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A sinus Headache is usually dull and constant, and worsens when bending forward. It may be associated with yellow-green or brown nasal discharge, Runny Nose, cough, and sore throat. If it has been triggered by allergies(N), it may relate to weather and seasonal changes.
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Predisposing:
Bacteria:
1. Streptococcus pneumoniae 2. Hemophilus Influenza 3. Moraxella catarrhalis 4. Staphylococcus aureus
- Trans-illumination (passing light through the sinuses) may show fluid collection; this is not helpful for patients younger than 10 years of age.
- Sinus X-Rays show mucosal thickening, air-fluid level, complete opacification.
- CAT scan of sinuses (more accurate than X-Rays).
- Cultures are not helpful unless the needle has been inserted into the sinuses. This is done only in extreme cases.
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- Oral antibiotics usually 10 to 14 days. Commonly used antibiotics include Ceftin and Augmentin.
- Older antibiotics such as amoxicillin and erythromycin may be prescribed, but you should note that they do not provide as broad a coverage as Ceftin and Augmentin. Specifically, they are not as effective against Hemophilus Influenza.
- Oral decongestants, such as pseudoephedrine, and nasal sprays, such as Afrin, may be helpful for the first 3 days. After 3 days, "rebound" may occur and the decongestants may no longer be effective.
- Take a warm shower twice a day, and expel excessive mucous.
- Saline nasal sprays may be used multiple times during the day to loosen nasal secretions.
- Chronic Sinusitis: Treatment lasts 3-6 weeks.
If You Suspect This Condition If you or your children have a sinus condition that fails to respond to self-treatment in a week or two, or recurs repeatedly, consult your physician.
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