Sinusitis is an inflammation or infection of the sinuses, which are air-filled cavities located behind the cheekbones, forehead, and nose. It can be acute (short-term) or chronic (lasting 12 weeks or more). Often, it’s triggered by a cold, allergies, or nasal polyps.
Common Symptoms:
- Facial pain, pressure, or fullness (especially around the eyes, nose, and forehead).
- Nasal congestion or stuffiness.
- Thick, discolored nasal discharge.
- Postnasal drip (mucus dripping down the back of the throat).
- Reduced sense of smell or taste.
- Cough, sore throat, fatigue, fever.
Diagnosis:
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Medical History & Physical Exam:
Discussion of symptoms and examination of the nasal passages and throat.
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Nasal Endoscopy:
A thin, flexible tube with a camera is used to view the inside of the sinuses.
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Imaging (CT Scan):
Provides detailed images of the sinuses to identify inflammation, blockages, or structural issues.
Care & Treatment:
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Symptomatic Relief:
1.Nasal Saline Rinses: Help clear mucus and reduce inflammation.
2.Steam Inhalation: Loosens mucus.
3.Pain Relievers: Over-the-counter medications like ibuprofen or acetaminophen.
4.Decongestants: Oral or nasal sprays (use nasal sprays cautiously to avoid rebound congestion). -
Medications:
1.Nasal Corticosteroids: Reduce inflammation in the sinuses.
2.Antibiotics: Prescribed for bacterial sinusitis.
3.Antihistamines: If allergies are a contributing factor. -
Imaging (CT Scan):
Provides detailed images of the sinuses to identify inflammation, blockages, or structural issues.
Surgery (Functional Endoscopic Sinus Surgery - FESS):
For chronic sinusitis that doesn’t respond to other treatments, to open blocked sinus passages and improve drainage.
Interconnections and Integrated Care:
Allergies can trigger asthma attacks and lead to chronic sinus inflammation. Similarly, poorly controlled asthma can exacerbate sinus issues. Therefore, effective care often involves:
- Identifying and managing triggers common to all three conditions.
- Coordinating treatment plans to ensure medications for one condition don’t negatively impact another.
- Holistic management that addresses underlying inflammation and immune responses.
Regular consultation with healthcare professionals, including allergists, pulmonologists, and ENTs (Ear, Nose, and Throat specialists), is crucial for accurate diagnosis and effective, integrated management of these often complex and interrelated conditions.
