Thank you for posting your query at DoctorSpring.com
I understand your concern.
You are suffering on left side of nostril and tip of nose. From the history you have given, the most probable diagnosis seems to suggest it is classical nasal vestibulitis. Nasal vestibulitis is a minor infection at the nose opening or infection of hair follicle inside the nostril. It may result from excessive nose picking or nose blowing.
You can start following medication for 5 days
Amxicillin + clavulanic acid ( Augmentin 625 mg two times
Tab. Aceclofenac ( Zerodol- P) two times
Tab. Omeprazole( omez 20 mg) two times
You should check your blood sugar, if high need to take medications for same.
Hope this helps. Please feel free to discuss.
Dr. Sunil Jalan
Patient replied :
Hi Dr. Jalan,
Thank you for your response. Since the walk in clinics closed at 7:30, I ran over to CVS after I emailed you. They prescribed me amoxicillin 2x a day for 7 days and erythromycin 2% topical gel.
Is this similar to what you recommended or do I need to follow up with my PCP or an ENT?
One thing I didn't mention is that I have been adding an apple cider vinegar drink to my diet (a friend told me it helped with digestion and could help with sinus problems). I have about 2 tbs a day diluted in water with lemon juice. Is that something that could be related to needing to check my blood sugar or why you are recommending omeprezal? Did I aggravate something?
Its same, so you can start either.
As you do not have symptoms of sinusitis, adding something will not benefit much.
I have asked to check your blood sugar as it is common to get skin infection in
Diabetics, it just a routine practice to rule out high blood sugar with nasal
vestibulitis. It is normal in many patients.
As I have included paracetamol which might cause gastritis in a few patients that's why
I have prescribed you omeprazole too.
Hope this helps