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[Cindyfayth]

Does anybody have any good tips for fungal sinusitis. I've had this at least one year now and its really effecting my quality of life.

[Flossytreadwell]

If it was me I'd ask my GP for a sinus wash. I had repeated thumping heads after I lived with black mould in a rented flat. After the sinus wash , which they put you completely out, the headaches just stopped.

[Cindyfayth in reply to Flossytreadwell]

Thanks I'll ask them. I've been seeing a ent doctor for a year now . He's told me I have to use the nasel washes which I have been doing. never mentioned that they could do something. The only thing that works slightly is the nasel drops.

[Flossytreadwell in reply to Cindyfayth]

beware of beconase or any steroids as they can exacerbate or even cause yeast/fungal infections in two ways. One by suppressing the immune system & the other because they change the surface of the skin allowing yeast to become prolific.

last paragraph...

everydayhealth.com/yeast-in...

quora.com/Why-did-my-doctor...

It's always best to read up on products & obtain opinion's' from dr's & users.

e.g. I discovered topomax was causing my oral thrush & fungal infections from finding hundreds of reviews. Dr's were treating the infections & hairloss & although supplements were helping, it was an endless battle. Once I discovered the topomax issues I stopped taking it & my issues have resolved quickly with the supplements to help rebalance my internal flora.

There are some sinus conditions where fungal balls need removing. Your condition needs identifying to be helped because fungal balls won't be easily removed without intervention.

This longevity of suffering is unfair & uncalled for. You need this resolved & your quality of life restored.

Before reading the following information do bare in mind fungal infections are notoriously slow to clear & don't panic. If you were in any danger your temperature would shoot up. However you need a definite description of the fungal infection to understand if the treatment is right for you. I say this because almost a year is unacceptable in my opinion. I know my GP's wouldn't let me suffer so long with a fungal infection. Even though I found the reason for my infections my G.P's were doing everything to get it sorted quickly & sent me to a specialist.

I'll copy some info for you as it requires a login to read...

Fungal Sinusitis Treatment & Management

Updated: Feb 20, 2018

Author: Hassan H Ramadan, MD, MSc; Chief Editor: Arlen D Meyers, MD, MBA more...

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Medical Therapy

The treatment of choice for all types of fungal sinusitis is surgical. Medical treatment depends on the type of infection and the presence of invasion.

Allergic fungal sinusitis

The treatment of choice is generally surgery. Systemic steroids may be indicated once surgery is performed and the diagnosis is confirmed. Some authors suggest a low dose of prednisone (0.5 mg/kg) in a tapering dose with alternate-day dosage over a 3-month period. Topical nasal steroids are helpful postoperatively. Aggressive nasal salt-water washes are recommended. Immune therapy for specific allergens is controversial, even though some reports suggest benefit from this treatment. Systemic antifungals are not indicated in the absence of invasion.

Sinus mycetoma

The recommended treatment is surgical. Once the fungus ball is removed, no further medical treatment is indicated, except for the underlying condition. No antifungal treatment is necessary.

Chronic invasive fungal sinusitis

Surgical treatment is mandatory. Initiate medical treatment with systemic antifungals once invasion is diagnosed. Amphotericin B (2 g/d) is recommended; this can be replaced by ketoconazole or itraconazole once the disease is under control.

A study by Mehta et al suggested that itraconazole may be as effective as amphotericin B in the treatment of chronic invasive fungal sinusitis. In a prospective, randomized, unblinded study of 26 immunocompetent patients, one group (10 patients) was treated with amphotericin B and the other (16 patients) with itraconazole. A complete cure was achieved in two patients in the amphotericin-B group and five in the itraconazole group, while four amphotericin-B patients and seven itraconazole patients experienced persistent disease, and one amphotericin-B patient and three itraconazole patients had relapses. In addition, three patients died, and one was lost to follow-up. Based on relative risk analysis, the investigators concluded that itraconazole and amphotericin B worked equally well against chronic invasive fungal sinusitis. [12]

Acute invasive fungal sinusitis

Emergent treatment is necessary once this condition is suspected. Initiate systemic antifungal treatment after surgical debridement. High doses of amphotericin B (1-1.5 mg/kg/d) are recommended. Oral itraconazole (400 mg/d) can replace amphotericin B once the acute stage has passed. Treatment of the underlying immune deficiency, if possible, is desirable.

Chronic granulomatous fungal sinusitis

Surgical debridement is the mainstay of treatment, followed by systemic antifungal medications. Recurrence of this condition is rare.

[GAtherton Administrator Fungal Infection Trust]

Fungal sinusitis, much like most other sinusitis requires time and determination to get rid of. Keep going back to your GP/ENT specialist until it clears up, it can take years, multiple treatments and surgery in some cases. Don't give up!

NB Steroids are a vital part of treatment as they cut down on inflammation and clear sinus drainage. Once your sinuses can drain then they can recover. Consequently if your doctor recommends you take them please comply.

[Dr_San]

Use itraconazole....it will surely help u