Medical Questions? Ask a Doctor Online!
Welcome, as an Internist I will try to answer your Medical Question, for informational purposes only, please see your doctor as needed.
Hello are you there?
as you are breast feeding,
some of the medications are out
like guaifenesin (mucinex)
it is a category C, and the company suggests not to use it
so have you seen an ENT doc?
have you had an endoscopy?
could you have a polyp? or mucocele?
yes, i saw my primary care doctor about a month ago. I was feeling my ear clogged and it turned out it was because of my sinus problem.He prescribed nasal spray and advised me to continue using neti pot
that all makes sense
since you are breast feeding your blood volume remains high, and you can get congested easier
but you don't want to take antibiotics if you can avoid it
and many of the antihistamines don't work well in breastfeeding either
so an ENT doc would use a endoscope and see if there is a reason that can be fixed
yes I don't want to use antibiotics unless they're necessary. what'd be my best option in your opinion?
well your medication choices are really limited
you can use steroid nasal sprays
because they do not absorb systemically, they just stay in your nose
and you can use saline nasal sprays,
certain antihistamines are better than others
you want to stay away from diphenhydramine (benedryl)
but meds like claritin or allegra are ok, as they do not concentrate in breast milk
Thanks.So should I request to see a specialist?Can having an endoscopy fix my problem?
it has the potential to do that
if you have chronic problems
you can have obstructions as the cause
and that can be repaired with an endoscope
it's good to know. Thanks alot
you are welcome
Thanks for your help
Dr Frank T