Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor I have suffered from chronic sinusitis for the past two years,which resulted in surgery one year ago,at the moment I have been prescribed an antibiotic and sudafed by my own GP and am currently useing flixenase, I am also an asthmatic from when I was very young and use all the proper medication to controll my asthma ,could you please help me with some advice as i am in pain at the moment and for the past seven days,I was at my own GP yesterday who in turn precribed all the above but to be quite honest doctor I feel that im getting nowhere,dont feel I need hospital attention,maybe you can give me alternative advice please.Thankyou Dolores
[|AI|]  Hi, you certainly got chronic sinusitis which has a more peculiar manner to be managed. I am afraid persistence of the pain might be an indication of other specific sinus X-rays to exclude a sinus collection. Considering the fact you are on an atomic/asthmatic terrain, Chat Doctor.  Antihistamines, steroids and in case it's a collection, a culture and sensitivity test to orient anti biotherapy might be useful. For the moment, you got to avoid any nasal congestion, use Flonase as prescribed and see your ENT specialist for a reevaluation. Delayed treatment could lead to spread of the germ, in case it's a collection to nearby structures like the brain and could cause meningitis, thyroiditis which are serious. I would suggest you meet an ENT specialist for a reevaluation and discussion of an appropriate management plan, hope this helps, Luchuo, MD.