When To Consider Antibiotics For Sinus Infections
AAAAI advises that antibiotics for sinus infections should be considered only if you develop a fever of 102° F or higher, you have severe face pain and tenderness, your symptoms last longer than a week or so, or your symptoms improve and then worsen again.
Some patients with acute sinusitis do need antibiotics, and if they continue with a worsening infection without treatment, they can suffer dramatic complications such as loss of vision, meningitis, or brain abscess, Patel says.
If your doctor says you need an antibiotic, ask for generic amoxicillin/clavulanate, according to guidelines from UpToDate, which provides evidence-based treatment information to healthcare providers. Its usually the best choice and works as well as more expensive brand-name antibiotics.
Avoid taking fluoroquinolones, a group of antibiotics that includes ciprofloxacin and levofloxacin . Although widely used, the antibiotics are inappropriate for treating sinus infections and they pose serious risks.
In 2016, after a safety review, the Food and Drug Administration linked fluoroquinolones to disabling and potentially permanent side effects. The agency advised against using the drugs to treat common illnessesbronchitis, sinus infections, and urinary tract infections.
Duration Of Sinus Infection
Acute sinusitis causes inflammation and symptoms that often develop quickly and last 7 to 10 days if caused by a viral infection. But the illness can last for up to 4 weeks if itâs caused by a bacterial infection.
Chronic sinusitis lasts for 12 weeks or more. This inflammation can continue for months or years more, and people often describe them as a never-ending cold.
Sinusitis may also be classified as:
- Subacute, in which symptoms last for more than 4 weeks but less than 12 weeks
- Recurrent acute, in which there are at least four acute sinus infection episodes within one year
- Acute exacerbation of chronic rhinosinusitis, in which symptoms worsen in a person with chronic sinusitis
But having symptoms of sinusitis doesnt always mean that you have a sinus infection.
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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.
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What Are The Signs And Symptoms Of Chronic Sinus Infection
Chronic sinusitis emerges more insidiously than acute sinusitis. At times, however, the symptoms start suddenly and may resemble that of the common cold or acute sinusitis that just wont go away.
Chronic sinusitis is most likely if you have two or more of the following symptoms:
- Nasal congestion or stuffy nose
- Mucus and pus-like discharge
- Postnasal drip
- Facial pain, pressure around your eyes and nose, or fullness
- Partial or complete loss of your sense of smell
Chronic cough, sore throat, and fatigue may also be seen in a chronic sinus infection. That said, these symptoms are not required for the diagnosis of chronic rhinosinusitis.
When To See A Doctor
You dont necessarily have to see your doctor for your allergies. The exception is if youve never been diagnosed with allergies before or if your allergies seem to be getting worse.
You should also see your doctor if your OTC antihistamines arent working. They might recommend prescription medications instead. If your allergies have you particularly congested, they might also prescribe a .
Since sinus infections are caused by viruses, antibiotics dont generally help. However, if your symptoms worsen or last longer than two weeks, you should see your doctor for some relief.
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What Are The Stages Of Sinus Infection
Types
- Acute sinusitis usually starts with cold-like symptoms such as a runny, stuffy nose and facial pain. It may start suddenly and last 2 to 4 weeks.
- Subacute sinusitus usually lasts 4 to 12 weeks.
- Chronic sinusitus symptoms last 12 weeks or longer.
- Recurrent sinusitis happens several times a year.
How Do You Stop A Sinus Infection
If your sinus infection and post nasal drip with cough lasts between 7-10 days, you should be okay handling things at home on your own. To relieve post nasal drip and your cough, you can use antihistamines, nasal saline washes, and natural home remedies .
Be very careful with nasal sprays and certain decongestants, though. These treatment methods can end up thickening your mucus and could potentially make your post-nasal drip and cough worse.
That said, if you have a cough after sinus infection, this also shouldnt automatically trigger a doctors appointment. It can sometimes take up to a couple of weeks for a sinus infection cough to go away completely. As long as you notice your other symptoms clearing up , then you should be good to go.
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Other Remedies For Symptom Relief
Staying hydrated can help thin mucus to ease congestion.
Drinking hot liquids such as tea and broth may help relieve your symptoms. Breathing in moist air may also help relieve the discomfort that comes with nasal congestion. Try breathing in steam from the shower, a bowl of hot water, or a mug of tea.
If your voice is hoarse, rest it by avoiding yelling, whispering, and singing.
Placing a warm compress over the inflamed area can help reduce pressure and provide relief.
damages the natural protective elements of your nose, mouth, throat, and respiratory system.
