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Sinusitis



NHS Choices Syndication

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Sinusitis

Causes of sinusitis

There are a number of ways your sinuses can become inflamed and blocked, but the most common cause is a viral infection.

Infections

The most common viral infections that lead to sinusitis are cold and flu infections. These viruses can spread to the sinuses from the upper airways.

If a secondary bacterial infection develops, thick yellow or green mucus will be produced and your sinuses will become inflamed and swollen.

An infected tooth can also sometimes lead to a sinus infection. 

Increased risk

There are a number of factors that can make your sinuses more vulnerable to infection. These include:

  • irritants – air pollution, smoke and chemicals, such as pesticides, disinfectants and household detergents
  • allergies such as allergic rhinitis, asthma and hayfever
  • narrow nasal passages – this may be caused by a facial injury or nasal polyps (growths) inside the nose; if mucus builds up behind the narrowed areas it can lead to a sinus infection
  • cystic fibrosis – a genetic condition where thick, sticky mucus builds up within the body, increasing the risk of infection  

Published Date
2013-10-18 09:01:04Z
Last Review Date
2013-07-08 00:00:00Z
Next Review Date
2015-07-08 00:00:00Z
Classification
Allergies,Infections,Nose,Sinusitis

Sinusitis – NHS Choices

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Sinusitis 

Introduction 

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Types of sinusitis

Sinusitis can sometimes develop quickly (over a period of a few days). It can develop after a cold or the flu. This type of sinusitis usually clears up within 12 weeks.

Sinusitis that lasts for more than 12 weeks is known as chronic sinusitis. It’s less common but can sometimes last for many months.

Read more about the types of sinusitis and their symptoms.

Sinusitis is inflammation of the lining of the sinuses, caused by a viral or bacterial infection.

The sinuses are small, air-filled cavities behind your cheekbones and forehead (see below). 

The main symptoms of sinusitis are:

  • a blocked or runny nose
  • facial pain and tenderness
  • a high temperature (fever) of 38°C (100.4°F) or more
  • a sinus headache

Read more about the symptoms of sinusitis.

Sinusitis is a common condition that can affect people of any age.

The sinuses

You have four pairs of sinuses in your head. There are pairs of sinuses:

  • behind your forehead
  • either side of the bridge of your nose
  • behind your eyes
  • behind your cheekbones

Your sinuses open up into the cavity of your nose and help control the temperature and water content of the air reaching your lungs. 

The mucus that’s naturally produced by your sinuses usually drains into your nose through small channels. These channels can become blocked when the sinuses are infected and inflamed.

The sinuses behind the cheekbones (the largest ones) are most commonly affected.

What causes sinusitis?

A viral infection is the most common cause of sinusitis. It’s usually the result of a cold or flu virus that spreads to the sinuses from the upper airways.

Following a cold or flu, a secondary bacterial infection can sometimes develop, causing the membranes that line the inside of the sinuses to become inflamed.

An infected tooth can also sometimes cause the sinuses to become infected.

Read more about the causes of sinusitis.

Diagnosing sinusitis

Your GP will usually be able to diagnose sinusitis from your symptoms (a blocked or runny nose with facial pain).

If you have severe or recurring sinusitis, your GP may refer you to an ear, nose and throat (ENT) specialist who will try to determine the underlying cause.

The specialist may use a piece of equipment called a nasal endoscope to examine the lining of your nose and sinus openings.

An imaging test, such as a computerised tomography (CT) scan, may also be used to find out what’s causing your sinusitis.

Treating sinusitis

Around two thirds of people with sinusitis don’t need to see their GP. In most cases, the viral infection clears up by itself.

Sinusitis takes about two-and-a-half weeks to clear up (longer than a cold). If you have mild sinusitis, over-the-counter painkillers and decongestants will help relieve your symptoms.

See your GP if your symptoms don’t improve after seven days, if they’re getting worse, or if your sinusitis keeps coming back. In such cases, antibiotics or a steroid spray or drops may be prescribed.

In cases of very severe sinusitis, surgery may be needed to improve the drainage and function of your sinuses. However, surgery will usually only be recommended if all other treatment options have failed. 

Read more about treating sinusitis.

Complications of sinusitis

Complications of sinusitis are fairly uncommon, but when they occur they tend to affect children more than adults.

If your child has had sinusitis and their eyelid or cheekbone is swollen, they may have a bacterial skin or tissue infection (cellulitis).

Take your child to see your GP if you notice these symptoms. Your child may be referred to an ENT specialist.

In severe cases of sinusitis, antibiotics are often used to control the spread of infection to nearby bone.

However, in very rare cases (about 1 in 10,000), the infection spreads to nearby bone, or the area around the eye, or to the blood or the brain.

Page last reviewed: 09/07/2013

Next review due: 09/07/2015

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Comments

The 33 comments posted are personal views. Any information they give has not been checked and may not be accurate.

chichij6n4 said on 06 October 2014

I had chronic sinusitis for 8 years following a severe case of pneumonia and MRS in my lungs. The best way to explain it is to say I had a constant headache for every single day for 8 years straight. The only way to subside the pain for a few hours would be to take Excedrine Migraine and I had to take at least 6 a day. If I didn’t have those I could take BC”S or Goody powders and they would help some but the pounding was still there. We’ll finally after years of complaining about the same thing, I had an MRI bran scan which then lead to surgery. Both if my sinuses were completely blocked and full of mucous and bone. About 2 weeks after the surgery I remember how good it felt to wake up w/o a headache. It was amazing although I couldn’t believe these Dr’s let it go on for so long. I had the surgery performed April 9 2013 and the headaches slowly began to come back 9 months later. Although they’re coming back I would definitely recommend the surgery. To not have to worry with “oh gosh, we’re are my pills, or to say, “I’ve got a headache”, and to stop hearing the term, “girl you are a headache” it’s a good feeling 🙂

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PieFaceRecords said on 06 September 2014

@User899912

I’m afraid there is little you can do on a personal level.
If your GP won’t do as you as I suggest you change GP’s.
That’s what I nearly did till a new GP who actually listened came to our surgery.
Don’t be fobbed off!, keep pushing for that ENT appointment. You will get it.

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User899912 said on 30 August 2014

In January 2014 I got a heavy cold which has turned into chronic rhino-Sinusitis for which I am on a steroid nasal spray and fexofenadine (i have had three rounds of antibiotics).

I am lucky in the sense that I dont have a runny nose but get horrible fatigue and also immense pressure in my sinuses and head.

I have asked for a ENT referral several times however so far my GP (i have seen three of them) think it will clear up.

I have been given some verapamil for the headaches but the sinus pressure is still their.

Since January its been a nightmare and I dont understand why my GP is reluctant for to give me an ENT referral.

I have tried never enough every nasal spray, three different antibiotics. I was on montelukast also but that made the headaches worse.

i have been told that its hay fever (which it isn’t), Stress (I am not stressed) or oh your sinuses are fine.

However if i move my head too quickly or look down i can feel my sinuses pulsating. I wake up everyday with a headache and even writing this I can feel pressure in the top of my nose and cheekbones.

I have even had a homemade sinus wash out (saline solution through the nose etc) but guess what that didn’t work either.

Literally at my wits end!!!

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mathismart said on 29 August 2014

Great and informative article. I am suffering for the past 10 month with nasal congestion after my Nissen fundoplication surgery. It is obvious. Bot heat and cold exposure, dust and anything gives me allergy. Is there any connection to my surgery?

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PieFaceRecords said on 25 August 2014

My problem is the same as jem899 except the GP didn’t laugh, but said "there is nothing else we can try as you’ve tried everything"

Although I had an operation on my nose I’m in pain almost everyday, this has gone on for 5 miserable years now and I’m at wits end!
Steroid spray made me ill as I had an infection in my nose….and it appears I still do.
Antibiotics seems to relieve the symptoms for a few days but I’ve given up on them.
Internet nasal sprays do nothing and it’s a 7 days a week struggle that appears to have no cure.

My GP won’t do as I ask and test me for other things such as Chronic Fatigue Syndrome or Fibromyalgia.
It all seems to be about saving money!
The other symptoms I get are as follows:

Mild breathlessness
Throat needs clearing constantly
Aching joints in arms and legs.
Sweats
Fatigue
Overheating
Constant headaches (Pain killers in the morning at least 6 days a week)
Tinnitus
Vertigo
Solid Snotty nose on one side
Random Blocked nose one the other side
ibs
Mind fog – bad memory
Sore Throat

Is there nothing that can be done????

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rasa80 said on 21 July 2014

I am also suffering from non-allergic rihinits and I have been taking Nasonex for three months, towards the end of dose I felt really weak, dizzy and tired, and here is internet link shows the study of Beconase Aq vs Nasonex common side effects.

http://www.ehealthme.com/compare_drug_interactions_side_effects/Beconase-Aq-2779756

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jem899 said on 14 May 2014

I have been to several different doctors on numerous occasions and the reactions I got in relation to my chronic sinsutis ranged from at least it’ not that serious to one doctor who tilted his head to the side because I told him I had fatigue with the sinus infection and he said ‘I’ve never heard of that before’ Quite frankly doctors don’t seem to know how to treat chronic sinusitis other than to prescribe the usual suspects such as steroid nasal sprays. I have had this for eight years and I can tell you something it is not fun. It has been very frustrating dealing with specialists and doctors over the years who have done nothing to help me. I recently took a leap of faith annd used a naturally based nasal spray sinusoother and it cured me within two weeks. It is not that pleasant to use then again neither is a steroid nasal spray but this has cured me in two weeks whereas the doctors had eight years and couldn’t manage it.

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mmee said on 20 April 2014

From a healthy woman who never suffered from many colds, hayfever and was lucky enough to ‘grow out of’ asthma, when I got diagnosed with sinusitis I felt like my quality of life was affected. I use to sleep like a log without a sound and before I knew it I had members of my family complaining about my snoring. At work within the office and a professional environment I carried tissues around and all over my desk in case I had a sudden nasal drip moment. I avoided speaking to people as I sounded nasal and was conscious that people were staring at my dry nose from me rubbing it all day long. My gp was useless, I cried, shouted, complained about how it was affecting my life yet they continued to give me antibiotics, a whole 8 doses of them – it got to a point where my doctor would ask me which antibiotics I would like! I finally got referred to ENT who said my nasal passage was in a terrible state and prescribed me Nasonex. Unfortunately, it didn’t work – in fact it made it worse. My nose started to bleed after each use and after blowing my nose. I had an allergy test which came out positive for allergies to dust, various pollens and cat/hairs. My second ENT appointment confirmed I was suffering from allergic sinusitis and even though I took all the antihistamines in the world (sometimes even 2 a day which I shouldn’t of) it never worked. My consultant recommended I don’t have the operation as my nasal passages would more than likely just swell up again as it’s allergic sinusitis. So, he recommended other nasal spray. One named Avayms and another called Rhinolast and I was adamant it would not work. However, I was wrong – after using for just 2 days I felt as though my nose was cured. This permenant cold I had felt like it had disappeared. I could breathe, smell, taste and I didn’t have to carry a pack of tissues around. I snored less, I even missed a dose yet I felt fantastic. I didn’t even take antihistamines with it! I would highly recommend before an operation!!!

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mrdawkins said on 03 March 2014

I have suffered Sinus Issues for 5 years. The first two years saw me at the GPs who essentially fobbed me off with various sprays until one day I stood my ground and demanded an ENT consultation. Low and behold a FESS examination and CT scan revealed that ALL my sinuses had polyps and I had an operation to remove them.

However, I had a terrible post op infection and since the operation I am no better. In fact in many ways I am worse. I have always the feeling of ‘a cold coming on’ and have dry sinus, pressure, headaches, and disturbingly when I lie in bed at night I feel pressure building in my head and my sinuses have this popping sound (like crackling bubble wrap). I managed to have another ENT consultation which involved another scan and FESS camera. The consultant shook his head in amazement at my symptoms because he can’t see anything wrong. I do have a very very small septum perforation but he dismissed this as insignificant.

All this has left me clinically depressed with anxiety and I lost a very good career because I was unable to concentrate enough. In short, sinus issues have pretty much ruined my life and I am now faced with the prosepct of living out the rest of my days with this horrible condition.

The only glimmer of hope is to hold onto the belief that depression, anxiety and stress undermines the healing process (not to mention the adverse effect on the immune system). If I can somehow lift the depression the condition might go away.

My research has led me to believe that the brain can indeed hold onto sensations of the past (otherwise phantom limb system would not happen). I would like to bet that all those who suffer from sinus issues apend a fair bit of time thinking about it, and, as such, this is the worst thing to do — I am totally guilty of that.

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Anne1709 said on 19 October 2013

Hello. Am frm Malaysia. Browsing thru every medical page on sinusitis.,rhinitis,feel better to know that am not alone having pblem with sinus. I’ve been diagnosed with allergic rhinitisin 2006 when I was 16. I’ve try chinese medical herbs,antibiotics,and even undergo surgery in 2009. The thing is,during my last visit to the ENT for nasal toilet,the doctor told me that,my nose bone is slightly bent to the right side,and if the pain comes again,they will consider for another operation.Now,am still suffer frm allegies and it is vry distubing and annoying to woke up in the morning and feel pain on my face,eyes and cheek bonea..n to make it worst,my colleagues,n supervisor hv been so unsupportive n talk behind my back about my "suffering".Now,am still waiting for my 4th doc to write a clinical report to refer me back to gov ENT specialist. Pray for me,that this time it will work.

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Rosiesmom said on 16 October 2013

I am so pleased to read the comments below. This shows me I am not alone. I have been seeing Gp and numerous consultants over the last 6 or so years with symptoms described by many of you. Increasingly blocked nose, very tender where nose meets cheeks (presumably sinuses), extreme pressure in forehead and eyes, constantly dry mouth through having to breath permanently through it – causing throat and voice problems etc. You know the score. I have spent hundreds of pounds trying all sorts of things; acupuncture, food intolerance tests, new vacuum cleaners, new bedding, reflexology, the list goes on and it must have cost the NHS hundreds too. I have had allergy tests, numerous cameras inserted and the conclusion by 3 consultants is that my brain is sending false info to my nose and it’s not really blocked! I was eventually sent away, feeling a great nuisance, to ‘learn to live with it’ and as there were the experts I have tried to do that. However it is getting worse so I posted the symptoms on Earth Clinic and withing 24 hours I had a diagnosis that exactly fitted my symptoms. The responder said it sounded like Allergic Fungal Synusitus and suggested a course of Coloidal Silver, which is what I am trying. I am trying it for a month and will let you know how I get on. Just praying it works and i can feel well again.

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hmal said on 07 September 2013

I am just recovering from a very severe acute sinus infection and am fortunate to have a very supportive GP who prescribed doxycycline antibiotics as I am allergic to amoxycillin. He said that some patients are more susceptible to these infections than others when having a cold/flu.I would welcome any additional suggestions to ease the pressure I can try when the next infection develops

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maxinehale said on 28 June 2013

Thank you for telling us your story melissa cooke and of course deedoh for your research skills. I have been through a similar experience but my sinusitis lasted even longer (14 years). My sinusitis is now cured because of you two and I feel I have begun a new chapter in my life. Thank you ever so much

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babe49 said on 20 June 2013

Cheeky monkey thank you. Olbas oil rubbed in to my forehead has helped. I have had several sinus infection and currently on antibiotics but rubbing in olbas oil has helped.

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asolopovas said on 18 June 2013

The whole medical care in United Kingdom doesn’t work. I have been complaining about the problem with sinuses and headaches for over 4 years now. This system is meant to make money rather than helping its patients. I have been prescribed multiple sprays, antibiotics, painkillers, only twice was referred to specialist. And even after 4 years of constant headaches nothing could be done. I was surprised that few weeks ago they have finally arranged a CT Scan for me. When it came to the point that I have headaches every day, drink approximately 6 pills of ibuprofen and 6 pills of paracetamol to lessen the pain. The doctor told me that it will take 2 weeks to review the results of the CT scan, and than I guess another 4 weeks to have a follow up appointment with specialist and then another 4 – 8 weeks for an operation if scheduled. Welcome to NHS. Don’t bother with NHS your problem will not be solved unless you pay for treatments.

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Cheekymonkey11 said on 09 May 2013

I have had flu/cold for many weeks, iv tried various over the counter treatments – didnt work. Home steam machine/facial sauna with drops of olbus oil- kind of made things worse. Blowing my nose really hurts now,cant smell nor taste anything for weeks. so took a trip to a walk-in centre and iv now got Sinusitis…i am unable to take the anti-biotics due to allergies and other medical reasons,so have been told to stop all of the above and just have plain old 400mg Ibuprofen along woth Olbus oil massaged onto forehead and side temples and 8-10 drops onto a hanky or cloth to sniff.
I can honestly say i am feeling better already and i only went to the walk-in this morning!

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LaurenTills said on 05 April 2013

I commented 5 months ago but here is an update… I have recently been to the hospital after a long debate with my doctor to let me see the ENT unit. I was looked at and they have diagnosed me with ”Chronic Polypoid Sinustits” and I will need the polyps removed surgically, CT scan on my face and an allergy test to see if that is what caused it… Me being asthmatic and having eczema it makes it worse… it has taken them over a year to realised this and it has annoyed me massively… all those antibiotics I was on have not helped it at all… I’m happy they have found a cure for me but I was not happy with the fact I had to fight to get looked at by a specialist… I’m 16 and in the middle of the most important time of my life so far with my GCSEs… should of done this earlier…. If you have been suffering for a long time, push your gp to send your local hospital a request for the ENT unit… you will have to wait about 3 months but I am much happier that I’ve got progress now 🙂

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cathell27 said on 01 March 2013

sorry all dont want to scare monger but my husband was diagnosed with sinusitis.After about 2 months of painful headaches,pain behind his eyes pain in his cheeks and difficulty blowing his nose. He was told to take dcongestions paracetamols and to steam inhale. He is now in hospital having being diagnosed with a brain abcess he is now on the road to recovery but it will be a long process .If your symptoms persist nag nag and nag to have a scan. If this had been done earlier we would not be in this situation. These abcesses can be fatal if left untreated. My husband will be on antibitics for the next 8 weeks the length of time he will be in hospital is the same.

