Chronic Sinusitis

Chronic Sinusitis

Sinusitis is an inflammation that causes pain, pressure and swelling in the sinuses. Chronic sinusitis is sinusitis that lasts a long time, usually more than 12 weeks.

Unlike acute sinusitis, which is often due to sinus infection, chronic sinusitis is usually not caused by bacteria and does not always improve with standard treatment, such as antibiotics.

Chronic sinusitis is sometimes called chronic rhinosinusitis.

Facts about chronic sinusitis:

  • Treatment for chronic sinusitis depends on the underlying cause.
  • People with allergies and asthma may be more vulnerable to chronic sinusitis.
  • Some home remedies can prevent chronic sinusitis or prevent it from getting worse.

Chronic Sinusitis Symptoms

  • Man with headache and sinus sinus pain.
  • Sinusitis can cause a number of symptoms, including painful or uncomfortable pressure along the sides of the nose and a feeling of congestion.
  • The breasts are moist and hollow spaces behind the bones of the face. They usually drain through the nose.
  • When the breasts cannot drain, due to problems such as an infection that blocks the nose, swelling, irritation or an allergic reaction, mucus and other fluids, including pus, get trapped in the sinuses.
  • This can cause the sinuses to swell and become irritated or infected. This inflammation is called sinusitis.
  • Acute sinusitis is usually due to a common cold or a mild infection and usually goes away in 10 days. Some people with acute sinusitis develop an infection that requires antibiotics.

It usually persists for more than 10 days, but the symptoms are the same. Those include:

  • Pain and pressure on the eyes, on the sides of the nose and behind the cheeks.
  • Green or yellow mucosa that drains through the nose
  • Feel congested
  • Pain in the nose or throat
  • Fever
  • Trouble sleeping due to congestion
  • Frequent sneezing

Chronic Sinusitis Treatment

Doctors now believe that chronic sinusitis can be an inflammatory disorder similar to asthma and allergies. Some treatment options include:

  • Antibiotics: Although doctors still do not agree with the role of antibiotics as a treatment for chronic sinusitis, some people may consider that amoxicillin with potassium clavulanate may help. Sometimes doctors may prescribe other antibiotics.
  • Nasal corticosteroids: These steroid medications can help the body heal, reduce inflammation and relieve symptoms. Some people experience side effects with steroids, so it is essential to talk with a doctor about the benefits and risks.
  • Surgery: Some people with chronic sinusitis may need surgery to clean their sinuses. This can sometimes be achieved with a balloon dilation, which is carried out in the doctor’s office. If this is unsuccessful, it may be necessary to remove the sinuses.
  • Nasal Irrigation: This is a non-prescription treatment to clean the sinuses. Saline sprays, net containers and other devices that clean the sinuses with water can help eliminate any infection and reduce irritation.

Chronic Sinusitis Causes

  • Person using a lighter to smoke cigarettes.
  • Exposure to irritants, such as secondhand smoke, can cause chronic sinusitis.
  • An obstruction that prevents the breasts from draining: this may be due to damage to the nose or face, nasal polyps and tumors, or due to a chronic infection. People with a deviated septum are more likely to develop chronic sinusitis.
  • An unusual infection: many infections in the sinuses disappear with traditional antibiotics. However, some infections, such as fungal infections and antibiotic resistant infections, do not go away with conventional antibiotic treatment.
  • Biofilms: a biofilm is a colony of bacteria that creates a thick film similar to plaque on teeth. Biofilms are difficult to remove, but strategies that clean the sinuses, which include nasal irrigation and surgery, can help.
  • Exposure to irritants and allergens: people with allergies and asthma are more likely to develop chronic sinusitis because these conditions can increase pressure and irritation in the nasal passages and sinuses. People with allergies and asthma can react to secondhand smoke, nasal allergens, dust particles, air pollution and other sources of irritation.
  • Immune system problems: diseases that weaken the immune system make it harder for the body to fight infections and inflammation. People with cystic fibrosis may be especially vulnerable to chronic sinusitis. Immune system diseases, such as HIV, can also be a culprit.


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