Sinusitis is an inflammatory condition which causes swelling of the tissue lining the sinus passages. The healthy sinisuses are filled with air, but when there is a blockage, they get filled with fluids which can give rise to germs and cause an infection. Conditions such as the common cold, allergic rhinitis (swelling of the lining of the nose) and a deviated septum (shift of the nasal cavity) can cause sinusitis. People with nasal polyps and blocked drainage ducts are more prone to getting sinusitis as compared to other people. The main treatment for sinusitis is surgery.

Sinusitis Surgery
Surgery is the most effective treatment for this condition as it makes the sinuses drain by getting rid of the blockage and draining out the mucus. Surgery also removes infected, swollen and damaged tissues in the sinus along with polyps present in the nose or the sinus. If any foreign substances are obstructing the nasal passage, they are removed as well. Surgery, sometimes, is the only way of getting rid of a nose which is badly blocked. In severe conditions, people might also require a second surgery. Surgery, when coupled with medication, is more effective in treating this condition as antibiotics might be required to prevent the sinus from getting re-infected.

There are two types of sinusitis surgeries people can avail:

Endoscopic surgery: This surgery removes small bones and other foreign substances blocking the sinus passage or is used for removing polyps. A thin tool called the endoscope is inserted into the nose with the help of which, the doctor gets rid of substances which are blocking the sinus passage.
Sinus surgery: This is carried out in conditions when there are developments like pus and infections in the facial bones or in case of a brain abscess (inflammation caused due to infection within the tissues of the brain). In this kind of surgery, the doctor uses the opening in the mouth or makes another one through the skin of the face to remove the blockage from the sinus and get rid of sinusitis.

Suffering from Sinusitis? Can Surgery Be Helpful?

Sinusitis is an irritation or swelling of the tissue covering the sinuses. Healthy sinuses are loaded with air. But there are times when they get blocked and loaded with fluid. In such cases, germs can develop and cause an infection. Due to this infection, your nose gets heavily blocked along with you sinuses and might make it difficult for you to breathe.
Conditions that can bring about sinus blockage include the following:
Common cold
Allergic rhinitis (swelling of the lining around the nose)
Little developments or growths in the covering of the nose called nasal polyps
A deviated septum (a shift in the nasal cavity)
Here are some of the ways you can get rid of sinusitis naturally:
Stay Hydrated: Drink a lot of water, soup or broth, along with juices with no added sugar and hot tea. These liquids will disperse bodily fluids and drain it from the disturbed sinuses.
Salt Water Rinse: In case you suffer from sinus infections often, invest in a neti pot. This helpful container makes it simple to hydrate your nasal tract, getting out undesirable bodily fluids and any contaminants you may have breathed, an which may have been caught in the nasal cavity.
Turmeric/Ginger Root: Turmeric root is an excellent fragrant spice found in most Indian and Middle Eastern dishes. Turmeric not only contains the regular calming and anti-inflammatory curcumin, it is also an antioxidant. When it is mixed with hot ginger ale and blended with hot tea, this mixture can remove excess fluid from the clogged nasal sections, ease sinus pressure and make you feel better.
Spicy Food: Spicy ingredients such as mustard, hot peppers, curry, horseradish, and masala in one s food may help in clearing sinuses. In case you like spices, think about including some hot flavours to your food to open your nasal entries.
Apply Warm Packs: You can use a warm pack to keep the nasal tissues damp. Also, fill a round bowl or pot with steaming water and place your face over it with a towel around your head to inhale the steam in. This will open up your sinuses and make an easy path for fluid drainage.
Take a Steam: High temperature water vapour can saturate the sinuses. Sprinkle a couple drops of eucalyptus or menthol in the shower or bath and steam up your bathroom. A hot shower can also relax the bodily fluid as well as the mucus and debris that are stuck inside your nose.
Apple Cider Vinegar: Apple cider vinegar is not only powerful in disposing off sinus issues; it can also be used for different skin and hair issues. What it does essentially for sinus infection is that it clears up the nose so that the bodily fluid can be removed quickly.

How To Cure Sinusitis Naturally?

Pilonidal Sinus/ Cyst is Characterized By 
   Small nodular swelling in the lower spinal region with occasional discharges that may stain undergarments. Sometimes mild pain may also be noticed. 
   It is usually seen in adults of college/ school going age & with hairy skin. 

