What are the causes of diarrhea and nausea every morning, with terrible sinus headache?

Question

Hello doctor,

I have had a sinus infection for over eight weeks now. After trying to get rid of it using Neti pot and Flonase, I started taking antibiotics. I had my sinuses scraped about four years ago due to a recurrent sinus infection. I went to a dentist because of a broken tooth, that was causing me pain. The dentist put me on two more antibiotics to treat the pain. So, currently I am under Alprazolam 0.5 mg (four times a day), Truvada (once daily), Quetiapine and Buspirone at bedtime. I have horrible diarrhea and nausea every morning and wake up with a terrible sinus headache still. I am at my wit's end, and cannot see my regular doctor for a month. I am getting the tooth extracted in two days, hope it will help. Any guidance would be so much appreciated.

Answer 1

Hello,

Welcome to icliniq.com.

So you have two issues, one is your sinusitis, and the other is diarrhea. Gastritis is probably antibiotic associated, so you need to discuss with your doctor and change the antibiotics that are causing your diarrhea. I would suggest the following for your gastric problems. Take probiotics likeSporlac sachet or capsule Vizylac three times a day, for five days. Tablet Pan DSR (Pantoprazole and Domperidone) before breakfast once a day. If you are already on it, then the dose need to be increased for a few days till gastritis gets controlled. I would like to add a dose of plain Pantoprazole or Rabeprazole in the evening before dinner. You should avoid fatty, oily, and spicy food. Go for a walk after having food instead of taking rest. Have multiple small meals instead of a heavy meal. Have regular sleep habits and avoid stress. Avoid smoking and alcohol if any. Also, have ORS(oral rehydration salts solution) 100 to 200 ml after each stool, to keep you hydrated. For sinusitis along with antibiotics I would suggest you try the following. Duonase (combination of Fluticasone and Azelastine) nasal spray twice a day. Tablet Montair LC (combination of Levocetirizine and Montelukast) at bedtime, for two weeks. Steam inhalation four to five times a day for a week. For a headache, you can have Paracetamol or Ibuprofen whenever needed. If it is not helping, then you need to discuss with your local doctor for a short course of oral steroids. Consult your specialist doctor, discuss with him or her and start the medication after their consent. Get back if you have any doubts.

What are the causes of diarrhea and nausea every morning, with terrible sinus headache?

Experiencing diarrhea, nausea, or sinus headache?