Kate ([info]kate_nepveu) wrote,
@ 2006-03-24 07:03:00
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Entry tags:health and beauty, poll

Let's engage in the unauthorized practice of medicine

Who wants to play at giving medical advice this morning?

History: Sunday March 5, between lunch and dinner, throat started hurting sharply, like it was very swollen and sore. A cold ensues. On Wednesday night particularly I have a great deal of pain in my ears.

Early on the morning of Friday March 10, I wake up when my decongestant wears off and cough up a large quantity of yellow-green thick nasty-tasting junk. My prior trip onto the web for research, Wednesday night, tells me that this is a sign of a sinus infection, so I go to the doctor's on Friday afternoon. He tells me that I don't have an ear infection, that sinus infection pain can radiate out into the ears, and that I probably have a sinus infection. He gives me Zithromax (I think—pink, take two the first day and then one for three days after?). This gets rid of the nasty-tasting junk in a couple of days, and slowly over the course of that week the general cold symptoms tail off.

This week the cold symptoms, or something that's making me mildly congested in the mornings (especially if I sleep anywhere near face-down), are sticking around. On Monday evening I noticed that my nasal passages and throat were feeling extremely dry. On Thursday morning I woke up noticing slight pain in my right ear and a slight swollen feeling on the right side of my throat. This morning that's less but still noticeable. (I tend to sleep on my right side.)

And, this morning, I produced a very small but recognizable quantity of yellow-green thick nasty-tasting junk.

However, during the days, I'm not particularly congested, coughing, or feverish. I'm tired as hell, but I've been working really hard.

So!

Poll #696959
Open to: All, detailed results viewable to: All, participants: 13

What should Kate do? Note you can choose multiple options.

View Answers

Go to the doctor immediately. It's a sinus infection and those are nothing to mess with.
6 (46.2%)

Go to the doctor immediately. It's something else, described in the comments, and it's nothing to mess with.
1 (7.7%)

Go to the doctor on Monday if it gets worse. It might not be anything to worry about.
5 (38.5%)

Start taking decongestants again. Yes, even though they make her feel like a zombie.
1 (7.7%)

Start taking some other medication, described in a comment.
0 (0.0%)

Eat lots of chocolate while she still can, because chocolate triggers coughing and if she's getting sick again she'll have to avoid it.
4 (30.8%)

Something she hasn't thought of, described in a comment.
1 (7.7%)



(26 comments) - (Post a new comment)


[info]slrose
2006-03-24 12:52 pm UTC (link)
Go to the doctor. It sounds like you had some bugs that didn't get killed by the Zithromax. It might be a sinus infection or an ear infection. I know my mother, on occasion, has had to do two courses of antibiotics to make sure all the stupid bugs die.

Be sure to take acidophilus (yogurt, buttermilk, sour cream or capsules) to replace your good bacteria while on antibiotics. It helps keep your digestive system running smoothly and prevent yeast infections.

If you don't want to take decongestants, the doctor can give you a prescription for a nasal spray. And taking a couple of grams of Vitamin C can help ease the symptoms a bit.

I never noticed chocolate triggering coughing. Maybe my intake is below the threshold.

(Reply to this) (Thread)


[info]kate_nepveu
2006-03-24 03:16 pm UTC (link)
It's because it tends to coat my throat.

I have called my doctor, thank you.

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[info]jsbowden
2006-03-24 01:01 pm UTC (link)
The decongestant guinefan (or something close to that) which was prescription only, is now available as an OTC. It is what my doc put me on whenever I had a sinus infection, and it dries you up, and dries you up fast. If that doesn't kill off the infection (and depending on how advanced it is, that may very well do it, and do it fast), then obviously you'll need an antobiotic. My personal favorite for strep and sinus infections is Zithromax (azithromycin). It's a 5 day course instead of ten, and you only have to take it once a day. I loves me some Z-pak if I need an antibiotic.

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[info]kate_nepveu
2006-03-24 03:18 pm UTC (link)
Hmm, I will ask about that. Pseudoephidrine is not my favorite thing.

I had Zithromax already. => I'm inclined to like it just because erythromycin means I don't eat the entire time I take it, and Zithromax had basically no side effects. (I'm allergic to amoxycillin.)

