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I️ have chronic sinus infections. Get different views on…

Customer Question
I️ have chronic sinus...

I️ have chronic sinus infections. Get different views on antibodies. Allergies to many of them. I️ am so have blood in the mucus that I️ cough up.

Doctor's Assistant: In general, how has your health been lately?

Well, I️ have diabetes, celiac, no energy.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Heart attack, thyroid

Submitted: 8 months ago.Category: Medical
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Answered in 1 hour by:
11/14/2017
Doctor: Dr. Bob, Medical Doctor replied 8 months ago
Dr. Bob
Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 5,758
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine
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Hello. Have you had a CT scan to look at the sinuses?

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Customer reply replied 8 months ago
About a month ago. Was told I️ have another sinus infection. Have taken 3 weeks of azithromycin. No better.
Doctor: Dr. Bob, Medical Doctor replied 8 months ago

Have you seen an ENT?

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Customer reply replied 8 months ago
for the med. then my primary says that does not work for sinus. Wonder what you suggest.
Doctor: Dr. Bob, Medical Doctor replied 8 months ago

Sinus infections can be difficult to treat. This is in large part because the blood supply can't reach everywhere and the bacteria can thrive on the nutrients there. Recalcitrant cases may require 3-4 weeks of a broad spectrum antibiotic (eg. Augmentin, Lovenox), occasionally even longer. Cases that keep coming back frequently require a surgical procedure to enlarge the tiny holes (ostia) that drain the sinuses.

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Doctor: Dr. Bob, Medical Doctor replied 8 months ago

The ENT doctors normally do this, and it can make a big difference, particularly in those who have persistent risk factors such as diabetes, allergies, rheumatologic conditions, etc.

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Doctor: Dr. Bob, Medical Doctor replied 8 months ago

Does this make sense? Do you have any follow up questions?

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