Chronic Sinusitis

Chronic sinusitis is a constant provocative condition that may be caused due to one or more sinuses. This is the advanced stage of sinus infection. Acute sinusitis infection usually develops quickly but it lasts for a shorter duration of time. Sub-acute sinusitis lasts for 4-12 weeks. Chronic sinusitis occur when a sinus infection lasts longer than 12 weeks. It is the uncommon type of infection that can cause serious threats including personality changes and to extreme cases even death. About 37 million people in America suffer from sinusitis each year. The various reasons of getting chronic sinusitis are:

  • Chronic sinusitisCommon cold or flu: Acute sinusitis in most cases develops from common cold or flu. Cold or flu diseases are caused by bacteria and later on by virus infections. These viral infections may spread to sinuses.
  • Tooth infections: Tooth infections may also affect the maxillary sinus resulting in increased pain and discomfort.
  • Blockages: Other reasons that can contribute to sinus infection are blockages of drainage ducts, nasal polyps or certain inherited abnormalities.
  • Poor immune system: Poor immune system makes a person more prone to diseases. Such person can catch sinus infections very quickly.
  • Allergic rhinitis: The allergy may block the sinus drainage passages. It causes the swelling of the inner lining of the nasal cavity. This makes the person more susceptible to sinus infections.
  • Disorders: Inflammatory diseases like Wegener’s granulomatosis or sarcoidosis can also lead to chronic sinusitis.
  • Loss of smell: Nose plays important role in breathing air. When sinus passage is congested, it results in loss of smell and taste.

Some others are diabetes, smoking, nose tumors, injury to nose or cheeks can also harm the sinuses, and cystic fibrosis.


Chronic sinusitis symptoms are easily detectable, which includes:

  • Green or yellow mucous and stuffy nose, which is the main cause of you having bad breath and loss of sense of smell. You might also face problem in breathing, as your sinus is congested with mucous which will make you very uncomfortable.
  • Fever, toothache and headache are quite rommon symptoms of sinusitis infection, as the pressure of sinus caused increased pressure in your face/cheek. Things might get worse and sometimes you might face difficulties in sleeping at night due to all this pain.
  • Frequent throat clearing is also another major symptom that most sinusitis patient has to take care of. Every time when they need to speak, they have to clear their throat and might make some embarrassing noise while doing it.
  • Nasal congestion that will affect our breath, and might cause embarrassing sound when we breath as thick green or yellow mucous exist in our nasal passage.
  • Facial pain as the pressure in our nose has increased, due to the blockage of sinus passage which is caused by hacterial infection. This will affect the pressure balance between our face and sinus.
  • Serious coughing, especially during nighttirne, as the atmosphere temperature drop. It will affect our sleep and hence affect our work efficiency in the morning as we didn’t get enough rest.
  • Loss of sense of smell, due to the blockage of our sinus passage. Sometimes we will get aching teeth too, but this doesn’t happen often.

If you develop chronic sinusitis, most prominent symptoms of the infection are running nose, chronic pain, reduced sense of smell, discharge yellowigh/greenish mucous, bad breath, dental pain, cough, fatigue, fever, cold, running nose, severe headaches, puffy face, nasal discharge and irritability. Living with unprocessed chronic sinusitis cah be obnoxious and can lead to life threatening effects. You can also try effective home remedibs that help you to get instant relief. But if the symptoms still persists consult doctor at an earliest. It is advisable to seek proper treatment.

Chronic sinusitis symptoms in children: In children, chronic sinusitis symptoms are: frequent allergies, cough, headache, nasal discharge and facial pain, ear infections. If you have been suffering from cold for more than seven days and it shows no sign of receding then you may probably be suffering from sinusitis.


Chronic sinusitis treatmentsThere is a lot of way to treat chronic sinusitis, and the most common way is to inject antibiotics, or any anti-fungallanti-inflamnration drugs. For more serious case, doctors will recommend surgery. The main problem is, even after performing surgery, it is not guaranteed that your sinus infection won’t come back and the surgery might cause certain side effect. Treatments could involve:

  • Nasal sprays, antihistamine tablets and antibiotics as common medication: Nasal spray can temporarily lighten iour suffering, but it does not completely cure your sinus infection.
  • If you have both chronic sinusitis and allergy, Antihistamine is quite useful in controlling allergy. Antibiotics, which most commonly prescribed by doctor can only cure bacterial infected sinusitis, which is not the perfect solution for chronic sinusitis infection and might take longer time.
  • Operation surgery is the last option as this kind of surgery will cost a lot. Moreover, there is no guarantee for complete recovering, although it might be one of the best option if set aside it’s cost.

