Sinusitis - Health Center


By Refadoc, Posted on : Saturday, 03 October 2015 - 8:05 am IST

Acute Sinusitis which is also known as acute rhino sinusitis is a condition in which there is a development of cavities around the nasal passages, which leads them to become inflamed and swollen. Due to this condition, there is a great interference with the drainage and it leads to the build up of the mucous. It becomes increasingly difficult to breathe with this condition and it leads to the swelling around the eyes and the face of the affected person. 

One of the major reasons for


is common cold which is triggered due to allergies, bacterial as well as fungal infections. Persistence of this condition can cause serious infections and other medical complications.


Causes of Sinusitis

The mucous membranes of the nose, sinuses as well as the throat tends to become inflamed due to Sinusitis. Due to this swelling, the openings of the sinus become obstructed and this leads to the blockage in the draining of the mucous, leading to the facial pain as well as other problems.

Due to the blockage of the sinus, the chances of the infection increase drastically and the infection can lead to the formation of the pus along with a yellowish-green discharge from the affected region.


The reasons for the occurrence of Acute Sinusitis are as follows:

  • Viral Infections: These are the reason for the occurrence in most of the cases.
  • Bacterial Infections: When the infection in the upper respiratory tract exceeds a period of seven to ten days, it is caused due to the bacterial infections.
  • Fungal Infections: In case a person is suffering from sinus abnormalities or the weakening of the immune system, a fungal infection is the reason behind it.
  • Allergies: Inflammations due to allergies such as hay fever can also be the reason for the blocking of the nasal passages.
  • Nasal Polyps: These are the growth of the tissues which block the nasal passages.
  • Deviation of the nasal septum: A crooked septum can restrict the nasal passage.
  • Tooth Infection: Few cases of Sinusitis are caused due to a tooth infection.


Signs and Symptoms of Sinusitis

Some of the major signs and symptoms of Sinusitis are as follows:

  • Draining of a yellowish-green discharge from the nasal passage.
  • Obstruction and congestion in the nasal passages, leading to difficulty in breathing
  • Tenderness, pain and swelling around the eyes, cheeks and nose
  • Reduced sense of smell and taste
  • Worsening cough at night time
  • Ear ache
  • Head ache
  • Bad breath
  • Fever
  • Fatigue


Tests and Diagnosis of Sinusitis

There are several methods for the diagnosis of Sinusitis:

  • Physical Exams: Doctors look for the tenderness around the nose and the throat areas. With an examination of the inside of the nasal passages, the doctors can look for the inflammation as well as the deposit of the fluid.
  • Nasal Endoscopy: In this, an endoscope is used for the visual inspection of the inside of the sinuses of the affected person.
  • Imaging Studies: These are done with the help of the CT scan or the MRI Scans in order to see the details of the sinuses and the nasal areas.
  • Nasal Cultures: In these, lab tests are required for the determination of the acute sinuses. A nasal sinus culture is allowed to grow in order to look for the real cause of the disease, such as a bacterial infection.


Treatments and Drugs for Sinusitis

In most of the cases, the treatments are not required as the causative agent is a viral infection which is caused due to common cold.

However, some of the major ways to relieve Sinusitis are as follows:

  • Nasal Sprays: These are used several times a day in order to rinse the nasal passages.
  • Nasal Corticosteroids: These are used in order to prevent the inflammation. Fluticasone, Mometasone and Budesonide are some of the most popular Nasal Corticosteroids.
  • Decongestants: These are available over the counter and include Sudafed, Actifed and Drixoral. These are taken after every few days in order to get rid of the congestion.
  • Antibiotics: These are used in order to get rid of the viral or the fungal infections. It is basically used when the infection is severe and very persistent.
  • Antifungal Medications: These are used to curb the chances of a fungal infection and are used based on the severity of the infections.
  • Immunotherapy: In this, allergy shots are given to the person in order to reduce the reaction of the body towards the allergens which have caused the infection.

For the most effective treatment, it is recommended to visit Ear Nose Throat (ENT) Specialists

  • Ent, Otolaryngologist
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