Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor ,My husband 30+ is suffering from chronic sinusitis . its been 7 months now we have tried homeopathy and he took lots of antibiotics also . He feels very tired all the time mentally and physically there is so much weakness . Discharge from the nose is brownish thick and when it gets worse he sneezzed a lot . He is an IT professional . it seems his immunity and strenght is decreasing day by day . My questions are  What kind of Food i should give him to regain the energy ? Should we go for Surgery ??What is the solution or mendatory precautions ?? Please advice ASAP. Thanks a lot Megha Pune
[|AI|]  Hello. Welcome to Chat Doctor. I am Chat Doctor.  Chronic sinusitis is a really disturbing condition. Due to nasal congestion and blockade breathing becomes laborious and incomplete which lead to these king of symptoms. If I was your treating doctor then I would have done following things.1- Detailed history of patient to have insight into causative or precipitating factors.2- Radiological investigation preferably contrast CT of sinuses.3- Endoscopic evaluation and biopsy for observing lesion and specimen for bacterial and fungal culture. Immunological tests for allergen must be done to prevent exposure to various allergens.4- Treatment initially will be directed to suspected pathogen in form of antibiotics and symptomatic relief.5- if after medical measures it is not relieved then ENT surgeon must be consulted and evaluation should be done for surgery.6- Regarding diet food allergen must be avoided. Only garlic has proven to be beneficial in chronic sinusitis by various studied. So it should be included in diet. I hope I have answered your concern in the best possible way. I will be glad to help you further. Regards.