Sunday, November 27, 2022

Do You Need Medicine For A Sinus Infection

Treatments For Sinus Infections Other Than Antibiotics

Ask Dr. Mike: What is a sinus infection and how do I treat it?
#1: Saline Nasal Wash

Saline nasal wash can be a great way to thin out the mucous in the sinuses enough to clear out the blockage. I recommend starting this early on in the course of the illness to prevent the infection from worsening.

You can even make this at home using 2 cups of water and a 1/2 teaspoon of salt. I would add a 1/2 to 1 teaspoon of baking soda to prevent burning that can occur with use. There are also plenty of over the counter saline nasal sprays that you can purchase. You can use this 4-6 times per day.

#2: Vaporizer

Vaporizers are great because they can also thin out the mucous and make you feel a lot better. An easy home remedy, steam is probably the best way to use this treatment. Beware if you are an asthmatic as the steam could cause worsening of the asthma symptoms.

#3: Steroid Nasal Spray

Steroid nasal sprays such as Flonase have been my go to remedy recently and the great news is that they are now over the counter. The general recommendation is to use 1-2 sprays per nostril daily.

But I have found great relief using 2 sprays in each nostril twice daily. At these higher doses it is important to remember that you should use this short term, no more than 5-7 days.

These medications can significantly reduce inflammation allowing the congestion blockage to clear and significantly alleviate symptoms.

#4: Decongestants
#5: Guaifenesin

Guaifenesin such as Mucinex can certainly break up the mucous, allowing the congestion to clear more quickly.

Can You Get Rid Of A Sinus Infection Without Antibiotics

Many sinus infections are caused by a virus like the common cold and do not require antibiotics for treatment. If you have mild symptoms, OTC medications may help relieve your symptoms until you feel better. However, consult your healthcare provider if symptoms worsen or do not improve after seven days, or if at any time you have intense/severe pain or pressure, or a high fever.

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Don’t Fly If You Can Avoid It

If you do it when you’ve got sinusitis, you raise your chances of ear pain and other complications. But if you really need to take a flight, yawn and swallow when the plane is on the way up after takeoff or heads back down before landing. That will help keep the tubes from your throat to your ears clear. You can also try this: pinch your nostrils, close your mouth, and gently blow your nose.

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Using The Right Water During Saline Rinses

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.

Other home remedies for sinus infections include:

  • Drinking fluids: Drinking lots of fluids helps loosen and thin mucus. Avoid beverages that are caffeinated and alcoholic beverages that can dehydrate the body, which could thicken mucus.
  • Breathing steam: Warm water is best . You can breathe in steam from either a bowl or shower.
  • Humidifying the air: Use a cool air vaporizer or humidifier,particularly at night while sleeping.
  • Avoiding environmental substances: Avoid tobacco smoke and chlorinated water that can dry up the mucus membranes and exacerbate symptoms.
  • Implementing treatment measures: At the first sign of infection, use antihistamines and employ regular nasal rinses.

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Best For Upper Respiratory Allergies: Sudafed Sinus Infection Over The Counter Medicine

Symptoms Of Sinus Or Ear Contamination

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When Should I Go See The Doctor About A Sinus Infection

It is pretty easy to care for most sinus conditions on your own. However, if you continue to have symptoms that concern you or if your infections continue to happen, your primary care doctor might suggest you see a specialist. This could also happen if your CT scan shows something that does not look right.

A note from Cleveland Clinic

Sinusitis, or swelling of the tissues of the sinus cavities, is a common condition with many causes, including viruses and bacteria, nasal polyps or allergies. Signs and symptoms may including facial pressure, fever and tiredness. You can treat symptoms at home by resting, taking over-the-counter products and increasing your fluid intake. Make sure you contact your healthcare provider if symptoms do not improve, if sinusitis happens often or if you have any symptom that worries you.

Last reviewed by a Cleveland Clinic medical professional on 06/04/2020.

References

Treatment For Sinusitis From A Gp

If you have sinusitis, a GP may be able to recommend other medicines to help with your symptoms, such as:

  • steroid nasal sprays or drops â to reduce the swelling in your sinuses
  • antihistamines â if an allergy is causing your symptoms
  • antibiotics â if a bacterial infection is causing your symptoms and youâre very unwell or at risk of complications

You might need to take steroid nasal sprays or drops for a few months. They sometimes cause irritation, sore throats or nosebleeds.

A GP may refer you to an ear, nose and throat specialist if, for example, you:

  • still have sinusitis after 3 months of treatment
  • keep getting sinusitis
  • only have symptoms on 1 side of your face

They may also recommend surgery in some cases.

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Will My Sinus Infection Clear Up On Its Own

The first few weeks of the common cold arent fun, but the acute sinusitis that can pop up afterwards doesnt help either. Sinus congestion and the common cold, unfortunately, go hand in hand. Acute sinusitis frequently is caused by the common cold, but also can be caused by allergies and bacterial and fungal infections.

