Posted 1/3/2017 5:15 PM (GMT -6)
I would start with a good internal medicine physician. A good internal medicine doctor can be worth their weight in gold. An internal medicine practitioner will take a holistic view of you as a total person and how your body is functioning as a unit.
An infectious disease physician would be helpful in determining if you have a latent, sub-clinical level of bacteria that is causing your repeat infections. The latent bacteria may be lurking in the warm confines of your sinus and finding opportunity to repopulate ever so often, causing you distress with an acute bacterial infection.
Times of heightened stress, for example, may lower your immune system so that the latent bacteria are able to flourish . . . resulting in an active infection.
A rheumatologist would be helpful in identifying any component of an auto-immune disorder or an inflammatory disorder. There are over 100 different auto-immune conditions, that physicians are aware of.
An ear-nose-and-throat specialist would be helpful in evaluating fully your sinuses and taking cultures to identify for any bacteria making a home in your sinus cavities. MRSA (antibiotic resistant bacteria) are present in almost everyone. I had an MRSA infection that was not accurately identified. I suffered from recurrent facial lesions that would clear with full-strength oral antibiotics, only to return when the antibiotics were discontinued. Appropriate culturing finally identified the culprit as MRSA. Once I was on a different line of antibiotics, my situation eased. All to say, it is important to have legitimate culturing done to identify the micro-organisms that may be inhabitating your sinuses and to identify an antibiotic regimen tailored to the micro-organism found.
Your medical physicians need to communicate more fully with you. Get copies of all of your lab work and cultures for your records. Also, get copies of the physician progress notes. Physician progress notes can be equally telling for what the notes do not say or do not cover.
We're here to give you strength along the way.
- Karen -