If you smoke, consider quitting. Ask a doctor if you need help or are interested in quitting. Quitting may help prevent future episodes of both acute and chronic sinusitis.
Wash your hands frequently, especially during cold and flu seasons, to keep your sinuses from becoming irritated or infected by viruses or bacteria on your hands.
Using a humidifier during the cooler, dryer months may also help prevent sinus infections.
Talk with a doctor to see if allergies are causing your sinusitis. If youre allergic to something that causes persistent sinus symptoms, you will likely need to treat your allergies to relieve your sinus infection.
You may need to seek an allergy specialist to determine the cause of the allergy. The specialist may suggest:
- avoiding the allergen
- doing allergic immunotherapy
Keeping your allergies under control can help prevent repeated episodes of sinusitis.
What Are The Symptoms Of Sinusitis
When a sinus infection results from blocked sinuses, you can have symptoms like:
- Thick white, yellow or greenish discharge from the nose or drainage down the back of the throat
- Nasal obstruction or congestion
- Tenderness and swelling around the eyes, cheeks, nose and forehead
- A reduced sense of smell and taste
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Inhale Menthol And Camphor
Another inhaled odor that can help open up sinus passages is menthol, which is an ingredient in popular ointments that are used specifically to treat a stuffy nose. These ointments also contain eucalyptus oil and camphor, which combine with menthol to create a powerful scent that immediately relieves sinus pressure. This ointment can be rubbed on your chest and under your nose to deliver its soothing benefits. Unlike eucalyptus oil, this ointment should not be placed in the mouth.
Prevention Of Sinus Infection
A sinus infection is not exactly contagious. But depending on what caused a personâs inflammation, other people may also develop the illness. For example, the common cold and flu are both contagious conditions that can lead to a sinus infection.
Taking steps to reduce your risk of contracting viral infections can help prevent sinus infections. These include:
- Practice good hygiene, such as by washing your hands often and covering your mouth when you cough and sneeze
- Get the recommended vaccinations, such as the flu vaccine and pneumococcal vaccine
- Keep your distance from people who have upper respiratory infections
- Take steps to reduce your stress, which affects your immune system
- Keep your immune system healthy, such as by eating a healthy diet rich in fruits and vegetables
Other ways to reduce your risk of getting a sinus infection include:
- Dont smoke cigarettes and try to avoid inhaling secondhand smoke
- Minimize your exposure to allergens and pollutants, such as by keeping your home windows closed and using a HEPA air conditioner filter, driving with your external vents closed and air conditioner on, and avoiding activities that expose you to pollen like lawn mowing and leaf blowing
- Moisten the air at home with a humidifier and avoid dry environments
- Inhale steam or use a saline nasal spray regularly
- Drink lots of water
- Irrigate your nasal passages regularly
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What Is The Fastest Way To Get Rid Of Sinusitis
When you have a sinus infection, you often have to go through your day in pain and in a fog. Sinusitis, or infection of the sinuses, is incredibly common, but many people suffer through it rather than get it treated. At Asthma Allergy Centre in Tigard, McMinnville, or Beaver, OR, we use a variety of sinus management treatments to reduce the inflammation and immune response that are likely behind your sinus problems. Check out on how to get rid of sinusitis.
Rare Cases Can Turn Serious
Antibiotics also can help ward off rare but potentially dangerous complications that arise when a sinus infection spreads to the eyes or brain, Dr. Sindwani says.
Complications around the eyes are the more common of the two. These complications can cause redness, swelling around the eyes and reduced vision, and even lead to blindness in a severe form known as cavernous sinus thrombosis. Serious cases are immediately treated with IV antibiotics. Patients are usually admitted to the hospital for a CT scan to see if fluid needs to be drained, Dr. Sindwani says.
Also in rare cases, sinus infections in the rear center of ones head can spread into the brain. This can lead to life-threatening conditions like meningitis or brain abscess, Dr. Sindwani says.
Before antibiotics, people would die from sinusitis, he says. But he emphasizes that such complications are unlikely. In most cases, the bacterial infection goes away, especially if you dont have underlying medical problems.
Its important to monitor your symptoms if you suspect a sinus infection. If the condition lingers or worsens, call your doctor.
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Causes And Risk Factors Of Sinus Infection
The terms “sinus infection” and “sinusitis” are often used interchangeably, but sinusitis simply refers to the inflammation of the sinuses, with or without an infection. The medical term for sinusitis is rhinosinusitis because the illness affects the mucous membranes in both the sinuses and nose.
