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Doctor insights on: Sinusitis

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Dr. Gary Sandler
8 Doctors shared insights

Sinusitis (Overview)

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 nose and facial pain.


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What causes sinusitis?

What causes sinusitis?

Various: There are many possible causes of sinusitis, including but not limited to infection, allergies, inflammatory disease, problems with the anatomy (shape) of the sinuses, even masses. ...Read more

Dr. Gary Sandler
8 Doctors shared insights

Sinusitis (Overview)

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 nose and facial pain.


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How many days do the symptoms of sinusitis last?

How many days do the symptoms of sinusitis last?

7+ days: Early sinusitis symptoms are indistinguishable from cold/ URI symptoms. Nasal congestion, stuffy, runny nose, post nasal drip, cough, sore throat, facial pressure or fullness. Usually, as cold symptoms resolve over 7-14 days, you feel better. If symptoms worsen, treatment which includes saline nasal spray, nasal corticosteroids, pain relievers and antibiotics (if needed), allergy control will help. ...Read more

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Sinusitis (Tip)

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

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Treating Sinusitis (Checklist)

See a healthcare professional if your symtoms persist or worsen
Daily
Use a nasal saline spray or a neti pot to help rinse your sinuses
Once
Use an oral antihistamine, such as diphenhydramine or loratadine
Daily
Try to take a long, warm shower, or use a humidifier
Daily
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How to cure sinusitis?

How to cure sinusitis?

Sinusitis Rx: Sinusitis is generally treated with oral antibiotics and decongestants. Since sinusitis is often triggered by uncontrolled allergies, antihistamines may also help. When using antihistamines during sinus or ear infections, adding guaifenesin +lots of water can help keep secretions thin to facilitate drainage. ...Read more

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How common is sinusitis?

How common is sinusitis?

Common: Sinusitis... Bacterial infection of the sinuses affects about 34 million people a year. Conservative medical treatment handles the vast majority of cases. At times surgical procedures like endoscopic sinus surgery or newer balloon technologies are used to open diseased sinuses. ...Read more

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Sinusitis (Tip)

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

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How does chronic sinusitis affect the brain? I m feeling continuous pain in my lower left part of back brain. Suffering from sinusitis for 5 years.

How does chronic sinusitis affect the brain? I m feeling continuous pain in my lower left part of back brain. Suffering from sinusitis for 5 years.

Sinusitis: Greetings. Sinus disease rarely has any brain or intracranial affects. It may be a referred pain you are sensing or a different reason for pain this this area. See your ENT doctor to review these concerns. ...Read more

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Is dizziness a symptom of chronic sinusitis?

No: Dizziness can mean either vertigo-room spinning- or light-headedness. Neither should be a symptom of chronic sinusitis. ...Read more

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Sinusitis (Tip)

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

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How many days do the symptoms of sinusitis last?

7+ days: Early sinusitis symptoms are indistinguishable from cold/ URI symptoms. Nasal congestion, stuffy, runny nose, post nasal drip, cough, sore throat, facial pressure or fullness. Usually, as cold symptoms resolve over 7-14 days, you feel better. If symptoms worsen, treatment which includes saline nasal spray, nasal corticosteroids, pain relievers and antibiotics (if needed), allergy control will help. ...Read more

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Does bleeding from nose is a sign of sinusitis?

Does bleeding from nose is a sign of sinusitis?

Nose bleeding: Hello, nasal bleeding may be a sign of sinusitis but this isn't very common. Facial pressure, congestion, purulent nasal drainage are more common symptoms of sinusitis. ...Read more

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Sinusitis (Tip)

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

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ACUTE FUNGAL SINUSITIS MUCORMYCOSIS WITH DIABETES MELLITUS TYPE 2. What is the treatment for the above Diagnosis?

ACUTE FUNGAL SINUSITIS MUCORMYCOSIS WITH DIABETES MELLITUS TYPE 2. What is the treatment for the above Diagnosis?

Mucormycosis: Usually surgery combined with a complex combination of antifungal medications depending upon the organism and its sensitivities. This may be one of several mold fungi (Mucor, Absidia, Rhizopus, and others). Very severe condition with outcomes difficult to predict. Best wishes and hopes. ...Read more

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What are the ways to diagnose sinusitis?

What are the ways to diagnose sinusitis?

History of exam: Most cases of classic acute sinusitis can be diagnosed by a good history: 1) nasal congestion 2) sinus pressure 3) sinus pain 4) tooth pain 5) ear pain 6) purulent drainage 7) fatigue and malaise. Not all have to be present for you to have a sinus infection. A good rule of thumb "if you have a cold more than 7 days. It is likely a sinus infection." chronic sinusitis has to be diagnosed with a ct. ...Read more

Dr. Marsha Davis Dr. Davis
1 other doctor agreed
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Sinusitis (Tip)

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

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Diagnostic imaging in 2009: update on evidence-based practice of pediatric imaging. What is the role of imaging in sinusitis?

