Others stick with over-the-counter pain relievers to manage pain and fever symptoms. facial pain. But as recently as 2015, it did not cause any. Avoid sprays that contain Oxymetazoline because you can become dependent on this spray. Viruses cause most sinus infections, but bacteria can cause some sinus infections. Sinus infection (sinusitis). Saving Lives, Protecting People, Espaol: Infeccin de los senos paranasales (sinusitis), Sinus Rinsing for Health or Religious Practice, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP), Healthcare Professional Resources and Training, Educational Resources for Healthcare Professionals, Adult Outpatient Treatment Recommendations, Pediatric Outpatient Treatment Recommendations, Measuring Outpatient Antibiotic Prescribing, Tuberculosis (TB), Gonorrhea, and Valley Fever, Priorities for Hospital Core Element Implementation, Implementation Resources for Outpatient Facilities, Implementation Resources for Nursing Homes, U.S. Department of Health & Human Services. Please see a doctor for any symptom that is severe or concerning. Three Basic Types Of Inhalers And How To Use It Properly, Urinary Tract Infection and kidney infections. While there are some cases in which you may be prescribed antibiotics for a common cold, these medications aren't harmless. Acute sinusitis: Do over-the-counter treatments help? Sinusitis occurs when your nasal passages become inflamed. A thin, flexible tube (endoscope) with a fiber-optic light inserted through your nose allows your doctor to visually inspect the inside of your sinuses. Antibiotic-resistant strains of staph bacteria are often described as methicillin-resistant Staphylococcus aureus (MRSA) strains. Receive recommended vaccines, such as the. When your dentist prescribes one of these antibiotics, the choice will depend on whether you are allergic to . You can review and change the way we collect information below. Be sure to consult with your allergist or another healthcare provider before using a saline nasal rinse. Most cases of sinusitis clear up within 10 days. Accessed Jan. 28, 2020. https://www.uptodate.com/contents/search. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. Tosh P (expert opinion). Get plenty of rest if you have a cold to reduce your risk for complications, like sinusitis. Sinusitis accounts for 16 million office visits and $5.8 billion in annual health care. You can also try drinking ginger tea. Fluid builds up, which can cause congestion and runny nose. How to treat a sinus infection without antibiotics? Be sure to look for their generic counterparts loratadine, cetirizine, and levocetirizine for effective, cheaper options. Are there brochures or other printed material I can have? Do you smoke or are you around smoke or other pollutants? Overuse and overprescription of antibiotics when they arent effective leads to the development of antibiotic-resistant infections. In case you have an allergy to these antibiotics, you may get rid of sinus infection without antibiotics. congestion. All rights reserved. And until you know whether or not you have a staph infection, don't share towels, clothing and bedding and don't prepare food for others. https://www.cdc.gov/foodsafety/diseases/staphylococcal.html. Common antibiotics for sinus infection include: Symptoms of a sinus infection are caused by the blockage of sinuses, which are hollow air spaces in the nasal area. Side effects can range from mild reactions, like a rash, to more serious health problems. Acute bacterial rhinosinusitis. She has worked in the hospital setting and collaborated on Alzheimer's research. . What's the most likely cause of my symptoms? mucus dripping down the throat from the nose, tenderness under the eyes or on the bridge of the nose, mild to severe pain in the forehead or temples, bad breath or unpleasant taste in the mouth. 2023 Dotdash Media, Inc. All rights reserved. Current. Natural Medicines. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Make sure you only use food-grade essential oils. US emergency department visits for outpatient adverse drug events, 2013-2014. When do you need antibiotics for upper respiratory infection? Your doctor might wait and watch to see if your acute sinusitis worsens before prescribing antibiotics. However, severe, progressive or persistent symptoms might require antibiotics. Smith SR, Montgomery LG, Williams JW Jr. Chronic sinusitis can last for 12 weeks or longer. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Sinusitis is often caused by bacteria, including Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and sometimes Staphylococcus aureus and Streptococcus pyogenes. Viruses cause most sinus infections, but bacteria can cause some sinus infections. https://www.ecfr.gov/cgi-bin/text-idx?SID=76be002fc0488562bf61609b21a6b11e&mc=true&node=se21.4.201_1314&rgn=div8. This can help your provider choose the antibiotic that will work best for you. Doctors may recommend taking antibiotics, which can help alleviate pain and provide symptomatic relief. Signal detection of adverse drug reaction of amoxicillin using the Korea Adverse Event Reporting System Database. Theyll do this by: Amoxicillin (Amoxil) is a commonly prescribed drug for acute sinus infections. Most upper respiratory infections are viral infections, which do not respond to antibiotics and typically go away on their own in a week or so. Make a donation. Here's how to treat sinus pressure and symptoms with seven natural home remedies that dont involve medication. 