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Allergies board

After fighting chronic bacterial sinusitis for months, seeing a lot of doctors (allergists, ENT, GP, etc.) I've developed a method for dealing with symptoms which I think offers some relief.

There are 2 parts to this.

PART ONE: When you have symptoms of a bacterial infection in the sinuses. These include facial/forehead pain, frequent headaches, yellow or green nasal discharge, dizziness/lightheadedness, cloudy vision, and stuffed up sinuses.

1. Antibiotics: either Avelox or Levaquin for a MINIMUM of 14 days. 21 is even better if your doctor allows it.
2. Prednisone: go on this for 4-5 days, and remember to taper off. This reduces inflamation and allows the antibiotic to penetrate the sinuses.
3. Nasal steroids: Nasacort or Rhinocort

PART TWO: if you have chronic sinus problems even when bacteria may not be present, such as nasal blockage, swelling, allergic shiners, etc.

1. Irrigation: Use either a machine (I use a Grossan Hydropulse, but there are others), or a spray bottle. Do this twice daily, once in the morning when you wake up, and once at night. The solution that works for me is:
a) 20ml of Alkalol (you can order this from your drug store)
b) 480ml of warm water (not hot)
c) a pinch of sea salt
d) a pinch of baking soda

2. Mucinix: a mucus thinner. Take 2 tablets twice a day. You can get this from the pharmacy, but you have to ask.

3. Antihistamine spray: Astelin is a good one.

4. Drink TONS of water.

5. Get 8 hours sleep minimum. The less sleep I get, the worse my sinuses feel.

6. Use humidifiers in the bedroom.

7. A "Steam mask": I use one from Conair. It basically blows steam into your face, and helps soothe the sinuses. This works well in winter.

8. Hot baths.


Now what NOT to do!

1. Do NOT take OTC antihistamines while you have a bacterial infection. You will make it even worse.

2. Do NOT use decongestant sprays. You will have a "rebound" effect later.

3. Do NOT go on antibiotics for less than 14 days. The bacteria will become antibiotic resistant.