bad at all considering where I've been. I may be on my way to being cured! >>> You should read on at his site... >>> [quoted text clipped - 38 lines] > Still am slightly congested but not bad at all considering where I've > been. I may be on my way to being cured! I'm also taking 4 capsules of acidophilus a day. 100% Agreed with you Allen .. i am worrying too much about it ... my last question to this group is lets assume i consult best doctors of India for its treatment ... or what is the approximate percentage of peoples who get cured by Allopathic Treatment ...? Plus what is the approximate percentage of peoples who loose there eye/life/lungs etc due to side effect of medicines ?? I know its not possible to give exact percentage but what is approximate percentage .. lets say 10% of peoples loose there life due to wrong treatment /surgery of medicines or is it less than one 1% ... thats just my concern .. > 100% Agreed with you Allen .. i am worrying too much about it ... my > last question to this group is lets assume i consult best doctors of [quoted text clipped - 8 lines] > to wrong treatment /surgery of medicines or is it less than one 1% ... > thats just my concern .. I'm no expert by any means, Ankur, but with sinutisis you have a much better chance of a 'cure' and no more problems if you get the right thing (surgery or other treatment) very early. Otherwise you will become chronic (like me and others) and it is a life long battle with cronic sinusitis. If you can find the 'best' of doctors, and that will take a lot of research, you might have a good chance of full remission. You want a doctor who has done many, many, successful procedures, and you need to hear this from patients, not just his words. If he is honorable he will give you a list of several patients of his you may contact. It is way too early in your search to get paranoid about losing your eye/life/ect. Do your research of doctors first and talk to patients. I would render a guess if you do the above diligently, you will live, and not become an invalid from your treatment! :) Here you go letting your paranoia 'run away' with you. Do a lot of research and you will be fine. Now get busy and quit racking your brain about negative thoughts!! ...Allen > hello , i have just heard that sinus/polyps peoples have to use > antibiotics almost all of there life . ( atleast few peoples use it ) > ... so is there any one here who used antibiotics to almost all his/her > life or used it for long term ... ???what is the percentage of peoples > who get side effects ... is there anyone who got serious dieases like > with use of anti biotics I know a number of people who developed incurable lifelong fungal infections as a result of antibiotics. Aside from making you chronically miserable, these require expensive lifelong treatment with antifungals, which in turn cause more additional side effects of their own. Some people have developed fatal fungal infections as a result of antibiotics especially taken in combination with other drugs such as corticosteroids. The manufacturers' package inserts do not provide an accurate representation of the risks. Woody
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