Wednesday, May 18, 2022

What Do Dr Prescribe For Sinus Infection

What Are The Best Home Remedies For Sinus Infections

Sore Throat, Ear, Or Sinus Infection? Doctors Prescribe Wrong Antibiotics Half The Time | TODAY

There are a few simple home remedies that can be effective for relieving your pain and helping you clear your sinuses. To avoid using medications, try a warm compress on the nose and face, and flush nasal passages with a warm saline irrigation, says Dr. Elmore.

A homemade solution for nasal irrigation is one of the best home treatments for a sinus infection. You can use a syringe or a neti pot to stream a solution of non-iodized salt, baking soda, and lukewarm distilled water through the nostrils to help keep your nasal passages clean. Or, you can choose a product at your pharmacy that is already prepared and ready to mix packets.

Other home remedies for sinus infections include staying hydrated by drinking a lot of water, using decongestant nasal sprays, and inhaling steam over the stove or in the shower. Certain lifestyle adjustments may also promote nasal drainage such as sleeping with your head elevated at night or keeping a humidifier running in your home to avoid an arid environment.

To relieve pain at home, you can use a warm compress or take over-the-counter pain medications to reduce headaches and facial pain from congestion.

Common Causes Of Sinus Infection

Sinus infections are caused by either viruses or bacteria, but they can be caused by fungi as well. Although is a very common condition, some people are at higher risk of developing the infection. They include people who:

  • Have abnormalities in the nasal passages, such as or a deformity

  • Have a weakened immune system

  • Smoke

When To Take Antibioticsand When Other Treatments May Work Better

If youve been knocked out by sinus infection symptomsstuffiness, face pain or pressure, nasal dischargeyour doctor might recommend that you wait it out for a week or so before resorting to an antibiotic. And she or he might be right: Antibiotics are often not necessary for clearing up a sinus infection, according to recent research.

As a result, many health experts, including Zara Patel, M.D., a sinus infection expert and assistant professor of otolaryngology at Stanford University in Stanford, Calif., are urging doctors to think twice before prescribing antibiotics for sinus and other respiratory infections.

A 2016 study, published in JAMA, found that people who went to the doctor with a sinus infection were more likely to leave with a prescription for antibiotics than people seeing the doctor for any other reason . But some doctors, pointing to newer evidence, are starting to take a more cautious approach.

For acute sinusitis, there are very well-done studies indicating that antibiotics are not necessary in the vast majority of patients, and most people will be able to clear an infection on their own, Patel says.

Also Check: Can A Sinus Infection Delay Your Period

When Do I Really Need Antibiotics For A Sinus Infection

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:

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.

Treatment For Sinusitis From A Gp

Symptoms Of Sinus Or Ear Contamination

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 you’re 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.

Recommended Reading: Best Medicine To Clear Up Sinus Infection

Treatments For Sinus Infection

How long does sinusitis last? Acute sinus infections are the most common form of infection, usually lasting no more than a few weeks.

Can you get rid of a sinus infection without antibiotics? While many people immediately assume that antibiotics are necessary for sinus infections, most cases of acute sinus infection are caused by a virus.

Viruses are not affected by antibiotics. Even acute sinus infections caused by bacteria dont necessarily require antibiotics. Instead, your immune system will usually neutralize the virus within a couple of weeks. Antibiotics may only cause side effects that weaken your body, including:

  • Diarrhea
  • Skin rash
  • Fungal infections

While your doctor wont usually prescribe antibiotics for minor cases of acute sinus infection, antibiotics may be necessary if:

  • You exhibit severe symptoms or feel exceptionally unwell
  • You have a weakened immune system, heart problems, or another disorder, such as cystic fibrosis
  • Your symptoms are not going away or getting better after a week
  • Your symptoms are getting worse

Sinus Infection Treatment Options

There are many treatment options for a sinus infection, but the best treatment option varies by the severity of the case. Some acute sinus infections will clear up on their own without any treatment, and you may just think it was a cold. Others require more serious interventions by a healthcare provider.

