instruction: i had a sinus infection and was prescribed two weeks clavulin for a total dose of 1500 my per day at the end of two weeks I was symptom free but the day after I finished the meds I got my symptoms back and developed frontal sinus infection I went on clavulin for three weeks at the highest dose and had frontal sinus symptoms the whole time while I was on the antibiotics I finish these antibiotics two weeks ago every day for the last two weeks I have a lot of pressure tension on the top of my head that is pressing down on the top of my head and is very bothersome and also sometimes across the top of my forehead with occasional aches in my eyes it is very hard to focus on anything else because the pressure is so bothersome it has not gotten worse but remains the same every day can you tell me what is going on
output: hi apologies for the late reply as you have rightly put it the most probable problem out there is a severe allergic problem with an associated sinusitis frontal sinusitis to be precise I have tried to explain things in a very simple yet precise manner below the cascade of events is explained in a very simple manner below eventhough its not as simple as it looks exposure to dust or any irritative substance that your body is hyper sensitive to will initially initiate reflexes such as sneezing to remove the offending agent out but if this fails mucosal cells in you nose start to hyperfunction producing loads of mucus to trap dust owing to its sticky nature this mucus has no where to go other than either being blown out of due to mucociliary activity gets pushed into the throat thereby entering into a new zone the throat initially reacts by activating cough impulses to push out the mucus but if that fails a local inflammation around the throat starts which often leads to symptoms such as feeling of a lump in the throat and repeated feeling to clear the throat now this is general cascade that usually occurs in most people but need not be specific to you sinusitis is always secondary to something allergy being the most common out of them there could be other reasons as well for sinusitis to occur such as a hypoplastic frontal sinus narrow frontal outflow tract frontal recess sinonasal polyposis etc another important fact about sinusitis is about its recurrence plain use of antibiotics does not solve the issue but just keeps it off for a while we need to dig down and see what has caused the sinusitis in the first place for appropriate treatment rather than superficially treating it with plain antibiotics precautionary measures is one such thing which if followed such as in a case or allergy will definetely go a very long way in keeping the problem at bay the requirement of medications also will be less and on the whole you will have immense benefit you can consider the following advice all precautionary measures have to be followed strictly for maximum relief other wise medications will not be useful on long term if things do not seem ok even after following the treatment schedule mentioned above a non contrast it is mandatory to find out what exactly could be going on in the sinonasal region anatomical variations extent of inflammatory load are few things we look into while reading a it scan surgery can be considered if above medications and precautionary measures do not give any relief but there is a catch to it the symptoms might come back sometimes even on a higher scale after a brief relief following surgery if the precautionary measures post surgery are not followed ideally speaking in a nut shell I again emphasis on preventing any irritative substance from entering the nose and throat thereby triggering an allergic cascade of events and reproducing the symptoms you have mentioned above I hope I have answered to your query in detail sorry again for the late reply get well soon warm regards