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Cathy1985 said on 22 February 2013

I have always had a sniffy nose and never a clear one (without medication), but in the last 4-5 months my mucus management has got significantly worse. I had an ear and sinus infection and was given amoxicillin. This cleared 90% ish, but this time of year just thought was a cold. In November I was given another course of amox and again I felt better but this was more chest related. A few weeks ago as my nose was still blocked and the pain in my left frontal sinus was constant I had yet another course of amox and was referred to an ENT. I have been this morning and have been diagnosed with Chronic Sinusitis. I have a 6 week course of Clarithromycin 500mg and a nasal drop to use twice a day. I have a follow up app in 2 months to check to see if it is gone, otherwise it will be the sinus scan and surgery. My GP was good and my consultant was happy to help me. I feel for the others that have commented on here about it, but I have been lucky to have only suffered this long.

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rowmyboat said on 24 November 2012

I hope the spray helped you mark50 because it certainly helped me. I know we are all different but i am praying that you found something to help you because i suffered for ten years with constant headaches and dizziness so i can only imagine what 20 years must be like. Havent felt this good in ages.

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sowhat said on 21 November 2012

GPs and other people are very unsympathetic if you suffer from this condition.

In my case one of my symptoms where blocked ears with pus coming out of them so the GPs could clearly see there was something wrong when I complained my ears were blocked as well as of pain and nasal symptoms.

I have been told not to smoke (I’m a non-smoker) and to deal with my allergies due to my home envirnoment (I worked away a lot and stayed in different places) by GPs. Yet I was not offered any allergy testing to confirm I had an issue with anything.

When they finally relented to give me medication they gave me one strong nasal spray that had some effect but still didn’t work properly and refused to give me repeat prescriptions. Only after I threatened to harm myself did I get referred to an ENT. (I was then asked if I had private health care.)

From referral it took less than 3 months to have my operation on the NHS. However the operation isn’t a definate cure in my case so I still cannot do the things I could do 3 years ago due to postnasal drip and still use a steriod spray.

I suggest anyone who is suffering from this condition to go to their GP continuously until they get referred to an ENT.

Oh – the quack products on here and dietary advice offered elsewhere on the internet don’t help. If you think your condition is partially go for allergies then get referred to a proper allergist.

In my case my condition is caused by the dampness of the UK climate. I had to work abroad in a drier European country to discover that it wasn’t anything else but damp weather. I’m now looking at emigrating from the UK permantly just so I can have a life.

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magdalena33 said on 12 November 2012

the only one thing that ever helped me is a pulsalite nasal and sinus irrigation pump (this site won’t allow me to state which one). please enter ‘pulsalite nasal and sinus irrigation pump’ in an online search engine and look for one starting with letter g,

When i got mine a few years back ordering from the usa seemed much cheaper than buying it in the UK,

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kevaine said on 05 November 2012

Wow! I think Lauren Tills, who’s also just commented, must have read my mind! I can so totally and utterly empathise with what she writes.
Aged 41, I am much older than poor Lauren, and would truly hate to think that she might have to suffer all her life, the way that I have.
She is so right to state that sinus problems mess with your education. Later in life, they can mess up your career, too, if left poorly treated and unmanageable.
Nobody should have to endure recurrent infections, as well as pain that affects their lifestyle. Surely this meets the definition of disability?
People with chronic sinus problems have to endure a lifetime of them; often they try one treatment after another, sometimes including surgery, in an attempt to relieve themselves of pain, inflammation and frequent infections. Some treatments may be effective, some not. It’s mostly “pot luck”.
Other people do not have to put up with such things. A fer years ago I was forced out of my job by unsympathetic colleagues who did not understand that :
a. My sinus problems and infections are not my fault.
b. I have done nothing to cause them.
c. I really do not wish to have to live with long term sinus problems, especially when people pick on me for it.
My E.N.T. consultant in Blackpool was of little assistance, and did not even have the decency to inform me that a C.T. scan taken in 2010 had shown abnormalities including deviated septum, concha bullosa, and hypoplasia (absence or underdevelopment) of my left frontal sinus. How could he have omitted to tell me that? After all, it’s there for all to see, in my medical records! Only wish I’d asked to see them sooner!
To anyone suffering, the following advice…
Get G.P. support. Get a good G.P. who’ll refer you to a sympathetic, understanding and supportive E.N.T. specialist. Get as much advice and information as possible before deciding on treatment. If all fails, get a second opinion. You have rights.

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kevaine said on 05 November 2012

I can seriously sympathise (and empathise) with many of the comments made here, especially those by Jickster and User7.
Living with long term sinus problems can be an absolute nightmare, and a lot of the time, this really isn’t helped by the fact that many of the so-called “remedies” out there are ineffective; or only offer temporary relief; and by the fact that the care offered by E.N.T. departments (and individual practitioners) can be a bit “hit and miss”. Sometimes, you get to see somebody who genuinely listens, and seems to care – other times, you definitely don’t.
I’ve struggled with sinus and respiratory problems pretty much all my life. As a baby I had a very bad respiratory infection. As a small child, frequent nose-bleeds. Then, as a teenager, I started getting full-blown Sinusitis – repeatedly (along with chest infections, too). By 1991, I had also been diagnosed with Asthma.
I really and truly believe that the average person (who does not suffer long term sinus problems) has not got a clue what it is like living with them. Sufferers can have a variety of symptoms; from full-blown infections with fever and purulent mucus; to post-nasal drip, catarrh, tender cheeks and face, swollen “glands”, headaches, puffy eyes, fatigue, “muzzy head”, earache, nose-bleeds, dry and crusty nose… the list goes on. Symptoms can make life a misery, as they interfere with daily activity, making it hard to concentrate, making a person feel tired, in pain, and “moody”. Untreated chronic pain can cause stress and depression. Repeated infections can weaken the immune system. It’s horrible.
Surely things might be better if the condition were taken seriously? I’m sick of hearing “oh, she’s just got a cold”. Medical professionals, too, can be dismissive and insensitive. What about a bit more support?

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LaurenTills said on 05 November 2012

Sinusitis, funny story this is…. I was diagnosed with chronic sinusitis at the beginning of February this year so almost 9 months now…. I was tested for many things but it was sinusitis unfortunately…. since then I have been on 5 different courses of antibiotics, 3 different nasal sprays and evening primrose, vitamin, echinacea and every other kind of tablet you can think of and I’m still on square 1. I am normally in constant pain and it doesn’t help that I am asthmatic as it makes it 10 times worse when I wake up nit being able to breath through my nose and end up having an asthma attack…

I am struggling to realise why I haven’t been sent to see a specialist? I turned 16 a month ago and the day after my birthday I was in a terrible state. This infection has truly messed with my social life and my education. About 5 weeks ago I was put on a 1 week course of antibiotics for the 4th time and 2 days after the course I felt amazing, then it hit me again. I had shakes, I couldn’t stand, high temperature and blood came out with the mucus. I missed a day of school, a whole day of studying for my GCSE’s…. doctors these days are annoying the hell out of me. This has been the worst year for me so far and it has got in the way of my relationship that we are no longer together. I just want to be myself again. I hate this feeling of not being able to breathe, constant pain in my face and head, fever…. It’s just not fair? How did I even get it? But I can’t give in as I have school and I want my GCSE’s….. Argggg!! oh well, lets just wait till the doctors find something that does work hey?

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reakt said on 01 November 2012

Melissa Cooke, I think you work for Sinusooth! – The magical nose spray that cured you when no NHS doctor could. You came here to share that with us. In your first post you claim that you’ve still got bits left in the bottle (implying that it’s great value for money). This is American-style advertising from an American product manufacturer.

You’re asked the name of it and where to buy. You can’t remember the name of it. I think this is a weak attempt to make your own product placement slightly less obvious to the rest of us. You threw away the packaging? Why not just read the name from the label of the bottle that you still have?

You go on to list not one but both of the major retailers where Sinusooth can be purchased. Not bad for someone who couldn’t remember the name of the product. Ah but you remembered it started with a ‘S’ and two ingredients that aren’t found in any other nasal sprays – just enough for us to google it.

I almost fell for it. I was ready to buy this product as I’m in pain with sinusitis. I’ve been searching the net for information. On many forums I came across people with an almost identical story to yours – word for word actually – cured by this magical spray.

As the NHS advice states on this very page, the majority of cases of sinusitis (which is actually very common) clears up on it’s own within 2 and a half weeks. So if somebody started using your nasal spray when they first noticed a problem they might be fooled into thinking that the spray had cured them when the problem had cleared up on its own. As for your years of suffering cured – I don’t believe you.

Anyway, rather than take your suspicious advice I think I’ll wait the 2 and a half weeks then see a doctor after that if it hasn’t cleared up.

