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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 62933
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I’ve had depression for 3 years which came along with lot of

Customer Question

I’ve had depression for 3 years which came along with lot of life stresses and menopause and I have been struggling with severe tingling nerve pain in face on left, no drooping. Chest is very tight. Have had a lot of rhinitis lately and nose is blocked (worse since last covid attack January).
JA: How long have you been feeling this way? Have you reached out to anyone about this yet?
Customer: I’ve been under dr since I fists had breakdown and am seeing psychiatrist next month for drug evaluation. I take venlafaxine and propranolol.
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: I was about to do a training course privately and that has overwhelmed me. I can’t cope with anything.
Submitted: 8 days ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 8 days ago.

Welcome to Just Answer.

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Expert:  Dr. Arun Phophalia replied 8 days ago.


Thanks for the question.

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Expert:  Dr. Arun Phophalia replied 8 days ago.

Severe tingling nerve pain in the face on the left, and blocked nose indicate;

1) Rhinitis (nose inflammation)

2) Rhino-sinusitis (inflammation of the nose and sinuses).

These can be due to;

a) Allergy

b) Infection.

You would need the following investigations for the evaluation;

i) Nasal swab

ii) X-ray and CT scan of the sinuses.

Following would be the treatment protocol;

1) Nasal steroid; decrease inflammation and open up the obstruction.

2) Oral decongestants such as pseudoephedrine are often helpful.

3) Topical decongestant for a short duration.

4) Antihistamines; use only if allergic.

5) Steam vaporizer

6) Eucalyptus oil may help

7) Nasal saline irrigation

8) Vitamin C

9) Antibiotics; if nasal culture is positive and there are signs in the CT scan.

For treating it naturally; steam inhalation, nasal saline water (saltwater) irrigation (which can be done by Neti-pot), Vitamin C, and Eucalyptus oil inhalation can be done. The following can increase the body's immunity and help in overcoming the sinus infection;

1) Omega 3; Fish oil capsule and flaxseed oil capsule.

2) Ginkgo Biloba

3) Zinc 30 mg.

You may also be looked for GERD, which has increasingly been implicated in causing or exacerbating chronic sinusitis. The exact relationships and mechanisms are presently a matter of speculation, though.

Consulting an ENT (ear, nose throat) specialist would be prudent.

Following herbs can be tried for depression;

1) Ginkgo
2) St. John's wort

There are other therapies that can be tried as follows;

1) Psychotherapy;
a) Cognitive-behavioral therapy (CBT)
b) Interpersonal therapy
c) Mindfulness-based cognitive therapy (MBC
d) Psychodynamic psychotherapy

2) Transcranial magnetic stimulation (TMS) has been approved for the treatment of the major depressive disorder.

3) Physical activity and exercise contribute to recovery from a major depressive disorder.

4) Stress reduction techniques.

5) Massage and physical therapy

6) Acupuncture.

I hope your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
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