Symptoms of Sinusitis

Symptoms of Sinusitis

In most cases, a sinusitis (sinusitis) is preceded by a cold. This is often accompanied by a cold (rhinitis) and other typical cold symptoms. Cold symptoms are sometimes very similar to some symptoms of sinusitis; This makes a precise distinction difficult. The typical symptoms of cold and sinusitis are:

  • A runny nose and / or covered. The mucus can be purulent and of a different color (yellow-green).
  • A limited ability to smell. The sense of smell is often so affected that even food has a mild taste or loses all its flavor.
  • Fatigue and general weakness. In many cases, mild fever is added to the feeling of illness.
  • stabbing headache, especially when stooping
  • Pressure or throbbing pain in the area of ​​the sinuses
  • fever
  • Toothache or pain when eating
  • stuffy nose
  • Accumulation of secretions and mucus in the area of ​​the nose and throat
  • Sinusitis often occurs along with a cold, doctors talk in the case of rhinosinusitis.

Inflammation in the sinuses

On the other hand, inflammation of the paranasal sinuses is a case when pain and swelling are added to different areas of the face. The pain usually increases in the prevention of the head.

If the inflammation in the sinuses is pronounced, it leads to more typical sinusitis symptoms:

  • Secretion often flows through the throat.
  • Strong cough that intensifies while lying down.
  • Through the stuffy nose and the mucus protruding from the airways, sleep may be altered.

Although the intensity of perceived discomfort may vary from person to person, the symptoms of acute and chronic sinusitis are similar. In general, however, the symptoms of acute sinusitis are much more pronounced than those of chronic.

Symptoms of Sinusitis in children

In newborns, the sinuses are not fully developed. Therefore, in infants, sinusitis usually occurs only in ethmoid cells. An inflammation of the maxillary sinuses is usually possible from childhood.

Only in schoolchildren is inflammation more likely in all sinuses.

In children, pain is a rare symptom of acute sinusitis. In severe cases, facial swelling is more common than in adults. In younger patients, sinusitis is often accompanied by fever and purulent colds.

Since treatment in children differs from that of adults and depends largely on age, it is advisable to ask the child care doctor for advice.

The acute form of sinusitis usually occurs as a result of a cold with a cold. 0.5% of acute upper respiratory infections (= upper respiratory tract) lead to sinusitis; Each year, about 1-5% of adults in Europe are affected.
Once sinusitis persists for more than four weeks, it is called chronic, so it is more difficult to treat at the same time.

Acute sinusitis

The sinuses are air-filled spaces in the skull, which are connected through narrow passages with the nose. These include the antrum, ethmoidal cells, the frontal sinus and the sphenoid sinus. The maxillary sinus is the most commonly affected by acute sinusitis. If all breasts are affected, it is called pansinusitis.

Secretions and mucus form in the sinuses, which can normally drain through the ducts to the nose. However, if the courses are closed due to a cold or a swelling of other causes, nothing can flow. Then there is the danger of a bacterial or viral infection in the sinuses.

In 90% of cases, sinusitis is viral. Trigger viruses are mainly rhinos or influenza viruses. Bacterial triggers include streptococci, Haemophilus influenzae B, chlamydia and mycoplasma. Often, sinusitis is viral first, and only in the course of the disease do bacteria also colonize (bacterial superinfection).


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