What Is Sinusitis
Sinusitis is the inflammation or infection of the sinuses – the air-filled spaces around the nose and eyes.
It interferes with normal mucus drainage, causing pressure and discomfort.
Types of Sinusitis
- Acute sinusitis – lasts less than 4 weeks, often due to colds or infections
- Subacute sinusitis – symptoms last 4–12 weeks
- Chronic sinusitis – lasts more than 12 weeks, usually linked with allergies, nasal polyps, or structural problems
- Recurrent sinusitis – several episodes within a year
Common Causes
- Viral or bacterial infections (often after colds)
- Allergies (hay fever, dust, pollen)
- Nasal polyps or deviated septum
- Fungal infections (rare, but more serious in immune-compromised patients)
Common Symptoms
- Blocked or stuffy nose
- Thick yellow/green nasal discharge
- Facial pain or pressure (forehead, cheeks, around eyes)
- Reduced or lost sense of smell
- Headache
- Fever (sometimes)
- Bad breath (halitosis)
- Toothache (upper jaw)
- Fatigue
Diagnosis
An ENT specialist may use:
- Nasal endoscopy (tiny camera inside the nose)
- CT scan (to view sinus structures)
- Allergy testing (if suspected)
Treatment Options
Medical management
- Nasal saline irrigation (washes/mist)
- Nasal corticosteroid sprays
- Decongestants (short-term use only)
- Antibiotics (if bacterial infection is confirmed)
- Antihistamines (if allergies play a role)
Surgical management (for chronic/recurrent cases)
- FESS (Functional Endoscopic Sinus Surgery): to clear blocked sinuses
- Septoplasty: corrects deviated septum
- Polyp removal: if nasal polyps are present
Self-Care & Prevention
- Stay hydrated and use humidifiers
- Inhale steam to ease congestion
- Avoid allergens and irritants (dust, smoke, strong odors)
- Manage allergies early
- Practice good nasal hygiene with saline sprays
When to See an ENT Doctor
- Symptoms lasting more than 10 days without improvement
- Recurrent infections (3–4 times a year)
- Vision problems, severe swelling, or very high fever