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Overview

Sinusitis - Symptom, Treatment And Causes

Whta is Sinusitis?

A swelling or inflammation of the tissue lining the sinuses is known as sinusitis. When the sinuses are healthy, they are filled with air. But when get filled with fluid and get blocked, buildup of germs inside the sinuses can cause infection.

Some of the most common conditions that cause blockage inside the sinus are:

  • Swelling of the lining in the nose owing to allergic rhinitis
  • Development of nasal polyps, which are small growths in the lining inside the nose
  • A deviated septum, bringing about a change in the alignment of the nasal cavity

There are several types of sinusitis:

  • Acute sinusitis- which can start suddenly and last anywhere in between 2-4 days
  • Chronic inflamed sinusitis- which can last for more than 12 weeks
  • Recurrent sinusitis- which can happen several times in a year
  • Sinusitis is more likely to affect people who have a swelling inside their nasal cavity, like the one that happens because of a common cold. Formation of nasal polyps, blocked drainage duct inside the nose, and immune system deficiency or the medicines those that are prescribed to suppress our immune system are some of the other reasons that aggravates this disease.For children, sinusitis can happen because of allergies, excessive use of pacifiers, drinking from the bottle while lying on the back or from smoke in the environment. For diagnosis of this illness the doctor may look at your symptoms and then perform a physical check. The doctor can feel and press the patient’s face to look for tenderness in the sinus area. The doctor can also tap your teeth with a clinical aid, to see if a sinus near your nose is creating the trouble.

Symptoms :

Apart from this nasal endoscopy is also performed on the patient to see inside the patient’s nose and also to visualize the sinus drainage area.A nasal endoscope is a thin, tube-like instrument that has a tiny light and a digital camera attached, which is passed inside the nasal cavity after application of local anesthesia to the patients.For treatment of sinusitis, your doctor can prescribe a decongestant along with saline nasal wash. Sometimes to cure the nasal infection, doctors prescribe antibiotics to the patients. As a home remedy, using a vaporizer can be really helpful at times, since warm and moist air help if you have chronic sinusitis.

For easing nose and sinus pain, warm compress can be recommended to the patients.

Over-the-counter decongestants and sprays also helps to temporarily alleviate the symptoms of this disease.

Can't be cured, but treatment helps Require medical diagnosis Lab test sometimes required Short-term: resolves within days to weeks
Symptoms
Stuffy-up or running nose. Loss of smell A feeling of fullness or congestion in the face. In rare cases, pus inside the nasal cavity. Bad breath, fatigue and fever.

Popular Health Tips

Sinusitis - Signs & Symptoms You Must Not Ignore!

MBBS, DLO
ENT Specialist, Faridabad
Sinusitis - Signs & Symptoms You Must Not Ignore!

What is Sinusitis?
For those of you who do not know what Sinusitis is, it is the inflammation or swelling of the sinus tissues which are hollow spaces in between the bones around the nose. The sinuses are healthy when there is constant flow in the air but when the portion gets blocked it fills with bacteria and viruses. This causes mucus and other unhealthy elements to remain blocked inside the nose.

Symptoms-
The symptoms of sinusitis are common and not critical or dangerous in nature. Over 40 million people get affected by this common disease every year.

  1. Swelling or inflammation inside the nose because of a mild fever or common cold can cause the sinuses to get blocked and result to sinusitis.
  2. If the drainage ducts inside, the nose gets blocked the health passage of air gets halted or disrupted.
  3. A runny nose with a constant flow of water and the nose might also get blocked by pus inside.
  4. Structural problems inside the nose which may lead to the narrowing of the nasal tract through which the air passes and comes back.
  5. Deficiency in the immune system can lead to such a problem.
  6. Allergies are also a common contributor to the cause of sinusitis because the nasal chamber gets blocked in the result.

