What Are The Treatment Options
Sinusitis is treated differently based on the cause. Most cases of acute sinusitis, about 98 percent, are caused by a virus, not bacteria, and should not be treated with antibiotics. Acute viral sinusitis may be treated using pain relievers such as acetaminophen or ibuprofen, steroid nasal sprays, or salt water irrigation in the nose. These treatments are also good options for acute bacterial sinusitis. Most people get better naturally from acute bacterial sinusitis, called watchful waiting, but some patients with acute bacterial sinusitis may get better faster with an antibiotic.
Chronic sinusitis is treated differently than acute sinusitis. Because chronic sinusitis is caused more by inflammation than infection, the treatments for chronic sinusitis aim to control the inflammation. Salt water nasal irrigation and/or nasal steroid sprays are the main treatments for the symptoms of chronic sinusitis. Antibiotics may sometimes be helpful but not always.
Other factors, including allergies, nasal polyps, asthma, and problems with the bodys ability to fight infections, can go along with sinusitis and make it worse unless they are also treated.
X-rays or CT scans of the sinuses are not necessary to diagnose uncomplicated sinusitis if you have the symptoms of sinusitis . If your doctor suspects a complication or if you have repeated episodes or prolonged sinus symptoms, a CT scan of your sinuses may be needed.
Treatment For Sinus Infection
Whether you have an acute sinus infection or a chronic infection, a number of treatment options can relieve your discomfort. If youre in the early stage of an acute sinus infection, it may be appropriate to start at-home treatments while you monitor your symptoms. If your sinusitis worsens, youll need to call your doctor for medication and further care. Even if youre receiving treatment from your doctor, at-home care can help ease 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 hospitalâs 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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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.
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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What Are The Symptoms Of Sinusitis
You have acute sinusitis when you have had cloudy or colored drainage from your nose for up to four weeks, plus one or more of the following symptoms:
- Stuffy, congested, or blocked nose
- Pain, pressure, or fullness in the face, head, or around the eyes
- Long-lasting cold symptoms
- Symptoms that do not improve within 10 days of getting sick, or initially get better then worsen again
You might have chronic sinusitis if you have at least two of the four symptoms note below for at least 12 weeks. An ENT specialist would also need to see polyps, pus, or thickened mucous in nose, or get a CT scan, to fully diagnose chronic sinusitis. Possible symptoms include:
- Stuff congested, or blocked nose
- Pain, pressure or fullness in the face, head or around the eyes
- Thickened nasal drainage
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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Antibiotics And Sinus Infections
When a sinus infection hits, it seems 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 aren’t recommended within the first week of developing a cold. About 70% of sinus infections go away within two weeks without antibiotics.
Consider these other forms of treatments instead of antibiotics:
- These medications are available for over-the-counter purchase. Be careful to only take these medications for a few days at most, as they can cause the return of more severe congestions.
- 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. It can help to prevent and treat inflammation.
Antibiotics only will be needed if the infection is severe, recurrent or persistent.
The likelihood of bacterial infection increases when:
- Symptoms last seven days or more, particularly when symptoms initially improve and then worsen.
- Mucus is thick and yellow or green in color.
- There is facial or sinus tenderness, particularly if it’s worse on one side of the face.
- Pain is present in the upper teeth and is worse on one side of the face.
If the infection becomes severe, recurrent or persistent, contact your provider.
What Is Sinus Pressure And Pain
Our sinus cavity is the hollow space behind our eyes and nose. It helps us by assisting in airflow and allowing us to breathe easier. Problems start to occur when our sinus cavity openings become swollen. When the swelling occurs it can lead to stuffiness, congestion, and the disruption of airflow. Swelling also causes bacteria to become trapped and this leads to pain and infection.
Several factors can cause nasal passage irritation and bring on sinus pressure symptoms:
- Environmental irritants â Airborne pollutants such as those that cause allergies can trigger mucus build-up and sinus pressure.
- A sinus infection â Sinusitis, more commonly known as a sinus infection, could be a cause of your sinus pressure and pain. If you think you may have a sinus infection, talk to your doctor for a diagnosis and treatment recommendations.
- The common cold â Not every cold is the same but sometimes symptoms include mucus build-up, which can mean sinus pressure and pain.
There are different types of sinuses, each of which can cause different sinus pain symptoms:
- Frontal – Frontal sinuses cause forehead pain and headaches
- Ethmoid – Ethmoid sinuses cause pain between the eyes and across the nose.
- Maxillary – Maxillary sinuses cause pain in the cheeks, upper jaw or teeth.
- Sphenoid – Sphenoid sinuses cause pain behind the eyes, on the top of the scalp, or along the back of the head.
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Types Of Sinus Infections: Chronic Vs Acute
There are four types of sinus infections. These classifications depend on the length and frequency of the infection:
- Acute sinusitis.This type of sinus infection lasts only for a short time, defined by the American Academy of Otolaryngology as less than 4 weeks. This short-term infection is usually part of a cold or other respiratory illness. It may also be caused by a bacterial infection .
- Subacute sinusitis. A subacute sinus infection lasts between 4 and 12 weeks .
- Recurrent acute sinusitis. An acute sinus infection is considered recurrent if the infection returns four or more times within a year, with each infection lasting 7 days or more.
- Chronic sinusitis.Chronic sinus infections last for more than 12 weeks or continue to recur.
