Sinus Infection (Sinusitis)

How is sinus infection treated? (Part 2)

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 patients. 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.

Reviewed on 7/14/2014

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