When To See Your Doctor
You need to seek medical help if:
- You have symptoms that last two weeks or longer, or a cold that gets worse after the first week.
- Your headache is not relieved by standard medication.
- Fever is present.
- You have symptoms after finishing your antibiotics.
- Your vision has changed during the infection.
Interactions Of Amoxicillin For Sinusitis
As the Amoxicillin 500 mg Tablet is allopathic medicine, it can easily react with other medicines that you are taking. The other medicines, when combined with Amoxicillin 500 mg tablet, can worsen the side effects of Amoxicillin 500 mg Tablet.
Not only the side effects but any underlying health issue can also aggravate if this medicine is taken without the doctors approval.
Medicines that can interfere with Amoxicillin 500 mg Tablet and can cause moderate or serious side effects are-
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What Decongestants And Nasal Sprays Soothe Or Cure Sinus Infections Or Sinusitis
Taking decongestants and mucolytics orally may be helpful in assisting drainage of sinus infection.
The treatment of chronic forms of sinus infection requires longer courses of medications, such as Augmentin, and may require a sinus drainage procedure. This drainage typically requires a surgical operation to open the blocked sinus under general anesthesia. In general, antihistamines should be avoided unless it is felt that the sinusitis sinus infection is due to allergies, such as pollens, dander, or other environmental causes.
It is likely that the use of a topical nasal steroid spray will help reduce swelling in the allergic individual without the drying that is caused by using antihistamines although both are occasionally used. Oral steroids may be prescribed to reduce acute inflammation and to help with chronic inflammation in cases with or without polyps and in allergic fungal sinusitis.
In many people, allergic sinusitis develops first, and later, bacterial infection occurs. For these individuals, early treatment of allergic sinusitis may prevent the development of secondary bacterial sinusitis.
In rare instances or in natural disasters, fungal infections may develop in debilitated people. Death rates of 50%-85% have been reported for patients with these sinus infections. Treatment relies on early diagnosis followed by immediate surgical debridement, antifungal drugs, , and stabilizing any underlying health problem such as diabetes.
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But Sometimes Antibiotics For Sinus Infections Are Needed
So how does one judge when it is appropriate to prescribe antibiotics for a sinus infection? There are several sets of official guidelines, which are all similar. When a patient has thick, colorful nasal discharge and/or facial pressure or pain for at least 10 days, they meet criteria for antibiotic treatment. If a patient has had those symptoms, but the symptoms seemed to start improving and then got worse again, then even if its been less than 10 days, they meet criteria for antibiotic treatment.
The authors, however, also suggest that doctors discuss watchful waiting with patients and explain that most sinus infections clear up on their own in one to two weeks, and its a safe option to hold off on antibiotics. The symptoms can then be treated with a cocktail of over-the-counter medications and supportive care, like nasal saline irrigation, nasal steroid sprays, decongestants, and pain medications.
Of course, many patients expect and demand antibiotics for sinus infections, and even those who are open to watchful waiting may hear about the rare but possible complications of things like, oh, brain abscess, and opt to treat.
In the case of my patient above, she met criteria for treatment. She weighed the watchful waiting option against the potential risks of antibiotics for her sinus infection, and chose the prescription. I can tell you from very close follow-up that she improved quickly, though in truth, we will never really know if she would have gotten better anyway.
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When Does Antibiotic Resistance Occur
Antibiotic resistance occurs in a persons own body and within the community when certain drugs no longer work for a specific type of germ. This can occur when bacteria change in response to exposure to antibiotics so that the antibiotics no longer work efficiently against the bacteria.
Unfortunately, it’s hard to know if a sinus infection is bacterial, viral, or has other causes based on symptoms alone. Because viral sinus infections tend to improve in 5 to 7 days, healthcare providers will usually only prescribe antibiotics if your symptoms go on for longer than this. A sinus infection that persists for longer than a week or continues to get worse during this time period is more likely to be bacterial.
