Sinusitis; chronic
Alternative names:
chronic sinus infection; chronic sinusitis
Treatment:
The goals of treatment are the cure of the infection and the relief of symptoms.
Antibiotics are given if the infection is bacterial. There may need to be repeated courses of antibiotics. Oral decongestants may aid in drainage of the sinus. Topical decongestants should be used only if symptoms are acute and should be stopped as soon as possible because chronic or long-term use can cause more damage. Over-the-counter analgesics may be used to control pain. Also, guaifenesin (an over-the-counter cough medication) taken with large amounts of fluids may help to thin the mucus so that it can drain easier from the sinuses.
Surgery to clean and drain the sinuses may be necessary. Repair of a deviated septum or nasal obstruction may prevent recurrence of chronic sinusitis. Surgery to reopen the natural openings of the sinus or to create an artificial opening in the sinus (Caldwell-Luc) may be needed.
Avoid temperature extremes because sudden change in temperature will increase the sinus pain. Avoid bending with the head down, because this usually increases the pain.
Use a humidifier or steam to increase moisture in the nose and sinus area. Moisture thins mucus and allows it to drain better. Drink plenty of fluids to increase moisture within your body.
Expectations (prognosis):
Chronic sinus infections are usually curable but may require extended treatment. They tend to recur, particularly if underlying conditions such as nasal obstructions are not corrected.
Complications:
Calling your health care provider:
Call for an appointment with your health care provider if symptoms indicate chronic sinusitis.
Call for an appointment with your health care provider if acute sinusitis symptoms do not improve with treatment.
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