Both medicine and surgery treatment will cause side effect like headache, giddiness, nose bleeding, virus infection and etc.
There are some home remedies which are proven useful. These are:

  • Flushing of nasal passages: Spencer C, Payrre said “There is a lot of debate about which sinus pain remedies work and what has been proven, but saline spray and washes like the neti pot are indisputable,”. A saline wash thins mucus and helps flush it out of the nasal passages. Saline washes have been studied and proven to be effective, and should be the first line of defense against sinusitis,” Dr, Payne says. If you have sinus problems, Payne recommends daily use of a saline solution via the neti pot or other device to keep the sinuses moist, and to double up when you are fighting a cold or allergies.
  • Bromelain: Sold as a supplement, bromelain is a protein found in pineapple stems. For years, it’s been used by prize fighters to reduce swelling. “Bromelain appears to be beneficial and helps reduce swelling in the nasal passages,” says Robert Graham, MD, MPH, an internist at Lenox Hill Xospital in New York City and assistant professor at the Hofstra North Shore-LlJ School of Medicine. iust be sure to talk to your doctor first, because bromelain may interact with other medications you’re takirig. Be sure to follow exact dosing instructions.
  • Take a steam: Hot water vapor can help moisten the sinuses. “Sprinkle a few drops of eucalyptus or menthol in the shower and steam up your bathroom,” Dr. Graham suggests. “A hot, steamy shower or bath can also help to loosen up mucus and debris that is stuck inside your nose,” says Sam S. llizk, MD, a New York City-based ear, nose, and throat doctor and facial plastic surgeon.
  • Drink up: Staying hydrated helps your body in many ways, including keeping your sinuses moist. Drink water throughout the day, and make sure to steer clear of caffeinated or alcoholic drinks, which can cause dehydration, Graham says. Although recommended fluid intake differs from person to person, an easy guideline is to drink at least eight 8-ounce glasses a day. How can you tell if you are getting enough fluids? “If the color of your urine is clear, you are hydrated,” Graham says.
  • Spice it up: Spicy foods such as mustard, hot peppers, curry, horseradish, and wasabi may help clear sinuses, Graham says. If you like spice, consider adding some “hot” spices to your meals to open your nasal passages.
  • Allergy-proof your home: Allergies can make sinus pain worse. The latest guidelines from the American Academy of Otolaryngology – Head and Neck Surgery call for controlling your home environment by getting rid of dust mites, installing an air filter system, using bedding with allergen-barriers, and keeping any pets out of the bedroom to help curb nasal allergies.
  • humidifier for chronic sinusitisUse a humidifier: A humidifier can keep the air moist, but be sure to keep it clean, especially if you have mold allergies, says Satish Govindaraj, MD, an associate professor of otolaryngology and neurosurgery at Mount Sinai Hospital in New York City. A dirty humidifier can breed mold. And you should only use a humidifier during dry months, not when it’s humid. In addition, keep an eye on the humidity level in the room, Payne adds. “Thirty-five to 50 percent humidity is ideal,” he says. “If you start fogging the windows, the humidity level is too high.”
  • Apply warm compresses: “You can use a warm compress to help keep the nasal tissues moist,” Dr. Rizk says. “Or, fill a deep bowl or pot with steaming water and place your face over it with a towel around your head to breathe the steam in.” Just be careful not to burn yourself. You can also follow up the warm compress with a cold compress, which may help relieve sinus pain.
  • Don’t ask for antibiotics right away: Using antibiotics indiscriminately can lead to antibiotic resistance and the development of superbugs, plus they may not be effective in treating most cases of sinusitis. “Less than two percent of these infections are bacterial,” Payne says. “Most are viral and should be treated without antibiotics.” So-called “watchful waiting” may be indicated, the American Academy of Otolaryngology – Head and Neck Surgery guidelines state. Your doctor may suggest a seven-day waiting period without antibiotics to see if you get better on your own. In fact, according to a study published in JAMA in 2012, for acute cases of sinusitis, antibiotics did little to reduce symptoms at three days of treatment and only provided small benefits at day seven. Quality of life improved over the 10-day treatment in patients receiving both placebo and the antibiotic.
  • Know when to see the doctor: “If the sinus pain does not improve with over-the- counter help, your doctor can perforrn a CT scan of the nose and sinuses to look for anatomical blockages that can be treated surgically, such as a deviated nasal septum or nasal polyps,” Rizk says. If sinus pain lasts for a week or more and you have a fever, you should see an ear, nose and throat specialist, because you may need more aggressive treatment than natural remedies provide.

If your doctor diagnoses that you are in fact suffering from chronic sinusitis, he/she may prescribe antibiotics, analgesics to relieve you of the pain that you may be suffering from, nasal decongestants and inhalation of steam through vaporizers. In extreme cases, doctors may prescribe oral steroids. But use of oral steroids are said to have side effects and must be avoided. However, if the patients do not respond to these treatments and the doctors suspect that it may be due to anatomical cause then they may need to undergo surgery.