Sinusitis is present when the tissue lining the sinuses become swollen or inflamed. It occurs as the result of an inflammatory reaction or an infection from a virus, bacteria, or fungus.
Acute sinusitis; Sinus infection; Sinusitis - acute; Sinusitis - chronic; Rhinosinusitis
The sinuses are air-filled spaces in the skull. They are located behind the forehead, nasal bones, cheeks, and eyes. Healthy sinuses contain no bacteria or other germs. Most of the time, mucus is able to drain out and air is able to flow through the sinuses.
When the sinus openings become blocked or too much mucus builds up, bacteria and other germs can grow more easily.
Sinusitis can occur from one of these conditions:
There are three types of sinusitis:
The following may increase the risk that an adult or child will develop sinusitis:
The symptoms of acute sinusitis in adults very often follow a cold that does not get better or that gets worse after 7 to 10 days. Symptoms include:
Symptoms of chronic sinusitis are the same as those of acute sinusitis. However, the symptoms tend to be milder and last longer than 12 weeks.
Symptoms of sinusitis in children include:
Try the following steps to reduce stuffiness in your sinuses:
Be careful with use of over-the-counter spray nasal decongestants such as oxymetazoline (Afrin) or neosynephrine. They may help at first, but using them for more than 3 to 5 days can make nasal stuffiness worse and lead to dependence.
To help ease sinus pain or pressure:
MEDICINE AND OTHER TREATMENTS
Most of the time, antibiotics are not needed for acute sinusitis. Most of these infections go away on their own. Even when antibiotics do help, they may only slightly reduce the time it takes for the infection to go away. Antibiotics are more likely to be prescribed sooner for:
Acute sinusitis should be treated for 10 to 14 days. Chronic sinusitis should be treated for 3 to 4 weeks.
At some point, your provider will consider:
Other treatments for sinusitis include:
Surgery to enlarge the sinus opening and drain the sinuses may also be needed. You may consider this procedure if:
Most fungal sinus infections need surgery. Surgery to repair a deviated septum or nasal polyps may prevent the condition from returning.
Most sinus infections can be cured with self-care measures and medical treatment. If you are having repeated attacks, you should be checked for causes such as nasal polyps or other problems, such as allergies.
Although very rare, complications may include:
Call your provider if:
A green or yellow discharge does not mean that you definitely have a sinus infection or need antibiotics.
The best way to prevent sinusitis is to avoid colds and flu or treat problems quickly.
Other tips for preventing sinusitis:
Published Date: April 13, 2020
Published By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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