2. Never give aspirin to children because it can cause Reyes syndrome. Some of them may choose to have no treatment and wait for their congestion to subside, while others may contact their physicians to prescribe their best medication for sinus infection. Consult your doctor if you or your child has: If you have a sinus infection for eight weeks or more, or have more than four sinus infections per year, you may have chronic sinusitis. Theyll also let you know if you should continue taking it or stop. Daniel More, MD, is a board-certified allergist and clinical immunologist. If the patient has more severe infections, doses may be doubled. Mayo Clinic does not endorse companies or products. If youre not finding relief from home remedies, ask your pharmacist to recommend an OTC treatment. If you are a Mayo Clinic patient, this could Accessed Feb. 16, 2022. Rub one drop of each oil on the roof of your mouth, then drink a glass of water. What, if anything, appears to worsen your symptoms? I recommend starting this early on in the course of the illness to prevent the infection from worsening. In these cases, a physician could recommend using another . With acute sinusitis, it might be difficult to breathe through your nose. Bacteria that infect the upper respiratory tract are most often S. pyogenes (a group A streptococcus), or sometimes H influenzae. Office on Women's Health. Click here for an email preview. A sinus infection, a.k.a. The patient is elderly or has a weakened immune system. This drug is usually used to stop the growth of bacteria and is administered orally. These infections dont, for example, include infections that affect your lungs, like pneumonia. Antibiotic resistance means that certain drugs no longer work for a specific type of germ. Whats The Best Way To Get Sinus Pressure Relief Over-the-counter options include nasal decongestants and nasal steroid sprays. Best Antibiotic treatment for sinus infection. Mayo Clinic Q and A:Sinusitis and treatment options, Allergy and Sinus Solutions from Mayo Clinic Store, Assortment of Health Products from Mayo Clinic Store, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Accessed May 12, 2019. But proceed with caution. But on the other hand, while 85% of sinus infections improve or clear on their own, there's the 15% that do not. Risk Factors For example, all penicillin-class antibiotics (ampicillin, amoxicillin) block the formation of the external cell wall of the bacteria. Cough and cold medicines can result in serious and sometimes life-threatening side effects in young children. Kellie Atkinson's daughter Olivia was just three . Do you have any implanted medical devices, such as an artificial joint or a cardiac pacemaker? For example, you may be referred to a specialist in treating skin conditions (dermatologist), heart disorders (cardiologist) or infectious diseases. other information we have about you. It is usually treated with penicillin. 2013;2013(6):CD000247. Vancomycin and some other antibiotics used for antibiotic-resistant staph infections have to be given through a vein (intravenously). The Choosing Wisely campaign was created as an initiative of the American Board of Internal Medicine (ABIM) Foundation to improve health care quality. This site complies with the HONcode standard for trustworthy health information: verify here. Jennifer Welsh is a Connecticut-based science writer and editor with over ten years of experience under her belt. The most common reason for the visit among children was an adverse reaction to antibiotics. We avoid using tertiary references. What happens when antibiotics are overused? Dont stop taking them early, even if your symptoms improve. That can be through sexual activity, or because of poor handwashing or contaminated food . Here are some tips to for hydrated sinuses: Shop for a humidifier and saline nasal spray. Review/update the Severe symptoms, such as severe headache or facial pain. Some are common, and others can be severe and potentially deadly. We include products we think are useful for our readers. https://www.merckmanuals.com/professional/infectious-diseases/gram-positive-cocci/staphylococcal-infections?query=staph%20infections. You may opt-out of email communications at any time by clicking on Antibiotics can help eliminate bacterial sinus infections. A sinus infection can be treated with antibiotics when it is caused by bacteria. Avoid smoking and exposure to secondhand smoke. Antibiotics may be helpful if common cold symptoms last for more than 10 days, the Cochrane report found. Usually, these are secondary bacterial infections caused by the cold or flu symptoms that cause issues in the sinuses or other structures of the upper respiratory system. Common causes of chronic sinusitis are: A sinus infection occurs when the tissue in the sinuses swells up. What are the alternatives to the primary approach you're suggesting? A chronic sinus infection has symptoms that last for 12 weeks or longer. