My daughter was diagnosed with chronic sinusitis yesterday by an
allergist at Children's Memorial Hospital. He didn't culture her, just
took her history, looked up her nose and down her throat etc. He did a
bunch of skin tests and she was negative on skin tests.
He wants to put her on 6 weeks of Augmentin and Nasonex. He ordered an
airway study and found that her adenoids are so enlarged they are
blocking her airway so he referred me to an ENT.
Anyway, I am not going to start her on the antibiotics until I get a
second opinion from my own ENT at University of Chicago. My ENT does
not like to use antibiotics on a long term basis and his feeling is
that if you culture and get the right antibiotic you should only have
to take it for 10 days or so to clear the infection.
I don't want her to end up like me - any advice out there?
Lauren
Susan - 06 Apr 2006 17:56 GMT
> My daughter was diagnosed with chronic sinusitis yesterday by an
> allergist at Children's Memorial Hospital. He didn't culture her, just
[quoted text clipped - 14 lines]
>
> Lauren
Re: the adenoids; I know a child who had chronic sinusitis with constant
antibiotic use. Adenoids were enlarged and blocking the passage. The
ENT had them wait til he was older to see if they would shrink enough
not to need surgery. They didn't, he had them out, has been free of
sinus infections for all the years since.
Good luck.
Susan
Murray Grossan - 08 Apr 2006 04:52 GMT
On 4/6/06 9:56 AM, in article 49kvimFn5d2lU2@individual.net, "Susan"
<nevermind@nomail.com> wrote:
> x-no-archive: yes
>
[quoted text clipped - 26 lines]
>
> Susan
From The Sinus Cure:
When an adenoidectomy may be needed to treat sinusitis
Children get sinusitis and sometimes the medications just don¹t work. One
place to look at is the adenoids. Adenoids are similar in structure to the
tonsils. They work to filter infection and similarly have lots of good white
cells to fight infection. The adenoids are located in back of the nose and
at the very top of the throat. Normally the adenoids shrink and are gone
after the age of 12.
Enlarged adenoids are a very common cause of ear blockage and ear
infections. A very frequent surgical procedure is to remove the adenoids at
the same time you are draining fluid from the ears and placing drain tubes.
But a seven year old with a history of frequent sinus infections may have
adenoids so large that they block proper breathing and prevent the sinuses
from healing. The best way to visualize this is with a CT scan and on the
lateral view you can see the size and shape of the adenoids. If the patient
has failed usual treatment, then doctors may recommend removal of the
adenoids as the best therapy for chronic sinusitis.
In a previous chapter we described how a foreign body such as paper or
peanut can cause a sinus condition by blockage.
The enlarged adenoids may act as a foreign body and produce a chronic sinus
infection that won¹t clear.
Sometimes treatment of the enlarged adenoids can shrink them including
sinus treatment and the use of shrinking agents such as Proteolytic enzymes
or steroids.
Patients get significant relief when these enlarged adenoids that
also block breathing, as well as sinus drainage, are removed.
from The Sinus Cure. Copyrighted 2006.
Steven L. - 06 Apr 2006 18:48 GMT
> My daughter was diagnosed with chronic sinusitis yesterday by an
> allergist at Children's Memorial Hospital. He didn't culture her, just
[quoted text clipped - 12 lines]
>
> I don't want her to end up like me - any advice out there?
Until your child has a CT scan, I think any treatment is guesswork.
Chronic sinusitis has an underlying cause--the infection is
opportunistic. The bugs invade when the sinuses get blocked--the
question is why are they blocked.
The way to avoid ending up a perpetual sinus sufferer is to NOT get
sidetracked by fighting the immediate infections, but to discover the
underlying causes of sinus blockage.
If the sinuses are sufficiently blocked, antibiotics won't clear the
infection at all no matter how long you taken them.