Diagnostic imaging in 2009: update on evidence-based practice of pediatric imaging. What is the role of imaging in sinusitis?

Complicated but: Imaging indicated in sinusitis for chronic infections (>90 days), recurrent infections, concern for complications of sinusitis (e.g. Periorbital cellulitis, brain abscess), or preoperatively before sinus surgery. Ct scans are almost always done, but mris are helpful for intracranial or orbital extension. Threshold to image is higher in pediatric population in order to avoid unnecessary radiation. ...Read more

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I have ethmoid sinusitis does vertigo attacks related to this? Did a lot test why im having vertigo atacks but all negative results. How to avoid it?

I have ethmoid sinusitis does vertigo attacks related to this? Did a lot test why im having vertigo atacks but all negative results. How to avoid it?

Vertigo: Hi, yes, allergy and sinusitis can cause both Lightheadedness and Vertigo, the treatment of vertigo is the treatment of underline cause, which in ur case is treating ur sinusitis. ...Read more

Dr. Bernstein Joel Dr. Joel
1 other doctor agreed
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Sinusitis (Tip)

Confirm diagnosis with a cat scan. Get culture to verify correct treatment. ...See more

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What are the tests for sinusitis?

What are the tests for sinusitis?

Clinical and X-ray: Rhino-sinusitis has a number of clinical symptoms and signs. Yellow-green nasal discharge, pain or pressure under and between the eyes. Headache alone surprisingly is not that common. Post nasal drainage and cough are common. If these symptoms last for more than 10 days see an ENT doc. Cat scan is the gold standard for a diagnosis. But most acute symptoms are viral. ...Read more

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What do you know about sinusitis causing orbital pain?

What do you know about sinusitis causing orbital pain?

Sinusitis: Severe sinus infections can spread to adjacent areas such as the orbital area/ can cause severe pain if left untreated. ...Read more

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Sinusitis (Tip)

Add 4 tsp of xylitol to the hydro pulse irrigator saline solution; use daily till clear. ...See more

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What causes sinusitis?

Various: There are many possible causes of sinusitis, including but not limited to infection, allergies, inflammatory disease, problems with the anatomy (shape) of the sinuses, even masses. ...Read more

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Sinusitis (Tip)

Nasal saline irrigations are very effective and have greatly reduced sinus surgeries thousands. ...See more

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Should I see a doctor for chronic sinusitis? I was diagnosed with chronic maxillary sinusitis while I was in the military and at the time they said there was not much they can do about it - is chronic maxillary sinusitis treatable? If so is it through otc

Should I see a doctor for chronic sinusitis? I was diagnosed with chronic maxillary sinusitis while I was in the military and at the time they said there was not much they can do about it - is chronic maxillary sinusitis treatable? If so is it through otc

Chronic: Chronic sinusitis includes nasal obstruction, sinus pain and pressure around the eyes, nasal drainage, chronic cough, fatigue, headache, nose bleeds and several other symptoms--you do not need them all. These symptoms are persent more often than not for at least 3 months. You may also get exacerbations that worsen all of the symptoms temporarily making it feel more like an acute sinusitis. Chronic sinusitis is treated with several meds at the same time: nasal steroid spray, antihistamine, nasal saline irrigations, prolonged antobiotics (4-6 weeks). If you don't feel better, then a sinus ct scan can solidify the diagnosis. Those that do not respond to maximal medical therapy may be candidates for sinus surgery. Surgery is normally very successful but often is not a cure but help alleviate many of the symptoms, making them easier to treat. ...Read more

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Who treats sinusitis?

Who treats sinusitis?

Sinusitis: Hello. Any doctor or physician extender such as a nurse practitioner or physician assistant can treat sinusitis. An ENT doctor is a specialist in sinonasal disorders who can treat sinusitis with aggressive medicine or possibly with surgery. ...Read more

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Sinusitis (Tip)

Hydrate, steam and saline mist help sinus issues. May be viral or allergic especially without fever. ...See more

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How can I get treated for chronic sinusitis?

Complicated: Treatment for chronic sinusitis starts with maximum medical therapy. That is different for different doctors, but generally speaking, treatment with 3 to 4 weeks or antibiotics along with daily saline spray and steroid spray for 4 weeks, and poss. Decongestants, antihistamines as needed. If you fail maximum medical therapy, then a ct scan is indicated and possible sinus surgery based on results. ...Read more

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Wanted to know if anyone have advice for treating sinusitis?

Sinusitis: Hello. For Acute Sinusitis, an antibiotic is usually curative. If you are having recurring acute or chronic infections, then an allergy evaluation, immune testing, a nasal endoscopic examination and possibly a CT scan is needed. Aggressive medical therapy and possibly surgical options should be entertained. Ask about Balloon Sinuplasty if surgery is discussed. ...Read more