(Reply to this) (Parent)(Thread)


[info]jsbowden
2006-03-24 03:29 pm UTC (link)
I'm allergic to penicillin, so it's e-mycin, biaxin, amox., or azyth. for me (I'm sure there are others, but those are the ones I've been on for one infection or other in the last ten years), and if the doc asks if I've got a preference, I'll take azyth. every time. If anyone ever suggests augmentin to you, don't take it, as it's a combination of amox. and e-mycin (I would assume you already know this, since antibiotic allergies are easy ways to end up dead, and I know just how motivating that is to find out everything you can concerning the one that can kill you).

I'll take Sudafed or Tylenol with pseudoephedrine before going to bed, but yeah, I'm worthless during the day on pseudoephedrine too. It actually kinda blows that my favorite decon is now OTC. It's far cheaper to get it as a script and pay the co-pay. I could get a months supply for $5 then.

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[info]leighdb
2006-03-24 06:33 pm UTC (link)
I'm allergic to penicillin, so it's e-mycin, biaxin, amox., or azyth. for me

You can take amoxicilin if you're allergic to penicillin? I thought they were from the same root.

I just recently did a Z-pak to get rid of an ear infection, along with drops. It worked like a charm, but I can't say I much enjoyed the side effects. Still, a 5 day course instead of 10 is worth it.

(Reply to this) (Parent)(Thread)


[info]jsbowden
2006-03-24 07:17 pm UTC (link)
I don't see side effects from azithromycin, so I'm all for it.

Apparently amox. is refined differently enough that I don't react to it but it's a drug of last resort for me, since the docs do get nervous prescribing it to me. There's a reason I've only been on it once in the last decade.

(Reply to this) (Parent)


[info]kate_nepveu
2006-03-24 06:52 pm UTC (link)
Guaifenesin? It's an expectorant, apparently, so that would be why I haven't tried it before. I suppose in combination with pseudoephedrine it might be nice.

(Reply to this) (Parent)(Thread)


[info]jsbowden
2006-03-24 07:15 pm UTC (link)
Yes, that's it. I recognized it when the poster further down named it. Even on it's own, it'll drain your sinuses without totally drying them out. I've used it several times to zap a minor infection (and if I don't catch them soon enough, they rapidly turn bad on me to the point where the mucous comes out streaked with dark brown due to the sinuses bleeding). I don't know that the OTC recommended dose is as high as what I would have taken prescribed (they rarely are), so you might have to take a bit more than what the box recommends, but talk to your doc about that.

(Reply to this) (Parent)


[info]redbird
2006-03-24 01:10 pm UTC (link)
Yes, that sounds like Zithromax--and the relapse pattern suggests that yes it's bacterial, and no the antibiotic didn't get it all.

Most likely you'd get over it on your own--most of the time, for most things, we don't. But that's not a statistic I'd want to bet on.

Also, have chicken soup. Or hot and sour soup. Or both.

(Reply to this) (Thread)


[info]kate_nepveu
2006-03-24 03:18 pm UTC (link)
I have called my doctor, and will lay in some chicken soup. Thanks.

(Reply to this) (Parent)


[info]desdenova
2006-03-24 01:56 pm UTC (link)
It does sound like the infection is back, so you should go back to the doc for more antibiotics. But whether you do that "immediately" or Monday depends on 1. how bad you feel and 2. how much of an inconvenience it is to "go to the doctor immediately." If that means sitting around in a walk-in clinic for three hours, it might not be worth it.

Feel better!

(Reply to this) (Thread)


[info]kate_nepveu
2006-03-24 03:18 pm UTC (link)
I don't feel that lousy, but I have called the doctor after finding that the stuff that might need me to be *here* is likely to wait until Monday. I have lots of other things to do but they can be done from home.

(Reply to this) (Parent)


[info]fidelioscabinet
2006-03-24 02:11 pm UTC (link)
Zithromax is pretty hot stuff, but there are ALWAYS resistant bugs out there. Go now, before it becomes a horrific problem again.