The standard treatment healthcare providers prescribe for a presumed bacterial sinus infection is an antibiotic. However, if you have a sinus infection caused by a viral infection such as the common cold, your doctor will not prescribe antibiotics as these medications only treat bacterial infections. Instead, you can treat the sinus infection symptomatically until it resolves, with nasal decongestants and antihistamines.

There are plenty of ways to treat symptoms of a sinus infection at home with over-the-counter medications and home remedies. OTC antihistamines block the effects of histamine, helping symptoms like sneezing and runny nose. Simple treatments like drinking water, keeping your sinuses hydrated , and using warm compresses, can also help treat symptoms of a sinus infection.

Keeping your nasal passages clean can help you prevent future sinus infections. If you anticipate having sinus issues during allergy or cold season, flushing out your nasal passages with a saltwater solution can help you avoid the pains of a sinus infection.

Read Also: Young Living Oils For Sinus Pressure

How Can You Help Your Patient

What to do, then, for patients with acute sinusitis? Treat the symptoms, which means recommending pain medication for facial pain or headache and saline nasal spray for the nasal discharge, not antibiotics or nasal corticosteroids. Side effects will be fewer and costs will be lower.

  • Saline irrigation. A 2007 Cochrane review of 8 chronic and recurrent sinusitis trials showed that nasal saline irrigation is effective for reducing symptoms of chronic and recurrent sinusitis. Although we do not have high-quality RCT data on saline nasal irrigation for treatment of acute sinusitis, nasal saline irrigation is harmless and inexpensive.

  • What about nasal steroids? The evidence is equivocal, and the most recent high-quality RCT of nasal steroids showed no effect.

What Are The Best Antibiotics For Sinus Infection Do Doctors Prescribe For You

Sinus Infection Antibiotics! Why won’t my doctor write a prescription?

There are many antibiotics that your doctor or physician may prescribe to help treat your sinus infection. Some of these may even be familiar to you.

  • Ciprofloxacin This drug is used to treat conditions including urinary tract infections, specific types of infectious diarrhea, bone and joint infections, respiratory tract infections, typhoid, and other forms of bacterial infection.
  • Trimethoprim This drug is the brand name for a medication that is a combination of two antibiotics: trimethoprim and sulfamethoxazole that is used to treat bacterial infections. Bactrim works by preventing the growth of bacteria.
  • These antibiotics are effective in treating sinus infection, however, these drugs do carry side effects. You should only be taken according to what your doctor or physician has prescribed. Always follow their instructions to achieve the best results.

    Recommended Reading: Good Nasal Spray For Sinus Infection

    What Causes A Sinus Infection

    Sinus infections are more common in people who suffer from seasonal allergies or asthma. If you have a structural blockage in the nose, such as a deviated septum or nasal polyps, you may have more frequent sinus infections. If you have a weakened immune system, you may be more prone to infections of all kinds, including sinusitis.

    While the common cold and flu are caused by the influenza virus, and COVID-19 is caused by the coronavirus, a sinus infection can stem from a viral or bacterial infection. Either way, its a painful condition that can make you feel lousy for weeks.

    Sinusitis is an inflammation of the sinuses, those air-filled pockets that exist in your face:

    • Behind the bridge of your nose
    • Directly in front of your brain
    • In the bony structures of your cheeks
    • On both sides of the bridge of your nose

    Normally, your sinuses are lined with a light layer of mucus that trap germs, dust, and other particles that we breathe. There are tiny hairs in your nose that sweep whatever is captured into the back of your throat and into your stomach. This is a normal cyclic procedure that happens without your awareness. That is, until something goes wrong with the process.

    A sinus infection inflames the lining of the sinuses and blocks the flow of mucus to the back of the throat. The swelling stops up this efficient elimination system leading potentially to an infection.

