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 ENT Specialist, any suggestion?

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carollil
post Dec 16 2017, 07:24 AM

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Joined: Jul 2009


QUOTE(dapne @ Jul 27 2017, 11:19 AM)
Hi, everyone, have u been suffered on below symptoms
Dry painful inside nose bridge,    nose feels so uncomfortable for strongly smells like mint, chili,chemical, lemons , no runny nose but got mucus on sore throat, got sinisitis
I took a lot of medicines but my nose getting  worse.i think this is because l'm hurting my nose accidently when washing my nose.l'm very scare to use nasal spray anymore this will cause nose more dry. Any suggestion and opinion?
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What kind of nasal spray or brand is it?
I am aware that every individual has different sets of problems and what contributes to it, I will try to share my experience as short as possible with detail.

i have allergic rhinitis and it got worse during work (in restaurant with open door) tar road patching, next door paint/renovation job and haze. All these 3 happened back to back which worsened my sinus condition, I am allergic to perfumes, smokes and strong odors and people burning rubbish in my neighbourhood frequently was terrible for my condition. When I smell them I get runny nose, phelgm build up and coughs and often followed by fever. i also had really bad tonsilitis and my tonsil never healed normally so it became chronic tonsilitis and this caused me to get sick easily, having allergic rhinitis with chronic tonsilitis pretty much cause me to get sick very frequently, my coughs can last more than 2 months. I went to clinic anytime I got sick, they just gave me antihistamine pills and cough syrups. It takes more than a month to recover from blocked sinus and coughs. i even asked the doctors from my clinic if i should remove my tonsil and they said dont need. 4 months ago I got ill and it was worse than ever, both my nose was blocked to the point i cant breath and my chest hurts so much from coughing, it was hard for me to get sleep too. i visited my clinic as usual. Got the same kind of medicine again but it didnt help after 2 weeks when it seem like it was clearing i got sick again. So this went on for about 2 months. I finally had it and couldn't take it anymore and despite the doctor from my clinic telling me there's no need to go hospital since it woukd be a waste of money and they dont think the doctor from hospital can do any differently about my case than what the clinic had provided so far. i wasn't going to trust the clinic doctor that I've gone to since i was a kid. I live in Klang. So I go to the nearesy hospital (Pantai Hospital Klang) and went for consultation from the ENT there (there's 2. The one I was reccomended to is Dr.Raj Kumar) first meeting was pleasant, he was very friendly he made me feel like an old friend, he asked me what I want, i said I want to remove my tonsil, he then ask why because he wanted to know the full detail and extent of my problem including my sinus problems and any problems that i can think of even if it may seem unrelated. HE then looked at my tonsil and was sure that I have to remove it (it looks bad) unlike the doctors from my clinic I felt that he was more genuine in trying to help me with my tonsilitis and sinusitis, he said he will help me do the surgery if thats what I want, but removing tonsil alone won't solve my problem so he said he wants to find the caused of all my related problems which is most important. So he prescribed me antihistamine (different ones than what my clinic gave. He asked me what kinds I have taken so far, so he gives a different kind) and he also gave me Nasonex, I have tried over the counter pharmacy nasal sprays and one the clinic doctors gave me, so i told him that, he says this is better he was very confident that Nasonex will help put my sinus allergy under control, he says it takes 2 week to take full effect he claimed that with this I can smell perfume, smoke or even dust it eont trigger my allergy. i went home feeling good about what he said. i was to return for follow up after 2 week, 1 week gone by I felt like I was getting better then suddenly I got fever and very bad blocked nose (my coughs was still going on) so i visited Dr Raj Kumar again, because my condition got worsed out of the sudden even after the meds he gave me this time his facial expression was different, he looked more concerned so he checked my throat and nose again and told me I had to take CT scan so he could find out for sure what is the problem. i took ctscan the same day and decided to get admitted (I had medical insurance so I was fortunate to be able to make that decision easily). Reault of ctscan came out and both my maxillary sinus ostium is completely blocked (the proper term was obliterated) This was the result of continuous inflamation, he said he can operate my sinus and that it can help relieve my problem abit (he stressed that it wont cure or fix my problem and that the surgery is just to make me more comfortable) i asked if it can grow back as many people have told me that there no point in surgery since the flesh will grow back and my cousin had surgery twice and it grew back, he said maybe but it will help.

