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Medical Forum / Diseases and Disorders / Sinusitis / October 2006Doc just prescribed amoxicillan
One week ago I started with a damn sinus infection. It is still bad and has now become and upper and lower respritory infection (bronchitis-- hopefully not pneumonia). Doc prescribed Amoxicillan. Google search seems to indicate this is certainly appropriate. He prescribed a 10-day supply. 500 mg. three times per day. Any comments about this choice (right now I am most concerned about the bronchitis especially it becoming pneumonia). I had a very bad case of pneumonia about 8 years ago that started as a sinus infection so that scares me (I was very ill and could not return to work for 7 weeks-- that one was complicated by adult-onset mono!) Mel > One week ago I started with a damn sinus infection. It is still bad and has > now become and upper and lower respritory infection (bronchitis-- hopefully [quoted text clipped - 8 lines] > Any comments about this choice (right now I am most concerned about the > bronchitis especially it becoming pneumonia). Actually, if I were you, I would be more concerned about the sinusitis than the bronchitis! Believe me, getting rid of sinusitis is much tougher than getting rid of acute bronchitis. You may notice, there is no Usenet newsgroup called "alt.support.acute-bronchitis," because none is needed! In fact, if your sinusitis disappeared, the bronchitis is unlikely to worsen from then on, and your own immune system could rid your body of the bronchitis eventually anyway. Sinus infections easily spread down to the bronchial tubes, so it's not unusual for you to get bronchitis once you have sinusitis. And because the blood supply to the lungs is rich (guess why), oral antibiotics work well against bronchitis. The problem is that sinus infections are more stubborn. The usual 10 day supply of antibiotic may knock the bronchitis right out, but not completely destroy the sinus infection. Then it can flare up again and once again restart the bronchitis too. I would suggest you google for these facts so you'll have some written info for your doctor, and then plead with him to give you a refill on the antibiotic. Take it for a minimum of at least 3 weeks. If the symptoms don't appear to be improving after 4 days on the antibiotic, then that means the bugs aren't sensitive to this antibiotic. Then try Cipro or Levaquin instead. Good luck!  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. Your point is well-taken, to a degree. I've found in the past it took at LEAST 5 days and sometimes a week before antibiotics seemed to "kick in" against a sinus infection. But, right now, my main concern is pneumonia. As I indicated, I had a VERY bad time years ago with a sinus infection that turned into bronchitis and then pneumonia. But as you said, the source of all these ailments is the sinus infection. I haven't been on antibiotics in a long time so I hope it makes it more potent. I may ask for a longer supply. He did say if it doesn't impact matters in 2 days (but I'll give it 3) that I should get a chest x-ray. Mel >> One week ago I started with a damn sinus infection. It is still bad and >> has now become and upper and lower respritory infection (bronchitis-- [quoted text clipped - 38 lines] > > Good luck! > Your point is well-taken, to a degree. > I've found in the past it took at LEAST 5 days and sometimes a week before [quoted text clipped - 11 lines] > He did say if it doesn't impact matters in 2 days (but I'll give it 3) that > I should get a chest x-ray. I don't know why you should bother. Any good doctor, even a nurse practitioner, can hear bronchitis and pneumonia in your chest via their stethoscope. I still think the best course of action is wait for 4-5 days, and if the first-line antibiotic (amoxicillin) isn't working, switch to a "big gun" like Levaquin or Avelox. In the meantime, I strongly recommend nasal irrigation! The more gunk you can flush out of your nose, the less will remain to drip down into your lungs. When I've had a bad sinus infection with lots of post nasal drip, I have been irrigating every few hours. I even irrigate in the middle of the night, when I wake up to go pee. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. Irrigate!!! Post nasal drip/infection to lungs can be VERY serious.I contracted Pseudomonas from infected sinuses.....BE CAREFUL!! -- Kindest personal regards, Ray The Travellin' Man.....Ray Armstrong your eyes and ears on the Tweed!! Let's Keep Music Liiiiiiiiiiiive!!!!!!! > > Your point is well-taken, to a degree. > > I've found in the past it took at LEAST 5 days and sometimes a week before [quoted text clipped - 30 lines] > Email: sdlitvin@earthlinkNOSPAM.net > Remove the NOSPAM before replying to me. not exactly true--could be a lesion in the sinus causing it not to drain also you may ahve an underlying problem that lea >> One week ago I started with a damn sinus infection. It is still bad and >> has now become and upper and lower respritory infection (bronchitis-- [quoted text clipped - 38 lines] > > Good luck! I agree with everyone to irrigate, the correct way. But, forget amoxicillan. It's a waste of time. The bugs have mutated to a much stronger version that amoxicillan takes too long to have any effect if any. Go immediately to a stronger anti-biotic that is specific for sinus infection. I have had great success with Omnicef 300MG, 1 capsule by mouth twice daily. And, be sure and replace your good biotics in your intestinal flora, usually organic non fat, non flavored works. Also take supplemental probiotics helps. Good luck. >One week ago I started with a damn sinus infection. It is still bad and has >now become and upper and lower respritory infection (bronchitis-- hopefully [quoted text clipped - 14 lines] > >Mel Billy Boy To reply correct [at] and [dot] Billy: Thanks for the information. I just posted a seperate note on what to buy to irrigate. I guess I'll give the amox. a shot since that's what the doctor suggested. I have problems with antibiotics. Septra/Bactrim and similar sulfer drugs cause hives, augmentin causes severe diarhea, and the quinolones (Levaquin) may have resulted in a frozen shoulder (tendon problem) that took months of P/T to resolve. The drug description for it seems to indicate it is appropriate for this use. But I'm not trying to refute what you said. This might be too weak. Mel >I agree with everyone to irrigate, the correct way. > [quoted text clipped - 40 lines] > > To reply correct [at] and [dot] >I agree with everyone to irrigate, the correct way. I'm new to irrigating. What do you mean by *correct way*? Jen For years I had sinus infections every three or so months. Continually on antibiotics to clear them up. I recently changed to irrigation like this. Twice a day, morning and evening. Use warm tap water, preferable distilled water but in my case too much trouble and the tap water is working fine just now. If it begins to fail, I will go to distilled water. Use Kosher salt only. Morton makes it and for sale at most large grocery stores. Pinch of baking soda. Small splash of hydrogen peroxide. Mix in small container, pour small amount in palm of hand and sniff up one nostril while leaning over the sink with head down as much as possible. Sniff up several times after using the mixture. Then blow gently but firmly out that nostril. Then do other nostril. >>I agree with everyone to irrigate, the correct way. > >I'm new to irrigating. What do you mean by *correct way*? > >Jen Billy Boy To reply correct [at] and [dot] |
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