Sinus Infection (Sinusitis)

  • Medical Author:
    Charles Patrick Davis, MD, PhD

    Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

Quick GuideSinus Infection (Sinusitis) Symptoms and Treatment Options

Sinus Infection (Sinusitis) Symptoms and Treatment Options

What decongestants and nasal sprays soothe or cure sinus infections or sinusitis?

Taking decongestants (pseudoephedrine) and mucolytics (guaifenesin) orally may be helpful in assisting drainage of sinus infection.

The treatment of chronic forms of sinus infection requires longer courses of medications, such as Augmentin, and may require a sinus drainage procedure. This drainage typically requires a surgical operation to open the blocked sinus under general anesthesia.In general, antihistamines should be avoided unless it is felt that the sinusitis sinus infection is due to allergy, such as from pollens, dander, or other environmental causes.

It is likely that the use of a topical nasal steroid spray will help reduce swelling in the allergic individual without the drying that is caused by using antihistamines although both are occasionally used.Oral steroids may be prescribed to reduce acute inflammation and to help with chronic inflammation in cases with or without polyps and in allergic fungal sinusitis.

In many people, allergic sinusitis develops first, and later, bacterial infection occurs. For these individuals, early treatment of allergic sinusitis may prevent development of secondary bacterial sinusitis.

In rare instances or in natural disasters, fungal infections (termed zygomycosis or mucormycosis) may develop in debilitated people. Death rates of 50%-85% have been reported for patients with these sinus infections. Treatment relies on early diagnosis followed by immediate surgical debridement, antifungal drugs, (mainly Amphotericin B) and stabilizing any underlying health problem such as diabetes. Continue Reading

Reviewed on 5/18/2016
References
REFERENCES:

US Federal Drug Administration. "Is Rinsing Your Sinuses Safe?"
<http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm316375.htm>

Brook, I. MD. "Acute Sinusitis." Medscape. Jul 29, 2015.
<http://emedicine.medscape.com/article/232670-overview>

Brook, I. MD. "Chronic Sinusitis." Medscape. July 19, 2015.
<http://emedicine.medscape.com/article/232791-overview>

NeilMed Pharmaceuticals, Inc. NeilMed Sinusrinse Video.
<http://www.neilmed.com/usa/video.php>

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