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Steven D. Litvintchouk
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lrhone11 - 06 Apr 2006 19:08 GMT
<Re: the adenoids; I know a child who had chronic sinusitis with
constant
antibiotic use. Adenoids were enlarged and blocking the passage. The
ENT had them wait til he was older to see if they would shrink enough
not to need surgery. They didn't, he had them out, has been free of
sinus infections for all the years since.
Good luck. >
<Until your child has a CT scan, I think any treatment is guesswork.
Chronic sinusitis has an underlying cause--the infection is
opportunistic. The bugs invade when the sinuses get blocked--the
question is why are they blocked.
The way to avoid ending up a perpetual sinus sufferer is to NOT get
sidetracked by fighting the immediate infections, but to discover the
underlying causes of sinus blockage.
If the sinuses are sufficiently blocked, antibiotics won't clear the
infection at all no matter how long you taken them.>
I appreciate the sound advice and I am not going to start treating
anything until my second opinion and hopefully my second opinion will
order a CT to see the "lay of the land first" I am also hoping he will
do a culture.
Lauren
Susan - 06 Apr 2006 19:17 GMT
> I appreciate the sound advice and I am not going to start treating
> anything until my second opinion and hopefully my second opinion will
> order a CT to see the "lay of the land first" I am also hoping he will
> do a culture.
>
> Lauren
I suppose that makes sense, but Steven makes a very strong point about
that, too. It won't matter if they culture and have the right
antibiotic if the blockage is still there when she's taking it or done
taking it. Instant recurrence.
Susan
Don Brady - 06 Apr 2006 22:34 GMT
> I appreciate the sound advice and I am not going to start treating
>anything until my second opinion and hopefully my second opinion will
>order a CT to see the "lay of the land first" I am also hoping he will
>do a culture.
I would not take no for an answer on the CT scan - I would insist on it, as
Steven and others have said. Otherwise they are below the standard for
diagnosis of chronic sinusitis in my opinion.......
michael - 06 Apr 2006 20:05 GMT
Aloha irhone11
...Do a google for serrapeptase or use this link ..
http://vitanetonline.com/affiliate/DRB-00149/68853/ .
its been used in japan and europe over 25 years with great results ..lots
of med studies to support also...Aloha Michael
Serrapeptase and Sinusitis
Due to its inflammatory properties, serrapeptase has been shown in clinical
studies to benefit chronic sinusitis sufferers. In this condition, the mucus
in patients' nasal cavities is thickened and hypersecreted. This thickening
causes mucus to be expelled less frequently. Japanese researchers evaluated
the effects of serratiopeptidase (30 mg/day orally for four weeks) on the
elasticity and viscosity of the nasal mucus in adult patients with chronic
sinusitis. Serratiopeptidase reduced the viscosity of the mucus, improving
the elimination of bronchopulmonary secretions.
Other clinical trials support serrapeptase's ability to relieve the problems
associated with chronic sinusitis. In one study, 140 patients with acute or
chronic ear, nose and throat pathologies were evaluated with either a
placebo or the active serratia peptidase. Patients taking the serrapeptase
experienced a significant reduction in severity of pain, amount of
secretion, purulence of secretions, difficulty in swallowing, nasal
dysphonia, nasal obstruction, anosmia, and body temperature after three to
four days and at the end of treatment. Patients suffering from laryngitis,
catarrhal rhinopharyngitis and sinusitis who were treated with serrapeptase
experienced a significant and rapid improvement of symptoms after 3-4 days.
Physicians assessed efficacy of treatment as excellent or good for 97.3
percent of patients treated with serrapeptase compared with only 21.9
percent of those treated with a placebo.
Respiratory diseases are characterized by increased production of a more
dense mucus modified in viscosity and elasticity. Traditionally, in
respiratory diseases, muco-active drugs are prescribed to reestablish the
physicochemical characteristics of the mucus in order to restore respiratory
function. Some of these drugs, however, cause a functional depletion of
mucus, whereas Serrapeptase alters the elasticity of mucus without depleting
it.
