Should I give him the antibiotics prescribed by the doctor or reconsult?

40-year-old woman2 years ago

My 6 year old son has sinusitis that keeps coming back. We went to the doctor and he gave us antibiotics in case it got worse. He does not complain of headaches or pain. He has a greenish nasal discharge and a significant nasal congestion. Since August, he has had 3 such episodes that lasted a few weeks. He was better at most 2 weeks between episodes (he has no known allergies, we rinse his nose and give him Avamys as well. Note that he is also asthmatic).

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Naji-tom Samaha · 2 years ago

Good morning, ma'am,

When did you see the doctor for this episode?

How long did he give you before starting the antibiotic?

Did his symptoms remain stable, worsen or improve?

40-year-old woman · 2 years ago

doctor consulted mid-September. Nothing has gotten worse, but it's still going on. He had 3 recurrences with about 2 weeks between each episode where he was better.

40-year-old woman · 2 years ago

now it starts again

40-year-old woman · 2 years ago

He also coughs (common with his asthma), sometimes has mild vomiting, but no fever. Could another respiratory infection be causing these symptoms? Like bronchitis?

Naji-tom Samaha · 2 years ago

Thanks for the feedback! I am reassured that he has not gotten worse. Is he getting his inhalers regularly? Do you do nasal hygiene with him too? Does he have any seasonal allergies?

40-year-old woman · 2 years ago

No allergies. He has Flovent that we give him every day and I would say that in the last few months, we have given him a lot of Flovent as well. Yes, we do nasal hygiene.

40-year-old woman · 2 years ago

gave a lot of the Ventolin forgiveness

Naji-tom Samaha · 2 years ago

Thanks for the information! If he has any kind of stuffy or runny nose at all, I strongly suggest nasal hygiene as often as necessary during the day and at least 30 minutes before bed. This can greatly help prevent sinus secretions from flowing back into the throat and causing or worsening the cough.

Sincerely,

Tom Samaha, Pharmacist

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Naji-tom Samaha

Pharmacien depuis 2011, clinicien associé et tuteur de laboratoire de pratique professionnelle à l'Université de Montréal, j'ai développé un grand intérêt pour la communication en santé. Les gens recherchent plus d'informations que jamais sur Internet, ce site offre un accès innovant aux professionnels de la santé les plus accessibles du réseau, et j'y embarque sans hésitation pour aider à partager mes connaissances.

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