    What Are The Most Common Antibiotics Used For Sinusitis

    Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis. Amoxicillin is most effective when given frequently enough to sustain adequate levels in the infected tissue. While often prescribed twice daily, it is even more effective if taken in 3 or 4 divided doses. Amoxicillin is typically prescribed for 7-10 days at a time. While it is critical to finish the entire 10 day course of antibiotics when treating strep throat, there is evidence that shorter courses of treatment may be sufficient for most cases of sinusitis. Amoxicillin is closely related to the parent compound penicillin and should not be prescribed in patients who are penicillin allergic.

    Cephalosporins and Augmentin are considered broad-spectrum antibiotics because they have enhanced effectiveness against a wider range of bacteria, including those that are resistant to ordinary penicillin or amoxicillin. If the patient does not improve within the first week on amoxicillin, a change to Augmentin or to a cephalosporin such as Ceftin, Cefzil, Omnicef, or Suprax is reasonable. Although these drugs have a similar mechanism of action to penicillin, they generally can be taken in adequate doses once or twice daily. These medications should be used with extreme caution in patients with a history of penicillin allergy, as cross-reaction may occur.

    Additional resources:

    Read Also: What Can Be Done For Sinus Infection

    Sinus Infection In Babies: Symptoms Causes Treatment And Prevention

    Stuffy nose is a common symptom of the common cold, flu, and sinusitis . In both, the common cold and sinusitis, the tissue lining of the nasal cavity and sinus get swollen due to inflammation of the blood vessels, post-infection .

    The difference between the two, however, can be determined based on the duration of the symptoms. For the common cold, the congestion leading to stuffy nose resolves within a week or ten days. In the case of sinusitis, the symptoms may last for up to 12 weeks or longer .

    In this post, MomJunction tells you about the probable causes, symptoms, treatment, and methods of prevention for sinusitis in babies.

    Viral Vs Bacterial Sinus Infections

    Pin by Lois Price on health advice

    Most sinus infections are caused by viruses that create inflammation in the sinuses, leading to blockage that can make it hard to breathe, nasal secretions, postnasal drip, and other discomfort like facial pain around your eyes, cheeks, nose, or forehead.

    Knowing thisand that antibiotics dont work on viral infectionsmost healthcare providers first recommend treatments to relieve the symptoms of a sinus infection while you wait for it to resolve.

    These may include:

    • Over-the-counter such as pseudoephedrine
    • Antihistamines
    • Pain relievers like acetaminophen or ibuprofen to ease discomfort from swelling, fever, or sore throat

    In rare cases, viral sinus infections can lead to bacterial growth in the nasal passages.

    Theres no way to know for sure if you have a bacterial sinus infection without testing a mucus sample.

    But even without a sample, two signs typically indicate a bacterial infection and may prompt your provider to prescribe antibiotics:

    • A sinus infection that lasts for more than 10 days
    • Symptoms of the infection resolve, then back worse a couple days later

    Some people think yellow or green mucus may be a sign of a bacterial sinus infection, but colored mucus can occur with viral infections and does not necessarily mean you have a bacterial infection.

    If you do have bacterial sinusitis , it should respond to antibiotics within a few days.

    Read Also: Should I Get Antibiotics For A Sinus Infection

    Sinus Infection Treatment At Home

    It isnt possible for you to tell at home if sinusitis is caused by a bacteria, virus or fungus, but there are some steps you can take to help relieve sinus infections symptoms. They include:

    • Moisturizing the room air with a humidifier or vaporizer

    • Increasing your fluid intake to ensure you are well hydrated

    • Using saline sprays or nasal irrigations

    • Using nasal spray decongestants for 2 or 3 days at the most

    • Applying warm compresses to your face to help relieve pain and pressure

    • Sleeping with your head elevated. If sleeping on a pile of pillows isnt comfortable, place blocks under the two legs at the head of your bed to elevate it.