A powerful agent by itself, serrapeptase teamed with antibiotics delivers
increased concentrations of the antimicrobial agent to the site of the
infection. Bacteria often endure a process called biofilm formation, which
results in resistance to antimicrobial agents. In an attempt to prevent this
bacterial immunity, researchers have experimented with various means of
inhibiting biofilm-embedded bacteria. Their search may have ended with
serrapeptase. One study conducted by Italian researchers suggests that
proteolytic enzymes could significantly enhance the activities of
antibiotics against biofilms. Antibiotic susceptibility tests showed that
serratiopeptidase greatly enhances the activity of the antibiotic,
ofloxacin, and that it can inhibit biofilm formation.
Another double-blind randomized study evaluated the effects of administering
the antibiotic cephalexin in conjunction with serrapeptase or a placebo to
93 patients suffering from either perennial rhinitis, chronic rhinitis with
sinusitis or chronic relapsing bronchitis. The serratia peptidase treated
group experienced significant improvement in rhinorrhea, nasal stuffiness,
coryza and improvement of the para-nasal sinus shadows.
Researchers witnessed equally impressive results in the treatment of
infections in lung cancer patients undergoing thoracotomy. Serrapeptase and
cefotiam, an antibiotic with a broad spectrum of activity against both
Gram-positive and Gram-negative microorganisms, were administered to 35
thoracotomy patients with lung cancer. The patients were divided into two
groups. A single dose of cefotiam was administered to the 17 subjects in
Group I. The 18 subjects in Group II received a combination of Cefotiam and
serrapeptase. The level of the antibiotic in the tissues versus the blood
was significantly higher in the serrapeptase group than the single dose
group.
Michael
> My daughter was diagnosed with chronic sinusitis yesterday by an
> allergist at Children's Memorial Hospital. He didn't culture her, just
[quoted text clipped - 14 lines]
>
> Lauren
loxaluck - 06 Apr 2006 21:42 GMT
Don Brady - 06 Apr 2006 22:30 GMT
As others have said, what will make the most difference in the long term is not
paritular short-term treatements, but rather finding the cause and fixing it.
If nothing else turns up on testing (and do test for immune status etc as well
as allegies) then, as a working hypothesis, assume it is environmental and get
rid of carperts, dust or smoke, mold and cats. If the house is sealed up
tight so that gases etc. may be building up, then increase ventilation.
Susan - 07 Apr 2006 01:29 GMT
> As others have said, what will make the most difference in the long term is not
> paritular short-term treatements, but rather finding the cause and fixing it.
[quoted text clipped - 3 lines]
> rid of carperts, dust or smoke, mold and cats. If the house is sealed up
> tight so that gases etc. may be building up, then increase ventilation.
NO WAAAAY the cats go!
That's what allergy shots are for.
That's like getting rid of your spouse because he/she snores and keeps
you up at night which is a, er... well, I *think* it may be a bad idea.
Susan
Steven L. - 07 Apr 2006 06:18 GMT
> x-no-archive: yes
>
[quoted text clipped - 17 lines]
> That's like getting rid of your spouse because he/she snores and keeps
> you up at night which is a, er... well, I *think* it may be a bad idea.
Actually, there are even cases on record of wives who are allergic to
their husband's semen and require desensitization shots for that.
Needless to say, avoidance strategies are difficult with that particular
allergy.

Signature
Steven D. Litvintchouk
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Remove the NOSPAM before replying to me.
Susan - 07 Apr 2006 13:46 GMT
> Actually, there are even cases on record of wives who are allergic to
> their husband's semen and require desensitization shots for that.
My SIL had an issue like that causing infertility.
> Needless to say, avoidance strategies are difficult with that particular
> allergy.
Condoms and limits on types of activities were rx'ed. 4 babies ensued.
Susan
hhggffdd - 09 Apr 2006 06:19 GMT
> My daughter was diagnosed with chronic sinusitis yesterday by an
> allergist at Children's Memorial Hospital. He didn't culture her, just
[quoted text clipped - 14 lines]
>
> Lauren
Check here...
http://www.sinusgroup.org/
;)