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Medical Forum / Diseases and Disorders / Sinusitis / December 2007

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Sinusitis And Antibiotics/Steroids - SDM

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rpautrey2 - 18 Dec 2007 02:05 GMT
See my "Sinus Drainage Methods"(SDM) post for effective treatment/
cure. PA

Steroids and Antibiotics May Not Be Necessary in Sinusitis (Interview
with Dr. Ian Williamson, MD)
(December 4, 2007 - Insidermedicine) Two treatments commonly given to
people with acute sinusitis - antibiotics and inhaled steroids - are
probably not helpful in most cases, according to research published in
the Journal of the American Medical Association.

Here are some facts about sinusitis:

*    Sinusitis refers to an inflammation in the lining of your
sinuses, the air chambers in the bone behind your cheeks, eyebrows,
and jaw.

*    Many things, including cold air and swimming, can irritate your
sinuses. Sinusitis can also be caused by an infection with either
bacteria or a virus, and while antibiotics are effective against
bacteria they are not effective against viruses.

*    Some good home care remedies for sinusitis include resting in a
position that allows you to breathe, sipping hot liquids, holding a
warm, wet towel against your face, or breathing in steam through a
cloth or towel.

Researchers from the University of Southampton randomly divided 240
adults with acute sinusitis into one of four groups. One group was
treated antibiotics and steroids, the second received only
antibiotics, the third only steroids, and the fourth group received
only placebo.

Taking the antibiotic, the inhaled steroid, or both together did not
have an effect on how long symptoms of sinusitis lasted. No matter
what treatment they received, about 30% of adults had symptoms for 10
days or longer.

Based on these results, the authors conclude that antibiotics and
inhaled steroids are not beneficial for most people who walk into
their family doctors office with symptoms of sinusitis. This research
calls into question the use of antibiotics in particular because
inappropriate use of antibiotics contributes to the development of
germs that are drug resistant.
Ghamph - 19 Dec 2007 15:10 GMT
>info trimmed<
> Based on these results, the authors conclude that antibiotics and
[quoted text clipped - 3 lines]
> inappropriate use of antibiotics contributes to the development of
> germs that are drug resistant.

I never had a problem getting rid of sinusitis.
It's when it became chronic that it became a problem.

I never had any results with antibiotics (although used some only one time).

My symptoms are controlled with steroid spray.
I have nasal polyps and they become a problem without steroid spray at hand.

I can go for many days in between with only isotonic saline spray (slightly
above isotonic).

Happy breathing.
Jamffer
Johnny1000@webtv.net - 19 Dec 2007 16:36 GMT
>Based on these results, the authors conclude
> that antibiotics and inhaled steroids are not
> beneficial for most people who walk into their
> family doctors office with symptoms of
> sinusitis.

I've seen parents actually take their kids into the hospital emergency
room, 'cause they got a bit of the sniffles.  ...And I think this is
where the Drs start treating them as if they had full-blown sinusitis.

I gave up the irrigation regimen for about a week on the advice of
someone in the group here. ...I developed a sore throat that kept
nagging at me for over 2 weeks.  ...I went back to irrigating, but
evidently it was too late.   I had the worst sinusitis flair-up I've had
for 4 years.  

..In fact...If it wasn't for levaquin, I think I'd still be in bed --
or worse.   I didn't just have the sniffles, I had the shivers, a
headache, my body hurt, and I felt like crap.      The thing is, most
Drs think sinusitis is like having a cold. ...Man I've had some serious
flus in my life where I wasn't half as sick.    

..I think the authors need to experience a real case of sinusitis
first-hand. ...Then perhaps they'd realize that there's a bit more to
this disease than a few irritating sniffles.   ...Jon
Fred - 19 Dec 2007 17:51 GMT
On Dec 19, 9:36�am, Johnny1...@webtv.net wrote:

> >Based on these results, the authors conclude
> > that antibiotics and inhaled steroids are not
[quoted text clipped - 21 lines]
> first-hand. ...Then perhaps they'd realize that there's a bit more to
> this disease than a few irritating sniffles. � ...Jon � �

I think it is a clarification of what type of sinusitis you have.  Do
you have an inflammation of your nasal membranes and you are having
lots of discharge.  Or do you have an infection which produces green
and red mucus and a low grade fever and it is running down your throat
into your bronchial tubes and causing infection there also.
Inflammation and invection require different care.

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