Pilonidal Sinus/ Cyst seldom heal with medicinal treatment. Any medication whether allopathic, Ayurvedic or homeopathic may show some temporary relief but do not eradicate the problem. In most of the patients having pilonidal sinus/ cyst, surgeons usually recommend surgical procedures like Z-plasty etc. Even after surgery the chances of recurrences are always there. Post operative pain, hospitalization and chances of recurrence are the factors which suggest that surgery is not the appropriate method of treating pilonidal sinus/ cyst. 

TREATMENT OF CHOICE (AYURVEDA) - 
In Ayurveda, a parasurgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. Treatment method includes proper identification of sinus tract wrt. to its depth, direction and branching pattern. This could be achieved via sinogram or skilled probing. Once the sinus tract has been properly identified, a super specialized medicated thread i.e. Graded ksharsutra  is placed in the tract. The medicine from the medicated thread is gradually released which leads to debridement of the sinus tract which means unhealthy tissue, pus, hairs are expelled out from the tract. The proper and complete debridement of the tract induces healing of the sinus which subsequently heals. The medicine coated thread remains effective for 7-10 days after which it has to be replaced by a new thread. 

Usually, in a sinus of approx. 5 cm length, 6-8 sittings of medicated thread replacement are required at a weekly interval. Ksharsutra therapy being a non surgical opd procedure doesn't involve any hospitalization or bed rest and patients can resume their routine work immediately after treatment. Graded ksharsutra  treatment is the treatment of choice for Pilonidal Sinus as chances of recurrence are seldom seen. The facility of Graded ksharasutra  is available only at Sushruta Anorectal Institute. 

Pilonidal Sinus/ Cyst Treatment FAQs 

Question 1 - What is Pilonidal Sinus/ Cyst Disease? 

Answer - Pilonidal Sinus disease is seen as a small nodular swelling in the lower spinal region with occasional discharges of pus & blood. It is most commonly found in people with hairy skin. Some times mild pain may also be noticed. The main problem is that it keeps on developing again and again after short period of remission. As the problem aggravates, the size of the swelling & pus discharges also increase. It is usually not noticeable in the beginning till it keeps recurring again and again. It is advisable not to get it operated as the chances of recurrence after surgery are pretty high, where as in Ayurveda with the help of Graded ksharsutra , this problem can be completely cured without surgery. *(There is no guarantee of specific results and the results can vary.) 

Question 2 - What are the Causes of Pilonidal Sinus Disease? 

Answer -Pilonidal sinus is also known as the jeep riders back problem. The problem was first recorded on a large scale during world war II in the soldiers who rode jeeps and motorbikes on a frequent basis. Though, the reason behind the occurrence of the issue is really not known it is believed that in growing hairs and hairs penetrating the skin are main cause. The problem is more common in people who have hairy skin. Home remedies for Pilonidal Sinus? Answer - Pilonidal Sinus is an infective condition usually seen in hairy skin individuals. As such there is no home remedy for Pilonidal Sinus. So instead of wasting time in searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible. 

Question 3 - What are the ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection? 

Answer -The main problem with identifying Pilonidal Sinus Infection is; it cannot be done till it grows to a certain extent. At first, it appears like a normal boil on the skin. When it does not go away with time; pus starts discharging out of it. We have demarcated a few of the signs that may help you in detecting the problem. 

Sensation of pain while sitting or standing in the low back region. 
The cyst appears swollen 
Pus and blood mixed watery discharge from the cyst 
eddened skin near the cyst 
Cyst forming again and again

Pilonidal Sinus - Say No to Surgery!

9 Home Remedies for Sinus 

Nose incorporates an intricate system of narrow passages and hollow, air containing spaces connecting to eyes and ears that enable us to inhale the air before it reaches our lungs. And the problem of sinus is directly linked with the nose. Basically, Sinus is a cavity within bones of face connected with nasal cavities and the main cause of sinus is allergies. But internally our nose has to suffer a lot when this problem occurs. But there are few tips that can be of great help during sinus. Let’s see them one-by-one

1. Drink plenty of water: While you are suffering from sinus, you must keep drinking water at short intervals because this won’t let the sinus get dry which is very essential for the treatment of sinus. Prefer taking lukewarm water.

2. Oregano oil: Adding few drops of oregano oil in water and having it 2-3 times a day for a week will provide relief when suffering from sinus and it will also make recovery faster.

