Symptoms Of Bacterial Sinusitis In Children
In children, the symptoms of sinusitis may differ from those in adults. Children may experience:
- Tooth or mouth infections such as a dental abscess
In general, women are slightly more likely than men to get bacterial sinusitis.
If youâve had a cold or any of the disorders listed above, and youâre concerned that you may have bacterial sinusitis, check out the Ada app for a free symptom assessment.
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Diagnostic Tests For Sinus Infections Leave Much To Be Desired Study Says
- University of Georgia
- Many patients who see physicians for sinus infections expect to be prescribed an antibiotic, but for the majority of them, that course of treatment wont be effective. Unfortunately, there arent great tools to determine which patients will or wont benefit from antibiotics.
Many patients who see physicians for sinus infections expect to be prescribed an antibiotic, but for the majority of them, that course of treatment wonât be effective because their infections arenât caused by bacteria. Unfortunately, there arenât great tools to determine which patients will or wonât benefit from antibiotics, and the University of Georgiaâs Dr. Mark Ebell is determined to change that.
Ebell, a professor of epidemiology in the College of Public Health, led a team of researchers in analyzing 30 studies of outpatients with a respiratory tract infection to see which diagnostic criteria, if any, were most accurate for diagnosing sinus infection.
Understandably, many patients arenât keen on having a needle pierce their faces, Ebell said.
âItâs always been a challenge with sinusitis research that the best reference standard is often impractical, and you end up doing studies that use a tarnished gold standard, as we call it,â he said.
The study was published in the September issue of the British Journal of General Practice.
Treating Sinus Infection With High Blood Pressure
Sinus infection, also known as sinusitis, is usually mild and easy to treat. It rarely leads to serious complications! But if it has caused its complications, some could be serious.
The treatment usually starts with simple remedies, like nasal solution to help relieve the congestion more quickly. If the problem doesnt improve, it may progress to more advanced strategies .
If you have high blood pressure, your sinusitis treatment should not cause a spike in your blood pressure! And if you are taking your blood pressure medicine, make sure there is no risk for drug interaction !
Sinusitis is classified into several types by how long it lasts. It can be acute, sub-acute, chronic, and recurrent .
The good news, most cases of sinus infection are acute. Acute means the problem lasts less than 4 weeks. It is relatively easier to treat, and even it often gets better in time . Lifestyle measures such as keeping hydrated and adequate rest are usually enough to cope with. See also home remedies for sinusitis in this section!
However sometimes lifestyle measures alone are not enough. If you do need to take medication to help get rid of your sinusitis, there are some choices available. And to keep safe, the following are some easy checklists to remember for treating sinusitis with high blood pressure:
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Should You Treat A Sinus Infection With Antibiotics
Over the past few months Ive seen patient after patient drag themselves to the clinic with coughing, sneezing, headaches and green or yellow nasal discharge, sometimes accompanied by ear and tooth pain. Some people with infection may experience fevers, chills or night sweats signs that the body is fighting a virus or bacteria. These are symptoms I expect as a primary care doctor especially during the spring seasons. They are the telltale signs of sinusitis. But if that sums up symptoms you have, do you need antibiotics? The question may be more complicated than you think.
Each year, more than 30 million Americans endure sinusitis an inflammation of sinus spaces surrounding the nose that makes it difficult to drain fluid that normally flows through the sinuses. Much like a detective weighing clues, us health providers use symptom severity and duration to determine the cause of a patients sickness.
The World Health Organization has called antibiotic resistance one of the biggest threats to global health, saying misuse of antibiotics in humans and animals is accelerating the process.
At a health professionals discretion, antibiotics can be prescribed if a person appears very sick or has any underlying chronic disease that may make them prone to becoming sicker.
Left: With spring comes sinus infections. And many questions from my patients about how to best to treat them. Photo by Michael Heim / EyeEm and Getty Images
Whats Happening In My Body
Most sinus infections come from colds that start in the nose.
A lot of sinus infections are caused by coronaviruses.
These viruses replicate in the nose. Your immune system then kicks off an inflammatory response to help kill the virus. This can cause swelling in the sinuses, leading to your symptoms.
Unlike bacterial infections, viral infections dont respond to antibiotics and usually just need to run their course. But you dont have to take it lying down!
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Do You Have Chronic Sinus Infections These May Be The Cause
Does it seem that every other month youre battling your sinuses? If so, theres likely an underlying cause. At Raleigh Capitol Ear, Nose and Throat, our leading otolaryngologists have the information, experience and compassionate care you need.
Some of the most common causes of chronic sinus infections include:
The septum is the part of the nose that divides it into the left and right nostrils. Sometimes, this divider is crooked or may even have a hole in it. Any problems with the septum make it difficult for the sinuses to drain properly.