The Mucinex tablets contain guaifenasin, which thins out mucous, wherever it is--throat, chest, sinuses. You can get them with or without the decongestant. Part of the problem may be that you have just enough gunk left in your sinuses for the few bacteria left standing to start over again, and getting rid of that might be a Really Good Plan.

Also, since we're now in the period where plants have wild crazy hot plant sex, getting on top of this problem NOW is a an Extremely Good Plan Indeed, because it won't get better on its own, and anything that cuts down on the zombie drugs is good.

Even, gross though the concept is, a neti pot.

(Reply to this) (Thread)


[info]kate_nepveu
2006-03-24 03:19 pm UTC (link)
Sounds stupid, but I hate to take Mucinex because of their awful commercials. All the same, I will investigate the matter.

I did take a Claritin yesterday in case the congestion was allergies, but that made no appreciable difference.

Thanks.

(Reply to this) (Parent)(Thread)


[info]fidelioscabinet
2006-03-24 03:53 pm UTC (link)
Those are pretty disgusting commercials. However, I can attest that the stuff works, and I'd rather a pill than an elixir, because it's a FOUL-tasting drug. I think there are store brands out there already, so you might want to check for those, and avoid subsidizing the ad agency.

You may be a bit early up there for allergies; we're just now moving from the maples to the elms down here in Tennessee. However, better to start that season with a clean slate. I'm just sayin'.

Good luck kicking this one.

(Reply to this) (Parent)


[info]readinggeek451
2006-03-24 02:16 pm UTC (link)
Go to the doctor right away. The longer you're off antibiotics, the more time the now-drug-resistant bacteria in your sinuses will have to proliferate. Sometimes it takes three weeks of antibiotics to get rid of a stubborn sinus infection. I had one where the stupid doctor didn't believe me when I told him I still had it that took *six* weeks total to get rid of, because it had time to really take hold again before I got more drugs.
Neti pots and the equivalent really work.

(Reply to this) (Thread)


[info]kate_nepveu
2006-03-24 03:20 pm UTC (link)
I have called my doctor (thanks to the comments here and the pain in my ears being slightly worse). Thank you.

(Reply to this) (Parent)


[info]silmaril
2006-03-24 02:34 pm UTC (link)
I've had a chronic sinus infection between the ages 6 and 16---almost continuously.

Just nip it in the bud. Even if it means antibiotics.

Hope you get better soon.

(Reply to this) (Thread)


[info]kate_nepveu
2006-03-24 03:21 pm UTC (link)
Eeeee. (I am waiting for a call back from my doctor.)

(Reply to this) (Parent)(Thread)


[info]leighdb
2006-03-24 06:41 pm UTC (link)
Eeeee indeed. Yikes.

I had originally voted "wait till Monday", but after reading all the comments, I agree that you probably shouldn't wait, and obviously you're already doing that.

I wanted to mention, though, because you were talking about hating decongestants, that I've found some of the non-drowsy ones actually work quite well, and are non-zombiefying to boot. I think you have to experiment with the various brands, though, to find which one works best for you in particular.

Dayquil makes me feel like I'm insane, for instance, but Advil Non-Drowsy Cold & Sinus works wonderfully.

(Reply to this) (Parent)(Thread)


[info]kate_nepveu
2006-03-24 06:48 pm UTC (link)
The standard OTC decongestant is pseudoephedrine, regardless of the brand (phenylephrine's a non-meth-precursor that's shown up recently, but it doesn't work as well for me). Until whatever g-decongestant mentioned previously became available OTC, it was pretty much the two Ps or nothing orally. And every brands of the two Ps I've tried has been zombiefying.

(Reply to this) (Parent)


[info]oyceter
2006-03-25 01:17 am UTC (link)
Sounds like you have lots of good advice, so *hugs* from me. Hope you feel better soon!

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[info]kate_nepveu
2006-03-25 02:22 am UTC (link)
Advice, and drugs like whoa. Thanks!

(Reply to this) (Parent)(Thread)


(Anonymous)
2006-03-26 02:23 pm UTC (link)
Call your mom. She always has good advise.
Love, Mom

(Reply to this) (Parent)

Thanks
(Anonymous)
2009-06-25 09:52 pm UTC (link)
п»ї
SaДџolun var olun teЕџekkГјr edrim?
Help me!

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