    • Taking over-the-counter pain relievers, such as ibuprofen or acetaminophen

    Which Antibiotics Are Most Effective For Bacterial Sinusitis

    Antibiotics are indicated for sinusitis that is thought to be bacterial, including sinusitis that is severe or involves the frontal, ethmoid, or sphenoid sinuses, since this type of sinusitis is more prone to complications. Penicillins, cephalosporins, and macrolides seem to be equally efficacious. A 5- to 10-day regimen of amoxicillin 500 mg 3 times a day is recommended as first-line therapy.

    One study suggests that a single dose of 2 g of extended-release azithromycin may be more effective than a 10-day course of amoxicillin/clavulanate. However, azithromycin is not likely a good choice in sinusitis because symptoms may improve only because of the anti-inflammatory efficacy of the agent and because it has poor efficacy against S pneumoniae and H influenzae. The risk of adverse effects should be weighed against the severity of disease and patient comorbidities prior to initiating antibiotic treatment.

    Patterns of bacterial resistance should also be taken into account in the choice of antibiotic.

    References
  • Lucas JW, Schiller JS, Benson V. Summary health statistics for U.S. adults: National Health Interview Survey, 2001. Vital Health Stat 10. 2004 Jan. 1-134. .

  • Slavin RG, Spector SL, Bernstein IL, Kaliner MA, Kennedy DW, Virant FS, et al. The diagnosis and management of sinusitis: a practice parameter update. J Allergy Clin Immunol. 2005 Dec. 116:S13-47. . .

  • Lusk RP, Stankiewicz JA. Pediatric rhinosinusitis. Otolaryngol Head Neck Surg. 1997 Sep. 117:S53-7. .

  • Also Check: Should I Exercise With A Sinus Infection

    What Home Remedies Help Soothe Sinus Infection Or Sinusitis Symptoms

      Sinus infections caused by viruses can use home treatments such as pain and fever medications , decongestants, and mucolytics. In addition, some health care professionals suggest nasal irrigation or a sinus rinse solution to help relieve symptoms of sinus infections, even chronic sinusitis symptoms. This irrigation is accomplished with a “Neti-Pot” or a sinus rinse kit . The last reference of this article shows a video of a sinus rinse procedure. In 2012, the FDA issued a warning about the use of Neti-Pots. The FDA cautions people not to use untreated tap water for rinsing, as contaminated tap water rinses lead to two deaths.

      Bacterial and fungal sinus infections usually require antibiotic or antifungal therapy so home treatments without them are often not successful. However, some authors suggest home treatments may reduce symptoms after medical therapy has begun some healthcare professionals recommend nasal irrigation after sinus surgery.

      Natural Remedies For Sinus Infections

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

      1. Top Foods & Beverages for Sinus Infections

    • Water Adequate hydration is the key to flushing out the virus from your system. Try to drink at least 8 ounces every 2 hours.
    • Chicken broth with vegetables This traditional remedy of bone broth helps soothe the nasal cavities and respiratory system, along with providing important minerals.
    • Horseradish Anyone who has accidentally eaten too much horseradish has experienced its potent ability to clear nasal passages. Mix some horseradish with lemon to make it even more potent.
    • Ginger Make a ginger tea and add raw honey to aid in recovery.
    • Garlic and onions Both of these vegetables help boost immune function.
    • Vitamin C rich foods Consuming foods high in vitamin C can boost the immune system and speed recovery from sinusitis.
    • 2. Foods & Beverages to Avoid

    • Sugar Decreases white blood cells that help fight off infection.
    • Fruit juices Although orange juice contains some vitamin C, it is not as high in vitamin C as whole fruits or vegetables. If you want to drink juice, dilute it.
    • Dairy products Milk and other dairy products are mucus producing so it is best to avoid them.
    • Refined flour and grains All refined grains can cause more mucus production.
    • Salt Without adequate water intake, salt can be dehydrating and slow healing of the inflammation of the sinuses.
    • 3. Oil of Oregano

      4. Grapefruit seed extract

      5. Vitamin C

      6. Garlic

      7. Echinacea

      8. Neti Pot

      9. Add Moisture

      10. Essential Oils

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