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SINUS INFECTION
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QAM2_MOMMY posted:
I started to have a sinus infection 3 weeks ago. I went to the doctor, he gave me the Z-Pak. I took it everyday at the same time like I was suppose to. But it only seemed to get worse. So I went back to the doctor's last Friday and he gave me Prometh with codeine syrup (told me to take 2 teaspoons every 4 hours){which i could not do because I have a 2 year old and it made me really tired}. Then Saturday my right lower eye lid started to swell and then a couple hours later the right side of my face started to swell and the right side of my throat started to hurt. So I went to the Urgent Center, where the doctor told me I had a very bad Sinus infection and prescribed me Amoxicillin 500 mg capsules to take one capsule 3 times a day for 14 days (and I have been doing it religiously since Sunday. And now Tuesday Night, I started to coughing up mucus that was yellowish green and my nose was draining mainly clean until I would blow my nose and then there was some slight color (yellowish green) snot. Then Wednesday morning I wake up and I have a very whaspy voice and very congested but could not really blow my nose, and when I did it was either very thick yellowish green or thin and clear. Later Wednesday night I lost my voice almost completely (Very quite and Squeaky). And today I wake up and I start coughing and chucks of thunks of green come out, and when I blow my nose it's thick greenish yellow sometimes and then thin yellow.

I just want to know Why does it seem I am getting worse and NOT better at all. And I can not talk on the phone that anyone can actually hear me that I could call my family doctor. So can I please get a second opinion on what is going on and what I should do. Please I really don't want to feel like this. Especially with a 2 year old that thinks I am just playing with him when I am trying to get him to listen to me.
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Rod Moser, PA, PhD responded:
Both azithromycin and amoxicillin have the same bacterial coverage. If you do have a bacterial sinusitis, and it appears you do based on your description, then going up a notch or so on the antibiotics may be indicated...something stronger.

Most sinus infections are viral, so no antibiotic would help, but if you have a bacterial componet, you want one that will do the job. I rarely, if ever, use azithromycin for sinuses, or even the low-dosage amoxicillin -- I use stronger doses, for longer periods of time as warranted.

Has your doctor use nasal corticosteroid sprays? This can help. You may need to go back for a THIRD treatment (Third time is the charm?) since you are not better.


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