Treatment-
Treating a condition of sinusitis is very common. Let us have a look :

  1. The first thing which a doctor will prescribe you is an antibiotic doze of 7-8 days, which will help you to fight the blocked bacterias and viruses.
  2. Warm compresses will help the nasal cavity to remain warm and wet, keeping it clean from pus and germs. Thus clearing the way for healthy inhaling of air.
  3. Saline nose drops are also used to clear out the blockage in the nose and fight the germs building inside the sinuses.
  4. Sometimes surgeries are also performed when no other medications work properly. It helps to widen the natural pathway which helps in draining between the sinuses and nose, resulting in the congested mucus to come out and again start a fresh process of taking air in.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2540 people found this helpful

Effects Of Sinus On Health!

MBBS, MS - ENT
ENT Specialist, Delhi
Effects Of Sinus On Health!

Sinusitis or sinus is an infection in which your nasal passage becomes inflamed and congested. The main cause of the health problem is due to a virus. But there are rare cases in which the infections are caused by a bacteria or in even rarer cases by a fungus. Some health conditions including tooth problems, allergies and nasal polyps can also result in sinus problems. Here are some of the effects of sinus on your health.

  1. HeadachesHeadaches are one of the primary and most common effects that sinus brings upon your health. The headaches result mainly because your nasal passage becomes completely blocked if you suffer from a sinus infection. The headaches are usually more adverse in the morning. The main reason behind this is that the fluids in your body accumulate in your sinus at night as you lay down for a long period of time. These type of headaches usually get worse when you are traveling due to a sudden change in the air pressure.
  2. Facial PainFacial pain along with an excruciating headache sometimes becomes unbearable in people who have sinus problems. When you have an infection in your sinus and it swells, it causes an immense amount of pressure on your facial region which leads to the pain. The pain continues between your jaws, your eyes, on both sides of your nose. You may sometimes experience pain in your teeth as well. The bridge of the nose and the region under your eyes may seem puffy due to the fluid accumulation.
  3. Nasal Discharge: The nasal discharge is more frequent and you will end up blowing your nose number of times than usual. You may also experience as postnasal drip. This is a special condition in which the mucus is seen dripping at the end of your throat because of which may make ticklish. This happens because of the excessive buildup of discharge in your nasal region. The postnasal drip sometimes also leads to a hoarseness in the voice and you may have to clear your throat from time to time.
  4. Cough: A cough usually results from postnasal drip. Coughing usually aggravates at night as the postnasal drip goes down the throat and tickles the nerves of the nasopharynx which often triggers a cough.
  5. Extreme FatigueThe fatigue is a common side effect of sinus problem since your body employs your immune system to fight off the virus and uses up body's energy in the process leaving you tired. The postnasal drip and headaches often lead to poor sleep which makes you feel even more tired.

So, these are some of the effects that sinus problems can cause on your health. But with proper care and medical assistance, you can combat the problems effectively.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2545 people found this helpful

Sinusitis - Conditions That Lead to It!

MS - ENT, DNB (ENT)
ENT Specialist, Delhi
Sinusitis - Conditions That Lead to It!

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:

  1. Nasal polyps are small growths of tissue within the lining of the nose which may block the sinuses, resulting in sinusitis.
  2. Common cold is also a culprit which may result in sinusitis
  3. 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.
  4. 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:

  1. 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.
  2. 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.
  3. Sub-acute sinusitis: This is somewhere between acute and chronic sinusitis and may last from anywhere between 4 to 12 weeks.
  4. 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:

  1. Smelling senses may be dulled
  2. Facial pain
  3. Congestion accompanied by a cough
  4. Nose may be blocked, stuffy and may also be runny
  5. Other symptoms may also include bad breath, fatigue, or even dental pain
  6. 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. If you wish to discuss about any specific problem, you can consult an Ent Specialist.

