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Chronic Maxillary Sinusitis

Nasal Polyps
Ramya SreedharGender: FemaleAge: 36 years (Adult) Chronicity: 5 years

Presenting Complaints & History

  • Constant post-nasal drip triggering dry cough
  • Pain in upper teeth and cheek area
  • Nasal voice and congestion
  • Worsening of symptoms on washing hair

Clinical Assessment

A 36-year-old school teacher from Triprayar presenting with chronic maxillary sinusitis. Developed post-nasal drip which trickles down her throat, triggering dry, irritable cough during teaching classes. Worsens with cold exposure, especially after washing hair.

Diagnostic Investigations: CT sinus showing mucosal thickening (8mm) in bilateral maxillary sinuses; clear frontal sinuses.

Homeopathic Therapeutics & Management

Hydrastis was chosen for thick, yellow, tenacious post-nasal drip, while Pulsatilla resolved symptoms aggravated by warmth and triggered by cold dampness.

Selected Constitutional Remedies: Hydrastis Canadensis and Pulsatilla

Lifestyle & Nutritional Support

Dry hair immediately after bathing; avoid cold sour foods; practice warm throat gargles.

Clinical Outcome

Follow-up Period: 9 months
  • Post-nasal drip and cheek pain reduced within 3 weeks
  • Cough episodes during classes stopped completely by Month 2
  • CT sinus scan at 6 months confirmed resolution of maxillary mucosal thickening
  • Stable health and throat clear at 9-month review
Medically reviewed by Dr. Navaneeth K. Unni
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