Allergic Sinusitis

Allergic sinusitis is an allergic reaction causing swelling of the lining of the hollow cavities of the skull (sinus). These swellings hinder the clearance of the bacteria from the cavities causing secondary infections. It leads to nasal discharge, headache, fever, dental pain, loss of smell, cough, nasal stuffiness, etc. Nasal endoscopy, CT scan, X-ray, MRI, etc., are used for the diagnosis of this. Home remedies like the saline solution used to lubricate nasal passages, steam inhalation, etc., give temporary relief. Medications like nasal spray allergy shots, etc., are some of the treatments for allergic sinusitis.

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I have runny nose and sneezing problems for more than a year now. Please help.

Query: Hi doctor,I am 19 years old, and I have been suffering from a runny nose and regular sneezing for the last one and a half years. Previously I consulted a doctor who prescribed me two medicines, a Celin R tablet and a Bilasure M tablet, for three months. But it does not work. So could you help me in ...  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hi, Welcome to The most common reason for the symptoms you are having could be severe allergic rhinitis with associated sinusitis. Before we jump to the treatment, I have tried to explain the cascade of events in a very simple manner below, even though it is not as simple as it looks. E...  Read Full »

I cough because of allergic sinusitis. Should I take the second dose of COVID vaccine?

Query: Hello doctor,I am suffering from a strong cough due to allergic sinusitis; I am taking expectorant syrup. I have suffered from the same problem a long back and took an allergy shot at that time. But this time, I am taking medicine because I have to take the second dose of the COVID vaccine in two da...  Read Full »

Dr. Arpit Varshney

Answer: Hello,Welcome to, it would be best to wait for the cough to resolve before taking the vaccine. Not that vaccine and cough drugs will interact. But the reason is that the vaccine can also cause cough sometimes, and your cough might worsen even on treatment. So, kindly wait a week,...  Read Full »

Dust and perfume make me cough. How can I get better?

Query: Hello doctor,Since many years, I am facing a sinusitis problem. When I catch the flu, it gets worse. This time, I caught the flu twice this month. The sinustis got worse and I visited a doctor who prescribed me with a course of Fexet, Klaricid, and Ventek. He said that I need to take Ventek for thr...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to Sinusitis will not get relieved by Montelukast tablet alone. We will need to evaluate you. Sinusitis can be due to various factors such as genetics, anatomy, allergy, pollution and much more. When there is chronic sinusitis, we investigate to find the cause...  Read Full »

My symptoms of chronic sinusitis are worsening even after undergoing endoscopic surgery. Why?

Query: Hello doctor,I have been experiencing chronic sinusitis for over six months now. The most prominent symptom is postnasal drip. I was diagnosed with allergies and secondary bacterial infection and had undergone endoscopic surgery a few weeks ago. Post-surgery, I was advised to take a five-day course ...  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hello, Welcome to The most common reason for your symptoms is severe allergic rhinitis with associated sinusitis. Before I suggest the treatment, I will try to explain the cascade of events in a very simple manner below, even though it is not as simple as it looks. Exposure to dust o...  Read Full »

What is the reason for recurrent and persistent headaches in my mother?

Query: Hello doctor, This is regarding the health of my 50 year old mother, who is not keeping well for the past six months. She has been complaining of headaches for the past five to six months, which has been constant with heaviness around her forehead and the area between the eyes and the nose. We got a...  Read Full »

Dr. Srinidhi Ravi

Answer: Hello, Welcome to I just went through your query regarding your mother's health. The complaints could be due to sinusitis. She will need further testing to confirm it. Until then, I suggest the following: Please start Furamist nasal spray (Fluticasone topical) once a day for 15 days. If...  Read Full »

What causes a painful mastoid swelling?

Query: Hi doctor, I noticed a swelling in the mastoid area four days ago. The swelling is tender on the touch. Two days later, the swelling bothered me a lot with throbbing pain, making me dizzy and stomach sick. I quickly made a doctor's appointment, and they said no signs of an ear infection but a lymph...  Read Full »

Dr. Bn Bhagat

Answer: Hello, Welcome to I saw the picture you sent (attachments removed to protect the patient’s identity). There is swelling behind the ear pinna. Most likely, it is postauricular lymph node swelling. Such swelling would cause symptoms like redness, localized pain or tenderness, inc...  Read Full »

Why does allergic rhinitis cause a ringing sensation in the ears?

Query: Hello doctor, I have allergy issues for the last 15 to 16 years that started from allergic rhinitis and bronchial asthma. Currently, I am on medications for asthma and sacroiliitis. For the previous two months, I was having some issues and flare-ups. I had blood tests today to check whether I was a...  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hi, Welcome to The most common reason for the symptoms you are having is severe allergic rhinitis with associated sinusitis. Before we go to the treatment, I will try to explain the cascade of events in a simple manner below, even though it is not as simple as it looks. Expo...  Read Full »

I have recurring nosebleeds for over two months now. Please help.

Query: Hi doctor, I have recurring nose bleeds for two months. Before pandemics, I had a large blood clot of 5 to 6 inches. After a week, I saw a dry blood clot again about three inches. I took an X-ray before pandemics. The doctor told me it was sinusitis. Even after taking medications, I have the same...  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hi, Welcome to There are various reasons to have nose bleeding at your age. Accelerated hypertension is one of the causes. It is better to check your blood pressure every three hours. It can occur at any time suddenly. When the blood pressure shoots up, you start to have a torrential ...  Read Full »

Can a chronic sinus infection cause stuffy nose and headaches?

Query: Hi doctor, I think that I may have a chronic sinus infection. Before four months, I wake up and blew my nose. I had a yellow or greenish mucus with blood in the morning. I did not have any other symptoms except tiredness. I took Advil and seawater nasal spray. It lasted for a couple of weeks. Aft...  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hi, Welcome to You have a chronic allergic problem. Allergic rhinitis is an immune complex issue that is present innately and it starts to shows symptoms at a particular stage. It occurs when a foreign substance enters the nose. It causes a cascade of chemical events leading to na...  Read Full »

Why do I still feel pressure on top of my head after taking antibiotics for frontal sinusitis?

Query: Hi doctor, Before two weeks, I had a sinus infection and I have been prescribed Clavulin 1500 mg per day. At the end of the week, I was symptom-free. After stopping my medications, my symptoms came back and I developed a frontal sinus infection. I took Clavulin for three weeks at a higher dose an...  Read Full »

Dr. B. Vageesh Padiyar

Answer: Hi, Welcome to You seem to have a severe allergic problem with associated sinusitis. I have tried to explain the cascade of events in a simple manner. Exposure to dust initiates the reflexes such as sneezing to remove the offending agent. If this fails, mucus cells in the nose sta...  Read Full »

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