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Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 2303
Experience:  MBBS
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I have intense sinus pain that decrease when I am walking

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I have intense sinus pain that decrease when I am walking around but returns when I stop. I have no fever or cold symptoms and feel great outside of the pain. I have tried all the general sinus recommendations to no avail. It started Saturday night.
JA: How long have you had a fever? Do you have any respiratory symptoms?
Customer: I have no fever or respiratory symtoms.
JA: Anything else in your medical history you think the doctor should know?
Customer: I had a surgery for a deviated septum about ten years ago.

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

Well you need to use humidifier or steam to open up your airways.

Flonase nasal spray would help.

You would feel better with Sudafed if you havent used till now.

For pain you can add Ibuprofen / naproxen/ tylenol.

I hope this was helpful.

Let me know if you need any further help

Customer: replied 1 month ago.
I have tried all of those with no results

Have you taken an antibiotic course?

Customer: replied 1 month ago.
No, I have no other symptoms to indicate infection and antibiotics haven't helped me with this type of pain in the past.

Alright then the next step would be adding either a mild opioid like tramadol or taking low dose Tricyclic antidepressant for pain relief such as amitriptyline 10mg. You will need script from your doctor for both of these drugs are prescription medications.

Customer: replied 1 month ago.
Thanks for your time.

You are welcome.

Wishing you a healthy life.

Please reward a 5 stars rating if you are satisfied.

Kind regards.

Dr.Saleem and 3 other Medical Specialists are ready to help you