How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18208
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

I'm from America living in Zimbabwe. While I was home for

Customer Question

I'm from America living in Zimbabwe. While I was home for 5 weeks just awhile back, I went to the doctor with what he believed to be a sinus infection. He prescribed Augmentin. I also went to the ear, nose and throat specialist, he did not look in my nose, but also told me that Augmentin was the best treatment. I have been on Augmentin for nearly 3 weeks and symptoms have subsided, however, they have not gone away. I still have a morning cough which I cough up quite a bit of phegm - whitish. After this I no longer cough up phlegm, but have a bit of a cough throughout the day. I do not cough at night. I do not have chest pains. I can breath just fine. When I blow my nose, I have a yellowish fluid still and still blow my nose quite often. I sound just as stuffy as I did before I began Augmentin. My ears have cleared up a bit. I am suspecting that there is a different challenge that I am facing other than just a sinus infection. I would be grateful for your help.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.
Hello from JustAnswer.

There are several possibilities to consider in this situation.

First, it is important to note that the cough can be due to drainage from the sinuses. And many people will notice a greater amount of coughing first thing in the morning because of accumulated mucus during the course of the night.

It is still possible that this is solely a persistent sinus infection. The doctors were correct that the Augmentin is one of the best medicines for a sinus infection. However, there is no antibiotic that will work 100% of the time. So, it could be a persistent infection because of a germ that is resistant to the Augmentin. It is also possible that there could be a persistent infection related to an anatomic issue with the sinuses, such as a polyp that is blocking proper drainage of the sinuses. In this situation, even an antibiotic that is active against the offending germ will not be able to get control of the infection.

It is possible that the infection has spread beyond the sinuses, such as into the lungs. However, there would usually be more coughing of phlegm throughout the day and there would frequently be other symptoms, such as shortness of breath or chest pain. So, it would be less likely that the infection has spread into the chest.

There are also certain anatomic conditions that can cause symptoms in the absence of infection. In a young adult, these are usually benign conditions, and would only need treatment when they are causing significant symptoms.

In this situation, the usual next step would be an imaging test of the sinuses, most often a CT scan of the sinuses. The CT scan is sensitive at detecting an infection of the various sinuses. It also would identify anatomic conditions within the sinuses that may cause persistent infection or symptoms without an infection.

If I can provide any further information, please let me know.
Customer: replied 1 year ago.

This is helpful. Does the CT scan detect polyps in the nose? Does the CT scan detect infection in the lungs? What else does the CT scan determine? I am in the bush of Zimbabwe right now, but I'm hoping there is a place I could get a CT scan. Shall I continue my prescription of Augmentin for the next week? I have only a week left.

Expert:  Dr. D. Love replied 1 year ago.
A CT scan would detect a polyp of the nose that is large enough to block drainage of a sinus. It also can detect cysts or other growths in the sinuses, the vast majority of which are benign in young adults.

The CT scan of the sinuses would not detect an infection of the lungs, but since this is less likely with the symtoms that you describe, there is no reason to assesss the lungs until the sinuses are fully assessed.

Yes, it would be appropriate to continue the Augmentin for the next week.
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18208
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and 3 other Medical Specialists are ready to help you
Customer: replied 1 year ago.

Thank you again! I will do my best to try and find a place that does a CT scan in Zimbabwe. In the case that I cannot get a CT scan, what do you recommend?

Expert:  Dr. D. Love replied 1 year ago.
If you cannot get a CT scan, the best that can be done is to try an antibiotic that is in a different chemical class and covers slightly different germs, such as Bactrim. But that would require that you can find a doctor that can prescribe the antibiotic.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.co.uk/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.co.uk/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.co.uk/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.co.uk/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.co.uk/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions