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A protocol
Feb 14, 2004
After fighting chronic bacterial sinusitis for months, seeing a lot of doctors (allergists, ENT, GP, etc.) I've developed a method for dealing with symptoms which I think offers some relief.

There are 2 parts to this.

PART ONE: When you have symptoms of a bacterial infection in the sinuses. These include facial/forehead pain, frequent headaches, yellow or green nasal discharge, dizziness/lightheadedness, cloudy vision, and stuffed up sinuses.

1. Antibiotics: either Avelox or Levaquin for a MINIMUM of 14 days. 21 is even better if your doctor allows it.
2. Prednisone: go on this for 4-5 days, and remember to taper off. This reduces inflamation and allows the antibiotic to penetrate the sinuses.
3. Nasal steroids: Nasacort or Rhinocort

PART TWO: if you have chronic sinus problems even when bacteria may not be present, such as nasal blockage, swelling, allergic shiners, etc.

1. Irrigation: Use either a machine (I use a Grossan Hydropulse, but there are others), or a spray bottle. Do this twice daily, once in the morning when you wake up, and once at night. The solution that works for me is:
a) 20ml of Alkalol (you can order this from your drug store)
b) 480ml of warm water (not hot)
c) a pinch of sea salt
d) a pinch of baking soda

2. Mucinix: a mucus thinner. Take 2 tablets twice a day. You can get this from the pharmacy, but you have to ask.

3. Antihistamine spray: Astelin is a good one.

4. Drink TONS of water.

5. Get 8 hours sleep minimum. The less sleep I get, the worse my sinuses feel.

6. Use humidifiers in the bedroom.

7. A "Steam mask": I use one from Conair. It basically blows steam into your face, and helps soothe the sinuses. This works well in winter.

8. Hot baths.

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Now what NOT to do!

1. Do NOT take OTC antihistamines while you have a bacterial infection. You will make it even worse.

2. Do NOT use decongestant sprays. You will have a "rebound" effect later.

3. Do NOT go on antibiotics for less than 14 days. The bacteria will become antibiotic resistant.





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