While spring and fall may get the most coverage for worst allergy seasons, problems created by allergens actually go on throughout the year. The most effective treatment is to find the cause of your problems through allergy testing.
Once we determine the source of your allergies, we can help you through immunotherapy treatment.
These are small growths of tissue inside your nose. While they are rarely cancerous, they can cause problems with breathing, even leading to sleep apnea.
These polyps make it difficult for the sinuses and your nose to drain, setting the stage for chronic infections.
How Can I Treat Chronic Sinus Infections Without Antibiotics
If youre suffering from chronic sinusitis , you understand all too well that its a painful condition. As it lingers for weeks on end, you grow weary of having to endure unpleasant, irritating symptoms.
You may even plead with your doctor to give you an antibiotic, expecting instant relief.
In this blog, the sinus specialists at DFW Sinus Select will address if you can treat chronic sinus infections without antibiotics.
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Is A Sinus Infection Contagious
How Will I Know if I Have a Sinus Infection?
The majority of doctors think that most people do not transmit sinus infections except in rare instances, and conclude that sinus infections are not contagious.
Sinus infections usually begin with the symptoms of a cold , and then develop into pain and pressure in the sinus cavities. About 7 to 10 days after initial cold-like symptoms other symptoms develop that suggest you may have a sinus infection. Sinus infection symptoms include
- a yellowish-greenish nasal discharge that may have an odor,
- pressure in the sinuses, and
Antibiotics Arent Effective Against Viruses
There is a difference between conditions caused by a virus and bacteria, the main one being that antibiotics are only effective against bacteria. Another difference is that while viral illnesses will typically resolve with time and supportive treatment, bacterial infections will often progress rapidly and can cause dangerous health problems if they are not treated with the correct antibiotic. Fortunately, this is not common with sinus infections.
Provided you are generally healthy without any serious, chronic illnesses, most viral infections will go away in five to seven days. Granted, those days may make you miserable, but antibiotics do nothing to speed your healing.
Less commonly, viral infections can sometimes take weeks or months before they fully resolve. Examples of viral illness that can be prolonged include the flu, COVID-19, and mononucleosis.
It may also surprise you to learn that antibiotics arent always the right choice in treating sinus infections.
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When To Use Antibiotics To Treat A Sinus Infection
Antibiotics only work against bacterial infections, so the best time to use them for a sinus infection is when you and your doctor suspect bacteria caused the infection.
Otherwise, you may be at risk for unwanted side effects or even antibiotic resistance.
When this happens, bacteria outsmart the medications designed to kill them, and the antibiotics no longer work when you need them.
That said, it can be hard to know whether a sinus infection is viral or bacterial.
Some scenarios, such as an infection that persists longer than 10 days or an infection that goes away and then returns, may indicate a bacterial infection and prompt a provider to prescribe antibiotics.
In some cases, a healthcare provider may also treat a sinus infection with antibiotics as a precaution to prevent complications in people with compromised immune systems that cant easily fight off infections.
If your doctor prescribes antibiotic treatment, follow their instructions.
Take the antibiotics at the same time every day. If you miss a dose, take it when you remember or, if its close to your next dose, wait until then and take one dose.
Do not double up on antibiotics doses.
If you experience unwanted side effects of antibiotics, your sinus infection isnt improving, or you develop new symptoms, contact your healthcare provider, who can help you figure out whats going on.
While sinus infections usually dont cause major medical problems, they can have severe symptoms and other complications.
What Matters Most To You
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to take antibiotics for sinusitis
Reasons not to take antibiotics
I know I have a bacterial infection that is causing my sinusitis.
A virus is causing my sinusitis.
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When Should I Ask My Doctor About A Sinus Infection
As with any other medical condition, it is imperative that you see a doctor if certain worrisome symptoms begin to appear. This is especially true during the ongoing COVID-19 pandemic. While the first hint of sinus pain may not be a reason to head to the doctor, if you have been exposed to others who have tested positive or may be infected with the coronavirus, you should get tested if you begin feeling poorly. Similarly, a bit of nasal decongestion may not be cause for concern, but if you begin experiencing severe shortness of breath, get medical help immediately.
One of the reasons many people do not seek medical attention when they should is uncertainty about when they can get an appointment with their healthcare provider. At TrustCare, our many walk-in clinics are open every day of the week to make sure you can get the care you need without the hassle of making an appointment. If you are experiencing symptoms that seem like more than a bit of nasal congestion, visit one of our TrustCare locations today.
