Surgical Treatment For Chronic Sinusitis
Although medical therapy and lifestyle tweaks are the first-line treatment for chronic rhinosinusitis, some people may fail to respond to optimal therapy. In such cases, Ear, Nose Throat and Allergy Specialist performs a surgery to widen up the blocked sinuses and remove any trapped mucus or polyps.
Other situations in which surgery could be considered include:
- When chronic sinusitis symptoms do not respond to the medical treatments listed above, and CT scan of your sinuses reveals complete blockage of one or more sinuses.
- When nasal polyps fail to shrink enough with steroids.
- When a severe deviation of the septum completely blocks your nose or hinders sinus drainage.
- When theres a suspicion of allergic fungal sinusitis. The sinuses in allergic fungal sinusitis get clogged with thick, dense mucus that is hard to remove in any way other than surgery.
Symptoms Of A Sinus Infection
The primary symptoms of a sinus infection could be initially mistaken for the common cold, including a stuffed up nose and a decrease in your senses of taste and smell. However, other symptoms such as pain or pressure around the sinuses, achy teeth, and thick yellow or green mucus indicate that your cold has progressed into a sinus infection. Additionally, cold symptoms that last longer than a week may be a sign you have sinusitis. Other symptoms associated with a sinus infection include:
- Phlegm-producing cough or a cough that gets worse at night
Can You Have A Cough After A Sinus Infection
You may notice that even after the core symptoms are gone, you still have a cough after a sinus infection clears up. Thats most likely because there is still lingering inflammation in your sinuses causing post-nasal drip the backed-up drainage that runs down the back of your throat, often prompting a natural coughing reflex to clear your airway.
When sinuses are just doing their everyday job, they produce mucus to help protect your system from dust, allergens, and pollutants but that mucus has to drain to keep irritants out. Sinus infections occur when that drainage gets blocked, causing mucus to back up and become more susceptible to bacteria or viruses.
Discover why you may have a cough after a sinus infection and learn what remedies are available.
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How Coughing And Sinus Infections Are Related To Each Other
When you experience excess mucus draining into your throat, this is actually known as post nasal drip, and it is just one of the many cold symptoms also associated with chronic sinus infections. Post nasal drip doesnt just cause coughing, though. It can also bring about a sore throat, a hoarse voice, nausea, and even bad breath.
But why exactly does post nasal drip during a sinus infection lead to coughing? Well, imagine mucus running down your throat. Is your throat irritated? Probably. Do you feel a tickling sensation? Most likely. All of these sensations can trigger a reaction that reaction is coughing.
Unfortunately, all the nose blowing and coughing that youll continue to do as a result of the mucus drainage will only lead to more mucus and more irritation. This is why its important to understand the best way to stop a sinus infection and relieve post nasal drip.
Preventing Sinus Infections And Bronchitis
The best way to prevent both sinus infections and bronchitis is to wash your hands regularly and try to minimize your contact with someone who has a cold.
If you have allergies, try to manage those symptoms well and avoid allergens as much as possible. Both can reduce your risk of developing a sinus infection. This includes avoiding cigarette smoke and other air contaminants, which can irritate and inflame the lungs and nasal passages.
Finally, regular use of a humidifier adds moisture to the air and may help prevent sinusitis. It is critical, however, to regularly clean the humidifier to assure it is free of mold.
There is some evidence that an annual flu shot can reduce your chances of getting bronchitis, as flu viruses have been shown to be a significant cause of bronchitis. Additionally, avoiding cold and damp environments can reduce your risk of developing bronchitis.
At Columbia Allergy, we are experts in the treatment of asthma or allergies. Our providers are here to help with a patient-focused approach. Contact us at any of our convenient locations in California, Oregon, Idaho, or Washington to learn more about how we can help with your unique challenges and goals.
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How To Tell If You Have An Actual Sinus Infection
Even though we often say we have a sinus infection even if its just inflammation or an allergic response, there are symptoms of an actual infection that may be treatable with antibiotics. Nasal congestion and pain under the eyes or around the temples are, of course, main symptoms, but others include the loss of the sense of smell, green nasal discharge, mucus dripping down your throat, cough, fever, fatigue, sore throat, and even bad breath.
