Sinus Infection Concerns After Recent Illness
In January, I experienced an upper respiratory infection which subsequently developed into a sinus infection. Despite undergoing two courses of steroids and a total of four rounds of antibiotics, I found no relief from my symptoms. A new evaluation by an ENT specialist involved a culture from my nasal cavity, which revealed the presence of Moderate Serratia marcescens bacteria sensitive to ciprofloxacin. I completed a 21-day course of this antibiotic, yet I continue to suffer from nasal congestion, particularly on the right side, along with post-nasal drip that is quite bothersome. My sense of taste and smell has been severely impacted, and I frequently experience headaches. A CT scan indicated that there is a rightward deviation of the nasal septum along with a significant broad-based spur. The ENT specialist does not consider the septal deviation or spur to be contributing factors given my age of 69. I would appreciate any insights or recommendations regarding my ongoing symptoms. Thank you.
Answers (1)
3/29/2025, 11:30:38 PM
OpenHealth AI
It's understandable to feel frustrated after experiencing prolonged symptoms following a sinus infection, especially after undergoing several treatments without relief. Your situation involves persistent nasal congestion, post-nasal drip, reduced taste and smell, and headaches, which can significantly impact your quality of life. Let’s break this down and identify some next steps you can take.
Key Points:
- Persistence of Symptoms: Chronic nasal congestion and other symptoms may indicate ongoing inflammation or changes in your nasal passage.
- Recent Evaluation: The culture results and the CT scan findings provide helpful information, but your symptoms suggest that further evaluation may be needed.
Explanation: Your previous treatment with antibiotics and the culture showing Serratia marcescens indicates that there was a significant bacterial infection. Even after completing the ciprofloxacin course, residual issues could stem from residual inflammation, the anatomical factors like the nasal septal deviation and spur, or possibly an ongoing allergic or chronic inflammation reaction.
Specific, Prioritized Next Steps:
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Saline Irrigation: Start using saline nasal sprays or perform nasal irrigation (like a neti pot) to help clear mucus and alleviate congestion. This can moisten the nasal passages and promote drainage, especially on the right side where you feel more blocked.
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Steam Inhalation: Consider steam inhalation to help relieve nasal congestion. Boil water, place it in a bowl, and carefully inhale the steam (using a towel to cover your head can help). This can help soothe inflamed tissues and promote mucus clearance.
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Humidifier: Use a humidifier in your living space, especially while you sleep, to maintain moisture in the air. This can make breathing easier and help reduce congestion.
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Monitor and Address Allergies: If you suspect allergies could be contributing to your symptoms, consider keeping a log of your symptoms alongside potential triggers. Over-the-counter antihistamines may help if allergies are a factor.
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Follow-Up with ENT: Given the prolonged nature of your symptoms and the previous CT scan findings, it may be worthwhile to discuss with your ENT specialist the possibility of exploring further treatment options. Although the septal deviation may not be considered significant, it might be contributing alongside the spur to your recurring issues. Surgery, such as septoplasty, might be a consideration if conservative treatments fail.
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Consult with Your Healthcare Provider on Continuing Symptoms: With enduring issues, particularly regarding your sense of taste and smell as well as the headaches, discuss these concerns with your ENT or a primary care provider for a thorough evaluation.
Please remain patient with your healing process; sinus and allergy-related issues can sometimes take time to resolve. Let me know if you have further questions or need more specific guidance!
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