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. You can also fill a bowl with boiling water and lean over it for 10 minutes. If allergies are contributing to your sinusitis, allergy shots (immunotherapy) that help reduce the body's reaction to specific allergens may help treat your symptoms. Eat healthy foods colorful fruits and veggies that boost your immune system. Annually, it accounts for 15% to 20% of adult antibiotic prescriptions and costs more than $20 million in patient visits. Antibiotics won't help you get better if you have acute bronchitis. Centers for Disease Control and Prevention. Not only is this a big problem for the entire world, but antibiotics can have nasty side effects for the person taking them. What's the best treatment for a staph infection? It also discusses over-the-counter treatments and home remedies. Could you describe them to me? Breathe in steam from a bowl of hot water or shower. Cephalexin can be prescribed from 250 mg to 500 mg every 6 to 12 hours for 5 to 7 days. Antibiotics for the common cold and acute purulent rhinitis. You should only be taken according to what your doctor or physician has prescribed. Overview Acute sinusitis causes the spaces inside your nose (sinuses) to become inflamed and swollen. Septra (trimethoprim-sulfamethoxazole) Amoxil (amoxicillin) Symptoms of a Sinus Infection Symptoms of a sinus infection are caused by the blockage of sinuses, which are hollow air spaces in the nasal area. Accessed Feb. 17, 2022. Limit exposure to people with colds or other upper respiratory infections, if possible. Amoxicillin is most effective when given frequently enough to sustain adequate levels in the infected tissue. Have your symptoms been continuous or occasional? There are many antibiotics that your doctor or physician may prescribe to help treat your sinus infection. Apply warm and cold compression alternately to relieve sinus pain and pressure. Antibiotics are not an effective treatment choice for colds and the flu since they are caused by viruses rather than bacteria. Antibiotics are used to treat bacterial infections. I've read stories of antibiotics wreaking havoc on the gut for long covid sufferers which give them a whole host of new issues. Get plenty of rest to help your body fight the infection. All rights reserved. Richmond ENT Click here for an email preview. To fight the virus, add antibacterial foods like garlic, ginger, and onions to your meals. Your body should be able to cure itself of a mild or moderate sinusitis and. Renaud DL (expert opinion). Saline nasal wash can be a great way to thin out the mucous in the sinuses enough to clear out the blockage. Some of these may even be familiar to you. What Are the Risks of Sinus Rinses, and How Can You Avoid Them? What are the symptoms of a sinus infection? 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Methicillin-resistant Staphylococcus aureus (MRSA). include protected health information. It is this discrepancy that has clinical researchers and public health folks jumping up and down in alarm, because more unnecessary prescriptions for antibiotics mean more side effects and higher bacterial resistance rates. When antibiotics arent needed, they wont help you, and their side effects could still cause harm. For acute sinusitis, questions to ask your doctor include: Your doctor is likely to ask you questions, such as: Mayo Clinic does not endorse companies or products. But antibiotics may not always be the best remedy for sinusitis, according to recent research and physician experts. The infection is treated with a combination of drugs, including the antibiotic azithromycin . Feb. 28, 2022. When did you first notice your symptoms? Strep throat, medically known as streptococcal pharyngitis, is a sore throat caused by infection by streptococcal bacteria. Besides medication, there are several natural decongestants that can unclog stuffy nasal passages and help you breathe easier. According to recent research, using a neti pot with a saline solution can get rid of some symptoms of chronic sinusitis. Advertising revenue supports our not-for-profit mission. Visit Sinus Rinsing for Health or Religious Practice for information on how to safely use a sinus rinse. doi:10.1002/14651858.CD000247.pub3. Antibiotics for Upper Respiratory Infections. Managing a sinus infection? 2013;9(1):e1003057. Your doctor may ask about your symptoms. Generally speaking, sinus infections will not go away on their own, and treatment is necessary in order to clear the infection. This infection is usually caused by viruses, not bacteria, but can lead to secondary bacterial infections. Dehler, J. Allina Health. Accessed Jan. 28, 2020. Side effects can range from minor issues, like a rash, to very serious health problems, such asantibiotic-resistant infectionsandC. diffinfection, which causes diarrhea that can lead to severe colon damage and death. Thank you, {{form.email}}, for signing up. Patients with an allergy to penicillin should be prescribed. US emergency department visits for outpatient adverse drug events, 2013-2014. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. I would add a 1/2 to 1 teaspoon of baking soda to . Holland TL, et al. For example, growths on the lining of the nose or sinuses, known as nasal polyps. Accessed Feb. 22, 2018. Several factors can increase your risk of getting a sinus infection: Common symptoms of sinus infections include: When you have a sinus infection, one or more of your sinuses becomes inflamed. The sinuses are hollow cavities in the bones of your face around your forehead and cheekbones. Reye's syndrome. cephalexin. Antibiotics are not needed for many sinus infections, but your doctor can decide if you need an antibiotic. Discover risk factors such as sinus infections. Accessed May 12, 2019. Accessed Jan. 28, 2020. Patients with any specific questions about this recommendation or their individual situation should consult their physician. World Journal of Gastroenterology. A Cochrane report analyzing the available research into the use of antibiotics to treat colds, published in 2013, found that antibiotics do not work for the common cold, and side effects of antibiotics used for the common cold are common. