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?

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!

Awakening with a headache and on top of it a blocked nose is an unpleasant begins to the day. In the event that this turns into a standard event and even the face harms with general largeness in the head, it's a restorative condition called sinusitis. Sinuses are air-filled depressions inside the skull bone. These empty spaces in the skull are arranged in cheek bones, brow, behind the scaffold of the nose and between the eyes. Another set is arranged in the upper area of the nose and behind the eyes. All the sinuses have the same coating that is available in the nose. This covering produces bodily fluid, which is depleted out of the sinuses through an opening in the nose. Homeopathy treatment can be a decent cure for sinus of various sorts.

Top normal homeopathic remedies for sinus infections

1. Silicea: one of the best homeopathic remedies for sinus infections with headache. Silicea happens to be one of the finest remedies in homeopathic for sinus disease. The headache caused by sinus fundamentally on right side happens to be treated best with silicea. The patient requiring silicea feels crisp and is extremely touchy to frosty air. Concealing warmly gives alleviation. One conspicuous sign for utilizing homeopathic pharmaceutical silicea as a part of cases of sinus happens to be stuffiness in the nasal parts. The discharges in the nasal areas get stopped up in hard coverings. On endeavoring to extricate these hulls, there is dying.

2. Belladonna: top homeopathic solution for sinus headache with smothered discharge: normal homeopathic prescription belladona is one of the perfect homeopathic remedies for sinus diseases when sinus headache is because of smothered discharge. Belladonna is exceptionally useful when a sinusitis patient grumbles of a brutal headache. The patient may get alleviation from the headache by restricting the head firmly or applying weight.

3. Kali bichrome: best homeopathic solution for sinusitis with discharge dropping once again into throat
Kali bichrome is the top regular homeopathic medication for sinusitis where the discharge drops over into the throat regardless of leaving the nose. The discharge is thick and for the most part yellow.

Homeopathy for Sinus

Sinuses are cavities in our skull behind the nose which spread out in a pattern. These cavities are lined with tissues and mucosal membranes and are essential for our breathing process. Sinusitis is a condition where the tissues within the cavities become inflamed which results in the sinus cavities being blocked due to a buildup of fluid.

What are the conditions that can lead to sinusitis?
Some of the conditions that can cause nasal polyps are explained as follows:

Nasal polyps are small growths of tissue within the lining of the nose which may block the sinuses, resulting in sinusitis.
Common cold is also a culprit which may result in sinusitis
If your septum or the bridge between the holes of the nose is deviated (this condition is referred to as a deviated septum), you may be prone to developing sinusitis.
The lining of the nose may swell in a condition known as allergic rhinitis and cause sinusitis as well.
Types of sinusitis
There are multiple types of sinusitis which may affect people and also on how long they last. The various types of sinusitis are explained below:

Acute sinusitis: This is the most common form of sinusitis that lasts usually between 2 to 4 weeks. It starts with a cold, blocked nose and turns into facial pain that usually starts very suddenly.
Chronic sinusitis: This is a form of sinus infection which can have a debilitating effect on your life and may last for 12 weeks or longer.
Sub-acute sinusitis: This is somewhere between acute and chronic sinusitis and may last from anywhere between 4 to 12 weeks.
Recurrent sinusitis: This form of sinus infections tend to be a variation of acute or sub-acute sinusitis which tends to occur multiple times a year.
Symptoms of sinusitis
The manifestation of the symptoms of sinusitis may be different from person to person and also on the type of sinusitis you are suffering from. However, there are some generic symptoms that are common to all forms which are mentioned as follows:

Smelling senses may be dulled
Facial pain
Congestion accompanied by a cough
Nose may be blocked, stuffy and may also be runny
Other symptoms may also include bad breath, fatigue, or even dental pain
Nasal cavity may have pus and it may drain from time to time
It is best to consult a doctor quickly, if you have been having any of these symptoms. The doctor can prescribe nasal decongestants and antibiotics which can help. If you have chronic or recurrent sinusitis, then more aggressive and advanced treatments may be required.

Sinusitis - Conditions That Lead to It!

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?

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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