So... Dr raj Kumar asked me what do I want to do since he can't perform tonsilectomy untill my coughs stops, if i want to go home or stay in the hospital, i rly dont know what else he meant if not go home then i stay in the hospital do what? So i jusy honestly said i want to get better. So he said ok theb he wil try his best to help me get better (clear my blocked nose and stop my coughs) that day itself he changed my prescription and gave me stronger medications (it was rly strong since it keeps making me drowsy, so i slept almost the whoe day for 2 days) I receieve intravenous antibiotics and antihistamines and Avelox (I have never had this before and doctors won't prescribe this if your case isn't severe enough). After 3 days My nose cleared up! I felt so much of the difference and my coughings lessened. i was so happy! If I had continue with what my clinic doctor gives me it would have taken a month to have the same result which only took 3 days! i was discharged and continued on the new prescribed medication for a week (avelox, bilastine, nasal decongestant drops, nasonex) It was amazing. After a week I did not have any nose blocked, the nasal decongestant worked like magic, and when i forgot to take my nose blocked lol... So i learned a lesson to not missed the medication time. I went for follow up and dr Raj Kumar says he's happy that the medication fibally works for me, and eventhough he keeps telling me "anytime i want to have surgery i can" he also reminds me but only when my coughing has stopped completely and untill I am stable for at least a week as he wants to prevent complication during and after surgery.

After another week, I finally had my surgery (removed my tonsil and minor surgery in my sinus) It was very successful, Dr Raj Kumar did an amazing job esspecially his prognosis from the first day I met Him, I trusted him all the way. I am so grateful to him and I only wished I have gone to meet him sooner then i could have saved 3 years of sinus and tonsil problem.

It has been 2 months post op. i am feeling great. I haven't gotten sick, I am only on Nasonex which was prescribe long term for me, Dr Raj Kumar said because of my sinus allergy I have no choice but to use Nasonex everyday since it isn't a condition that can be cured, but it can put my allergy under control since if sinus get inflamed over and over again can thicken the sinus openings, so I now use it everyday when I wake up, I was told to follow up for using nasonex after 6 months, I'll see how it goes, so far no problem yet. i forgot to mention how during my first 2 weeks of nasonex, one day i forgot to spray when i woe uo then I went out to hang my clothes and smelled the washing detergent from my clothes, my nose began running like leaking tap, I was wondering how come all the sudden when i was fine then I remembered omg nasonex! I came to realised how effective it was.

Also just 2 weeks ago I finally was able to go try out a korean bbq restaurant which is quite popular (Shinmapo), the first time I went I had to leave the restaurant immediately due to the smokes from the charcoal bbq, I am a huge foodie, I was rly upset I couldn't try it since it was reccomended highly by my sister and friends. But thanks to nasonex I can now enjoy korean bbq's and even walking through the detergent aisle in the supermarket and the perfume/fragrance counter in shopping malls without getting runny nose or phelgm build up.

This is my story up to this point, it already looked so long, I have more to say hahahah but I'll make it short I hope those who suffer the same problems as I do find my experience helpful. Please do consult with your doctors on the medications I have mentioned as it is a prescribed medications.

I do reccomend Dr. Raj Kumar (ENT specialist, Pantai Hospital Klang)

Not only did he helped me greatly, he is genuinely a nice and caring person. He even gives my mom free consultation on diabetis and also he's helping me with my high blood cholesterol. He's like a life coach to me too. It was unimaginable to have met such a good doctor, it was my first out of so many.
pls pardon my typos, I was doing it on my phone and my hand got tired from writing such a long post.

This post has been edited by carollil: Dec 16 2017, 08:14 AM

 

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