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User716429 said on 03 October 2012

I was diagnosed with acute dysfunctional Rhinitis in 2011 following my brother’s death a month or so before. My nose was never blocked, runny, I didn’t sneeze, the symptoms I had was a dry burning heat sensation in my nostrils, foggy like brain and headaches when I breath through my nose. I saw a consultant, had a CT scan and was told I needed an operation, I have a fear of hospitals plus my brother had died a month or so prior in very distressing circumstances so I was somewhat still traumatised. Needless to say I cancelled the surgery because my nerves got the better of me, I was given some meds to put in my nostril that did not help in the least I still have the problems that gets extensively worse in cold weather anyone suffering like me if you have any ideas please help

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Jickster said on 15 August 2012

Apologies to ask personal questions of you all but can you confirm your symptoms?
I have been suffering with an ongoing undiagnosed condition now for atleast 2 years and am desperate for a solution. I have been signed off work several times and am getting no where with a diagnosis.
My symptoms are – constant pressure pain in left cheek and swelling. Varying levels of pain. Due to pressure under left eye very difficult to keep eye open. Sometimes itching under the eye. Headaches, earache, voice sometimes goes funny. Very groggy, hard to judge things(driving). I have been seeing GP’s and ENT specialist but have recently been discharged as had a septoplasty as an experiment to see if it would assist although the consultant was pretty sure it wouldn’t(he was correct). Not a nice experience to go through. This was done as my condition was believed to be chronic sinusitis but the CT showed the sinus as clear apart from a very minimal mark(consultant said it was best sinus he had seen all day!) and so consultant was stumped as did not expect this as could clearly see swelling and discomfort i was in. They did find chronic inflamtion in the left side when did biopsy whilst doing septoplasty but when discharged by his registrar she said this is not unusual for a hayfever suffer. I have now been discharged and asked to return to the GP to refer me to the Pain Clinic. Done this and whilst he is referring me he has said he does not understand why the ENT have said this when the Pain Clinic is more for Back, shoulder, joint injuries. There is a 13 week waiting list and again possibly to a department that cannot help me!!
As it was not sinusitis it is believed to possibly be neuralgia and i was on pills to numb the nerve which did ease the pain in the face for a while but did not prevent the other symptons which make me feel ill.
Latest doc has taken me off these and given me anti-inflamatory pills(sure i must have had these before) Can anyone help!!?

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Mark50 said on 22 July 2012

I had an op on my sinuses 20 years ago and it turned out to be the biggest mistake ever as i have suffered every day since and the only thing that gives me any relief is beechams powders which i have to take at least three a day as the hospital can offer me nothing at all to touch the pain so i have looked up the ingrediants Melissa described and yes it did begin with an S. I now have a bottle ordered and am really hoping i get some posotive results. Will let you know

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Anonymous said on 04 May 2012

Iv had a hunt on website for this nasal spray,I think its called sinusoothe,I might give it a go myself as nothing else has worked for me.

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Melissa Cooke said on 30 April 2012

I’m truly sorry but I have thrown away the packaging and have forgotten the name. I know when I bought it itwas also available on ebay and amazon. I also remember clearly it has manuka oil and cinammon oil. I remember this because I had not seen these ingredients in a nasal spray before. The name starts with an S. I really apologise for not remembering it but my memory is like a seive.

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User666881 said on 17 April 2012

Melissa,

The nasal spray sounds good. I have a lot of trouble with sinus pain, could you tell me what is was called and where you got it from please.

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Melissa Cooke said on 31 March 2012

I was in agony for nearly ten years with a chronic sinus infectoin and my doctor and ent spesialist could not help me other than prescribe antibiotics which where as useful as an ashtray on a motorbike. I got a natural nasal spray which contains cinammon and manuka oil and it cured me completely after just two weeks. I still have bits left in the bottle. I admit it does sting a little when you use it but that only lasts a few seconds. I cannot even put into words my thoughts on how good this nasal spray was. I hope this information can help others with sinusitits.

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Antibiotics are medications that are used to treat, and in some cases prevent, bacterial infections

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 /conditions/articles/sinusitis/complications-old

Sinusitis

Complications of sinusitis

Complications in children

Complications of sinusitis are more common in children than in adults. If your child has had sinusitis and has swelling around the cheekbone or eyelid, it may be a bacterial infection of the skin and soft tissue or an infection of the tissue surrounding the eye. Read about cellulitis for more information.

If you notice these symptoms, take your child to see your GP, who may refer them to an ear, nose and throat (ENT) specialist. Alternatively, you can call NHS Direct on 0845 46 47 for information and advice.

Infection of the bone

When the condition is severe, antibiotics are often able to control the spread of infection to the nearby bone. However, in very rare cases (about one in 10,000), infection can spread to the area surrounding the eye, the bones, the blood or the brain.

Glossary

Tissue
Body tissue is made up of groups of cells that perform a specific job, such as protecting the body against infection, producing movement or storing fat.  
Brain
The brain controls thought, memory and emotion. It sends messages to the body controlling movement, speech and senses.
Blood
Blood supplies oxygen to the body and removes carbon dioxide. It is pumped around the body by the heart.
Antibiotics
Antibiotics are medicines that can be used to treat infections caused by micro-organisms, usually bacteria or fungi. For example amoxicillin, streptomycin and erythromycin.
Acute
Acute means occuring suddenly or over a short period of time.
Swelling
Inflammation is the body’s response to infection, irritation or injury, which causes redness, swelling, pain and sometimes a feeling of heat in the affected area.
Chronic
Chronic usually means a condition that continues for a long time or keeps coming back.
Published Date
2011-10-14 13:40:13Z
Last Review Date
2011-10-13 00:00:00Z
Next Review Date
2013-10-13 00:00:00Z
Classification
Bacterial infections,Sinusitis


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Sinusitis

Diagnosing sinusitis

Your GP can usually diagnose sinusitis from your symptoms.

Sinusitis is nearly always caused by a viral infection, such as the common cold or flu, and is diagnosed based on the presence of:

  • nasal blockage or runny nose with facial pain, and/or
  • a reduction or loss of sense of smell

Loss of smell is more common and facial pain less common in chronic (persistent) sinusitis.

Referral to a specialist

If your sinusitis is severe or keeps coming back, your GP may refer you to an ear, nose and throat (ENT) specialist who will carry out tests to determine the underlying cause.

You may have an X-ray or CT scan to find out the cause of your sinusitis (a series of X-rays are taken for a CT scan, to produce a detailed picture of your sinuses).

Glossary

Bacteria
Bacteria are tiny, single-celled organisms that live in the body. Some can cause illness and disease and some others are good for you.
X-ray
An X-ray is a painless way of producing pictures of inside the body using radiation.
Published Date
2011-10-14 13:40:15Z
Last Review Date
2011-10-13 00:00:00Z
Next Review Date
2013-10-13 00:00:00Z
Classification
Sinusitis

Sinusitis – NHS Choices

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Sinusitis 

Introduction 

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Types of sinusitis

Sinusitis can sometimes develop quickly (over a period of a few days). It can develop after a cold or the flu. This type of sinusitis usually clears up within 12 weeks.

Sinusitis that lasts for more than 12 weeks is known as chronic sinusitis. It’s less common but can sometimes last for many months.

Read more about the types of sinusitis and their symptoms.

Sinusitis is inflammation of the lining of the sinuses, caused by a viral or bacterial infection.

The sinuses are small, air-filled cavities behind your cheekbones and forehead (see below). 

The main symptoms of sinusitis are:

  • a blocked or runny nose
  • facial pain and tenderness
  • a high temperature (fever) of 38°C (100.4°F) or more
  • a sinus headache

Read more about the symptoms of sinusitis.

Sinusitis is a common condition that can affect people of any age.

The sinuses

You have four pairs of sinuses in your head. There are pairs of sinuses:

  • behind your forehead
  • either side of the bridge of your nose
  • behind your eyes
  • behind your cheekbones

Your sinuses open up into the cavity of your nose and help control the temperature and water content of the air reaching your lungs. 

The mucus that’s naturally produced by your sinuses usually drains into your nose through small channels. These channels can become blocked when the sinuses are infected and inflamed.

The sinuses behind the cheekbones (the largest ones) are most commonly affected.

What causes sinusitis?

A viral infection is the most common cause of sinusitis. It’s usually the result of a cold or flu virus that spreads to the sinuses from the upper airways.

Following a cold or flu, a secondary bacterial infection can sometimes develop, causing the membranes that line the inside of the sinuses to become inflamed.

An infected tooth can also sometimes cause the sinuses to become infected.

Read more about the causes of sinusitis.

Diagnosing sinusitis

Your GP will usually be able to diagnose sinusitis from your symptoms (a blocked or runny nose with facial pain).

If you have severe or recurring sinusitis, your GP may refer you to an ear, nose and throat (ENT) specialist who will try to determine the underlying cause.

The specialist may use a piece of equipment called a nasal endoscope to examine the lining of your nose and sinus openings.

An imaging test, such as a computerised tomography (CT) scan, may also be used to find out what’s causing your sinusitis.

