Sinusitis
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You're coughing and sneezing and tired and achy. You think that you might be
getting a cold. Later, when the medicines you've been taking to relieve the
symptoms of the common cold are not working and you've now got a terrible headache,
you finally drag yourself to the doctor. After listening to your history of
symptoms, examining your face and forehead, and perhaps doing a sinus X-ray,
the doctor says you have sinusitis.
Sinusitis simply means your sinuses are infected or inflamed, but this gives
little indication of the misery and pain this condition can cause. Health
care experts usually divide sinusitis cases into
- Acute, which lasts for 3 weeks or less
- Chronic, which usually lasts for 3 to 8 weeks but can continue for months
or even years
- Recurrent, which is several acute attacks within a year
Health care experts estimate that 37 million Americans are affected by sinusitis
every year. Health care workers report 33 million cases of chronic sinusitis
to the U.S. Centers for Disease Control and Prevention annually. Americans
spend millions of dollars each year for medications that promise relief from
their sinus symptoms.
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Sinuses are hollow air spaces in the human body. When people say, "I'm having
a sinus attack," they usually are referring to symptoms in one or more of four
pairs of cavities, or sinuses, known as
paranasal sinuses. These cavities,
located within the skull or bones of the head surrounding the nose, include
the:
- Frontal sinuses over the eyes in the brow area
- Maxillary sinuses inside each cheekbone
- Ethmoid sinuses just behind the bridge of the
nose and between the eyes
- Sphenoid sinuses behind the ethmoids in the
upper region of the nose and behind the eyes
Each sinus has an opening into the nose for the free exchange of air and
mucus, and each is joined with the nasal passages by a continuous mucous membrane
lining. Therefore, anything that causes a swelling in the nose-an infection,
an allergic reaction, or an immune reaction-also can affect the sinuses. Air
trapped within a blocked sinus, along with pus or other secretions, may cause
pressure on the sinus wall. The result is the sometimes intense pain of a
sinus attack. Similarly, when air is prevented from entering a paranasal sinus
by a swollen membrane at the opening, a vacuum can be created that also causes
pain.
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The location of your sinus pain depends on which sinus is affected.
- Headache when you wake up in the morning is typical of a sinus problem.
- Pain when your forehead over the frontal sinuses is touched may indicate
that your frontal sinuses are inflammed.
- Infection in the maxillary sinuses can cause your upper jaw and teeth
to ache and your cheeks to become tender to the touch.
- Since the ethmoid sinuses are near the tear ducts in the corner of the
eyes, inflammation of these cavities often causes swelling of the eyelids
and tissues around your eyes, and pain between your eyes. Ethmoid inflammation
also can cause tenderness when the sides of your nose are touched, a loss
of smell, and a stuffy nose.
- Although the sphenoid sinuses are less frequently affected, infection
in this area can cause earaches, neck pain, and deep aching at the top of
your head.
Most people with sinusitis, however, have pain or tenderness in several locations,
and their symptoms usually do not clearly indicate which sinuses are inflamed.
Other symptoms of sinusitis can include
- Fever
- Weakness
- Tiredness
- A cough that may be more severe at night
- Runny nose (rhinitis) or nasal congestion
In addition, the drainage of mucus from the sphenoids or other sinuses down
the back of your throat (postnasal drip) can cause you to have a sore throat.
Mucus drainage also can irritate the membranes lining your larynx (upper windpipe).
Not everyone with these symptoms, however, has sinusitis.
On rare occasions, acute sinusitis can result in brain infection and other
serious complications.
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Most cases of acute sinusitis start with a common cold, which is caused by a
virus. These viral colds do not cause symptoms of sinusitis, but they do inflame
the sinuses. Both the cold and the sinus inflammation usually go away without
treatment in 2 weeks. The inflammation, however, might explain why having a
cold increases your likelihood of developing acute sinusitis. For example, your
nose reacts to an invasion by viruses that cause infections such as the common
cold or flu by producing mucus and sending white blood cells to the lining of
the nose, which congest and swell the nasal passages.
When this swelling involves the adjacent mucous membranes of your sinuses,
air and mucus are trapped behind the narrowed openings of the sinuses. When
your sinus openings become too narrow, mucus cannot drain properly. This increase
in mucus sets up prime conditions for bacteria to multiply.