Therefore, allergists and other specialists recommend limiting the use of antibiotics unless:
- Symptoms last over seven to 10 days
- A fever is present
Home Remedies: How To Alleviate A Congestion Naturally
There are many safe home remedies you can use to alleviate your symptoms and recover from a sinus infection:
- Drink plenty of fluids such as water, broth, and citrus juice. Staying hydrated is important for helping you fight infection and for clearing a stuffy nose.
- Use saline nasal irrigation or saline nose drops. You can make your own saline drops by combining 1 cup of warm water with 1/8 tsp salt and a tiny pinch of baking soda.
- Use a humidifier at night. This will help clear nasal passages. You may also lean over a pan of boiling water taken off the stove, place a towel over your head, and breathe in the steam. This helps open your nasal passages and loosens mucus in your chest.
- Elevating your head with a couple of pillows while lying down may make breathing easier. Using nasal strips also helps open nasal passages.
- For a sore throat, gargle salt water , drink a warm liquid or suck on ice. Honey and lemon may also soothe a sore throat.
- Make sure you are getting plenty of sleep as this will help your immune system fight the infection.
- During pregnancy, it is common to lose your appetite, and feeling sick may not help. However, even if you dont have an appetite, it is important to eat well. If you lose your appetite, it may help to eat smaller meals throughout the day. Make sure you are eating nutrient-dense foods such as fruits and vegetables. Soup may also be a soothing option.
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How Is Sinusitis Diagnosed
Symptoms of sinusitis mimic a cold in the early stages and diagnosis can be difficult. However, sinusitis tends to persist long after cold symptoms have resolved and symptoms can last for three weeks or more. Sinus infections are also more likely to cause symptoms such as facial or tooth pain, green nasal discharge, and fever.
Your doctor will ask you about your symptoms and any history of illness leading up to this episode of sinusitis. The doctor will also perform a simple office examination and look into your ears, nose and throat, and take your temperature.
Other examinations or procedures may be undertaken to rule out other conditions or if the diagnosis is uncertain.
How You Can Treat Sinusitis Yourself
You can often treat mild sinusitis without seeing a GP by:
- getting plenty of rest
- taking painkillers, such as paracetamol or ibuprofen
- avoiding allergic triggers and not smoking
- cleaning your nose with a salt water solution to ease congestion
If you have a high temperature or you do not feel well enough to do your normal activities, try to stay at home and avoid contact with other people until you feel better.
You do not need to use all of the solution, but make a fresh solution each time you clean your nose.
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Sinus Infection Treatment In Children
Sinus infections affect children similarly.
If your child has a sinus infection, the aforementioned home remedies may help, but make sure to follow your pediatricians recommendations to treat your childs illness.
Note that various over-the-counter medications may not be suitable for your child:
- Babies 6 months old or younger should only receive acetaminophen for pain relief
- Children older than 6 months can receive acetaminophen or ibuprofen
- Children should never receive aspirin and teenagers recovering from chicken pox or flu-like symptoms should not take aspirin because of the risk of a rare and severe illness called Reyeâs syndrome
Children younger than 4 years should not receive cough or cold products unless directed by a pediatrician .
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Which Types Of Doctors Treat Sinusitis And Sinus Infections
- Many sinus infections can be treated by your primary care physician or an Internal Medicine doctor.
- However, it is not unusual to consult an ENT specialist, infectious disease specialist, or an allergist or immunologist.
- With some complex sinus infections, a surgeon who specializes in sinus surgery may be necessary to consult.
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How Well Do Antibiotics Work For Sinusitis
Antibiotics work in most cases of acute sinusitis that are caused by bacteria. Most people start feeling better 3 to 4 days after they start taking the medicine.
Antibiotics won’t work for infections caused by a virus. Over-the-counter medicines and home treatment can help you feel better.
