Hello, Welcome to icliniq.com. Went through your symptoms. It would have been great if you could click a photograph and send it, as sometimes a few minor changes go unnoticed. However, I believe that the uvula is not swollen. In this case, it appears as a case of an aphthous ulcer on the uvula.
Hello, Welcome to icliniq.com. I read your entire history and understood your problem. Autophony is the unusual hearing of one's own voice and even breathing sounds. You have two issues:- Patulous Eustachian Tube and, OME (Otitis Media with Effusion) which is on and off fluid collection in the middle ear. The treatments offered to you also shows the same thing.
Hello, Welcome to icliniq.com. I completely understand your problem. I am sure that you are aware ear and nose are connected by a tube called Eustachian tube. Whenever we suffer from common cold or sinusitis, this tube gets congested as well. This leads to symptoms that you are suffering from.
Hello, Welcome to icliniq.com. As I understand you have three issues. Sinusitis, for this, take steam inhalation daily for one month. Also, do send me pictures of CT (computed tomography) scan for sinuses. So that I can further suggest what is the treatment or surgery.
Hello, Welcome to icliniq.com. I have read your symptoms in detail and also saw the picture that you have sent. (attachment removed to protect patient identity). We need to understand that the nose and throat are connected to the ear by eustachian tube. In your case tonsils are enlarged and have deep crypts which cause repeated tonsillolith and bad mouth odor.
Hello, Welcome to icliniq.com. I went through all your prescriptions. (attachment removed to protect patient identity). The antibiotics that you have taken are broad-spectrum (strong), and if it was bacterial you should have improved. The reason for your condition I feel is viral and reflux associated.
Hi, Welcome to icliniq.com. I am trying to understand your problem with the limited symptoms you have provided. Excess mucus in the throat can be due to constant irritation in the oral pharynx or mucus of the nose coming into the throat, called a post-nasal drip. Laryngopharyngeal reflux disease (LPRD) is a condition where there is a feeling of lump or mucus in the throat, and the main cause is little acid reflux from the stomach. If you do not have any pain on swallowing, any nose block or sinus infection there is a high chance that you have LPRD.
Hi, Welcome to icliniq.com. I went through your symptoms and pictures. (attachment removed to protect patient identity). Your fiber optic picture indeed shows some amount of changes of laryngopharyngeal reflux. So even though you do not have acidity and reflux you still have some laryngeal reflux for which you will have to take a proton pump inhibitor tablet Pantoprazole 20 mg twice a day for one month.
Hello, Welcome to icliniq.com. From the way you have described your symptoms which include recurrent fever, cold, and heavy head with nasal discharge. It is very apparent that you are suffering from chronic sinusitis, and whenever you have acute attacks it leads to the above symptoms. For treatment: 1) During acute episodes when you have fever and cold, at that time you will need a seven days course of antibiotics and decongestants. Take Amoxy-Clav 625 mg (Amoxycillin and Clavulanic acid) one tablet two times a day after food, and Wikoryl (Paracetamol, Phenylephrine, and Levocetirizine) one tablet twice a day.
Hello, Welcome to icliniq.com. CSF rhinorrhea is a known complication of extensive FESS (functional endoscopic sinus surgery). If a pledget had shown confirmed CSK leak, it sure needs to be investigated. Small leaks heal and recover by themselves however, if the leak persists longer, then it needs to be sealed by endoscopic surgery. In your case, any watery discharge from the nose should not be ignored.
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