Most healthy people harbor bacteria, such as Streptococcus pneumoniae
and Haemophilus influenzae, in their upper respiratory tracts with
no problems until the body's defenses are weakened or drainage from the sinuses
is blocked by a cold or other viral infection. Thus, bacteria that may have
been living harmlessly in your nose or throat can multiply and invade your
sinuses, causing an acute sinus infection.
Sometimes, fungal infections can cause acute sinusitis. Although fungi are
abundant in the environment, they usually are harmless to healthy people,
indicating that the human body has a natural resistance to them. Fungi, such
as Aspergillus, can cause serious illness in people whose immune
systems are not functioning properly. Some people with fungal sinusitis have
an allergic-type reaction to the fungi.
Chronic inflammation of the nasal passages also can lead to sinusitis. If
you have allergic rhinitis or hay fever, you can develop episodes of acute
sinusitis. Vasomotor rhinitis, caused by humidity, cold air, alcohol, perfumes,
and other environmental conditions, also may be complicated by sinus infections.
Acute sinusitis is much more common in some people than in the general population.
For example, sinusitis occurs more often in people who have reduced immune
function (such as those with immune deficiency diseases or HIV infection)
and with abnormality of mucus secretion or mucus movement (such as those with
cystic fibrosis).
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If you have asthma, an allergic disease, you may have frequent episodes of chronic
sinusitis.
If you are allergic to airborne allergens, such as dust, mold, and pollen,
which trigger allergic rhinitis, you may develop chronic sinusitis. In addition,
people who are allergic to fungi can develop a condition called "allergic
fungal sinusitis."
If you are subject to getting chronic sinusitis, damp weather, especially
in northern temperate climates, or pollutants in the air and in buildings
also can affect you.
Like acute sinusitis, you might develop chronic sinusitis if you have an
immune deficiency disease or an abnormality in the way mucus moves through
and from your respiratory system (e.g., immune deficiency, HIV infection,
and cystic fibrosis). In addition, if you have severe asthma, nasal polyps
(small growths in the nose), or a severe asthmatic response to aspirin and
aspirin-like medicines such as ibuprofen, you might have chronic sinusitis
often.
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Because your nose can get stuffy when you have a condition like the common cold,
you may confuse simple nasal congestion with sinusitis. A cold, however, usually
lasts about 7 to 14 days and disappears without treatment. Acute sinusitis often
lasts longer and typically causes more symptoms than just a cold.
Your doctor can diagnose sinusitis by listening to your symptoms, doing a
physical examination, and taking X-rays, and if necessary, an MRI or CT scan
(magnetic resonance imaging and computed tomography).
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After diagnosing sinusitis and identifying a possible cause, a doctor can suggest
treatments that will reduce your inflammation and relieve your symptoms.
If you have acute sinusitis, your doctor may recommend
- Decongestants to reduce congestion
- Antibiotics to control a bacterial infection, if present
- Pain relievers to reduce any pain
You should, however, use over-the-counter or prescription decongestant nose
drops and sprays for only few days. If you use these medicines for longer
periods, they can lead to even more congestion and swelling of your nasal
passages.
If bacteria cause your sinusitis, antibiotics used along with a nasal or
oral decongestant will usually help. Your doctor can prescribe an antibiotic
that fights the type of bacteria most commonly associated with sinusitis.
Many cases of acute sinusitis will end without antibiotics. If you have allergic
disease along with infectious sinusitis, however, you may need medicine to
relieve your allergy symptoms. If you already have asthma then get sinusitis,
you may experience worsening of your asthma and should be in close touch with
your doctor.
In addition, your doctor may prescribe a steroid nasal spray, along with
other treatments, to reduce your sinus congestion, swelling, and inflammation.
Doctors often find it difficult to treat chronic sinusitis successfully,
realizing that symptoms persist even after taking antibiotics for a long period.
In general, however, treating chronic sinusitis, such as with antibiotics
and decongestants, is similar to treating acute sinusitis.
Some people with severe asthma have dramatic improvement of their symptoms
when their chronic sinusitis is treated with antibiotics.
Doctors commonly prescribe steroid nasal sprays to reduce inflammation in
chronic sinusitis. Although doctors occasionally prescribe them to treat people
with chronic sinusitis over a long period, they don't fully understand the
long-term safety of these medications, especially in children. Therefore,
doctors will consider whether the benefits outweigh any risks of using steroid
nasal sprays.
