Doctor insights on:
Take Sinus Infection
In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more
Sinus infection: Simple cases could clear in a week but bad cases can take two months of antibiotics to clear. If not better in a week or so a CT of the sinuses can be helpful both to confirm the diagnosis and to help determine the severity and potential need for surgical intervention. ...Read more
Nasal saline spray: Many sinus infections are viral. Over-the-counter medications can make you more comfortable, like anti-inflammatory meds (aspirin, ibuprofen, etc) and decongestants (puedoephedrine). Steam and nasal irrigation can help. If your symptoms worsen or persist for more than 7-10 days, you may need antibiotics for a bacterial infection. ...Read more
Depends on cause: Most, if viral, resolve in 10-14 days. Fungal or chronic bacterial sinus infections may require treatment and would persist longer without it. If a recurrent problem, then the immune system can be evaluated. Also would need to treat any chronic allergic or non-allergic rhinitis (chronic congestion, loss of smell, nasal drip, sneezing/itching etc). ...Read more
2-3 weeks: With or without antibiotics.Get a more detailed answer ›
Sinus infection: It depends on the cause of the infection - bacterial vs viral. Most of the sinus infections we get are actually caused by a virus and will clear up by themselves within 2 weeks. If at that time, there are still symptoms, we consider a bacterial source and may use antibiotics. ...Read more
Antibiotics: A diagnosed sinus infection will resolve with the appropriate systemic (oral) antibiotics. As far as nasal congestion ; occasional sneezing, as long as you don't have narrow angle (occludable angle potential) then you may take otc decongestants ; antihistamines. I also find nettie pot saline nasal lavage comforting too. ...Read more
Yes: Decongestants can be helpful, but rinsing the nose with salt water can be even more helpful. There are low-volume sprays available in the drug store such as ocean spray or simply saline. High- volume rinsing with a neilmed bottle or neti pot are often even better. You need to see your physician if your symptoms lasts more than two weeks or you develop fever or facial headaches. ...Read more
Hopefully forever: Sinus infections seldom if ever spread to the brain, . ...Read more
In general no: Doxycycline is not generally a good antibiotic for rhino-sinusitis. If there is objective evidence of a bacterial infection (documented by culture) I would always recommend a culture and sensitivity of the lateral wall of the nose, particularly, is pus is present. Augmentin (amoxicillin and clavulanate) in patients not allergic to penicillin or Levaquin would be my recommendations. But a culture is required to make sure. ...Read more
How long does it usually take for a sinus infection to clear. And how long should you use Flonase spray?
Yes: Though you have to discuss with the prescriber ...Read more
Chronic sinusitis: Chronic sinusitis (CS) is common condition in which the sinuses around nasal passages become inflamed and swollen for at least eight weeks, despite therapy attempts. It interferes with drainage and causes mucus to build up. CS may be caused by infection, but can also be caused by (nasal polyps).CS most commonly affects young and middle-aged. Antibiotics sometimes necessary for sinusitis, not always. ...Read more
Tincture of time?: Most acute sinus infections are viral and can get better on their own in 10-14 days. If they are not improving by 7-10 days, then you may need an antibiotic for a bacterial infection. Using afrin/oxymetazoline (no more than 3 days in a row) can open the sinuses for better drainage. Salt water irrigations are amazing. Infections can become chronic with fluctuating symptoms that can be prolonged. ...Read more
Multiple options: Sinus infections occur when the nose is blocked. Antibiotics may be required. However, the runny or blocked nose is caused by chemical mediators like histamine or leukotrienes. So taking antihistamines like Benadryl (diphenhydramine) and loratidine (claritin) help block the chemical mediators your body produces and helps stop the symptoms. Nasal saline sprays, decongestants, steroid nose sprays can help as well. ...Read more
Please tell me how long do I take medicine for a sinus infection and can I take it along with 24 hour allergy pill?
If you have actual: Sinus infection then you would usually be prescribed antibiotics and would take the complete course of medication. ...Read more
My 6 year old 52 lbs was given Amoxicillin 400mg for a sinus infection. Take 20mls daily. Shouldn't this be twice a day?
Usually: This med is designed to be taken twice a day. That is how I would use it. It leaves the body through the kidneys & twice a day use increases retention. I would use 10 ml of the 400/5 liquid twice a day (not 20ml twice a day) ...Read more
I'm allergic to penicillen. Which Levaquin dosage is stronger to take for a severe sinus infection? Is it 500 mg or 750 mg once daily for 10 days?
Depends: It depends on the nature of the infection and physician preference. Sometimes, antibiotic courses of 3-6 weeks are required to adequately treat the sinus cavities. Because of this, antibiotic selection and dosages must be selected with care in order to reduce side effects, adverse outcomes of antibiotic treatment and the development of resistant bacteria. PCN allergy should always be confirmed. ...Read more
Had c diff 6wks ago from antiobio. Now must take antibio again for sinus infection. Which is likely to be gentlest and could I use local, inhaled one?
Sinusitis: It is often unnecessary to use antibiotics to treat acute sinusitis. Try using saline irrigation with a Neti-pot, decongestants (Afrin nasal spray, oral Sudafed, etc.), possibly nasal steroid spray and/or anti-allergy meds. Try to stay away from antibiotics when the complications can be worse than the original problem. ...Read more
How long can it take for a chronic sinus infection to travel to brain/bloodstream? Weeks, months, etc?
Depends on: A lot of things, such as severity of infection, virulence of the offending oraganism, your body's ability to fight infection, intervening treatment, etc. Best to consult with ENT specialist. ...Read more
I have 10 days worth of cephalexin 500 mg left from my husbands skin infection. Can I take this for a sinus infection? I am allergic to morphine
I applaud your efforts to save money / avoid waste and am glad that you asked first. While Cephalexin may work for some of the bacteria that cause sinus infections it is not the drug of choice so by taking it you would run the risk of side effects for naught.
Allergy to morphine is not a concern in this context. ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more