Sometimes, a sinus infection will clear up without intervention, but if you develop a fever of 100.4 degrees or higher, have your symptoms for 10 or more days, notice that your symptoms are getting worse and are not improved by OTC medications, or you have multiple infections in a years time, you should seek medical treatment as soon as possible.
When To See A Doctor For Sinus Pain
If your sinus symptoms are not getting better with at-home treatments, and if your sinus symptoms last longer than seven to 10 days, you should see a doctor for treatment. Allina Health has many convenient care options for care, from online visits to walk-in care, to help you get better fast.
If you have frequent or reoccurring sinus infections, you may want to see an ear, nose and throat for your treatment options.
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How To Stop Postnasal Drip
A combination of preventative measures and medications can help put a stop to postnasal drip. Healthcare providers may recommend:
Staying hydrated, which can also help to thin mucus
Use a humidifier or vaporizer to keep the air moist
Propping yourself up with extra pillows when you sleep, so the mucus doesnt collect in the back of your throat
An oral medication such as guaifenesin , which can thin mucus
Its important to keep in mind that treatment for postnasal drip usually depends on what might be causing it. For instance, if your symptoms are caused by allergies, the first step might be trying to pinpoint what you are allergic to and avoiding those foods or triggers to the extent possible.
As a next step, there are several over-the-counter and prescription medications that can provide additional relief. They can help treat postnasal drip by calming down inflammation and thinning or drying up the mucus. Lets take a look at the different types of medications that you and a healthcare provider can consider to help stop postnasal drip.
How To Prevent Sinusitis
- Drink a lot, whether it is water or juice. More than two liters a day, especially if the symptoms continue.
- Avoid dust or smoke pollutionbecause this further irritates the nasal cavity.
- I prefer humid places, and To wet the room, you can place water or use special equipment.
- Wet your nose with compresses of hot water. Showers are also recommended because the steam helps release the nasal sinuses.
- Do not use too many inhalers because, in the long run, they will be counterproductive.
- Clean your nose well. You can find some products containing water and salt in the pharmacy.
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How Can I Prevent Sinusitis
Some of the home remedies used to treat sinus infections symptoms may help prevent sinusitis. These include rinsing your nose out with salt water and using medications that your provider might suggest, such as allergy medications or steroid nasal sprays.
You should avoid things you are allergic to, like dust, pollen or smoke, and try to avoid sick people. Wash your hands to reduce your chance of getting a cold or flu.
What Causes Chronic Sinus Infection
Multiple factors acting together usually contribute to chronic sinusitis.
People with allergies are more prone to develop chronic sinusitis. About one in five people with chronic sinusitis also have asthma. This is because the linings of your nose and sinuses are in continuation with the linings of your lungs. These people are also likely to have nasal polyps .
A bacterial or viral infection can also trigger the condition. The infection is often low grade. The bacteria confine themselves in stubborn biofilms, making it difficult for your immune system or antibiotics to find and attack them.
An overlap of additional factors such as smoking, environmental pollutants, and deviated septum, further complicate the picture of chronic sinusitis.
It would be more appropriate to say that if youre already prone to allergies and nasal polyps, it becomes easier for harmful bugs, especially fungi to penetrate your sinuses. Likewise, a weak immune system makes you more susceptible to catch bacterial, viral, or fungal sinus infection.
A sinus that is inflamed and swollen can no longer sweep away the excess mucus and harmful agents due to the blockage of tiny hairs that facilitate this function.
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Get Your Antibiotics Fast
No one likes being sick, and having a sinus infection can be very uncomfortable. Getting antibiotics as fast as possible is crucial to healing, and is made possible with PlushCare. Our online doctors can diagnose your sinus infection, write a prescription, and send it to your local pharmacy in 15 minutes. PlushCare can help you effectively, quickly, and easily treat your sinus infection.