If you have severe chronic sinusitis, your doctor may prescribe oral steroids,
such as prednisone. Because oral steroids are powerful medicines and can have
significant side effects, you should take them only when other medicines have
not worked.
Although home remedies cannot cure sinus infection, they might give you some
comfort.
- Inhaling steam from a vaporizer or a hot cup of water can soothe inflamed
sinus cavities.
- Saline nasal spray, which you can buy in a drug store, can give relief.
- Gentle heat applied over the inflamed area is comforting.
When medical treatment fails, surgery may be the only alternative for treating
chronic sinusitis. Research studies suggest that the vast majority of people
who undergo surgery have fewer symptoms and better quality of life.
In children, problems often are eliminated by removal of adenoids obstructing
nasal-sinus passages.
Adults who have had allergic and infectious conditions over the years sometimes
develop nasal polyps that interfere with proper drainage. Removal of these
polyps and/or repair of a deviated septum to ensure an open airway often provides
considerable relief from sinus symptoms.
The most common surgery done today is functional endoscopic sinus surgery,
in which the natural openings from the sinuses are enlarged to allow drainage.
This type of surgery is less invasive than conventional sinus surgery, and
serious complications are rare.
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Although you cannot prevent all sinus disorders-any more than you can avoid
all colds or bacterial infections-you can do certain things to reduce the number
and severity of the attacks and possibly prevent acute sinusitis from becoming
chronic.
- You may get some relief from your symptoms with a humidifier, particularly
if room air in your home is heated by a dry forced-air system.
- Air conditioners help to provide an even temperature.
- Electrostatic filters attached to heating and air conditioning equipment
are helpful in removing allergens from the air.
If you are prone to getting sinus disorders, especially if you have allergies,
you should avoid cigarette smoke and other air pollutants. If your allergies
inflame your nasal passages, you are more likely to have a strong reaction
to all irritants.
If you suspect that your sinus inflammation may be related to dust, mold,
pollen, or food-or any of the hundreds of allergens that can trigger an upper
respiratory reaction-you should consult your doctor. Your doctor can use various
tests to determine whether you have an allergy and its cause. This will help
you and your doctor take appropriate steps to reduce or limit your allergy
symptoms.
Drinking alcohol also causes nasal and sinus membranes to swell.
If you are prone to sinusitis, it may be uncomfortable for you to swim in
pools treated with chlorine, since it irritates the lining of the nose and
sinuses.
Divers often get sinus congestion and infection when water is forced into
the sinuses from the nasal passages.
You may find that air travel poses a problem if you are suffering from acute
or chronic sinusitis. As air pressure in a plane is reduced, pressure can
build up in your head blocking your sinuses or eustachian tubes in your ears.
Therefore, you might feel discomfort in your sinus or middle ear during the
plane's ascent or descent. Some doctors recommend using decongestant nose
drops or inhalers before your flight to avoid this problem.
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Scientific studies have shown a close relationship between having allergic rhinitis
and chronic sinusitis. In fact, some studies state that up to 80 percent of
adults with chronic sinusitis also had allergic rhinitis. There is also an association
between asthma and sinusitis. Some researchers think that as many as 75 percent
of people with asthma also get sinusitis. The National Institute of Allergy
and Infectious Diseases (NIAID) conducts and supports research on allergic diseases
as well as bacteria and fungus that can cause sinusitis. This research is focused
on developing better treatments and ways to prevent these diseases.
Scientists supported by NIAID and other institutions are investigating whether
chronic sinusitis has genetic causes. They have found that the alterations
in genes which cause cystic fibrosis may also contribute to chronic sinusitis.
This research focus will give scientists new insights into the cause of the
disease in some people and points to new strategies for diagnosis and treatment.
Another NIAID-supported research study is trying to determine whether fungi
may play a role in causing many cases of chronic sinusitis. This research
also will help scientists develop better medicines to treat chronic sinusitis.
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MEDLINEplus
National Library of Medicine
American Academy of Allergy,
Asthma and Immunology
Joint Council
of Allergy, Asthma, and Immunology
American Academy of Otolaryngology-Head
and Neck Surgery, Inc.
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