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Medical Forum / Diseases and Disorders / Sinusitis / March 2006Question for Dr. Grossan and Experts
Dr. Grossan, i saw you twice but since i live in S.D, I have been seeing Terence Davidson, my question is that, my last two blood tests prior to seeing Dr. Davidson came back with Eosiniphils being elevated, Dr. Davidson seems to think that my sinusitis is not allergy related, he has me on, according to him a low dose of amoxicillin 250mg 3 times a day. I'm a little worried about taking the antibiotics since he has had me on them for 1 month and a half, how can you tell the difference between sinusitis that is caused by allergies or bacteria? Should i stop the antibiotics? What do you think of the elevated Eosiniphils? I don't feel sick like a fever or anything but i have these dull aches around my eyes from time to time? Thank you Hi, What is Eosiniplhils? Thank you > Hi, What is Eosiniplhils? Thank you http://www.users.globalnet.co.uk/~aair/eosinophils.htm Without going into to much detail: Eosinophils are a part of the white blood cell count. CBC with differential. Never Let Momma Eat Beans Nuetrophils, Leukocytes, Macrophages, Eosinophils, Basophils. Each one is a specialized type of white blood cell. I would recommend if the Eosinophils are greater than 8% of the total that you see a rheumatoidologist and allergist to give your immune system a check out if the antibiotics have not changed the results or they have progressed worse. Make sure you document any rashes, open pimples and sores that do not seem to heal quickly, cold sores that are inside the mouth or throat that do not go away, obviously inflamed joints, flu like symptoms, headaches, and anything else. Do not forget that there a a few really nasty long lasting cold viruses going around and a large number of RSV cases right now. You may simply have a virus that is hanging on and your body is having difficulty kicking. In otherwords, drink extra fluids and sleep 8-10 hours a night for a few weeks. One way that will strongly point towards bacteria for a professional Doctor is to look at the sinus discharge as bacteris will be yellow/green and a certain consistancy. Plain allergies are most times, but not always, a clear or clear/white, type of discharge. Colds can also mimmick bacteria. Do not forget about thrush, mold growth which can look very similar. The best way to tell is to have had a culture performed before taking the antibiotics. You can always get a second opinion. In some cases if the symptoms have persisted for more than a couple of months with no apparant resolution or significant improvement, it is helpful to have a full check out by an Internal Medicine Doctor, Internist. This is why it is important to properly document the symtpoms along the way. Warning: I am not a Doctor, but have had several of these types of problems and a sister who is an MD. Take the information and advise and do more research and do your best to understand what you find about anatomy and physiology. > Without going into to much detail: > Eosinophils are a part of the white blood cell count. [quoted text clipped - 37 lines] > and do more research and do your best to understand what you find about > anatomy and physiology. What is RSV? Also what would mold, thrush mimmick? Bacteria? RSV: respiratory syncytial virus : usually not life threatening to adults, but is to infants and the elderly. Can present like a minor upper respiratory and sinus type of infection in adults and can last a very long time without a solid effort of extra rest and fluids. Mold can cause thrush in the throat, it also can cause similar type of infection in the sinuses. Except for the different look like sheets of white mucus on the tonsils and back of the throat, the sinus discharge can look very similar to a bacterial infection when you have a minor mold infection. I still say if you are concerned and symptoms are not getting any better after a couple of months, get a second opinion. Maybe an Internest to look at you entire list of symptoms during this time and multiple blood and other tests. When you get your lab results, if the eosinophils are greater than 8% and are still that high with the next test, It will not hurt to go see a rheumatoidologist or an allergist&immunologist. In either case the Specialist will need to also be an expert on the immune system. If the Eosiniphils are greater than 8%, then other immune system response testing should be performed. It is possible that something has put your immune system out of homeostasis and a simple course of treatment will be required to get it back, usually a month or two of oral steroids, but let the Specialist decide the best treatment course. Sometimes proper aerobic exercise and watching the high fat and sugar intake can get things back to normal as well. You do exercise moderately to vigorously a couple of times a week, don't you? This means getting your heart rate up for at least 15 minutes and breaking a pretty good sweat. You are not going to get resolution from the internet. Only seeing a Doctor in person with a full workup on the symptoms will you get relief. If you think the current course of treatment is not working, first ask your current Doctor to try something else or run other less obvious tests, then get a second opinion if the first Doctor is resistant to change treatment or run additional testing. > RSV: respiratory syncytial virus : usually not life threatening to > adults, but is to infants and the elderly. Can present like a minor [quoted text clipped - 33 lines] > obvious tests, then get a second opinion if the first Doctor is > resistant to change treatment or run additional testing. Are you a Doctor?? See my first posting, last paragraph: "Warning: I am not a Doctor, but have had several of these types of problems and a sister who is an MD. Take the information and advise and do more research and do your best to understand what you find about anatomy and physiology. " FYI I have a very high level of medical knowledge and education, but am not a Doctor and do not pretend to be one. Take the information and do your own research. A patient always has a right for all actual lab results and medical records, most lay people do not have the knowledge to interpret the results, but the obvious out of range things are worth asking the Doctor some questions. You also can seek a second opinion and switch Doctors if you feel you are not getting the treatment you need. It is my belief that everyone who attends college should have anatomy and physiology, biology, and chemistry. While this knowledge typically is not used for most jobs, it is good knowledge to help improve yourself and your environment (i.e. house) from a health standpoint. The questions are: Exactly what testing has been performed prior to starting the antibiotics? What are the results of the labs and sinus CT scans? What are the symptoms and physical manifestations? Have you had allergy testing? Has your house mold spore count been tested? >Are you a Doctor?? I'm always diappointed when posters here imply that only doctors have medical knowledge. One doesn't need to be a doctor to have medical knowledge of specialized areas. If you want opinions only from doctors, this is not the place to ask. |
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