Many sinus infection symptoms are common in both acute and chronic forms. Seeing a doctor is the best way to learn if you have an infection, find the cause, and get treatment.
For cases of acute bacterial sinus infections, these symptoms last at least 10 days without improving, or they worsen within 10 days after seeming to improve. In this case, its important to talk with a doctor, such as a general practitioner or an ear, nose, and throat doctor , to get a diagnosis and treatment plan.
Learn more about the symptoms of a sinus infection below.
Suffering From Sinus Infection Its Time To Try Some Effective And Easy Home Remedies That Can Naturally Cure Sinusitis
Written by Satata Karmakar | Updated : August 24, 2022 11:53 AM IST
Sinus infection, also known as Sinusitis is a condition which is marked by the inflammation, or swelling, of the tissue lining the sinuses. What are sinuses? These are the four pairs of cavities found in the head. These four cavities are connected by some narrow channels. These channels act as drainage that helps in keeping the nose clean and free of bacteria. Sinus infection happens when these channels get filled with air and thus leads to blockage of the path in the nose. They often get filled with fluid as well. When the air and the water get accumulated in these channels, bacteria growth begins, which causes an infection known as bacterial sinusitis.
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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.
Untreated Sinus Infection Risks
Sinus infections often start to improve on their own after about 10 days. If your symptoms last longer without improving or if they worsen, a doctor may need to treat the underlying cause of the infection.
If a sinus infection affects a sinus cavity close to the brain, it can spread to the brain if left untreated. Though rare, an infection can also pass into the eye socket and cause vision changes or blindness. These types of infections are more common in kids.
While uncommon, a serious fungal sinus infection left untreated may pass into the bones.
Make an appointment with a doctor if you have severe symptoms, or if the following symptoms last longer than 10 days or keep coming back:
- facial pain
Because the cause of your sinus infection can affect your treatment options, its important to see a doctor for a diagnosis. The Healthline FindCare tool can provide options in your area if youre looking for a doctor.
If you believe you have chronic or recurring sinusitis, consider asking for a referral to an otolaryngologist, also known as an ear, nose, and throat specialist. You may need imaging and other tests to determine the cause of your symptoms.
An ENT specialist can take a culture of nose drainage to better understand the cause of an infection. The ENT specialist can also examine the sinuses more closely and look for any problem in the structure of the nasal passages that could lead to chronic sinus problems.
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Throat Irritation And Cough
As discharge from your sinuses drains down the back of your throat, it can cause irritation, especially over a long period of time. This can lead to a persistent and annoying cough, which can be worse when lying down to sleep or first thing in the morning after getting up from bed.
It can also make sleeping difficult. Sleeping upright or with your head elevated can help reduce the frequency and intensity of your coughing.
Pain Or Pressure In Your Sinuses
Facial pain is a common symptom of sinusitis. You have several different sinuses above and below your eyes, as well as behind your nose. Any of these air-filled cavities can hurt when you have a sinus infection.
Inflammation and swelling can cause your sinuses to ache with dull pressure. This is because inflammation may alter the typical path of mucus from the nose to the back of the throat.
You may feel pain in:
- your forehead
- on either side of your nose
- in your upper jaws and teeth
- between your eyes
This may lead to a headache. Headaches caused by sinus infections can occur where the sinuses are or in other places.
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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.
Can I Prevent Sinusitis
There is no sure-fire way to prevent sinusitis. But there are some things that might help.
- Donât smoke, and avoid other people’s smoke.
- Wash your hands often, especially during cold and flu season, and try not to touch your face.
- Stay away from things you know youâre allergic to. Talk to your doctor to see if you need prescription medicines, allergy shots, or other forms of immunotherapy.
If your sinus problems keep coming back, ask your doctor about the pros and cons of surgery to clean and drain the sinuses.
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What Is The Treatment For Chronic Sinus Infection
When it comes to treating chronic sinusitis, theres no one-size-fits-all solution. While several treatment options are available, what works for one person may not be appropriate for the other. Hence, we tailor the treatment to each individuals needs, symptoms, and whether or not other conditions are also at play.
The goals of treating chronic sinusitis are to address the allergic causes, minimize inflammation, promote free sinus drainage, and eradicate the infection .
Here are a few potential treatment options for chronic sinusitis. We will likely try out a combination of two or more of these options to see what works best for you.
Sinus Headaches Vs Migraines
Placing a warm, damp washcloth over your forehead may help soothe a sinus headache.
Sinus headaches are often confused with migraines. It is easy to confuse the two as the migraine headache is a result of the activation of the trigeminal nerves that stimulate the sinus regions as well as the meninges encasing the brain. As such, it is very difficult to determine exactly where the original pain is extending from. To confuse matters even further, a migraine headache will often cause a runny nose and eye tearing, so the symptoms often look very similar. Patients with complaints of sinus headaches often reported treatments such as decongestants and/or antibiotics being ineffectual while treatment with migraine medications result in relief. However, patients with migraines do not report the thick, greenish nasal discharge which is typically seen with true sinus infection .
According to the 2007 edition of the Clinical Practice Guideline: adult sinusitis, with sinusitis symptoms lasting less than 7 days, is assumed to be viral in nature, while symptoms lasting more than 10 days are assumed to be bacterial acute sinusitis. Learn more about Viral vs. Bacterial sinus infections.
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