instruction: i think I may have chronic sinus infection it started months ago one morning I woke up and blow up my nose with yellow greenish mucus and blood I was having it only in the morning I didn't had any other symptoms except feeling tired I took anvil sinus and used seawater nasal spray it lasted couple weeks after I only had a bit mucus dripping my throat when I woke up but generally felt well until couple months after I started to hurt and feel pressure in my inner right eye I went to walk in clinic and got prescribed amoxicillin potassium clan for days my eye got better but after I stopped antibiotics after couple days I started to feel unwell again so I contacted another doctor online and he prescribed me another antibiotics clarithromycin 500 my for 10 days after I finished them again the same one day past and I didn't felt well I was feeling tired pain in my nose my ears even dizzy my body temperature was higher than regular 37 so I contacted a nurse online and she told me that probably antibiotics doesn't work because I had viral infection and told me to avoid diary take vitamin and probiotics I was taking them and with antibiotics it past two weeks generally I feel better but still have stuffy nose in the morning with a bit yellow mucus hurt my nose or feel pressure in it but I started to worry because I started to have headaches on top of my head sometimes going to the back part and sometimes tingling feeling in the left side of my head also I feel my heart rate is higher specially in the morning I already thinking maybe I am having anxiety when I read what can happen if you dont treat sinus infection I am using corticosteroids nasal spray seawater spray neti pot should I contact again doctor online and ask for more antibiotics I guess with all this coronavirus I cant get referral to ent specialist do you have any advice how I should treat it
output: hi looks like your having a chronic allergic problem out there now there are certain things which have to be understood in detail allergic rhinitis is an immune complex issue which is innately present and starts showing symptoms at one particular age it basically is a hyper responsiveness to something which is foreign and has accidentally entered into you nose causing cascade of chemical events leading to nasal congestion watery nasal discharge sneezing itching in eye and nose fullness in the ear and often leads to sinusitis causing heaviness in the area of your face involving the frontal and maxillary regions besides your nose antibiotics has a limited role here unless it is an infection that we are treating you have to wear a n95 mask and not allow the triggering factor to enter into your nose in the first place trigerring factors range from dust pollen animal fur fumes strong odours etc and the list is endless allowing the triggering problem to keep entering your nose is just going to prolong the problem through life and no medication will ever be effective nasal steroid sprays have definelty a role to play I usually suggest a combination of a topical steroid such as fluticasone propionate along with a antihistamine such as azelastine hydrochloride puffs in each nostril times a day 12 his apart for months straight certain antiallergics containing fexofenadien 120mg one tab two times a day 12hrs apart for 20 days is effective antibiotics like clarithromycin 500 my twice a day if taken have to used for long months to be extremely effective I give clarithromycin for both its antibiotic and immunomodulatory activity later of which is more important salt water gargles to 10 times a day for 10 days sipping on warm water steam inhalation avoiding cold spicy and oily junk food goes a long way smoking and alcohol to be completely avoided as it slows down the mucociliary activity and leads to secretions inside your nose causing a severe sinusitis and its related problems hope this advice helps