Sinus infections are caused when the cavities around your nasal passages become inflamed and swollen, which eventually interferes with drainage and causes mucus to build up. This tends to get annoying, because it makes breathing through the nose difficult. It also affects the area around your eyes and face, and can cause a throbbing headache.

When a sinus infection hits, its always worse than what you remembered from the last time you had one. This may give you the idea that you need antibiotics, but most clear up without them. Antibiotics have no effect on viruses and arent recommended within the first week of developing a cold. About 70 percent of sinus infections go away within two weeks without antibiotics.

Consider these other forms of treatments instead of antibiotics:

  • Over-the-counter pain relievers. Aspirins, acetaminophen or ibuprofen can help relieve temporary pain.
  • Saline nasal spray. This is used to spray into your nose several times a day to rinse your nasal passages. They can help to prevent and treat inflammation.

Antibiotics only will be needed if the infection is severe, recurrent or persistent.

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Sore Throat And Hoarse Voice

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Postnasal drip can leave you with a raw and aching throat. Although it may start as an annoying tickle, it can get worse.

If your infection lasts for a few weeks or more, mucus can irritate and inflame your throat as it drips, resulting in a painful sore throat and hoarse voice. Frequent coughing and throat clearing can make a hoarse voice worse.

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Ways To Recognize Serious Signs Of Sinus Infections

#1: Duration

The length of the infection is an important determinant of the seriousness of the infection.

I usually consider most infections less than 3 weeks to be viral or inflammation related to congestion. At this point, the best treatment is usually medications that decrease the congestion and inflammation. This in turn will alleviate the symptoms and ultimately cure the illness.

When the illness continues beyond 3 weeks, bacterial infection can begin to develop. Though antibiotics can be considered at this point, other treatments may still be the best answer if they have not yet been given a try.

#2: Mucous Color

I will dispel a myth right here and now. Yellowish/greenish mucous does not necessarily mean the infection is bacterial.

Viruses can cause the same color mucous. The reason for the mucous is generally not the actual bacteria or virus, but the bodys immune response to the intruder.

So dont worry just because you see a colored mucous when you blow your nose. This will also improve as the infection abates.

#3: Sinus Pain

Sinus pain can occur anytime throughout a sinus infection. This is normal and means there is inflammation in the sinuses, as we discussed previously.

However, severe pain, redness over the skin, hardened skin over the sinuses, or even a severe headache are not generally normal and can indicate a bacterial infection.

#4: Fever

A fever can be caused by both viruses and bacteria. So how do you differentiate between the two?

When To Consider Antibiotics For Sinus Infections

AAAAI advises that antibiotics for sinus infections should be considered only if you develop a fever of 102° F or higher, you have severe face pain and tenderness, your symptoms last longer than a week or so, or your symptoms improve and then worsen again.

Some patients with acute sinusitis do need antibiotics, and if they continue with a worsening infection without treatment, they can suffer dramatic complications such as loss of vision, meningitis, or brain abscess, Patel says.

If your doctor says you need an antibiotic, ask for generic amoxicillin/clavulanate, according to guidelines from UpToDate, which provides evidence-based treatment information to healthcare providers. Its usually the best choice and works as well as more expensive brand-name antibiotics.

Avoid taking fluoroquinolones, a group of antibiotics that includes ciprofloxacin and levofloxacin . Although widely used, the antibiotics are inappropriate for treating sinus infections and they pose serious risks.

In 2016, after a safety review, the Food and Drug Administration linked fluoroquinolones to disabling and potentially permanent side effects. The agency advised against using the drugs to treat common illnessesbronchitis, sinus infections, and urinary tract infections.

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How An Ent Treats A Sinus Infection

If you have a lingering sinus infection after antibiotics, an ENT doctor often elects to be more aggressive in treatment than a primary care physician. They may prescribe longer courses of antibiotics, stronger medications, or recommend a procedure to open the sinuses.

If you have persistent sinus problems, the sinuses must first be unblocked. Sometimes, thats done through a simple balloon sinuplasty and irrigation. Other times, unblocking the sinuses requires a more aggressive procedure like endoscopic sinus surgery. We opt for this procedure when the sinuses become so blocked, tissue and bone need to be removed to create a wider opening.

If youre dealing with a lingering sinus infection, dont let it progress to a more serious issue. Call your ENT so they can discover whats at the root of your problem and find a treatment to bring you relief.

Runny Nose And Postnasal Drip

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When you have a sinus infection, you may need to blow your nose often because of nasal discharge, which can be cloudy, green, or yellow. This discharge comes from your infected sinuses and drains into your nasal passages.

The discharge may also bypass your nose and drain down the back of your throat. You may feel a tickle, an itch, or even a sore throat.