What Causes Postnasal Drip
- Certain medications, including some for birth control and blood pressure
- Deviated septum, which is the crooked placement of the wall that separates the two nostrils, or some other problem with the structure of the nose that affects the sinuses
- Changing weather, cold temperatures, or really dry air
- Certain foods
- Fumes from chemicals, perfumes, cleaning products, smoke, or other irritants
Sometimes the problem is not that you’re producing too much mucus, but that it’s not being cleared away. Swallowing problems can cause a buildup of liquids in the throat, which can feel like postnasal drip. These problems can sometimes occur with age, a blockage, or conditions such as gastroesophageal reflux disease, also known as GERD.
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Home Remedies For Sinus Infection Treatment
Chop up a few garlic cloves and drop them into boiling water. Inhale the steam from this garlic water repeat a few times daily for a few minutes each. Garlic is a natural antibiotic and antibacterial agent, the pungent smell of which will help open up your congested nose, and kill the bacteria in your nasal cavity. You can also eat two or three crushed garlic cloves daily.
2. Apple Cider Vinegar
This common kitchen ingredient has several beneficial properties it also helps in making easy home remedies for sinus pressure. Make a mixture of hot water, honey, lemon juice and water, and add two or three tablespoons of raw apple cider vinegar to it. You can also mix apple cider vinegar to tea and drink the liquid three times a day. It will help flush out mucus from your sinus cavities. If you feel you are coming down with a flu or cold, you can immediately consume apple cider vinegar to avoid sinus infection.
3. Nasal Irrigation
Take boiled water and add a pinch of baking soda and a teaspoon of salt to it. Or, mix a teaspoon of sea salt and half a teaspoon of hydrogen peroxide in boiled water. Use either of these liquids as solutions for nasal irrigation. Use a bulb syringe and use it once a day it keeps the nasal cavity moist and clears out mucus.
4. Cayenne Pepper
6. Boost Your Immune System
7. Make a Super Smoothie
8. Oregano Oil
10. Stay Hydrated
11. Turmeric Root
13. Essential Oils
Can A Sinus Infection Make You Cough
Can a sinus infection make you cough? Yes a sinus infection can definitely lead to coughing. This particular situation has everything to do with excess mucus and how your sinuses attempt to drain that mucus.
When youre dealing with cold symptoms, youre suffering from allergies, or you have a sinus infection, your body is likely to create more mucus than normal, which can end up draining into the throat. While this sounds rather disgusting, mucus in the throat is pretty common, and it can happen whether youre sick or not.
However, when this drainage happens persistently for an extended period of time, you can find yourself with a nagging cough. A cough from a sinus infection isnt necessarily cause for alarm, and it doesnt mean you automatically need to book an appointment with your doctor.
Lets break down coughing during a sinus infection and what a doctor might recommend as treatment.
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What Can I Do
While you wait for your infection to run its course, you can take steps at home to feel better.
Look into nasal sprays. Store-bought saline nasal spray loosens up mucus, temporarily clearing it from your nasal passages. A steroid nasal spray like fluticasone may help tame inflammation, especially if you have underlying allergies. Unsure about using a steroid? Follow package directions and go to your HCP with questions.
Be wary of decongestant nasal sprays, like oxymetazoline . Using them for longer than three days could cause rebound symptoms persistent stuffiness eased only by the spray itself. Dryness and addiction are also possibilities.
Embrace sinus rinses like the neti pot. Many sinus infection veterans swear by nasal irrigation systems, such as plastic squeeze bottles or teakettle-shaped neti pots. These devices are filled with a sterile saline solution and used to flush snot from your sinuses.
Neti pots and their ilk are widely available and typically safe, as long as you handle them properly. Dont use water directly from your tap. Instead use distilled water, a sterile saline solution or water that has been boiled and then cooled.
Try over-the-counter medicines. Experts recommend analgesics including acetaminophen , ibuprofen and aspirin to ease pain, as well as decongestants like pseudoephedrine to alleviate the pressure of congestion.