Treating sinusitis

Around two thirds of people with sinusitis don’t need to see their GP. In most cases, the viral infection clears up by itself.

Sinusitis takes about two-and-a-half weeks to clear up (longer than a cold). If you have mild sinusitis, over-the-counter painkillers and decongestants will help relieve your symptoms.

See your GP if your symptoms don’t improve after seven days, if they’re getting worse, or if your sinusitis keeps coming back. In such cases, antibiotics or a steroid spray or drops may be prescribed.

In cases of very severe sinusitis, surgery may be needed to improve the drainage and function of your sinuses. However, surgery will usually only be recommended if all other treatment options have failed. 

Read more about treating sinusitis.

Complications of sinusitis

Complications of sinusitis are fairly uncommon, but when they occur they tend to affect children more than adults.

If your child has had sinusitis and their eyelid or cheekbone is swollen, they may have a bacterial skin or tissue infection (cellulitis).

Take your child to see your GP if you notice these symptoms. Your child may be referred to an ENT specialist.

In severe cases of sinusitis, antibiotics are often used to control the spread of infection to nearby bone.

However, in very rare cases (about 1 in 10,000), the infection spreads to nearby bone, or the area around the eye, or to the blood or the brain.

Page last reviewed: 09/07/2013

Next review due: 09/07/2015

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Comments

The 33 comments posted are personal views. Any information they give has not been checked and may not be accurate.

chichij6n4 said on 06 October 2014

I had chronic sinusitis for 8 years following a severe case of pneumonia and MRS in my lungs. The best way to explain it is to say I had a constant headache for every single day for 8 years straight. The only way to subside the pain for a few hours would be to take Excedrine Migraine and I had to take at least 6 a day. If I didn’t have those I could take BC”S or Goody powders and they would help some but the pounding was still there. We’ll finally after years of complaining about the same thing, I had an MRI bran scan which then lead to surgery. Both if my sinuses were completely blocked and full of mucous and bone. About 2 weeks after the surgery I remember how good it felt to wake up w/o a headache. It was amazing although I couldn’t believe these Dr’s let it go on for so long. I had the surgery performed April 9 2013 and the headaches slowly began to come back 9 months later. Although they’re coming back I would definitely recommend the surgery. To not have to worry with “oh gosh, we’re are my pills, or to say, “I’ve got a headache”, and to stop hearing the term, “girl you are a headache” it’s a good feeling 🙂

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PieFaceRecords said on 06 September 2014

@User899912

I’m afraid there is little you can do on a personal level.
If your GP won’t do as you as I suggest you change GP’s.
That’s what I nearly did till a new GP who actually listened came to our surgery.
Don’t be fobbed off!, keep pushing for that ENT appointment. You will get it.

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User899912 said on 30 August 2014

In January 2014 I got a heavy cold which has turned into chronic rhino-Sinusitis for which I am on a steroid nasal spray and fexofenadine (i have had three rounds of antibiotics).

I am lucky in the sense that I dont have a runny nose but get horrible fatigue and also immense pressure in my sinuses and head.

I have asked for a ENT referral several times however so far my GP (i have seen three of them) think it will clear up.

I have been given some verapamil for the headaches but the sinus pressure is still their.

Since January its been a nightmare and I dont understand why my GP is reluctant for to give me an ENT referral.

I have tried never enough every nasal spray, three different antibiotics. I was on montelukast also but that made the headaches worse.

i have been told that its hay fever (which it isn’t), Stress (I am not stressed) or oh your sinuses are fine.

However if i move my head too quickly or look down i can feel my sinuses pulsating. I wake up everyday with a headache and even writing this I can feel pressure in the top of my nose and cheekbones.

I have even had a homemade sinus wash out (saline solution through the nose etc) but guess what that didn’t work either.

Literally at my wits end!!!

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mathismart said on 29 August 2014

Great and informative article. I am suffering for the past 10 month with nasal congestion after my Nissen fundoplication surgery. It is obvious. Bot heat and cold exposure, dust and anything gives me allergy. Is there any connection to my surgery?

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PieFaceRecords said on 25 August 2014

My problem is the same as jem899 except the GP didn’t laugh, but said "there is nothing else we can try as you’ve tried everything"

Although I had an operation on my nose I’m in pain almost everyday, this has gone on for 5 miserable years now and I’m at wits end!
Steroid spray made me ill as I had an infection in my nose….and it appears I still do.
Antibiotics seems to relieve the symptoms for a few days but I’ve given up on them.
Internet nasal sprays do nothing and it’s a 7 days a week struggle that appears to have no cure.

My GP won’t do as I ask and test me for other things such as Chronic Fatigue Syndrome or Fibromyalgia.
It all seems to be about saving money!
The other symptoms I get are as follows:

Mild breathlessness
Throat needs clearing constantly
Aching joints in arms and legs.
Sweats
Fatigue
Overheating
Constant headaches (Pain killers in the morning at least 6 days a week)
Tinnitus
Vertigo
Solid Snotty nose on one side
Random Blocked nose one the other side
ibs
Mind fog – bad memory
Sore Throat

Is there nothing that can be done????

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rasa80 said on 21 July 2014

I am also suffering from non-allergic rihinits and I have been taking Nasonex for three months, towards the end of dose I felt really weak, dizzy and tired, and here is internet link shows the study of Beconase Aq vs Nasonex common side effects.

http://www.ehealthme.com/compare_drug_interactions_side_effects/Beconase-Aq-2779756

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jem899 said on 14 May 2014

I have been to several different doctors on numerous occasions and the reactions I got in relation to my chronic sinsutis ranged from at least it’ not that serious to one doctor who tilted his head to the side because I told him I had fatigue with the sinus infection and he said ‘I’ve never heard of that before’ Quite frankly doctors don’t seem to know how to treat chronic sinusitis other than to prescribe the usual suspects such as steroid nasal sprays. I have had this for eight years and I can tell you something it is not fun. It has been very frustrating dealing with specialists and doctors over the years who have done nothing to help me. I recently took a leap of faith annd used a naturally based nasal spray sinusoother and it cured me within two weeks. It is not that pleasant to use then again neither is a steroid nasal spray but this has cured me in two weeks whereas the doctors had eight years and couldn’t manage it.

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mmee said on 20 April 2014

From a healthy woman who never suffered from many colds, hayfever and was lucky enough to ‘grow out of’ asthma, when I got diagnosed with sinusitis I felt like my quality of life was affected. I use to sleep like a log without a sound and before I knew it I had members of my family complaining about my snoring. At work within the office and a professional environment I carried tissues around and all over my desk in case I had a sudden nasal drip moment. I avoided speaking to people as I sounded nasal and was conscious that people were staring at my dry nose from me rubbing it all day long. My gp was useless, I cried, shouted, complained about how it was affecting my life yet they continued to give me antibiotics, a whole 8 doses of them – it got to a point where my doctor would ask me which antibiotics I would like! I finally got referred to ENT who said my nasal passage was in a terrible state and prescribed me Nasonex. Unfortunately, it didn’t work – in fact it made it worse. My nose started to bleed after each use and after blowing my nose. I had an allergy test which came out positive for allergies to dust, various pollens and cat/hairs. My second ENT appointment confirmed I was suffering from allergic sinusitis and even though I took all the antihistamines in the world (sometimes even 2 a day which I shouldn’t of) it never worked. My consultant recommended I don’t have the operation as my nasal passages would more than likely just swell up again as it’s allergic sinusitis. So, he recommended other nasal spray. One named Avayms and another called Rhinolast and I was adamant it would not work. However, I was wrong – after using for just 2 days I felt as though my nose was cured. This permenant cold I had felt like it had disappeared. I could breathe, smell, taste and I didn’t have to carry a pack of tissues around. I snored less, I even missed a dose yet I felt fantastic. I didn’t even take antihistamines with it! I would highly recommend before an operation!!!

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mrdawkins said on 03 March 2014

I have suffered Sinus Issues for 5 years. The first two years saw me at the GPs who essentially fobbed me off with various sprays until one day I stood my ground and demanded an ENT consultation. Low and behold a FESS examination and CT scan revealed that ALL my sinuses had polyps and I had an operation to remove them.

However, I had a terrible post op infection and since the operation I am no better. In fact in many ways I am worse. I have always the feeling of ‘a cold coming on’ and have dry sinus, pressure, headaches, and disturbingly when I lie in bed at night I feel pressure building in my head and my sinuses have this popping sound (like crackling bubble wrap). I managed to have another ENT consultation which involved another scan and FESS camera. The consultant shook his head in amazement at my symptoms because he can’t see anything wrong. I do have a very very small septum perforation but he dismissed this as insignificant.

All this has left me clinically depressed with anxiety and I lost a very good career because I was unable to concentrate enough. In short, sinus issues have pretty much ruined my life and I am now faced with the prosepct of living out the rest of my days with this horrible condition.

The only glimmer of hope is to hold onto the belief that depression, anxiety and stress undermines the healing process (not to mention the adverse effect on the immune system). If I can somehow lift the depression the condition might go away.

