Sinusitis

 

Introduction

Sinusitis is infection or inflammation of the lining of the sinus cavities. These are hollow spaces in your cheeks and around your eyes. Sinus infections often follow a cold and cause pain and pressure in your head and face.

Sinusitis can be either acute or chronic. With chronic sinusitis, the infection does not ever go away completely. You always have some symptoms.

 

Causes

Sinusitis can be caused by:

• Viruses
• Bacteria
• Fungi

The same viruses that cause the common cold cause most cases of sinusitis.

When the lining of the sinus cavities gets inflamed from a viral infection like a cold, it swells. This is viral sinusitis. The swelling can block the normal drainage of fluid from the sinuses into the nose and throat.

If the fluid cannot drain and builds up over time, bacteria or fungi may start to grow in it. These bacterial or fungal infections can cause more swelling and pain.

Nasal allergies or other problems that block the nasal passages and allow fluid to build up in the sinuses can also lead to sinusitis.

 

 

Symptoms

The main symptoms of sinusitis are a runny or stuffy nose and pain and pressure in your head and face. You may also have a yellow or green drainage or drip from your nose or down the back of your throat.

Other common symptoms of sinusitis may include:

• Headache
• Bad breath
• Cough that produces mucus
• Fever
• Pain in your teeth
• Reduced sense of taste or smell

 

 

Diagnosis

Your doctor can tell if you have sinusitis by asking questions about your past health and doing a physical exam. You probably will not need any other tests.

 

Treatment

Viral sinus infections usually go away on their own within ten to fourteen days. Antibiotics do not work for viral infections. But there are some things you can do at home to help relieve your symptoms:

• Drink plenty of fluids.
  
• Try a pain relievers and decongestant pills to help relieve the pain and pressure in your head and face.
  
• Put a hot, damp towel or gel pack on your face for five to ten minutes at a time, several times a day.
  
• Breathe warm, moist air from a steamy shower, a hot bath, or a sink filled with hot water.
  
• Use saltwater nose drops to help keep the nasal passages open and wash out mucus and bacteria.
  
  

 

Home Treatment

Home treatments may help drain mucus from the sinuses and prevent a more serious bacterial or fungal infection.

Bacterial infections can be treated with antibiotics. You may need to take the medicine for a longer time if you have chronic sinusitis.

If you have a fungal infection-which is not common-antibiotics will not clear up your sinusitis. With this type of infection, you may need treatment with antifungal medicines, steroid medicines, or surgery.

If you have taken antibiotics and other medicines for a long time but still have sinusitis symptoms, you may need surgery. You may also need surgery if the infection is likely to spread or if you have other problems, such as a growth blocking the nasal passage.

 

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