Recommend treatment for sinus infections
Patient: im a 23 yrs lady, a third year student in degree of doctor  of medicine , I have sneezing problem for almost 9 months now more marked in the morning and late evening or in cold times and sometimes on smelling strong smells as perfumes. The sneezing have been of so intense on acute onset to the extent of having flu like syndrome and irritation in ears.I have  been using cetrizine as drug for allergies on times of acute onset which are infrequent.I have been taking the condition as allergy to cold and smells for the whole time now.I would like to know the prolonged consequences of this condition and may be what to be done to treat the condition, an if its not an allergy, what likely is this condition Doctor: hi,as you know allergy is provoked by some allergen..try to find that and avoid it..do you have any headache or tenderness over sinus areas associated with occassional fevers?if that is the case get a clinical evaluation done by ent surgeon,xrays etc..an antibiotic course of clarithromycin and sterid resolves if it is sinusitis..for permanent relief undergo FESS..if it is only allergic best possible treatment is avoid allergen.take montelukast  and levocetrizine..that would suffice.