Finally, you may want to avoid flying or scuba diving, since either can aggravate sinus pain.
Treatment Options For Sinus Drainage And Coughing
When the main symptom is coughing, most people turn to over-the-counter treatments to manage the cough, such as cough syrup or throat lozenges. Alternatively, one can use a cool-mist humidifier in the bedroom at night. For adults and children over one year of age, a teaspoon of honey at bedtime can be beneficial. While these treatments might provide immediate relief, they dont treat the root problem: excess drainage from the sinuses, triggering medications or other throat irritants.
An ENT can perform a thorough history and physical to ascertain both sinus and non-sinus contributors to cough. CT scanning of the sinuses, available in the office, can be invaluable in diagnosing the source. Appropriate treatment can then be prescribed. You might need to take medication to thin the mucus, or antibiotics if you have a bacterial sinus infection. Certain exacerbating conditions may need to be addressed, or medication changes made. If these noninvasive treatments dont work, then your ENT might recommend surgery or in-office procedures to open the sinuses.
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Sinus Infection Vs Covid
Some sinus infection and COVID-19 symptoms may overlap. Both illnesses can cause a fever, headaches, nasal congestion, fatigue or a sore throat. Symptoms unique to COVID-19 include body aches, nausea, shortness of breath and vomiting. Learn the difference between the cold, flu and COVID-19 based on your symptoms.
What Prescription Drugs Cure A Cough
When cough is severe, over-the-counter medications and home remedies may not be enough to relieve symptoms, and prescriptions may be needed.
- Codeine and other narcotic medications are often prescribed as effective cough suppressants. Many times these are combined with the cough suppressant dextromethorphan, or the expectorant guaifenesin.
- If cough is due to whooping cough, bacterial pneumonia, complicated bronchitis, or sinusitis it is usually treated with antibiotics such as penicillin, cephalosporins, or azithromycin .
- For cough due to allergies, such as hay fever, inhaled nasal steroids may be prescribed.
- For postnasal drip that does not respond to OTC drugs, nasal inhalers such as ipratropium bromide can help.
- If cough is a result of asthma, prescription inhaled bronchodilators and inhaled steroids help decrease inflammation of the airways. Short-term oral steroids, which help reduce inflammation, are sometimes prescribed to relieve chronic cough.
- pantoprazole .
Your primary care provider such as a family practitioner, internal medicine specialist, or pediatrician may diagnose and treat a cough. If cough is severe an emergency medicine specialist may see you in a hospital’s emergency department.
Many times cough symptoms will worsen at night. This may be due to postnasal drip or acid from the stomach backing up into your throat from acid reflux. There are some strategies and home remedies you can use to help ease nighttime cough:
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How To Treat A Sinus Infection At Home
You can effectively treat sinus infections at home with over-the-counter medicines or one or more home remedies.
Dethlefs recommends, Drink plenty of water, use Vicks vapor rub on chest and bottoms of feet, rest and sleep and humidifier. One thing I like to do when my family is sick is boil water on the stove and melt Vicks vapor rub in it. Then pour solution in ice cube trays and freeze. Add 1-2 ice cubs to bottom of shower.
OTC medicines that may improve symptoms of a sinus infection include:
- Nasal decongestant sprays help reduce swelling in the nasal passages to promote drainage flow from the sinuses. This sinus infection treatment should only be used for three to four days to reduce the risk of rebound congestion.
- Nasal corticosteroid sprays help reduce swelling and inflammation in the nasal passages without causing rebound congestion.
- Antihistamines remain particularly helpful for those whose nasal passages become inflamed and swollen due to seasonal allergies.
- Nasal saline washes and rinses help clear mucus from the nasal passages to promote easier breathing.
Your doctor may also prescribe antibiotics if OTC medicines fail to relieve your symptoms within seven to 10 days. Antibiotics are usually only prescribed as a last-resort treatment for sinus infections due to the risk of overuse, which may lead to other difficult-to-treat infections.
Home remedies for sinus infection include: