Nose · General information

Sinusitis

Sinusitis is inflammation of the lining of the sinuses, the air-filled spaces around the nose and eyes. It often follows a cold. When symptoms last longer than about 12 weeks it is described as chronic sinusitis.

Common symptoms

  • Blocked or stuffy nose
  • Thick nasal discharge, sometimes discoloured
  • Pain, pressure or fullness around the cheeks, eyes or forehead
  • Reduced sense of smell
  • Mucus running down the back of the throat, and cough

Common causes

  • Viral infections such as the common cold (most common)
  • Bacterial infection, in some cases
  • Allergies and ongoing nasal inflammation
  • Nasal polyps or structural narrowing inside the nose

When to see an ENT specialist

  • Symptoms last more than 10 days, or improve and then get worse again
  • Sinusitis keeps coming back
  • Symptoms have lasted for 12 weeks or more
  • Symptoms mostly affect one side, or come with bloody discharge

Seek urgent medical care if

  • Swelling or redness around the eye, or changes in vision
  • Severe headache, a stiff neck, confusion or a very high fever

How it is usually assessed

An ENT specialist will usually ask about your symptoms and examine the inside of the nose, sometimes with a thin camera (nasal endoscopy). In some cases a CT scan may be suggested.

General management

Management depends on the cause and how long symptoms have lasted. It may include saline rinses, nasal sprays or other medicines prescribed by a doctor. For long-standing sinusitis that does not respond to treatment, surgery may be discussed.

This page provides general information only. It is not medical advice, a diagnosis or a treatment plan, and it does not describe the specific services of any doctor. Please consult a doctor about your own situation.

Dr. Ali Alakbar Samahaد. علي الأكبر سماحةД-р Али Алакбар Самаха

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