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Where Can I Find Treatment To Address My Chronic Sinusitis Without Antibiotics
In order to successfully treat your sinusitis, its important to pinpoint exactly whats causing this condition. If, for example, its caused by a deviated septum, it will continue to occur until the underlying problem is corrected.
At DFW Sinus Select, we specialize in tailoring treatments that are designed to give you the best possible long-term results with minimal side effects. Were here to help you get the relief you need and help treat chronic sinus infections without antibiotics if appropriate in your particular case.
Our practice offers numerous office locations so you can conveniently access top-notch care close to home.
Its important to visit a DFW Sinus Select specialist to properly diagnose your sinus issues and receive information about the best treatment options.
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What To Do For Chronic Sinusitis
If youre suffering from chronic sinusitis or you are getting frequent sinus infections you should see your doctor, says Dr. Sindwani.
Your doctor will swab your nose to collect mucus. Culturing it in a laboratory will reveal which type of bacteria is causing the infection so the right antibiotic can be prescribed.
Treat early sinus infection symptoms with rest, hydration and over-the-counter sprays and decongestants. But dont look for an antibiotic unless your illness extends beyond a week, he says. Then check in with your doctor for a prescription and let him or her know if your condition worsens.
Lingering Sinus Infection Or Chronic Runny Nose
A lingering sinus infection is different from a chronic runny nose. Chronic runny nose typically comes from allergies or other irritants in the air. However, this can turn into an infection over time.
When the sinuses become infected, the allergies, irritants, or viral cold have caused swelling in the nose thats blocked the drainage pathways. Consequently, fluid and mucous accumulate in the sinuses, where it has become infected with bacteria.
If youve been sick more than 10 days and begin to experience other symptoms like facial pressure, headache, and fever, youre dealing with more than a chronic runny nose.
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Antibiotics Should Not Be Used To Treat The Majority Of Sinus Infections Nice Says
NICE is advising healthcare professionals to tell their patients that a sinus infection will likely clear-up without antibiotics and that there is little evidence oral decongestants will help to relieve their symptoms.
27 October 2017
The final guidance, developed with Public Health England, makes recommendations for treating acute sinusitis.
In most cases, people who have sinusitis will start to feel better within two-to-three weeks. The infection is usually viral, which means antibiotics should not be routinely prescribed, the guidance says.
Instead, NICE says healthcare professionals should advise their patients on how to manage their aches and pains with paracetamol.
They should also tell them that there is no evidence oral decongestants or steam inhalation will make any difference. And inform them that they should seek further medical advice if their symptoms get worse, or last for more than three weeks.
Dr Tessa Lewis, GP and chair of the managing common infections guidance committee, said: We know that most people with sinus infections will recover in a couple of weeks without needing any antibiotics, but that doesnt mean we should be sending them home without any information or advice.
Inappropriate use of antibiotics, such as taking them for viral conditions is known to fuel resistance. Despite this, data has shown antibiotics are given to 91% of people who visit their GP with symptoms of sinusitis.
Key Points To Remember
- Sinusitis is an infection or inflammation of the lining of the sinuses. Most people who get sinusitis have a cold first. Sinusitis usually goes away on its own.
- Sinusitis is usually caused by a virus, so antibiotics won’t help. Over-the-counter medicines and home treatment can help you feel better.
- Antibiotics do work if sinusitis is caused by bacteria. But you may not need to take them. Most people get better even if they don’t take antibiotics.
- Taking antibiotics too often or when you don’t need them can be harmful. The medicine may not work the next time you take it when you really do need it. This is called antibiotic resistance.
- Antibiotics have side effects. The most common ones include upset stomach, diarrhea, and belly pain. Antibiotics can also lead to vaginal yeast infections.
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Personal Stories About Antibiotics For Sinusitis
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
I’ve had sinusitis a few times. So when my doctor suggested I take an antibiotic, I asked him if I really needed it. He said I would probably get better faster if I took the medicine. But I know from the other times that I’ll probably be okay in a week or so anyway. So we decided to wait and see instead of trying antibiotics.
I can’t wait to feel better. It seems like I’ve had bad sinus pain for the longest time. It’s been at least 2 weeks. Nasal sprays aren’t helping. I’m going to ask my doctor for antibiotics.
I thought I just had a bad cold, but my doctor says I have sinusitis caused by a bacterial infection. I’ve been doing all the right things at home, but it isn’t going away. I think antibiotics are the next step for me.
I thought I’d get my doctor to give me some antibiotics for my sinusitis. Then I’d be over it sooner. But it turns out that antibiotics won’t help me, since my sinusitis started as a cold. I didn’t know that antibiotics don’t always work. I’m going to wait it out instead.
John, age 52
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.