Complications Bacterial sinusitis is nearly always harmless (although uncomfortable and sometimes even very painful). If an episode becomes severe, antibiotics generally eliminate further problems. In rare cases, however, sinusitis can be very serious. Osteomyelitis. Adolescent males with acute frontal sinusitis are at particular risk for severe problems. One important complication is infection of the bones (osteomyelitis) of the forehead and other facial bones. In such cases, the patient usually experiences headache, fever, and a soft swelling over the bone known as Pott's puffy tumor. Infection of the Eye Socket. Infection of the eye socket, or orbital infection, which causes swelling and subsequent drooping of the eyelid, is a rare but serious complication of ethmoid sinusitis. In these cases, the patient loses movement in the eye, and pressure on the optic nerve can lead to vision loss, which is sometimes permanent. Fever and severe illness are usually present. Blood Clot. Blood clots...
Months ago some qualified researchers (physician specialists in this case) published an article in Annals of Allergy , Asthma and Immunology which reported superior outcomes of intranasal steroid (INS) compared to antibiotic or placebo (a substance containing no medication but made to look like medication) in a clinical trial involving over nine hundred patients.
Acute Rhinosinusitis (ARS) is typically manifested by nasal congestion, runny nose, facial pressure or pain, postnasal drip and headache. It is often caused by viruses (like the common cold virus) and lasts up to 4-12 weeks according to these researchers. Interestingly, I’ve told patients for years, that viral based sinus symptoms shouldn’t last more than one and a half to two weeks.
Many healthcare professionals agree that antibiotics are grossly over prescribed for upper respiratory tract infections. Concerns about sinus infections are one of the most common reasons patients contact their doctor. Physici...
Stimulant medications have been the traditional treatment for ADHD for many years. Some people, however, do not tolerate these types of medications, cannot take them because of other medical conditions, find they do not help or are not comfortable using stimulant medication. Strattera, a non-stimulant medication has been approved to treat ADHD: Strattera but some doctors also prescribe blood pressure medications, such as clonidine (Catapres) and guanfacine (Tenex, Intuniv), to help manage ADHD symptoms.
Some of these medications are prescribed off-label , which means they are prescribed for a use other than what the U.S. Food and Drug Administration (FDA) has approved them for based on clinical data and experience. For example, Tenex has been approved to treat children between the ages of 6 and 17 but Catapres has not been approved to treat ADHD.
Guanfacine (Intuniv, Tenex) has been found to help improve the following symptoms:
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