3. Eat vitamin C: Eat citrus fruits which are rich in Vitamin C. Although some people avoid it thinking that it will aggravate the sinus problem but taking Vitamin C is helpful in sinus problem.

4. Fruit juice intake: Taking fruits juices also helps in thinning out mucus and preventing sinuses from blocking.

5. Warm compressor on face: Keeping warm compressor on your face will give relief from discomfort and will open blocked nasal passages.

6. Keep your head propped up while sleeping: Sleeping on a couple of pillows will be a good idea as it will help in proper breathing.

7. Spicy food intake: Taking too many spices is never a good idea but taking it in limits can actually solve many problems and one of them is clearance of sinus. Spices like mustard, hot pepper, curry and horseradish etc. helps in clearing sinus. It opens your nasal passages.

8. Hygiene: Hygiene is the first and foremost thing to be kept in mind when this problem occurs.

9. Humidifier: Keeping humidifiers in your room also helps in providing relief during sinus.



9 Powerful Home Remedies for Winter Sinus That Work Fast!

The inflammation of the tissues around the sinuses is a condition known as sinusitis. This can be triggered by a number of factors including a common cold and pollen allergies. The symptoms of acute sinusitis are

Facial muscle pain
Stuffiness of the nose
Running nose
Congestion
Loss of smell

Sinusitis is an uncomfortable condition on its own, but can also lead to a number of other complications. Ayurveda can be very effective in treating sinusitis without causing any other side effects. Here are a few ways to treat sinusitis with Ayurveda.

Steam inhalations

Steam is a decongestant that can successfully clear congestion and make sinusitis less painful. This can be done five to six times a day. If your sinus is causing excessive pain, this should be repeated regularly for at least a week. In cases of chronic sinusitis, you may even continue this form of treatment for two years.

Nasyam

Nasyam is one of the five therapies of detoxification according to Ayurveda. It treats sinusitis by administering medicated oils or herbal juices through the nostrils into the body. Nasyam acts by attacking and removing excess humor in sinus cavities. This improves the flow of oxygen in the body, and thus also helps treat the pain that is a result of your sinusitis.

Ginger-Garlic

Ginger and garlic have a number of medicinal properties. A teaspoon of fresh ginger juice with honey can help reduce the congestion caused by sinusitis. This should ideally be had early in the morning, as soon as you wake up and may be repeated in the evening. Similarly, create a concoction with crushed garlic, turmeric, and honey, in the ratio of 1 tsp each of garlic and turmeric and 2 tbsp of honey. Have 1 tsp of this concoction daily.

Jala Neti

Neti is a yogic purification method and jala neti refers to purification by water. This is a simple technique that should be practiced daily to relieve problems related to sinuses. Fill a neti pot with lukewarm water and a little salt. Position the neti pot such that the spout is in one of the nostrils. Breathe through your mouth and tilt your head till the water starts flowing from one nostril to the other. Once the pot has been emptied, repeat the process with another nostril. This can be repeated any number of times.

Change your diet

Ayurveda is a lifestyle and hence diet is a very important part of the treatment. Avoid cold and oily food. Starting the day with a glass of lemon juice and water is also said to be beneficial to sinusitis patients. Processed foods, chocolates, liquor, carbonated drinks etc are other things to be refrained from when treating sinusitis with Ayurveda.

Treating Sinusitis with Ayurveda

Acute sinusitis (acute rhinosinusitis) causes your nasal passages (sinuses) to become inflamed and swollen. This interferes with drainage and causes mucus to build up. It is difficult to breathe, area around your eyes and face may be swollen. Acute sinusitis is most often caused by the common cold. Other triggers are allergies, bacterial and fungal infections.

These self-help steps can help relieve sinusitis symptoms:
1. Get good rest. This will help your body fight infection and speed recovery.
2. Drink plenty of fluids: Like, water or juice. This will help dilute mucous secretions and promote drainage. Avoid beverages that contain caffeine or alcohol, as they can be dehydrating. 
3. Sleep with your head elevated. This will help your sinuses drain, reducing congestion.
4. Moisten your sinus cavities: Drape a towel over your head as you breathe in the vapour from a bowl of hot water. Or take a hot shower. This will help ease pain and help mucus drain.
5. Apply warm compresses to your face. Place warm, damp towels around your nose, cheeks and eyes to ease facial pain.

Click on consult privately to ask me any questions regarding Sinus or other ENT-related issues.

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Top 5 Sinus-Relief Home Remedies 

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