5097 people found this helpful

Symptoms and Treatment of Sinusitis

MS - ENT, MBBS
ENT Specialist, Delhi
Symptoms and Treatment of Sinusitis

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: 

  1. Severe headaches
  2. Nose blockage
  3. Release of yellowish green fluids from your nose.
  4. Fever
  5. Difficulty in breathing
  6. Painful sensation in your eyes, ears and forehead.
  7. Post nasal discharge
  8. Frequent cough
  9. A sore throat
  10. Nausea
  11. Body fatigue
  12. Neck stiffness
  13. 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. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
4562 people found this helpful

All About Tinnitus

MS - ENT, MBBS
ENT Specialist, Delhi
All About Tinnitus

If you hear a constant ringing in your ears without any external stimulus, it is called tinnitus. The sound can also manifest as incessant roaring, hissing, buzzing or clicking. The sound can be loud or soft, low or high pitched. Tinnitus can occur in one ear, or both the ears.

Tinnitus is primarily of two types:

  1. Subjective tinnitus: This type of tinnitus is very common. In this type, only you are able to hear the ringing, or buzzing. The main cause of subjective tinnitus is ear problems, especially in the inner, middle and outer ear. Problems in the auditory nerves (hearing) or auditory pathways (the part in your brain that changes nerve signals into sound) can also cause subjective tinnitus.
  2. Objective tinnitus: In this type of tinnitus, the doctor can also hear the sound when he/she performs an examination. This type of tinnitus is rare. Muscles contractions, problems in the blood vessels or conditions in the middle ear bone can cause objective tinnitus.

Causes:
Tinnitus is not a condition; it is more of a symptom of some other underlying medical condition. Tinnitus can be caused by any of the following complications-

  1. Hearing loss (This happens mostly among older people)
  2. Loud noises
  3. Sinus and ear infections
  4. Blood vessel or heart problems
  5. Meniere's disease (The inner ear is affected by unknown causes which lead to deafness)
  6. Brain tumours
  7. Hormonal changes(This happens mostly to women)
  8. Thyroid problem
  9. Certain medications (antibiotics, cancer medicines, diuretics, quinine medication, some types of antidepressants, aspirin)

Symptoms:
The symptoms of tinnitus include

  1. You hear noises that no one else will be able to hear
  2. The sound can be depicted as chirping, whistling, screeching, clicking, static, hissing, buzzing, roaring, pulsing, musical or whooshing.
  3. The sounds can vary greatly in volume and it is most prominent at night or when your surroundings are quiet
  4. Loss of hearing commonly follows tinnitus. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
4422 people found this helpful

Popular Questions & Answers

I am been detected with fungal ball in my CT scan. Doctor has suggested for surgery. I want second opinion on surgery. Is there other option to treat it?

General Surgeon, Hyderabad
Hello lybrate-user You have an Aspergilloma unless you have haemoptysis (blood while coughing) or any other complication. U may not require surgery (there are many parameters to consider) oral iatraconazole resolves illness in upto 60% cases kindly discuss with your doctor about your various options. Take care.
1 person found this helpful

Doctor I have breathing difficulty problem. Today I consulted it with an ent doctor and they said it was asthma problem. Besides she said you have sinus problem also. They had give an injection and nebulization. After that I have got some relaxation. But I have difficulty in breath well and can't inhale. How to overcome from it?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Trivandrum
Hi lybrate-user. Asthma is now common among people who are very much allergic. You should make sure that you don't have any infections. In case of infection it can increase the difficulties. To overcome asthma you have to first what all things you are allergic to and also should take regular medication without fail atleast for a few months. For any other details please do consult.

