Sinus Infection Treatment

Sinus Infection Treatment. A sinusitis (sinusitis) is an inflammation of the mucous membrane in the sinuses. These are the air-filled cavities in the skull, which are connected via narrow openings with the nose. Depending on the course, one differentiates between acute and chronic sinusitis. The former usually treats the doctor with decongestant and / or expectorant medication. Chronic sinusitis may require surgery. Read here all important information on the topic: What is the diagnosis of sinusitis? What to do about the complaints? How to prevent sinusitis?

Quick Overview

  • What is sinusitis? Inflammation of the mucosa of the sinuses; acute and chronic course possible
  • Causes: mostly viruses, sometimes bacteria, fungi or allergies; favoring factors: anatomical bottlenecks in the nose , diseases of the immune system, allergic mucosal swelling or respiratory diseases
  • Symptoms: headache , pressure in the head, reduced sense of smell, production of secretions, possibly fever , general fatigue
  • sinus infection treatment : Acute sinusitis often heals on its own; supportive are decongestants and expectorants. If chronic, surgery if necessary
  • Doctor: ENT specialist
  • Prognosis: good in acute course; rarely does the inflammation spread to neighboring structures (bone, eye socket , brain, etc.).
  • Prevention: keep nasal mucosa moist, healthy lifestyle (no smoking, lots of exercise in the open air, adequate sleep, etc.);

sinus infection treatment

Sinus Infection Treatment

Depending on the duration, one differentiates between two types of sinusitis. They are treated differently:

When to the doctor?

For the following signs, findings or pre-existing conditions, people should contact the ear, nose and throat specialist to prevent possible complications:

  • Unusual tissue and / or mucosal proliferation (polyps) in the main nasal cavity
  • nosebleeds
  • Strong pain
  • Swelling around the eyes / in the eye socket or on the forehead
  • blurred vision
  • Acquired asymmetry of the midface or eyes
  • Numbness of the face (trigeminal area)

Around three out of four acute sinus infections settle without sinus infection treatment within two weeks. Complications are rare. The therapy of the acute form basically includes the same options as with colds with colds and “clogged” nose. In addition, general measures are useful, such as sufficient rest and drink, keeping the indoor air humid and raising the head of the bed to facilitate drainage of the mucus.

  • Nasal drops or nasal sprays containing active ingredients such as naphazoline, oxymetazoline or xylometazoline cause swollen vessels to swell. They open the sinuses and lower the overpressure there. Used for a long time, they can damage the nasal mucosa. The deployment should be limited to two applications a day for five to seven days maximum. Drops and sprays without the preservative Benzalkonium chloride are considered to be better tolerated because the substance additionally attacks the nasal mucous membranes. Alternatives without pharmaceutical agents are seawater nasal sprays. In general, sprays should be more advantageous than drops.
  • Nasal sprays with cortisone (glucocorticosteroids) work fast and efficiently. Newer substances almost never cause unwanted effects or damage in local applications. Many professionals recommend the sprays as the sinus infection treatment with the best effect.
  • Inhalation with warm water vapor also promotes swelling of the nasal mucous membranes. The steam liquefies and dissolves tough secretions. It should have a temperature around 45 ° C. There is no valid evidence that essential oils, medicinal herbs or salt improve the effect, but many find it pleasurable. K amille, eucalyptus, peppermint, tea tree oil and others are all possible . For infants and young children, parents should refrain from using essential oils. Also, inhalations are unfavorable because children scald easily. Adults can inhale for two to four times a day for 10 to 15 minutes.
  • Mucolytic agents (expectorants) are to make the mucus thinner, so that it can drain better. In addition to herbal remedies, there are synthetic active ingredients (eg acetylcysteine, ambroxol). They are not or only partially suitable for pregnant women, nursing mothers, children and people with certain diseases. Also because of possible side effects professional advice can be useful.
  • Herbal remedies often combine several drugs or effects. Myrtol and cineole are considered to be suitable. There are a large number of other resources available. Essential oils can cause dangerous reflexes in children.
  • It is unclear whether nasal rinsing (eg with lukewarm camomile solution, saline solution)in sinusitis accelerate healing. But they loosen solidified mucus, reduce the pressure and should act preventively.
  • Warming with infrared light or shortwave often feels comfortable. Whether she supports the cure is not clear. The eyes, which are close to the paranasal sinuses, must be protected from damage. Strong temperature fluctuations, heat and cold can increase the pain and should be avoided.
  • For headache , increased temperature and inflammation substances such as acetaminophen and ibuprofen act. For mild headaches, it helps sometimes to gently massage a few drops of peppermint oil on forehead and temples.
  • Antibiotics are usually superfluous because most acute sinus infections are caused by viruses. However, the remedies are appropriate if there is evidence of bacterial inflammation, the symptoms are severe, the fever exceeds 38.3 ° C, symptoms increase in the course of the disease, threaten complications or at the same time certain other diseases are present (eg immunodeficiency, inflammatory lung disease).
  • Medical sinus infection treatment is rarely required for acute sinusitis. Doctors can use special instruments to flush around the frontal or maxillary sinuses, which usually relieves the symptoms quickly. The procedure is uncomfortable. In the case of a “high insole”, doctors put down pieces of cotton wool that are soaked in decongestant substances. Interventions are considered for some chronic sinusitis.

sinus infection treatment Children: No strong essential oils and no acetylsalicylic acid!

Highly fragrant essential oils, and especially those containing menthol, can lead to involuntary respiratory reflexes in babies, infants and children. The analgesic acetylsalicylic acid (ASA) in children and adolescents with febrile infections can lead to the life-threatening Reye syndrome, which is shown by brain and liver damage. The mentioned remedies should only be used on medical advice if other measures do not help. In principle, parents should make sure that all the means they want to use with their children are really suitable for them. It should also be noted that the dosage often has to be adapted to the younger age of children.

sinus infection treatment Chronic sinusitis

In chronic paranasal sinus inflammation, some structures (eg, mucosal cells, mucosal flora) permanently change unfavorably. Cavities narrow and / or grow due to increased tissue formation. This hinders the ventilation of the caves and the discharge of secretions. Conversely, malformations, such as a curved nasal septum, can promote the development of chronic or recurrent sinusitis. Many people with allergies , asthma or AIDS also suffer from chronic sinusitis. The therapy consists in the sinus infection treatment of a possible underlying disease and sinusitis with the above-mentioned remedies. In addition, sometimes comeCombinations of antibiotics and cortisone are used. Operations can remove obstacles that promote inflammation. Doctors can, for example, straighten the nasal septum, remove growths of the mucous membranes (polyps) or widen the nasal passage. The sinus infection treatmentdepends on the individual causes and circumstances.

Acute sinusitis

Acute sinusitis often resolves on its own within two to four weeks. The healing process can be supported with drugs: These include agents that allow the mucous membrane to decongest . With their help, the paranasal sinuses are released again, and the sinuses are ventilated again. The doctor sometimes prescribes antibiotics for a bacterial sinusitis.

Drugs for mucus liquefy the secretions in the sinuses. It can be better. The same effect is achieved by nasal sprays and inhalations with 0.9% salt water .The previously often performed jaw irrigation is rarely needed.

Sinus infection treatment for chronic sinusitis depends on the cause of the disease. Plug allergies or inflammation tooth behind it, they must be treated specifically. If anatomical changes favor sinusitis, they should be corrected as far as possible: For example, an oblique nasal septum can be straightened surgically, narrow excretory ducts of the sinuses can be expanded and remove large nasal polyps . Nasal rinses and salt water inhalations may help in chronic sinusitis to loosen the stuck mucus.

Chronic sinusitis is often associated with much weaker symptoms than acute sinusitis. Those affected do not even have to be in pain. However, nasal breathing is hampered for more than twelve weeks and is usually accompanied by mucous and purulent nasal discharge. Sometimes chronic sinusitis also causes acute episodes of infection with more severe pain .

A typical symptom of chronic sinusitis is also an impaired smell and taste : those affected smell much less or even no longer smell and also taste less than normal.

sinus infection treatment : home remedies

In sinusitis therapy, it does not always have to be (just) a drug. With home remedies, you can even relieve the symptoms of acute inflammation and support the healing process. Helpful is, for example, the essential oil of myrtle with its anti-inflammatory effect. It is obtained in capsule form in the pharmacy.

In contrast, a tea from primrose root (cowslip root) has a secretory effect. Also recommended for sinusitis is a steam bath with decongestant and soothing essences ( lavender , chamomile , thyme etc.) or inhaling warm water vapors .

Find out more about home remedies and complementary healing methods for sinusitis, their use and any risks in the article Sinusitis : home remedies .

sinus infection treatment : symptoms

Along with allergic and viral diseases of the upper respiratory tract ( flu , cold ) is the sinusitis one of the most common diseases of the respiratory tract. In acute sinusitispatients have survived it after a maximum of twelve weeks . Within this period, the sinusitis symptoms completely disappear. The chronic sinusitis is persistent. It lasts more than twelve weeks , and the symptoms never completely disappear in the meantime. Also, if the symptoms recur more than four times a year, it is called chronic sinusitis.

sinus infection treatment Acute sinusitis: symptoms

An acute sinusitis is usually preceded by a cold (rhinitis), ie a pure inflammation of the nasal mucosa. This usually continues even further when the inflammation spreads to the paranasal sinuses. This simultaneous mucosal inflammation of the nose and paranasal sinuses is called rhinosinusitis .

The most important signs of acute sinusitis (or rhinosinusitis) are:

  • Headache or pressure in the head: In severe cases, the pain throbs over the forehead, in the cheek area, behind the eyes or, less often, in the area of ​​the back of the head. The pain intensifies as soon as one tilts the upper body forward (for example when stooping) or firmly with the foot occurs. If you exert slight pressure from outside on the affected areas or knock against it, the pain also intensifies.
  • Runny nose: often with purulent nasal discharge; Often the nose is completely blocked.

Severe sinusitis can be accompanied by symptoms such as fever, fatigue and blurred vision . Sometimes a painful, visible swelling develops .

 

Sinus Infection Treatment
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