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?

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.

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Top 5 Sinus-Relief Home Remedies 

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

Acute sinusitis is a type of infection of the sinus. It involves an infection or inflammation of your sinus membranes. The most common symptom of sinusitis is that you have trouble draining mucus from your nose. The sinus is the cavity around the nasal passage and it may swell up when this condition occurs. Usually, the symptoms are temporary. However, sometimes, especially if you suffer from chronic sinusitis,medical intervention is required.

Saline Nasal Spray: This is a spray you put into your nose several times a day to clean your nasal passages.
Nasal Corticosteroids: There are many types of nasal corticosteroids. They include fluticasone, budesonide, mometasone, beclomethsone. These nasal sprays not only help to treat inflammation, they help prevent to prevent inflammation as well.
Aspirin: This is a type of OTC pain relievers and they help relieve the pain of acute sinusitis. Acetaminophen and ibuprofen are two other OTC pain relievers which can be used instead of aspirin.
Antibiotics: Antibiotics are usually not required and should never be taken without the doctor's prescription. However, sometimes the doctor may recommend it if he thinks there is a bacterial infection or if the symptoms progress rapidly.
Immunotherapy: Immunotherapy is given when allergies are the reason you are having acute sinusitis. It is rarely needed, however.
Surgery: For sinusitis symptoms which are chronic or occur frequently, nasal surgery may be the best option for permanent relief. A number of different surgical procedures can be used to treat acute sinusitis such as balloon sinuplasty, endoscopic sinus surgery etc.

Treatment of Acute Sinusitis

Most people go through the experience of getting up in the morning feeling lousy along with a heavy headedness which lingers on all through the day. You may believe that you are getting cold, but you realize that the medications of the common cold are not able to mitigate your symptoms. That s because you are being affected with sinusitis which needs comprehensive treatment.

What is sinusitis?
Sinuses are hollow spaces in the body which have their opening in the nose for the exchange of air and mucus, and each sinus is joined with the nasal passage with the help of continuous mucous membrane. This means that anything which leads to a swelling in the nose including an infection or allergic reaction or immune reaction can affect these sinuses. It results in an intense pain of sinus attack as air is prevented from entering into the nasal sinus because of the swollen membrane. It can also lead to other symptoms such as a runny nose along with nasal congestion, tiredness, fever and severe cough.

How to get rid of sinusitis?
Even though there are endless numbers of medications which can help you control the symptoms of sinusitis, you will be surprised to know that it can also be effectively treated through the Unani medicines without any side effects. If you are suffering from acute sinus pain, you can inhale steam with holy basil five to six times a day. You may require this treatment for several weeks to years together as per the level of suffering. Practicing breathing techniques can also aid in draining out pollutants from the sinus cavities.

Besides practicing these effective procedures, it is recommended to see a Unani medicine expert who can evaluate your unique physical condition and set a treatment plan to relieve your condition. This particular system has got its name from a region in Greece called Unan. The system of Unani medicine is based on several kinds of research, and it incorporates a huge number of drugs from notable medical systems like Siddha and Ayurveda.

How does the Unani system of medicine work to treat sinusitis?
According to the Unani system of medicine, it is important to find out the reason behind the ailment to treating the ailment from its roots. A person gets affected by different diseases including sinusitis due to the surrounding conditions. Therefore, it is important to strike a balance between human body and environment. Pollution also makes the body weaker, and medicines bring about a host of unwanted side effects. On the other hand, the medicine aids in collecting the factors which have contributed to causing the disease. The natural forces in the body together with the Unani medicines help in removing the ailments which, in turn, manage the symptoms of sinusitis.

So, if you are suffering from intense sinusitis and no treatment has helped your condition, then you should consider Unani medications without further delay. It would take some time to uproot the condition, but it is possible to get rid of the condition by following the instructions of your expert diligently.

Best Unani Medicine for Sinusitis Treatment

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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