The inflammatory condition of your sinuses (marked by inflammation of your nasal cavities) caused due to viral, bacterial or fungal infection; any autoimmune disorders or allergic reaction is known as sinusitis. This condition is also referred to as 'rhinosinusitis' as nose inflammation occurs. Sinusitis can be either acute, sub-acute or chronic in nature. Acute sinusitis is generally caused due to the common cold and lasts not more than four weeks. Sub-acute sinusitis is more prolonged in nature and lasts for about eight weeks. Chronic sinusitis is more severe in nature and can last for up to twelve weeks or even more.

The most common symptoms of sinusitis are as follows: 

Severe headache
Nose blockage
Release of yellowish green fluids from your nose.
Fever
Difficulty in breathing
Painful sensation in your eyes, ears and forehead.
Post nasal discharge
Frequent cough
A sore throat
Nausea
Body fatigue
Neck stiffness
Tastelessness and anosmia (loss of smell)
The treatment methods available for sinusitis are as follows:

Intake of painkillers like paracetamol can give you temporary relief from your aches. But consuming too much of these can cause side effects such as loss of appetite and drowsiness.
Keep yourself hydrated by drinking about 2 to 3 liters of water every day and take proper rest.
Steam inhalation can give you relief from nasal congestion.
Using nasal sprays like Oxymetazoline can also give you temporary relief.
Your doctor may advise you antibiotics like Amoxicillin in your sinusitis is chronic in nature.
Immunotherapy helps to treat sinusitis if your sinusitis is caused due to allergic reactions.
Your doctor may also recommend an endoscopic surgery of the sinus if your condition is found to be very severe.

Symptoms and Treatment of Sinusitis

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?

Panchakarma is a unique treatment process followed in the ancient field of alternate medicine, Ayurveda. Over the years the practice has found takers not only in India but in several other countries, including the advanced ones such as the US. The recent opening of an Ayurveda kendra or center in New Jersey is ample proof of the popularity of this system of treatment. Practically every health condition is addressed through the panchakarma treatment and sinusitis is also included among them.

Different Levels of the Condition
Sinusitis is a form of inflammation inside the nasal passage that causes pain in the areas surrounding the nose and there are many causes for the condition to develop. Those who undergo the disorder, may experience different levels of sinusitis. It becomes essential for the physician to first diagnose if the sinusitis is acute, sub-acute, chronic or recurrent. Each type can show slightly different symptoms or last for longer durations. Starting from 4 weeks one could have sinusitis conditions lasting a whole of 8 weeks or even longer and there are those who experience it several times during a year.

Not Difficult to Diagnose
Someone with any level of sinusitis usually shows symptoms of a cold or nasal block and accumulation of mucus and so on. But there are simple diagnostic methods using which the doctors distinguish a common cold from sinusitis-like conditions. If the symptoms are severe, the doctor may order a scan done.

Panchakarma Can Offer Effective Remedies
Under the Ayurvedic system, the practitioner would first identify the  dosha  and then go about prescribing the remedy. Since the condition is related to the presence of toxins, detoxification will be a primary form of addressing the issue. There are different methods prescribed within the panchakarma method of treatment. Among them, for sinusitis, Nasyam and Rasaayan therapies are the most frequently suggested ones for this condition.

Under the Nasyam method, the patient is generally asked to lie on his or her back and a specially prepared medicated oil is passed through the nostrils to clean the area. It can result in the condition not only getting cured, but can prevent it from recurring.

The other panchakarma treatment for sinusitis is Rasaayan. In reality, sinusitis is seen as an imbalance in the levels of fluids within the body and if the balance is restored, then health will automatically return. Based on this, the treatment of sinusitis is formulated using the appropriate herbs and elements needed to provide a healthy restoration of the nasal passage and removal of blockages.

If administered by professional Ayurveda practitioners, sinusitis, whichever type it is, can be effectively cured using the panchakarma treatment. As indicated, in many cases the remedy can be so useful that it can go beyond curing and can stop the condition from resurfacing again. That is the beauty of panchakarma.


Panchakarma Treatment For Sinusitis!

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

Sinusitis refers to an extremely painful condition caused due to the inflammation and swelling of sinuses. A host of causes contribute to sinusitis, chief among them being allergies, air pollution or sometimes infection. It causes extreme discomfort, throbbing headache, sore throat and a blocked nose. Though different branches of medicines have tried in their own ways of dealing with this problem, ayurveda with its reliance on natural products as remedial measures have emerged as a clear favorite. Some of the ayurvedic remedies for sinusitis are-

1. Inhalation of steam with tulsi
The benefits of tulsi are widespread and need little introduction. The ambit of its advantages is expansive, making its presence felt even in treating sinusitis. In case of severe bouts of sinusitis, it is highly recommended that you inhale steam with tulsi almost every day in the week.

2. Have ginger along with honey
Another way of treating acute pangs of sinusitis is by making a paste of ginger and honey. Make small tablets of this mixture and for most effective results it is advisable that you have it every day.

3. Avoid certain food
Just how incorporating certain food in the diet help in reducing the pain of sinusitis, eliminating few, often times help you to achieve the same purpose. When you suffer from sinusitis, it is only advisable that you diligently avoid dairy products like milk, yoghurt as well as intoxicants like cigarettes and alcohol.

4. Lemon juice and water
In the initial stages of sinusitis, having a daily concoction of lemon juice and water is considered very beneficial. During this phase maintaining a light diet is advisable.

5. Practice pranayama
The gamut of ayurvedic remedies includes not only the prescription of what to eat and what to avoid but also several exercises that help in expediting the process of recovery. Among them, pranayama with its focus on control and regulation of breath is particularly beneficial in curing sinusitis.

Ayurvedic Remedies for Sinusitis

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!

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