What are Cavernous sinus tumour symptoms? My sister has severe headaches with reddish watery eyes. MRI showing heterogeneous enhancements on both sides of cavernous sinus.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Trivandrum
Cavernous sinus syndrome is characterized by multiple cranial neuropathies. The clinical presentation includes impairment of ocular motor nerves, Horner's syndrome, and sensory loss of the first or second divisions of the trigeminal nerve in various combinations. The pupil may be involved or spared or may appear spared with concomitant oculosympathetic and parasympathetic involvement. Various degrees of pain may be involved The symptoms and signs of cavernous sinus disease are ophthalmoplegia, orbital congestion and proptosis, trigeminal sensory loss, and sympathetic disturbance. Sympathetic fibres join the abducens nerve for a short distance and thus a Horner’s syndrome in conjunction with 6th nerve palsy is of precise localising value. Cavernous sinus pathology accounts for 5% of all cases of ophthalmoplegia. Causes can be divided into vascular (aneurysms, fistulas, and thrombosis), tumours, and mis-cellaneous inflammatory disorders (including THS). Cavernous sinus tumours are the most common cause of the cavernous sinus syndrome. These may be metastatic (from lung, breast, prostate, etc), result from local spread (naso- pharyngeal, pituitary, craniopharyngioma), or be primary tumours (meningioma, neurofibroma). Pituitary tumours can invade one or both cavernous sinuses adjacent to the pituitary gland. Here ophthalmoplegia is associated with more longstanding endocrine symptoms of acromegaly, galactorrhoea, or hypopituritism. Unilateral or bitemporal visual field defects often coexist. Meningiomas involving the cavernous sinus may start in the sinus or grow into it as an extension from a larger tumour involving the medial sphenoid wing, orbit, clivus, or petrous bones. Natural history in some patients may be that of minimal or no growth for long periods of time; given the risk of significant cranial nerve morbidity with surgical treatment, management decisions are difficult.
1 person found this helpful

I have left ear hole, irritation and pain, suffering with sinus also, without nasal operation can ear problem not solved?

MS - ENT
ENT Specialist, Trivandrum
Good morning. We have to find what is the exact problem with you regarding the nose, in a way the nose and ear are connected. Any infection from nose can affect the ear and to an extent vise versa. Hence it's better to correct your nasal problems then to go for ear surgery. If it's an early stage of sinusitis with or without nasal polyps we can treat the nasal caused with local steroids and antibiotics. For more details you can contact me after 5 pm.

I have headache on one side after getting up in morning along with little bit clogging of nose at same side. On next day the side of headache is change with same symptoms. Is this the sign of sinus OR should I undergo some medical test?

Ophthalmologist, Mahabubnagar
Mostly it is sinusitis, due to overfilling of sinuses with jelly like substance. It presses the underlying nerves causing headache.
1 person found this helpful

Table of Content

Whta is Sinusitis?

There are several types of sinusitis:

Symptoms :

Play video
Sinus Allergy/Nasal Allergy
Nasal & sinus allergy symptoms are bad enough on their own. When allergies trigger swelling in the mucous membranes, the inflamed tissue can block off the sinuses. The sinuses can't drain, trapping mucus and air inside.
Play video
Sinusitis
Sinusitis is an inflammation of the tissue around the sinuses. Healthy sinuses are air-filled, but when they are blocked or filled with fluid, it grows the germs and leads to infection. It is treatable by proper medical intervention by an experienced doctor.
Play video
Chronic Rhinosinusitis
This is Dr. Sharad Mohan from Medicheck Group of Hospitals. Today I am going to tell you something about chronic rhinosinusitis which is a very common problem. Now what does it mean when the doctor says that you are suffering from chronic rhinosinusitis. This is a very common condition. It means inflammation of the nasal passages or sinuses. As the name indicates, chronic means that the duration of the symptoms is at least for 12 weeks and it includes 2 or more of the symptoms which are nasal blockage or rhinorrhea. 2nd is the facial pain and 3rd is loss of smell or reduces sensation of smell. The main thing is to notice here the facial pain may associated with headache or may not be associated with headache and the condition of nasal discharge or obstruction may be associated with postnasal discharge means something sticky substance going down through your throat.

Now it is mandatory to forward at this chronicity of the disease may not be very evitable to the patient. He may be unaware that he is suffering from chronic rhinosinusitis. Now what are the types of chronic rhinosinusitis. Broadly CRS can be divided into 3 main groups i.e. chronic rhinosinusitis with polyposis, chronic rhinosinusitis without polyposis and the 3rd one is allergic fungal rhinosinusitis. Now what are the causes? For a patient to know the main causes are infection or allergy result in nasal polyps or agnomical deformities such as degraded nasal septum. Now the question arises as I said chronic rhinosinusitis with polyposis, chronic rhinosinusitis without polyposis.

