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How to treat sinusitis | NHS

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How to Treat Sinusitis

Understanding Sinusitis

Sinusitis, commonly known as a sinus infection, is inflammation or swelling of the tissue lining the sinuses. The sinuses are small, air-filled cavities behind your cheekbones and forehead. Normally, they produce mucus, which drains into the nose. When sinuses become blocked and filled with fluid, bacteria can grow and cause an infection.

Initial Home Treatments

For many, sinusitis can be managed at home with a few simple remedies: - **Rest:** Ensure you get plenty of rest to help your body fight the infection. - **Hydration:** Drink plenty of fluids to thin the mucus. - **Steam Inhalation:** Inhale steam from a bowl of hot water or take a hot shower to help unblock sinuses. - **Warm Compress:** Apply warm packs to your face to ease pain and help mucus drain. - **Saline Nasal Spray:** Use saline sprays from your local pharmacy to rinse your nasal passages and reduce congestion.

Over-the-Counter Medications

Pharmacists can recommend over-the-counter medications to alleviate symptoms: - **Pain Relief:** Ibuprofen or paracetamol can help reduce pain and fever. - **Decongestants:** Nasal or oral decongestants can relieve congestion, but shouldn't be used for more than a few days. - **Antihistamines:** If allergies are triggering sinusitis, antihistamines can help.

When to See Your GP

If symptoms persist for more than a week, or if they are severe, it is recommended to see your GP. You should also see your GP if you experience: - Severe facial pain or tenderness. - Swelling around your eyes. - A high fever (above 38C). - Symptoms that are getting worse.

Medical Treatments

Your GP may recommend: - **Antibiotics:** If a bacterial infection is suspected, antibiotics may be prescribed. - **Steroid Sprays:** In cases of persistent inflammation, they may prescribe nasal corticosteroids. - **Surgery:** In rare cases, if other treatments fail, referral to an ENT specialist for surgery might be needed.

Preventing Sinusitis

To reduce the risk of sinusitis: - **Avoid Allergens:** Identify and avoid triggers that can cause allergies. - **Good Hygiene:** Wash your hands frequently to prevent infections. - **Humidify Air:** Use a humidifier in your home to keep air moist. - **Avoid Smoke:** Smoke can irritate the sinuses, so avoid smoking and secondhand smoke.

Conclusion

While sinusitis can be uncomfortable, understanding how to manage and treat the condition can significantly alleviate symptoms. If home remedies and over-the-counter treatments do not work, it is important to seek medical advice to avoid complications. Stay proactive with preventative measures to reduce the risk of sinusitis in the future. For more information, visit the NHS website or consult your GP.

Frequently Asked Questions

What is sinusitis?

Sinusitis is an inflammation or swelling of the tissues lining the sinuses, often caused by an infection, allergies, or irritation from pollutants.

What are the common symptoms of sinusitis?

Common symptoms of sinusitis include a blocked or runny nose, facial pain or pressure, a reduced sense of smell, and a headache.

How is sinusitis diagnosed?

Sinusitis is usually diagnosed based on your symptoms and a physical examination. Your GP may check your nose, throat, and sinuses for inflammation or signs of infection.

Can sinusitis get better on its own?

Yes, in many cases, acute sinusitis improves on its own within two to three weeks without the need for medical treatment.

When should I see a GP for sinusitis?

You should see a GP if your symptoms are severe, do not improve within a week, or keep coming back, as it could be a sign of a more serious problem.

What treatments are available for sinusitis?

Treatment options include self-care measures, over-the-counter pain relief, nasal sprays, and decongestants. In some cases, your GP may prescribe antibiotics or corticosteroids.

Are antibiotics necessary for treating sinusitis?

Antibiotics are not usually necessary for acute sinusitis unless there is a bacterial infection. Most sinusitis cases are viral and do not require antibiotics.

Can I use nasal sprays to relieve sinusitis symptoms?

Yes, saline nasal sprays or drops can help relieve congestion and unblock your nasal passages. Decongestant sprays should not be used for more than a week as they can cause rebound congestion.

How can I relieve sinusitis pain at home?

Home remedies include applying a warm compress to your face, inhaling steam, staying hydrated, using a humidifier, and taking over-the-counter painkillers like paracetamol or ibuprofen.

Can sinusitis cause complications?

While rare, complications such as a spread of the infection to the eyes, bones, or brain can occur. Chronic sinusitis may also lead to ongoing discomfort.

What is chronic sinusitis?

Chronic sinusitis occurs when symptoms last for more than 12 weeks despite treatment. It can be caused by infections, nasal growths, or a deviated nasal septum.

Can allergies cause sinusitis?

Yes, allergies can lead to sinus inflammation and increase the likelihood of sinusitis. Managing your allergies can reduce the risk of sinusitis.

Is surgery ever required to treat sinusitis?

In some chronic or severe cases, surgery may be necessary to unblock the sinuses. This is usually considered when other treatments have not been effective.

How can I prevent sinusitis?

Preventing sinusitis involves avoiding upper respiratory infections, managing allergies, staying hydrated, using a humidifier, and avoiding smoking or pollutants.

Is it safe to fly with sinusitis?

Flying with sinusitis can be uncomfortable due to changes in cabin pressure. It's advisable to use a decongestant spray before the flight and stay hydrated to ease discomfort.

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