Ten Years of Sinus Trouble Ends for a School Teacher At Life Force
A 41-year-old male patient (Patient ID: 47782) presented at the Life Force Malleswaram branch on March 31, 2022, with the complaint of sinusitis. He had been experiencing mild episodes of right-sided nasal blockage, accompanied by pain at the root of the nose, heaviness in the head, and a mild daily headache for the past 10 years. These symptoms had progressed over the last 3 years. They are typically aggravated in the morning, during cold climates, and in damp environments. Each episode lasted for 2–3 hours, and he experienced continuous sneezing in the mornings. The patient had not been on any medication for the past 4 months. Initially, he had taken antibiotics and antihistamines but eventually became frustrated with long-term medication use.
A comprehensive case history was taken during the initial consultation, focusing on the patient''s physical and mental state.
Physical generals:
The patient followed a mixed diet and had an average appetite. He had a marked craving for spicy food. His thirst was normal, bowel movements were regular, and sleep was sound. He has been working as a schoolteacher for the past 4–5 years and is exposed to chalk dust on a daily basis, which could be a contributing factor to his complaints.
Family History and Background:
The patient’s father has a history of asthmatic bronchitis. No other significant illnesses were reported in the family; other family members are healthy.
Past Medical and Surgical History:
The patient’s past medical and surgical history includes corrective surgery for a deviated nasal septum (DNS) performed 7 years ago, cataract surgery on the left eye 4 years ago, and a severe case of typhoid 20 years ago.
Mental State:
The patient had a happy childhood. Emotionally, he tends to be irritable and experiences anticipatory anxiety. He reports underlying feelings of grief and disappointment. Intellectually, his memory is described as good.
After a thorough review of the case history, Dr. Shah prescribed Silicea 30 to address the patient’s chronic sinusitis.
Follow-ups:
After the first follow-up on June 1, 2022, the patient showed mild improvement. Although the episodes continued, they were less intense, and the patient felt better overall.
By August 5, 2022, further improvement was observed with no serious episodes reported.
Continued progress was seen on October 8, 2022, with only very mild episodes noted.
On December 3, 2022, there was significant improvement, with no major episodes and a marked reduction in nasal blockage.
By February 1, 2023, the patient continued to feel better, with no major episodes and further improvement in nasal complaints. The overall condition remained stable and showed consistent progress.
The patient expressed their happiness with the treatment outcomes, highlighting noticeable improvements in his immunity and expressing their heartfelt gratitude to Dr. Rajesh Shah and the entire Life Force team.
Conclusion:
This case demonstrates the successful management of chronic sinusitis through a holistic, individualized treatment approach. The patient showed significant improvement in symptoms, including nasal blockage, headaches, and overall quality of life, with gradual relief observed over several months. The positive response highlights the effectiveness of tailored, long-term management for chronic conditions.
- Case study written by Dr. Shweta R, Associate Doctor to Dr. Rajesh Shah, MD (Hom)