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Medical Forum / Diseases and Disorders / Sinusitis / April 2008Do I tough it out
OK-- another damn sinus infection. Interestingly, it started about 4 days after I came off a 4-week course of cipro due to an unrelated problem. But the weather has been changing here and that is often when the sinus problems occur. So, could the antibiotics itself have triggered it (I suspect not, but I'm curious). My more basic question: I know my doc really doesn't like to prescribe antibiotics. He said he does it less and less. I'm trying to tough it out. I know 2 years ago I needed about 4-6 weeks of biaxin XL. At what point do I cry uncle??? (the sinus infection started about 6 days ago). Mel > OK-- another damn sinus infection. > [quoted text clipped - 14 lines] > > Mel try and keep the sinus passages open so they can drain and keep the infection down. Use Afrin, and do plenty of lavages. If you are inflamed, use a steroid as an antiinflamatory. Ipratropium Bromide is also good at keeping the mucus level down. Also actifed or pseudophed will keep the swelling down and keep you draining. > OK-- another damn sinus infection. > [quoted text clipped - 12 lines] > At what point do I cry uncle??? (the sinus infection started about 6 days > ago). Three more weeks.  SignatureSteven L. Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. Steve and Fred: I have found taking nasonex at the first sign of a sinus infection to be very helpful at (I think) averting it. But this time it got away from me. I am doing the nasonex, but so far no joy. I might add my main symptoms are: nasty sore throat; inflamed sinus feeling, general malaise. I generally do not run a fever and I have no problems breathing (it doesn't get stuffed up). In the past, I've tried the Grossan thing and also a netti pot (which I prefer as it is easier to keep clean). Neither helped (I realize many of you advocate using it) and sometimes it seemed to make things worse. Can it spread the infection? Steven-- you mentioned waiting 3 weeks. Were you just being flippant or is there some basis for that response? I did figure on waiting 3 weeks but it is much worse now. Mel >> OK-- another damn sinus infection. >> [quoted text clipped - 14 lines] > > Three more weeks. > Steve and Fred: > [quoted text clipped - 41 lines] > > Email: sdlit...@earthlinkNOSPAM.net > > Remove the NOSPAM before replying to me. Mel, He's referring to a poorly done study in JAMA that concluded that antibiotics were of no use in sinusitis. A closer reading of the study, and the editorial, show that the study was underpowered and treated many patients with viral illness. The editorial states that it didn't clarify the subset of patients who would benefit from antibiotics. Clearly, you are in that subset. The study was in the popular press, and widely quoted, but rarely read or interpreted. Judy Judy: I have no idea what Steve is referring to or if he was just mocking me (Steve usually has more detail in his posts so I don't know how to interpret it but maybe he could elaborate). Anyway, update: I did see my doctor today. I was expecting to make an appointment for next week but he is always booked yet had a sudden opening today. Anyway, he prescribed Biaxin XL again. 2 weeks + a 2-week refill. I'm going to try and hold out for another week. If no improvement, then I start the damn drugs Mel On Apr 17, 12:31 am, "MZB" <m...@noway.prudigy.net> wrote: > Steve and Fred: > [quoted text clipped - 49 lines] > > Email: sdlit...@earthlinkNOSPAM.net > > Remove the NOSPAM before replying to me. Mel, He's referring to a poorly done study in JAMA that concluded that antibiotics were of no use in sinusitis. A closer reading of the study, and the editorial, show that the study was underpowered and treated many patients with viral illness. The editorial states that it didn't clarify the subset of patients who would benefit from antibiotics. Clearly, you are in that subset. The study was in the popular press, and widely quoted, but rarely read or interpreted. Judy > Judy: > > I have no idea what Steve is referring to or if he was just mocking me > (Steve usually has more detail in his posts so I don't know how to interpret > it but maybe he could elaborate). Most cases of acute sinusitis are self-limiting, but last up to 4 weeks. SignatureSteven L. Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > Steve and Fred: > [quoted text clipped - 15 lines] > there some basis for that response? I did figure on waiting 3 weeks but it > is much worse now. I was referring to standard medical knowledge which is that most cases of acute sinusitis are self-limiting but tedious, typically lasting up to 4 weeks. You're a patient. So be patient. SignatureSteven L. Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > I was referring to standard medical knowledge There is no such thing. And in general, medical standards are very, very lacking in quality. Susan |
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