Taking antibiotics you don’t need won’t help you feel better, cure your infection, or keep others from catching your infection. And if you take antibiotics too often, they may not work when you really do need them.
Common but mild side effects of antibiotics include:
Whether sinusitis is caused by bacteria or by a virus, most people get better even if they don’t take antibiotics.footnote 1 Home treatment for sinusitis can help relieve your symptoms. Here are some things you can do:
Medications To Avoid If You Have High Blood Pressure
Blood pressure is best understood as the force of blood pressing against the walls of your arteries. A person can be diagnosed with high blood pressure, also called hypertension, when their blood pressure is consistently greater than 140/90 mm Hg.
When a persons blood pressure is too high, their hearts need to work harder which can cause serious damage to the arteries. Over time, uncontrolled high blood pressure increases the risk of heart disease, stroke and kidney disease.
Some medications can increase your blood pressure, so its important to be aware of which medications to avoid if your blood pressure is already elevated. If you are unsure of whether a medication might impact your current blood pressure state, your physician or pharmacist are the first resources you should consult. Often, they will be able to recommend an alternative product that will not affect your blood pressure.
Oral Nasal Decongestants
Oral nasal decongestants like Sudafed and Sudafed PE can increase blood pressure by elevating your heart rate and causing blood vessels to narrow, also known as vasoconstriction. Pseudoephedrine and phenylephedrine can also be found in many cold, cough and flu combination products. If you suffer from cold, cough or flu symptoms, try Coricidin HBP products.
Topical Nasal Decongestants
Topical Hemorrhoid Products
Concerned About Your Blood Pressure? Our experienced team can answer your questions. Find an available appointment today.
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Ways To Recognize Serious Signs Of Sinus Infections
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.
A fever can be caused by both viruses and bacteria. So how do you differentiate between the two?
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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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.
When To Seek Medical Care
See a doctor if you have:
- Severe symptoms, such as severe headache or facial pain.
- Symptoms that get worse after improving.
- Symptoms lasting more than 10 days without getting better.
- Fever longer than 3-4 days.
You should also seek medical care if you have had multiple sinus infections in the past year.
This list is not all-inclusive. Please see a doctor for any symptom that is severe or concerning.
Other conditions can cause symptoms similar to a sinus infection, including:
- Seasonal allergies
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Most Sinus Infections Dont Require Antibiotics
Ah, sinus infections. The New England Journal of Medicine published a clinical practice review of acute sinus infections in adults, that is, sinus infections of up to four weeks. The need for an updated review was likely spurred by the disconcerting fact that while the vast majority of acute sinus infections will improve or even clear on their own without antibiotics within one to two weeks, most end up being treated with antibiotics.
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. But on the other hand, while 85% of sinus infections improve or clear on their own, theres the 15% that do not. Potential complications are rare, but serious, and include brain infections, even abscesses.
Natural Dog Company Snout Soother
Flush your dogs sinuses A saline flush when performed correctly and under your veterinarians instruction can help break up and flush out mucus, allowing your dog to breathe easier.
Increase air moisture and humidity Run a humidifier or place a vaporizer in the area your dog spends most of their time. You can also bring your dog into the bathroom when you take a hot shower.
Keep your dogs nose clean Gently wipe your dogs nose with a warm, damp washcloth to remove discharge and ensure they can breathe clearly.
Remove mucus from inside your dogs nose Use a nasal aspirator or bulb syringe to gently suck out excess mucus from your dogs nose.
Encourage your dog to eat and drink Offer canned food with a strong odor to tempt your pooch into eating, and consider adding a water fountain for a fresh water supply.
Give your dog an antihistamine Antihistamines, like Benadryl and Zyrtec, can help alleviate your dogs runny nose. Plain diphenhydramine without nasal decongestants can be used, at a dose of 1 mg per pound, with no more than 75 mg total. For a Zyrtec dose, consult our comprehensive guide.
Always consult your vet before administering over-the-counter medications to your dog.
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