What are nasal polyps? Polyps are painless, soft, non-cancerous which is generally associated with chronic rhinosinusitis. And on examination they look like a bunch of grapes. Now the thing is that if the doctor says you are suffering from chronic rhinosinusitis with polyposis that means there is inflammation of sinuses, nasal passages and association with these polyps. Now coming to the main part that is what are the treatments. The mainstay of the treatment is nasal irritation to wash up the allergens, to wash up the retain secretions. In cases if the medical treatments fails, the doctor may give you an option for an endoscopic sinus surgery. This is the very common surgery now being performed. And you should know about the surgery. Traditionally the sinus surgery involves removing of obstructive or disease sinus mucosa which natural passages of secretion from the sinuses. And this is done endoscopically without any scar outside. 2nd and the new method is benue sinuplasty. In this the passage, the opening of the sinuses is dilated.

It s an easier procedure. Can be done in out-patient department also. And it generally depends on the patient condition. The thing to notice here that the procedure is new and safe, but it is expensive. And it has got no advantage over the traditional sinus surgery. So, if you are opting for benue sinus surgery, then be careful. 3rd and the most important thing is, post-operation care is as important as the sinus surgery itself. So, please follow religiously whatever the doctors says. Now the main thing you should know is about the risk and the complications of the surgery. Most important symptoms is recurrence. The patient can land up again with the same set of symptoms as he was prior to the surgery and he may have to go again for the surgery i.e. revisional surgery or repeated medical consultation. Regarding the complication of the surgery, one may suffer from pain, bleeding, one may suffer from injury to the eye which may involve loss of vision also. And one may suffer to the injury to the base of skull. There are certain anatomical factors also. For deviated nasal septum, it is important to know that there is no medications for deviated nasal septum. Your deviated nasal septum cannot be cured by any medications. And you have to go for surgery. And this may one of the cause of chronic rhinosinusitis.

Thank you.
Play video
Sinus Infection (Sinusitis)
What Puts You at The Risk of Sinusitis?
Play video
Nose Paranasal Sinuses
Causes, symptoms and Treatment of Paranasal Sinuses

Hello, I m Dr. Harmeet Singh Pasricha. I m a senior ENT consultant practicing in Gurgaon. I graduated from the prestigious Armed Forces Medical College, Pune, and I did my specialization from New Delhi. Since 2010 I ve been practicing in Gurgaon. I have my own clinic, Dr. Pasricha s ENT and Eye Care Centre, Old Jail Land Complex, Sohna Adda, Gurgaon. And I also practice at Columbia Asia Hospital Palam Vihar, Gurgaon. So today I will be talking about nose paranasal sinuses, and allergies associated with it, and the diseases associated with nasal sinuses, specially the nasal polyps. So nose is one of the sense organs of our body. It is responsible for the sense of smell for patients. And it also plays a major role in the facial appearance, aesthetics of the patient person s face. So the sinuses are hollow spaces inside the bones of the face around the nose. See this is the normal anatomy of the sinuses.

Cheekbones are hollow, which has got sinuses, and other also bones in the forehead contain the sinuses. These sinuses are normal structures of the body, and they re connected to the nose through small air passages. Because of allergies and inflammation, then these connections of the openings of the sinuses of the nose get blocked, then the patient gets problems like sinusitis. And other problems associated with this are kind of allergies nasal polyps, which are overgrowth of the mucosa of the lining of the sinuses.

These days these are medically treated as allergies if development of polyps is there. Then we have to go in for endoscopic sinus surgeries for removal of these sinuses. So with the development of the endoscope, there is no cut outside on the skin, everything is done through endoscope in the operation theatre, through the nose. And we can clear the polyps, and the sinus can be treated with this condition. And medical management also has to be done after the surgery, and most important is the endoscopic follow-up in the OPT, every 6 months after the sinus surgery, to prevent any recurrence of the disease, and to check for requirement of any surgeries later on.

So for anything detail regarding this you can contact me at my clinic at Columbia Asia Hospital Palam Vihar, or you can even contact me online through Lybrate. Thank you.
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