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Dr. Leena Balachandar

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Dr. Leena Balachandar

Consultant - ENT

Manipal Hospitals, Varthur Road

Understanding Sinusitis: Causes, Symptoms, And Treatment Options

Posted On: Mar 26, 2024

blogs read 3 Min Read

Sinusitis treatment | sinusitis causes

Sinusitis is a very common condition affecting millions of individuals across the world. By definition, sinusitis means inflammation or swelling of the sinuses (air-filled spaces behind the forehead and around the nose). Discussed here are the causes, signs, and possible treatment options, to enhance the readers’ understanding of sinusitis and its management. 

 

Several Potential Causes may lead to Sinusitis, including:

  1. Infections - Viral and bacterial infections are the most common sinusitis causes. The common cold is often the cause of sinusitis due to viral infection. Whereas, bacterial infections can cause sinusitis following a viral infection or in individuals with weakened or compromised immunity.

  2. Allergies - In individuals with allergic rhinitis (hay fever), exposure to allergens such as pollen, pet dander, dust, and mites may irritate the mucosal and sinus linings and cause sinusitis.

  3. Structural Anomalies - Structural anomalies within the nasal passages such as deviated nasal septum, nasal polyps, etc., may restrict health drainage and cause recurrent sinusitis.

Sinusitis symptoms can include a variety of signs and symptoms, such as:

  1. Discomfort and Pressure in the Face: Patients frequently complain of discomfort and pressure in their cheeks, forehead, and areas between their eyes. This discomfort may worsen when bending forward or lying down.

  2. Nasal Congestion:  A blocked or stuffy nose is a common symptom of sinusitis. Patients may find it difficult to breathe through their nose and may have a reduced sense of smell.

  3. Nasal Discharge: Thick, yellow, or green nasal discharge may be present, indicating the presence of infection.

  4. Headache: Sinus headaches are characterised by pain typically localised in the forehead region and worsens with movement or changes in atmospheric pressure.

  5. Cough and Sore Throat:  Sinus drainage can irritate the throat, leading to a persistent cough or sore throat.

The severity of the symptoms and the underlying cause of the sinusitis will determine the best course of sinusitis treatment. Here are a few typical methods:

  1. Self-Care Measures: Mild cases of sinusitis are often manageable at home. Measures may include nasal saline irrigation using a neti pot or saline spray, staying hydrated, applying warm compresses to the face, and using over-the-counter pain relievers or decongestants.

  2. Medications: Your healthcare provider may prescribe antibiotics if the infection is bacterial. For allergic sinusitis, antihistamines, nasal corticosteroids, or allergy shots may be recommended to reduce inflammation and manage symptoms.

  3. Balloon Sinuplasty: In cases of chronic sinusitis or when medications fail to provide relief, a minimally invasive procedure called balloon sinuplasty may be considered. It involves inserting a small balloon into the sinuses and inflating it to widen the nasal passages and improve drainage.

  4. Surgical Intervention: Correction of structural anomalies such as deviated nasal septum and surgical removal of nasal polyps may help enhance sinus outflow and prevent recurrent sinusitis. The treatment for chronic or recurrent sinusitis is functional endoscopic sinus surgery (FESS).

Sinusitis can be very uncomfortable and degrade a person's quality of life. Patients can collaborate with their healthcare providers to create a successful management plan by comprehending the reasons, identifying the symptoms, and researching the various therapy alternatives. Consulting an ENT professional for a precise diagnosis and personalised treatment plan can help alleviate sinusitis symptoms and provide relief with the best results.

FAQ's

No. The common cold is a viral infection, whereas sinusitis is swelling or inflammation of the sinuses and can be caused by bacterial or viral infections, allergic reactions, and structural anomalies of the nasal passages.

The symptoms of the common cold aggravate by the third or fourth day and then begin to subside over the week. But, sinusitis symptoms stick around for a longer duration, usually more than 10 days. 

In the common cold typically the mucous is clear whereas sinusitis produces thick yellow or green mucous.

Yes, children can get sinusitis. While affected with sinusitis, children present with a cold usually lasting more than ten days, fever, yellow-green nasal discharge, sore throat, cough, swelling around the eyes, bad breath, nausea or vomiting, and generalised fatigue.

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