My research has led me to believe that the brain can indeed hold onto sensations of the past (otherwise phantom limb system would not happen). I would like to bet that all those who suffer from sinus issues apend a fair bit of time thinking about it, and, as such, this is the worst thing to do — I am totally guilty of that.

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Anne1709 said on 19 October 2013

Hello. Am frm Malaysia. Browsing thru every medical page on sinusitis.,rhinitis,feel better to know that am not alone having pblem with sinus. I’ve been diagnosed with allergic rhinitisin 2006 when I was 16. I’ve try chinese medical herbs,antibiotics,and even undergo surgery in 2009. The thing is,during my last visit to the ENT for nasal toilet,the doctor told me that,my nose bone is slightly bent to the right side,and if the pain comes again,they will consider for another operation.Now,am still suffer frm allegies and it is vry distubing and annoying to woke up in the morning and feel pain on my face,eyes and cheek bonea..n to make it worst,my colleagues,n supervisor hv been so unsupportive n talk behind my back about my "suffering".Now,am still waiting for my 4th doc to write a clinical report to refer me back to gov ENT specialist. Pray for me,that this time it will work.

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Rosiesmom said on 16 October 2013

I am so pleased to read the comments below. This shows me I am not alone. I have been seeing Gp and numerous consultants over the last 6 or so years with symptoms described by many of you. Increasingly blocked nose, very tender where nose meets cheeks (presumably sinuses), extreme pressure in forehead and eyes, constantly dry mouth through having to breath permanently through it – causing throat and voice problems etc. You know the score. I have spent hundreds of pounds trying all sorts of things; acupuncture, food intolerance tests, new vacuum cleaners, new bedding, reflexology, the list goes on and it must have cost the NHS hundreds too. I have had allergy tests, numerous cameras inserted and the conclusion by 3 consultants is that my brain is sending false info to my nose and it’s not really blocked! I was eventually sent away, feeling a great nuisance, to ‘learn to live with it’ and as there were the experts I have tried to do that. However it is getting worse so I posted the symptoms on Earth Clinic and withing 24 hours I had a diagnosis that exactly fitted my symptoms. The responder said it sounded like Allergic Fungal Synusitus and suggested a course of Coloidal Silver, which is what I am trying. I am trying it for a month and will let you know how I get on. Just praying it works and i can feel well again.

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hmal said on 07 September 2013

I am just recovering from a very severe acute sinus infection and am fortunate to have a very supportive GP who prescribed doxycycline antibiotics as I am allergic to amoxycillin. He said that some patients are more susceptible to these infections than others when having a cold/flu.I would welcome any additional suggestions to ease the pressure I can try when the next infection develops

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maxinehale said on 28 June 2013

Thank you for telling us your story melissa cooke and of course deedoh for your research skills. I have been through a similar experience but my sinusitis lasted even longer (14 years). My sinusitis is now cured because of you two and I feel I have begun a new chapter in my life. Thank you ever so much

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babe49 said on 20 June 2013

Cheeky monkey thank you. Olbas oil rubbed in to my forehead has helped. I have had several sinus infection and currently on antibiotics but rubbing in olbas oil has helped.

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asolopovas said on 18 June 2013

The whole medical care in United Kingdom doesn’t work. I have been complaining about the problem with sinuses and headaches for over 4 years now. This system is meant to make money rather than helping its patients. I have been prescribed multiple sprays, antibiotics, painkillers, only twice was referred to specialist. And even after 4 years of constant headaches nothing could be done. I was surprised that few weeks ago they have finally arranged a CT Scan for me. When it came to the point that I have headaches every day, drink approximately 6 pills of ibuprofen and 6 pills of paracetamol to lessen the pain. The doctor told me that it will take 2 weeks to review the results of the CT scan, and than I guess another 4 weeks to have a follow up appointment with specialist and then another 4 – 8 weeks for an operation if scheduled. Welcome to NHS. Don’t bother with NHS your problem will not be solved unless you pay for treatments.

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Cheekymonkey11 said on 09 May 2013

I have had flu/cold for many weeks, iv tried various over the counter treatments – didnt work. Home steam machine/facial sauna with drops of olbus oil- kind of made things worse. Blowing my nose really hurts now,cant smell nor taste anything for weeks. so took a trip to a walk-in centre and iv now got Sinusitis…i am unable to take the anti-biotics due to allergies and other medical reasons,so have been told to stop all of the above and just have plain old 400mg Ibuprofen along woth Olbus oil massaged onto forehead and side temples and 8-10 drops onto a hanky or cloth to sniff.
I can honestly say i am feeling better already and i only went to the walk-in this morning!

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LaurenTills said on 05 April 2013

I commented 5 months ago but here is an update… I have recently been to the hospital after a long debate with my doctor to let me see the ENT unit. I was looked at and they have diagnosed me with ”Chronic Polypoid Sinustits” and I will need the polyps removed surgically, CT scan on my face and an allergy test to see if that is what caused it… Me being asthmatic and having eczema it makes it worse… it has taken them over a year to realised this and it has annoyed me massively… all those antibiotics I was on have not helped it at all… I’m happy they have found a cure for me but I was not happy with the fact I had to fight to get looked at by a specialist… I’m 16 and in the middle of the most important time of my life so far with my GCSEs… should of done this earlier…. If you have been suffering for a long time, push your gp to send your local hospital a request for the ENT unit… you will have to wait about 3 months but I am much happier that I’ve got progress now 🙂

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cathell27 said on 01 March 2013

sorry all dont want to scare monger but my husband was diagnosed with sinusitis.After about 2 months of painful headaches,pain behind his eyes pain in his cheeks and difficulty blowing his nose. He was told to take dcongestions paracetamols and to steam inhale. He is now in hospital having being diagnosed with a brain abcess he is now on the road to recovery but it will be a long process .If your symptoms persist nag nag and nag to have a scan. If this had been done earlier we would not be in this situation. These abcesses can be fatal if left untreated. My husband will be on antibitics for the next 8 weeks the length of time he will be in hospital is the same.

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Cathy1985 said on 22 February 2013

I have always had a sniffy nose and never a clear one (without medication), but in the last 4-5 months my mucus management has got significantly worse. I had an ear and sinus infection and was given amoxicillin. This cleared 90% ish, but this time of year just thought was a cold. In November I was given another course of amox and again I felt better but this was more chest related. A few weeks ago as my nose was still blocked and the pain in my left frontal sinus was constant I had yet another course of amox and was referred to an ENT. I have been this morning and have been diagnosed with Chronic Sinusitis. I have a 6 week course of Clarithromycin 500mg and a nasal drop to use twice a day. I have a follow up app in 2 months to check to see if it is gone, otherwise it will be the sinus scan and surgery. My GP was good and my consultant was happy to help me. I feel for the others that have commented on here about it, but I have been lucky to have only suffered this long.

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rowmyboat said on 24 November 2012

I hope the spray helped you mark50 because it certainly helped me. I know we are all different but i am praying that you found something to help you because i suffered for ten years with constant headaches and dizziness so i can only imagine what 20 years must be like. Havent felt this good in ages.

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sowhat said on 21 November 2012

GPs and other people are very unsympathetic if you suffer from this condition.

In my case one of my symptoms where blocked ears with pus coming out of them so the GPs could clearly see there was something wrong when I complained my ears were blocked as well as of pain and nasal symptoms.

I have been told not to smoke (I’m a non-smoker) and to deal with my allergies due to my home envirnoment (I worked away a lot and stayed in different places) by GPs. Yet I was not offered any allergy testing to confirm I had an issue with anything.

When they finally relented to give me medication they gave me one strong nasal spray that had some effect but still didn’t work properly and refused to give me repeat prescriptions. Only after I threatened to harm myself did I get referred to an ENT. (I was then asked if I had private health care.)

From referral it took less than 3 months to have my operation on the NHS. However the operation isn’t a definate cure in my case so I still cannot do the things I could do 3 years ago due to postnasal drip and still use a steriod spray.

I suggest anyone who is suffering from this condition to go to their GP continuously until they get referred to an ENT.

Oh – the quack products on here and dietary advice offered elsewhere on the internet don’t help. If you think your condition is partially go for allergies then get referred to a proper allergist.

In my case my condition is caused by the dampness of the UK climate. I had to work abroad in a drier European country to discover that it wasn’t anything else but damp weather. I’m now looking at emigrating from the UK permantly just so I can have a life.

