acute sinusitis

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Dr. Michio Abe answered:

what is acute sinusitis?

Acute sinusitis

Sinus_infections
Acute sinusitis is inflammation of the cavities around your nasal passages with associated mucus drainage, which makes it difficult for you to breathe through your nose. It may cause headache, pain around your eyes and cheeks. It’s typically due to a bacterial infection, but could be due to allergies, viral or fungal infections. Acute sinusitis lasts up to 4wks (subacute 4-12wks & chronic>12wks).
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Dr. Dennis M. Diaz answered:

Can acute sinusitis cause ear pain?

Yes

Sinus_infections
Acute sinusitis by causing inflammation in the nose and nasal cavity can secondarily cause swelling in the eustachian tube. This eustachian tube swelling can create negative pressure in the middle ear and lead to ear pain.
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Acute sinusitis is not going away. Why?

Possibilities

Sinus_infections
It might not be sinusitis at all, or if it is you might have a blockage of your sinus drainage pathway. A CT of the sinuses can answer these questions and is generally the first step in answering your question. Other possibilities include allergies, antibiotic-resistant bacteria and, rarely, antibody deficiency.
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What are the causes of acute sinusitis?

Common cold

Allergies
Acute sinusitis most commonly follows a cold. Allergies and blockage of the sinus drainage pathway can also contribute.
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Dr. Alen N. Cohen answered:

What are the causes of acute sinusitis?

Multiple causes

Acute_sinusitis
Usually a normal cold or flu (upper respiratory infection) which is caused by a virus after 5 days or so causes the sinus openings to block up and then bacteria develop within the sinuses causing an acute sinusitis. This then requires treatment via oral antibiotics and decongestants. However chronic smoking and allergies can also block up the sinus openings leading to an infection as well.
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What are the tests for acute sinusitis?

History and physical

Sinus_infections
a history and physical - evaluation by a physician is my first choice - remember, most sinus infections are viral and do not require antibiotics!!
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What sort of problem is acute sinusitis?

Infection

Sinus_infections
Acute sinusitis is an infection of the nasal sinuses (maxillary, frontal, ethmoid, or sphenoid) that is of recent onset. This infection is usually of bacterial origin, but could also be due to a viral or fungal infection as well. Common symptoms include nasal congestion, foul odor from the nose, cough, facial or upper teeth pain, and a "sinus" headache. See your doctor if you have these symptoms.
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What are the symptoms of acute sinusitis?

Multiple

Sinus_infections
Congestion, purulent nasal discharge, facial pain or pressure over frontal or maxillary sinuses. This pain can also be felt around temporal area, and can lead to tooth sensitivity or pain. Fever is somewhat rare. Usually the longer you have had the symptoms, the more likely it is bacterial (vs viral or even plain allergies).
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2 Answers

Acute sinusitis swelling nostrils operation?

Acute Sinusitis

Sinus_rinse
Greetings. With an acute infection, medical treatment such as a course of antibiotics, saline nasal irrigation, ibuprophen and a mucus thinner such as mucinex would be my recommendation. It sounds like you are far from a surgical need.
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Dr. Dennis M. Diaz answered:

What is the best treatment for acute sinusitis?

Saline washes

Sinus_infections
Acute sinusitis symptoms are similar to an upper respiratory infecion but more severe and includes purulent drainage with sinus and facial pain. It lasts longer than the usual 7-10 days of a normal cold. Saline washes or lavage are very helpful along with topical and oral decongestants. Occasionally antibiotics are needed if the saline washes and decongestants aren't helping.
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