This is called postnasal drip, and it may cause you to cough at night when youre lying down to sleep, and in the morning after getting up. It may also cause your voice to sound hoarse.

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Do I Need Antibiotics For Every Sinus Infection

Many sinus infections are caused by viruses, the ones that cause the common cold. These types of infections are not cured by antibiotics. Taking an antibiotic for a viral infection unnecessarily puts you at risk for side effects related to the antibiotic. In addition, the overuse of antibiotics can lead to antibiotic resistance, which may make future infections more difficult to treat.

For Some People Medications Arent Enough To Clear Up Sinus Infections Here Are Some Steps You Can Take If Youve Had Enough

Sinus infections are no fun. They cause pressure, swelling and congestion that can be painful and even debilitating. And if one acute infection isnt bad enough, some people get them over and over again. This is called chronic rhinosinusitis . There are surgical procedures that can treat these repeat infections but when are they necessary?

If you have a serious sinus infection, the first step is to see what you can do to avoid surgery, which should be viewed as a last resort. Consider your home and workplace environment avoid smoke and allergy triggers, and use humidifiers to moisten the air, as dry air can be irritating. Seek treatment for allergies, which may include regular shots. Practice cold prevention by washing your hands often, avoiding sick people and treating illness if it occurs. Also, its a good idea to get a flu vaccine, as cold and flu infections can create a breeding ground for rhinosinusitis.

If you continue to get sinus infections after taking these preventive measures, the next step is to receive medical therapy from an ear, nose and throat specialist. This will likely require several weeks of antibiotics, steroid medications and nasal sprays and irrigations. If you still dont respond to treatment, your doctor may perform a CT scan to see whats causing the infection to persist.

You might need surgery if you have badly damaged sinus tissue, benign growths , a fungal infection or structural problems that are preventing your sinuses from draining.

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Is Your Sinus Infection Caused By A Virus Or Bacteria

Physicians may not know if sinusitis is bacterial or viral, because the diagnosis is typically done by observing symptoms. Symptoms include:

  • Nasal congestion
  • Thick nasal or post-nasal drainage

Sometimes other tests such as computed tomography scan or cultures are used to help make the diagnosis.

Despite the recommendations that antibiotic use be judicious, they are still overused for sinusitis, according to many physicians who specialize in treating sinus problems.

Some physicians say they give patients with sinusitis a prescription for antibiotics, and recommend they wait three to five days before filling it, and only fill it if symptoms are not better by then. A can be used to help relieve your symptoms and promote drainage.

The longer symptoms last, the more likely a sinus problem is to be a bacterial infection, some experts say.

When Do I Really Need Antibiotics For A Sinus Infection

Sinus infection symptoms, remedies and treatment – Dr. Jordan Josephson

When do I really need antibiotics for a sinus infection? is a question many patients have when suffering from bothersome sinus and allergy problems. While sinus infections can be quite painful, antibiotics often do not help in treating the condition.

Sinus infections affect approximately 37 million people in the U.S. each year and can be caused by:

  • Viruses
  • Nasal polyps or deviated septum causing nasal obstruction
  • Irritants/pollutants

The majority of sinus infections are viral in nature, and antibiotics do not cure viral infections. Taking antibiotics for viral infections also will not:

  • Keep you from being contagious to others
  • Relieve symptoms or make you feel better

In order to distinguish a bacterial sinus infection from an infection caused by a virus or other contributing factor, your doctor will observe your symptoms and possibly conduct other tests, such as a CT scan or cultures.

Antibiotics are only effective on bacterial infections, and even in cases involving bacteria, the body can often cure itself of mild or moderate infections within a few days.

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When Should I Call The Doctor

  • a cold that lasts for more than 710 days without improvement
  • a cold that seems to be getting worse after 7 days of symptoms
  • symptoms of allergies that dont clear with the usual allergy medicine

Also call if your child shows any other signs of worsening sinusitis, such as:

  • pain or pressure in the cheeks or around the eyes
  • swelling around the eye

When Do You Really Need Antibiotics For That Sinus Infection

It was February, and clinic was teeming with respiratory infections of all kinds: mostly the common cold, but also bronchitis, pneumonia, and sinus infections. The patients were coming in usually thinking that they needed antibiotics for their sinus infection, or another respiratory infection.The first patient on my schedule was a healthcare provider with sinus infection written down as her main issue.* Shed had about two weeks of nasal and sinus congestion which she blamed on a viral upper respiratory infection . Her two young kids had been sick with colds all winter, so she wasnt surprised to have these symptoms, along with endless postnasal drip and a cough.

Her congestion had improved a bit at one point, and she thought that she was finally getting better. But then, the day before her appointment, she awoke with throbbing pain between her eyes, completely blocked nasal passages, and, more concerning to her, green pus oozing from her left tear duct. She had body aches, chills, and extreme fatigue.

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