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Cold, mucus & facial pain
Hi, I’ve had a bad cold since last week. Initially it was a running nose, but now it has turned into mucus/congestion with pain around my cheeks and eyes. I felt better this morning, but it worsened again after reaching the office. Please advise what I should take.
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What you are describing - a cold that started as running nose and has now become thick congestion with pain over the cheeks and around the eyes, better and then worse again - fits acute sinusitis following a viral cold. Air conditioning and dust at the office typically make it worse. Start steam inhalation twice or thrice a day and use a saline nasal spray or saline rinse 3-4 times a day; this is the single most useful step to clear the sinuses. A xylometazoline nasal drop can be used for the block but for no more than 5 days, otherwise the congestion rebounds. Paracetamol 500 mg up to three times a day for the facial pain and fever is safe for you, and a plain antihistamine at bedtime helps sleep. Drink warm fluids, avoid cold drinks and direct AC air on your face, and sleep with your head slightly raised. Most such cases settle in 7-10 days without antibiotics. However, if the facial pain and thick discharge are not improving after 10 days, or you have fever above 101 F, one-sided severe pain, foul smelling discharge, or swelling around the eye, blurred vision, or a bad headache with vomiting, please see a doctor the same day - swelling around the eye or vision change needs emergency care. A short course of an antibiotic like amoxicillin-clavulanate is sometimes needed, but only after examination. You can book me on Practo consult (fee ₹500) or at Synergy Multispeciality Hospital, Miraj, and I will guide the exact prescription.
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Sinusitis??? Xray face pns view. Tab Augmentine duo625 three times after food for 7 days. Zerodol sp three times a day after food for five days. Montek lc one at night for five days.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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A consultation is appropriate to assess whether antibiotics or other treatment is actually needed.
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You could be having sinusitis, following the cold. Tab augmentin 625mg one morning and one evening for 7 days. Tab combiflam one every 8hours for 3 days, after meals. Tab cetrizine 5mg one morning and one evening for 5days. Tab monteleukast 10mg one daily in evening for 5 days. Do steam inhalation,  3 times daily.
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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you
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Need a few more details please consult for further evaluation and treatment
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.