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Doctor insights on: Acute Sinusitis

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Dr. Brian Novick
220 doctors shared insights

Acute Sinusitis (Overview)

An infection of the nose and the sinus airways behind the nose and inside the cheekbones. Most often the infection is caused by bacteria.


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What is acute sinusitis?

What is acute sinusitis?

Acute sinusitis: 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. Brian Novick
220 doctors shared insights

Acute Sinusitis (Overview)

An infection of the nose and the sinus airways behind the nose and inside the cheekbones. Most often the infection is caused by bacteria.


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What are the symptoms of acute sinusitis?

What are the symptoms of acute sinusitis?

Multiple: 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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Acute sinusitis (Tip)

Avoid antibiotics as much as possible - virtually ALL sinusitis is due to a virus infection. ...See more

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Treating Sinusitis (Checklist)

See a healthcare professional if your symtoms persist or worsen
Daily
Use nasal saline spray or Neti Pot to help rinse sinuses
Once
Use antihistamine such as Benadryl, Claritin, Zyrtec, or Allegra
Daily
Try taking a long, warm shower or using a humidifier
Daily
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What are the signs and symptoms of acute sinusitis?

What are the signs and symptoms of acute sinusitis?

Multiple: 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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Diagnosed with acute sinusitis and prescribed doxycycline. Puzzled by absence of any mucus but have other common symptoms. Is absence mucus possible?

Diagnosed with acute sinusitis and prescribed doxycycline. Puzzled by absence of any mucus but have other common symptoms. Is absence mucus possible?

Stuck in sinuses: You could be draining the mucus postnasally or back through your throat. The other possibility is that the sinus openings are swollen shut and the mucus is stuck within the sinuses. Decongestants can aid this.

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Acute sinusitis (Tip)

Avoid antibiotics - they do NOT work for 95% of sinusitis cases! ...See more

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Treating Acute Bronchitis (Checklist)

Drink plenty of water
Daily
Take ibuprofen for pain
Daily
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What are the tests for acute sinusitis?

What are the tests for acute sinusitis?

History and physical: 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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How to know if I have acute sinusitis?

How to know if I have acute sinusitis?

An ENT exam: Without a specific x-ray, an ENT exam will usually reveal redness, swelling and pus in the lateral wall of the nose. The pussy drainage can be cultured and a specific diagnosis and treatment can be started.

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Acute sinusitis (Tip)

Most sinusitis is viral, allergic, or will resolve without the need for an antibiotic. ...See more

Dr. Marsha Davis Dr. Davis
1 other doctor agreed
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Acute sinusitis (Tip)

Do use antihistamine , saline or steroid sprays but not decongestant sprays as could make it worse. ...See more

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What is the best treatment for acute sinusitis?

What is the best treatment for acute sinusitis?

Saline washes: 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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Acute sinusitis (Tip)

Don't ask for an antibiotic. Your doctor will tell you if it's needed. ...See more

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If I suffer from allergies and asthma, could I be at risk of getting acute sinusitis?

If I suffer from allergies and asthma, could I be at risk of getting acute sinusitis?

Not really...: Acute sinusitis is due to an infection of your sinuses and your risk for this is not increased by the presence of asthma. However, if you get acute sinusitis, this could lead to an asthma exacerbation so see your doctor for treatment if you develop symptoms of acute sinusitis.

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What is acute sinusitis?

Acute sinusitis: 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. Marsha Davis Dr. Davis
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Acute sinusitis (Tip)

Nasal irrigation with Normal Saline is one of the most important things you can do to get rid if it. ...See more

Dr. Ana Adelstein
8 doctors shared insights

Sinusitis (Definition)

A condition caused by an inflammation or swelling of the tissue lining your sinuses. Acute sinusitis usually starts with coldlike symptoms such as a runny, stuffy ...Read more


Dr. Thomas Fiala
61 doctors shared insights

Sinus Rinse (Definition)

Try spraying nasal saline several times per day to help reduce ...Read more