I have severe pain in my sinuses (lots of drainage/sore throat, but no fever) around my nose all the way to my ear and down into my teeth on the right side of my face. I have tried several over the counter drugs such as Comtrex, NOTHING works. I know I probably have an "infection", but what can a doctor prescribe that will relieve the pain (I have been on antibiodics for 4 days with no relief either - the antibiotics were prescribed by my dentist for an infected tooth)...how long should it take an antibiodic to work? Could I possibly be immune to them?
Any advice would be greatly appreciated!
Reply ---------------------------
The pain of a sinus infection is usually due to congestion and inflammation of the lining around the small openings of the sinuses. Often the most immediate relief can be obtained from the use of over-the-counter topical nasal vasoconstrictor sprays, such as Afrin or Neo-synephrine which rapidly shrink swollen membranes within the nasal chambers. These medications must be used judiciously and not for extended lengths of time(ie not greater than 3-5 days).
Often systemic decongestants, either over-the-counter (Sudafed) or prescription (Entex,etc), can also be helpful but they will take longer to work and are occasionally associated with side effects such as palpitations or insomnia. Systemic and/or topical steroids (like prednisone) are sometimes used in particularly severe or chronic cases of sinusitis where pain is a predominant symptom. Finally pain medications can be used ranging from non-steroidal anti-inflammatory agents (Nuprin, Advil, Alleve, Motrin, etc. or their prescription counterparts) to narcotics such as codeine.
Antibiotics are typically prescribed for 10 days to 2 weeks in the treatment of sinusitis and commonly longer if the condition is chronic. It may take up to 72 hours or longer before noticeable improvement begins.
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Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis
NOTICE: OFCN is not engaged in the rendering of professional medical services. The information contained on this system or any other OFCN system should not supplant individual professional consultation. It is offered exclusively as a community education service. Advice on individual problems must be obtained directly from a professional.
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