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magdalena33 said on 12 November 2012

the only one thing that ever helped me is a pulsalite nasal and sinus irrigation pump (this site won’t allow me to state which one). please enter ‘pulsalite nasal and sinus irrigation pump’ in an online search engine and look for one starting with letter g,

When i got mine a few years back ordering from the usa seemed much cheaper than buying it in the UK,

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kevaine said on 05 November 2012

Wow! I think Lauren Tills, who’s also just commented, must have read my mind! I can so totally and utterly empathise with what she writes.
Aged 41, I am much older than poor Lauren, and would truly hate to think that she might have to suffer all her life, the way that I have.
She is so right to state that sinus problems mess with your education. Later in life, they can mess up your career, too, if left poorly treated and unmanageable.
Nobody should have to endure recurrent infections, as well as pain that affects their lifestyle. Surely this meets the definition of disability?
People with chronic sinus problems have to endure a lifetime of them; often they try one treatment after another, sometimes including surgery, in an attempt to relieve themselves of pain, inflammation and frequent infections. Some treatments may be effective, some not. It’s mostly “pot luck”.
Other people do not have to put up with such things. A fer years ago I was forced out of my job by unsympathetic colleagues who did not understand that :
a. My sinus problems and infections are not my fault.
b. I have done nothing to cause them.
c. I really do not wish to have to live with long term sinus problems, especially when people pick on me for it.
My E.N.T. consultant in Blackpool was of little assistance, and did not even have the decency to inform me that a C.T. scan taken in 2010 had shown abnormalities including deviated septum, concha bullosa, and hypoplasia (absence or underdevelopment) of my left frontal sinus. How could he have omitted to tell me that? After all, it’s there for all to see, in my medical records! Only wish I’d asked to see them sooner!
To anyone suffering, the following advice…
Get G.P. support. Get a good G.P. who’ll refer you to a sympathetic, understanding and supportive E.N.T. specialist. Get as much advice and information as possible before deciding on treatment. If all fails, get a second opinion. You have rights.

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kevaine said on 05 November 2012

I can seriously sympathise (and empathise) with many of the comments made here, especially those by Jickster and User7.
Living with long term sinus problems can be an absolute nightmare, and a lot of the time, this really isn’t helped by the fact that many of the so-called “remedies” out there are ineffective; or only offer temporary relief; and by the fact that the care offered by E.N.T. departments (and individual practitioners) can be a bit “hit and miss”. Sometimes, you get to see somebody who genuinely listens, and seems to care – other times, you definitely don’t.
I’ve struggled with sinus and respiratory problems pretty much all my life. As a baby I had a very bad respiratory infection. As a small child, frequent nose-bleeds. Then, as a teenager, I started getting full-blown Sinusitis – repeatedly (along with chest infections, too). By 1991, I had also been diagnosed with Asthma.
I really and truly believe that the average person (who does not suffer long term sinus problems) has not got a clue what it is like living with them. Sufferers can have a variety of symptoms; from full-blown infections with fever and purulent mucus; to post-nasal drip, catarrh, tender cheeks and face, swollen “glands”, headaches, puffy eyes, fatigue, “muzzy head”, earache, nose-bleeds, dry and crusty nose… the list goes on. Symptoms can make life a misery, as they interfere with daily activity, making it hard to concentrate, making a person feel tired, in pain, and “moody”. Untreated chronic pain can cause stress and depression. Repeated infections can weaken the immune system. It’s horrible.
Surely things might be better if the condition were taken seriously? I’m sick of hearing “oh, she’s just got a cold”. Medical professionals, too, can be dismissive and insensitive. What about a bit more support?

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LaurenTills said on 05 November 2012

Sinusitis, funny story this is…. I was diagnosed with chronic sinusitis at the beginning of February this year so almost 9 months now…. I was tested for many things but it was sinusitis unfortunately…. since then I have been on 5 different courses of antibiotics, 3 different nasal sprays and evening primrose, vitamin, echinacea and every other kind of tablet you can think of and I’m still on square 1. I am normally in constant pain and it doesn’t help that I am asthmatic as it makes it 10 times worse when I wake up nit being able to breath through my nose and end up having an asthma attack…

I am struggling to realise why I haven’t been sent to see a specialist? I turned 16 a month ago and the day after my birthday I was in a terrible state. This infection has truly messed with my social life and my education. About 5 weeks ago I was put on a 1 week course of antibiotics for the 4th time and 2 days after the course I felt amazing, then it hit me again. I had shakes, I couldn’t stand, high temperature and blood came out with the mucus. I missed a day of school, a whole day of studying for my GCSE’s…. doctors these days are annoying the hell out of me. This has been the worst year for me so far and it has got in the way of my relationship that we are no longer together. I just want to be myself again. I hate this feeling of not being able to breathe, constant pain in my face and head, fever…. It’s just not fair? How did I even get it? But I can’t give in as I have school and I want my GCSE’s….. Argggg!! oh well, lets just wait till the doctors find something that does work hey?

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reakt said on 01 November 2012

Melissa Cooke, I think you work for Sinusooth! – The magical nose spray that cured you when no NHS doctor could. You came here to share that with us. In your first post you claim that you’ve still got bits left in the bottle (implying that it’s great value for money). This is American-style advertising from an American product manufacturer.

You’re asked the name of it and where to buy. You can’t remember the name of it. I think this is a weak attempt to make your own product placement slightly less obvious to the rest of us. You threw away the packaging? Why not just read the name from the label of the bottle that you still have?

You go on to list not one but both of the major retailers where Sinusooth can be purchased. Not bad for someone who couldn’t remember the name of the product. Ah but you remembered it started with a ‘S’ and two ingredients that aren’t found in any other nasal sprays – just enough for us to google it.

I almost fell for it. I was ready to buy this product as I’m in pain with sinusitis. I’ve been searching the net for information. On many forums I came across people with an almost identical story to yours – word for word actually – cured by this magical spray.

As the NHS advice states on this very page, the majority of cases of sinusitis (which is actually very common) clears up on it’s own within 2 and a half weeks. So if somebody started using your nasal spray when they first noticed a problem they might be fooled into thinking that the spray had cured them when the problem had cleared up on its own. As for your years of suffering cured – I don’t believe you.

Anyway, rather than take your suspicious advice I think I’ll wait the 2 and a half weeks then see a doctor after that if it hasn’t cleared up.

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User716429 said on 03 October 2012

I was diagnosed with acute dysfunctional Rhinitis in 2011 following my brother’s death a month or so before. My nose was never blocked, runny, I didn’t sneeze, the symptoms I had was a dry burning heat sensation in my nostrils, foggy like brain and headaches when I breath through my nose. I saw a consultant, had a CT scan and was told I needed an operation, I have a fear of hospitals plus my brother had died a month or so prior in very distressing circumstances so I was somewhat still traumatised. Needless to say I cancelled the surgery because my nerves got the better of me, I was given some meds to put in my nostril that did not help in the least I still have the problems that gets extensively worse in cold weather anyone suffering like me if you have any ideas please help

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Jickster said on 15 August 2012

Apologies to ask personal questions of you all but can you confirm your symptoms?
I have been suffering with an ongoing undiagnosed condition now for atleast 2 years and am desperate for a solution. I have been signed off work several times and am getting no where with a diagnosis.
My symptoms are – constant pressure pain in left cheek and swelling. Varying levels of pain. Due to pressure under left eye very difficult to keep eye open. Sometimes itching under the eye. Headaches, earache, voice sometimes goes funny. Very groggy, hard to judge things(driving). I have been seeing GP’s and ENT specialist but have recently been discharged as had a septoplasty as an experiment to see if it would assist although the consultant was pretty sure it wouldn’t(he was correct). Not a nice experience to go through. This was done as my condition was believed to be chronic sinusitis but the CT showed the sinus as clear apart from a very minimal mark(consultant said it was best sinus he had seen all day!) and so consultant was stumped as did not expect this as could clearly see swelling and discomfort i was in. They did find chronic inflamtion in the left side when did biopsy whilst doing septoplasty but when discharged by his registrar she said this is not unusual for a hayfever suffer. I have now been discharged and asked to return to the GP to refer me to the Pain Clinic. Done this and whilst he is referring me he has said he does not understand why the ENT have said this when the Pain Clinic is more for Back, shoulder, joint injuries. There is a 13 week waiting list and again possibly to a department that cannot help me!!
As it was not sinusitis it is believed to possibly be neuralgia and i was on pills to numb the nerve which did ease the pain in the face for a while but did not prevent the other symptons which make me feel ill.
Latest doc has taken me off these and given me anti-inflamatory pills(sure i must have had these before) Can anyone help!!?

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Mark50 said on 22 July 2012

I had an op on my sinuses 20 years ago and it turned out to be the biggest mistake ever as i have suffered every day since and the only thing that gives me any relief is beechams powders which i have to take at least three a day as the hospital can offer me nothing at all to touch the pain so i have looked up the ingrediants Melissa described and yes it did begin with an S. I now have a bottle ordered and am really hoping i get some posotive results. Will let you know

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Anonymous said on 04 May 2012

Iv had a hunt on website for this nasal spray,I think its called sinusoothe,I might give it a go myself as nothing else has worked for me.

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Melissa Cooke said on 30 April 2012

I’m truly sorry but I have thrown away the packaging and have forgotten the name. I know when I bought it itwas also available on ebay and amazon. I also remember clearly it has manuka oil and cinammon oil. I remember this because I had not seen these ingredients in a nasal spray before. The name starts with an S. I really apologise for not remembering it but my memory is like a seive.

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User666881 said on 17 April 2012

Melissa,

The nasal spray sounds good. I have a lot of trouble with sinus pain, could you tell me what is was called and where you got it from please.