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. information and will only use or disclose that information as set forth in our notice of Best Antibiotics to Treat Sinus Infection. Can Essential Oils Treat Sinus Congestion? The best antibiotics for tooth infection are known to fight the bacteria most commonly found in your mouth. When antibiotics aren't needed, they won't help you, and their side effects could still cause harm. A CT scan shows details of your sinuses and nasal area. Cephalosporins and Fluoroquinolones are the best examples of commonly used broad range antibiotics for sinusitis. Depending on the type of antibiotic, they may be taken from 3 to 28 days. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Use a clean humidifier to keep air moist in your home. Antibiotics may be prescribed when symptoms of a sinus infection warrant such treatment. Make sure to store it correctly (especially if it needs to be refrigerated). OTC decongestants, such as pseudoephedrine (Sudafed), may relieve sinusitis symptoms by narrowing the blood vessels. Healthline Media does not provide medical advice, diagnosis, or treatment. In addition, antibiotics have not been found to relieve symptoms or shorten the duration of a cold. This is because so many strains of staph bacteria have become resistant to other traditional antibiotics. This content does not have an English version. You should also seek medical care if you have had multiple sinus infections in the past year. There are many side effects of antibiotics. Thank you for taking the time to confirm your preferences. Add raw honey for an extra boost. Antibiotics may be prescribed in a few different situations: Fever is a rare symptom of the common cold in adults but may be more likely in children. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. This drug is commonly used to treat acute and uncomplicated bacterial sinusitis. Though aspirin is approved for use in children older than 3, children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin. Most sinus infections are not bacterial, so antibiotics are not necessary. Pain caused by a buildup of pressure in the nasal passages may be eased by using one of the following: If the nasal congestion is caused by an allergic reaction, antihistamines may help block inflammation. Options include. 20(47):17788-17795. doi:10.3748/wjg.v20.i47.17788. 2012;86(9):817-822. Your allergist or primary care provider will determine whether your sinus infection is caused by bacteria or a virus. Make an appointment with a doctor if you have severe symptoms, or if the following symptoms last longer than 10 days or keep coming back: fever. Common symptoms of a sinus infection include: Before prescribing an antibiotic, your healthcare provider may suggest an over-the-counter (OTC) treatment for a sinus infection. Your health care provider may perform tests to identify the staph bacteria behind your infection. by the Microbiology Society. In some cases, bacteria, or rarely fungus, may cause asinus infection. These cookies may also be used for advertising purposes by these third parties. You have had sinusitis for 12 weeks or longer (chronic sinusitis). When using saline nasal rinses, tap water should always be boiled and then allowed to cool to ensure cleanliness; distilled water or premixed solutions could also be used instead of regular tap water. Sinus rinses are safe for most people to use. the unsubscribe link in the e-mail. Antibiotic use guidelines for children with ear infections differ based on their age and symptoms. There's a chance antihistamines could make congestion worse by causing mucus to dry and thicken in the sinuses. Treatment of mild to moderate sinusitis. If you have symptoms of a sinus infection, you may need to see your healthcare provider. Centers for Disease Control and Prevention Carefully pour the saline solution down that nostril. Here's what the research says about using essential oils to treat sinus congestion. Sinusitis: An infection in your sinuses causing pain and congestion, Otitis media: An ear infection causing pain, Pharyngitis: A sore throat, which might be strep throat, Epiglottitis: An infection and resulting swelling of the epiglottis, a flap of tissue that covers your windpipe, which can interfere with breathing, Laryngotracheitis: Infection of the larynx (which holds the vocal cords), trachea, or bronchi, Hydrate with water or electrolyte sports drinks, Suck on lozenges, hard candies, or ice pops to soothe a sore throat, Try antihistamines or decongestants (like pseudoephedrine) for symptom relief, Take pain relievers and fever reducers, including Tylenol (acetaminophen) and Advil (ibuprofen),to address those symptoms. Despite consistent recommendations to the contrary, antibiotics are prescribed in over 80% of outpatient visits for acute sinusitis. Zoorob R, Sidani MA, Fremont RD, Kihlberg C. Antibiotic use in acute upper respiratory tract infections Am Fam Physician. Nasal irrigation is a process often used to ease the symptoms of sinusitis. Answer From James T C Li, M.D., Ph.D. drinking plenty of fluids taking painkillers, such as paracetamol or ibuprofen (do not give aspirin to children under 16) avoiding allergic triggers and not smoking cleaning your nose with a salt water solution to ease congestion By Jennifer Welsh Cefdinir and cephalexin are preferred antibiotics for treating children who have UTIs. One study has found that the main ingredient in eucalyptus oil, cineole, helped people with acute sinusitis recover faster. AAP Committee on Infectious Diseases. What are the Best Antibiotics for Sinus Infection do Doctors Prescribe For You? Hobman TC, ed. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Is my condition likely temporary or chronic? When you see your doctor, expect a thorough examination of your sinuses. Sinus infections, and related sinus pressure, can cause toothaches. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Centers for Disease Control and Prevention. Accessed Jan. 28, 2020. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. If a secondary bacterial infection should develop, one treatment of choice is amoxicillin-clavulanate (Augmentin). What websites do you recommend? Amoxicillin-clavulanate (Augmentin) is often prescribed for a bacterial sinus infection. information submitted for this request. If switching is needed, hopefully, the Augmentin will already have given kids the edge in the bacterial battle. The usual dosage of Cefdinir is a 300 mg tablet twice a day for 5 to 7 days. Some of the home remedies to treat a sinus infection without antibiotics include: Your doctor may prescribe you antibiotics if you are not relieved from initial treatments and have more concerning symptoms like worsening headache, fatigue, and sinus pain. KidsHealth from Nemours. An acute sinus infection, also called sinusitis, is usually caused by a virus. By Sherry Christiansen Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. The increase in antibiotic-resistant strains has led to the use of IV antibiotics, such as vancomycin or daptomycin, with the potential for more side effects. Use over-the-counter (OTC) medications, Centers for Disease Control and Prevention. Make a donation. A neti pot is a container designed to rinse the nasal cavity. The antibiotic-resistant variant accounted for 5% of all Shigella infections last year. How long does doxycycline stay in your body after you finish your prescribed amount? An acute sinus infection, also called sinusitis, is usually caused by a virus. Some antibiotics are used to attack a wide range of bacteria while others are highly specialized to target only certain bacteria. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Healthcare providers typically only prescribe antibiotics for sinus infections that don't clear up on their own. A single copy of these materials may be reprinted for noncommercial personal use only. If your doctor suspects a bacterial infection, you will be prescribed antibiotics. Aim to drink at least 8 ounces of water every 2 hours. 2014. As a result, antibiotics were overprescribed and overused. Even if your acute sinusitis is bacterial, it may clear up without treatment. Eat foods with antibacterial properties, 7. Fowler VG, et al. Most sinusitis in the ambulatory setting is due to a viral infection that will resolve on its own. Most sinus infections usually get better on their own without antibiotics. The sinuses are the air-filled pockets in the bones of the face that form the top part of the respiratory tract. (3) Studies that compared antibiotics with placebo showed that, in most cases, symptoms improved within two weeks, regardless of whether the participant received an antibiotic or not. In the rare instance that an antibiotic is needed to treat a sinus infection, amoxicillin or amoxicillin/potassium clavulanate is recommended. But when they become blocked and filled with fluid, germs can grow and cause an infection. Drink plenty of water To help flush the virus out of your system, make sure you're adequately hydrated. Many varieties have become resistant to one or more antibiotics. When to Use and Avoid Antibiotics and Other Treatments to Try. They help us to know which pages are the most and least popular and see how visitors move around the site. Sinus Infection: Symptoms, Causes, and Treatment, mayoclinic.org/diseases-conditions/acute-sinusitis/expert-answers/acute-sinusitis/faq-20058562, acaai.org/allergies/types/sinus-infection, cdc.gov/antibiotic-use/community/for-patients/common-illnesses/sinus-infection.html, 9 Ways to Naturally Clear Up Your Congestion. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Antibiotics are not needed for acute viral sinusitis. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. This helps reduce inflammation and swelling. You may generally feel unwell and potentially have a low-grade fever. Children younger than 4 years old: do not use over-the-counter cough and cold medicines in young children unless a doctor specifically tells you to. When your sinuses are inflamed, the area gets blocked with fluid, causing pain and in some cases, allowing bacteria to grow. These problems can include severe allergic reactions, antibiotic-resistant . However, in some cases, you may need antibiotics.
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