Sinus infections ultimately develop because of sinus and nasal blockages that result in sinus inflammation. There are several underlying causes of sinus blockage, including various environmental, anatomical, and genetic factors. But the most common cause of the blockage is inflammation or swelling of the nasal passages because of the common cold or allergies.
In healthy people, mucosal secretions are always moving and draining into the nasal cavity. But
when blockage occurs, mucus fails to drain properly, increases in thickness, and fills the sinus spaces.
The cilia also slow down their sweeping and cleaning, making it even harder for mucus to drain.
When the mucus is unable to drain, it becomes the perfect medium for microbes to grow out of control and cause an infection.
How Can You Tell If You Have An Acute Sinus Infection
Its tempting to label every nasal issue as a sinus infection, but thats not always the case. Common symptoms of acute sinusitis include:
- Headaches and sometimes, toothaches
- Fever
- Halitosis
Many people believe that green snot means you have a bacterial sinus infection, curable only with antibiotics. Not true. Sage-colored mucus is common with viral infections and allergies and can happen when snot sits in your face for a while before being expelled.
A trip to your doctor may be necessary if you have a bacterial infection, but it can often be difficult to distinguish between that and a viral infection. If your symptoms last longer than 10 days or improve before worsening again, call your HCP.
If you suddenly experience any of these symptoms, its a sign to seek medical attention immediately, even if theyve been present for fewer than seven days:
- Abrupt vision changes
- Continual high fever
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Is Your Sinus Infection Acute Or Chronic
A short-term sinus infection is often referred to as acute sinusitis. Most cases of acute sinusitis last about a week, but this type of short-term sinus infection can last up to four weeks. If you suffer from a sinus infection that lasts longer than 12 weeks despite treatment from your doctor, its considered chronic sinusitis.
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.
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When You Should See A Doctor
Sometimes, home remedies arent enough to relieve congestion, particularly if your symptoms are caused by another health condition.
In this case, medical treatment may be needed, especially if your condition is painful and interfering with your everyday activities.
If youve experienced any of the following, see your doctor right away:
- congestion lasting longer than 10 days
- congestion accompanied by a high fever lasting more than 3 days
- green nasal discharge along with sinus pain and fever
- a weakened immune system, asthma, or emphysema
You should also see your doctor right away if youve had a recent head injury and are now having bloody nasal discharge or a constant flow of clear discharge.
Is It A Sinus Infection Or Cold
It can be difficult to tell the difference between a sinus infection and a cold as the symptoms can be very similar. Sinus infections often develop after a cold.
Sinusitis tends to last longer than a cold. Cold symptoms tend to get steadily worse, peaking at 35 days, then gradually get better. Sinus infections may last 10 days or more.
Some symptoms are more likely to be caused by sinusitis than a cold, including:
- swelling of the tissue in the nose
- green discharge from the nose
- a swollen or tender face
Unlike a cold, sinusitis can become chronic, which means it lasts longer than eight weeks. Chronic sinusitis causes swelling and irritation in the sinuses and usually develops after a person has had acute sinusitis. Sometimes the symptoms go away and then come back again.
Ongoing sinus symptoms even if they get better and then come back may indicate chronic sinusitis.
Sinus infections often go away on their own without medical treatment. There are, however, some things a person can do at home to relieve the bothersome symptoms.
To treat sinusitis symptoms with home remedies , try:
Avoid using decongestants on a long-term basis without talking to a doctor first because they can make congestion worse if used for too long.
- symptoms last longer than 10 days with no improvement
- fever lasts longer than 3-4 days
- the pain is very intense
- a person with a suspected sinus infection has a drugs that suppress the immune system, or organ failure
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What Is A Common Cold
It’s an illness caused by many different kinds of viruses, which are tiny infectious particles.
You can’t miss the symptoms:
- Nasal congestion
- Fatigue
You may also get a cough and a mild fever. The symptoms usually build, peak, and slowly disappear. Some medications can ease symptoms. For example, may decrease drainage and open the nasal passages. Pain relievers may help with fever and headache. Cough medicine may help, as well.
Colds typically last from a few days to about a week or longer.
Sometimes, a cold may cause swelling in the sinuses, hollow spaces in your skull that are connected to each other. The swelling can prevent the flow of mucus.
This can lead to a sinus infection. If you have pain around your face and eyes — and thick yellow or green mucus for more than a week — see your doctor.
Sore Throat And Hoarse Voice
Postnasal drip can leave you with a raw and aching throat. Although it may start as an annoying tickle, it can get worse.
If your infection lasts for a few weeks or more, mucus can irritate and inflame your throat as it drips, resulting in a painful sore throat and hoarse voice. Frequent coughing and throat clearing can make a hoarse voice worse.
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