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Melissa Cooke said on 31 March 2012

I was in agony for nearly ten years with a chronic sinus infectoin and my doctor and ent spesialist could not help me other than prescribe antibiotics which where as useful as an ashtray on a motorbike. I got a natural nasal spray which contains cinammon and manuka oil and it cured me completely after just two weeks. I still have bits left in the bottle. I admit it does sting a little when you use it but that only lasts a few seconds. I cannot even put into words my thoughts on how good this nasal spray was. I hope this information can help others with sinusitits.

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Flu and the flu vaccine

Your guide to flu symptoms and the flu vaccine, including who should be vaccinated this winter

Antibiotics

Antibiotics are medications that are used to treat, and in some cases prevent, bacterial infections

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NHS Choices Syndication

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Sinusitis

Introduction

Sinusitis is inflammation of the lining of the sinuses, caused by a viral or bacterial infection.

The sinuses are small, air-filled cavities behind your cheekbones and forehead (see below). 

The main symptoms of sinusitis are:

  • a blocked or runny nose
  • facial pain and tenderness
  • a high temperature (fever) of 38°C (100.4°F) or more
  • a sinus headache

Read more about the symptoms of sinusitis.

Sinusitis is a common condition that can affect people of any age.

The sinuses

You have four pairs of sinuses in your head. There are pairs of sinuses:

  • behind your forehead
  • either side of the bridge of your nose
  • behind your eyes
  • behind your cheekbones

Your sinuses open up into the cavity of your nose and help control the temperature and water content of the air reaching your lungs. 

The mucus that’s naturally produced by your sinuses usually drains into your nose through small channels. These channels can become blocked when the sinuses are infected and inflamed.

The sinuses behind the cheekbones (the largest ones) are most commonly affected.

What causes sinusitis?

A viral infection is the most common cause of sinusitis. It’s usually the result of a cold or flu virus that spreads to the sinuses from the upper airways.

Following a cold or flu, a secondary bacterial infection can sometimes develop, causing the membranes that line the inside of the sinuses to become inflamed.

An infected tooth can also sometimes cause the sinuses to become infected.

Read more about the causes of sinusitis.

Diagnosing sinusitis

Your GP will usually be able to diagnose sinusitis from your symptoms (a blocked or runny nose with facial pain).

If you have severe or recurring sinusitis, your GP may refer you to an ear, nose and throat (ENT) specialist who will try to determine the underlying cause.

The specialist may use a piece of equipment called a nasal endoscope to examine the lining of your nose and sinus openings.

An imaging test, such as a computerised tomography (CT) scan, may also be used to find out what’s causing your sinusitis.

Treating sinusitis

Around two thirds of people with sinusitis don’t need to see their GP. In most cases, the viral infection clears up by itself.

Sinusitis takes about two-and-a-half weeks to clear up (longer than a cold). If you have mild sinusitis, over-the-counter painkillers and decongestants will help relieve your symptoms.

See your GP if your symptoms don’t improve after seven days, if they’re getting worse, or if your sinusitis keeps coming back. In such cases, antibiotics or a steroid spray or drops may be prescribed.

In cases of very severe sinusitis, surgery may be needed to improve the drainage and function of your sinuses. However, surgery will usually only be recommended if all other treatment options have failed. 

Read more about treating sinusitis.

Complications of sinusitis

Complications of sinusitis are fairly uncommon, but when they occur they tend to affect children more than adults.

If your child has had sinusitis and their eyelid or cheekbone is swollen, they may have a bacterial skin or tissue infection (cellulitis).

Take your child to see your GP if you notice these symptoms. Your child may be referred to an ENT specialist.

In severe cases of sinusitis, antibiotics are often used to control the spread of infection to nearby bone.

However, in very rare cases (about 1 in 10,000), the infection spreads to nearby bone, or the area around the eye, or to the blood or the brain.

Published Date
2013-11-05 13:19:44Z
Last Review Date
2013-07-08 00:00:00Z
Next Review Date
2015-07-08 00:00:00Z
Classification
Sinusitis


NHS Choices Syndication

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 /conditions/articles/sinusitis/mapofmedicinepage

Sinusitis

See what the doctor sees with Map of Medicine

The Map of Medicine is used by doctors throughout the NHS to determine the best treatment options for their patients. NHS Choices offers everyone in England exclusive and free access to this cutting-edge internet resource, which lets you see exactly what your doctor sees.

The information in the Map has been approved by the UK’s leading clinical experts, is based on the best available clinical evidence, and is continually updated. To take advantage of this unique resource go to:

Map of Medicine: sinusitis

Published Date
2011-10-14 13:40:18Z
Last Review Date
2011-10-13 00:00:00Z
Next Review Date
2013-10-13 00:00:00Z
Classification
Sinusitis


NHS Choices Syndication

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Sinusitis

Symptoms of sinusitis

The initial symptoms of a sinus infection are a green or yellow mucus discharge from your nose and severe facial pain around your cheeks, eyes or forehead.

Sinusitis usually occurs after an upper respiratory tract infection, such as a cold or the flu. It’s often quite mild and clears up within 12 weeks.

You may also experience a high temperature and toothache if you have sinusitis.

Long-term sinusitis

A sinus infection that lasts longer than 12 weeks is known as chronic sinusitis.

Chronic sinusitis can occur as a result of a secondary bacterial infection or an underlying allergy. This can cause the membranes lining the nose and sinuses to become inflamed.

Common symptoms of chronic sinusitis include:

  • a blocked nose
  • a runny nose
  • a sinus headache
  • facial pain
  • a reduced sense of smell
  • bad breath (halitosis)

Children

Children with sinusitis may be irritable, breathe through their mouth and have difficulty feeding. Their speech may sound nasal (like they have a stuffy cold) because their sinuses are blocked.

Take your child to see your GP if you notice these symptoms.

Published Date
2013-10-18 09:00:46Z
Last Review Date
2013-07-08 00:00:00Z
Next Review Date
2015-07-08 00:00:00Z
Classification
Face,Runny nose,Sinusitis


NHS Choices Syndication

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Sinusitis

Treating sinusitis

Around two thirds of people who get sinusitis don’t need to see their GP. Most cases are caused by a viral infection that often clears up on its own.

Sinusitis takes about two-and-a-half weeks to clear, which means it lasts longer than a cold.

For mild sinusitis, over-the-counter painkillers such as paracetamol and ibuprofen can be used to relieve a headache, high temperature and facial pain or tenderness.

Children under 16 years of age shouldn’t take aspirin, and ibuprofen isn’t recommended for people with certain health conditions, including asthmastomach ulcers and severe heart failure.

Decongestant medication such as nasal sprays or drops may help relieve your symptoms. They’re available over-the-counter from pharmacies and can help unblock your nose, allowing you to breathe more easily.

However, decongestants won’t help speed up your recovery from sinusitis and shouldn’t be used for more than a week at a time.

When to see your GP

See your GP if your symptoms don’t improve after seven days, if they’re getting worse, or if your sinusitis keeps coming back.

If you have severe or chronic (persistent) sinusitis, your treatment options will include:

  • antibiotics
  • steroid sprays or drops
  • surgery (if all other treatments have failed)

Your GP may refer you to an ear, nose and throat (ENT) specialist, who will carry out some tests to find the underlying cause of your sinusitis. Chronic sinusitis may last for several months.

Antihistamines may be recommended in cases where sinusitis is associated with an allergy.

Antibiotics

Your GP may prescribe a course of antibiotics if your symptoms of sinusitis are severe and they haven’t improved after seven days.

About a third of people with sinusitis will develop a bacterial infection that requires antibiotic treatment.

Steroid drops or sprays

Steroid drops or sprays are usually prescribed if you’re diagnosed with chronic sinusitis because they can help reduce your swollen sinuses.

Surgery

If your symptoms don’t improve after a course of antibiotics, and you’re still experiencing problems with your affected sinuses, functional endoscopic sinus surgery (FESS) may be recommended.

FESS is the most common operation for sinusitis and it can be effective in relieving the symptoms. 

The procedure is usually carried out under general anaesthetic, but it can also be performed under local anaesthetic (where your nose is numbed).

During the procedure, the surgeon will insert an endoscope into your nose. This is a thin tube with a lens at one end that magnifies the inside of your nose. This will allow the surgeon to see the opening of your sinus drainage channels.

The surgeon will then either:

  • remove any tissues, such as nasal polyps (growths) that are blocking the affected sinus
  • inflate a tiny balloon inside your nose to open up the drainage passages from your sinuses (this is known as a balloon catheter dilation)

The operation will improve the drainage of your sinus and help your sinus to function properly.

The surgeon may also insert a self-dissolving implant into your sinus, which expands to hold the sinus open and deliver a steroid called mometasone directly to the sinus lining.

The ENT UK’s website has more information about functional endoscopic sinus surgery.

The National Institute for Health and Care Excellence (NICE) also provides information about balloon catheter dilation for chronic sinusitis.

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Published Date
2013-10-18 09:01:20Z
Last Review Date
2013-07-08 00:00:00Z
Next Review Date
2015-07-08 00:00:00Z
Classification
Antibiotics,Bacterial infections,Ear, nose and throat specialists,Painkillers,Sinusitis

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