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Sometimes, despite aggressive allergy treatment, nasal congestion persists. It’s possible that the culprit is sinusitis.
Whether you are seeking a diagnosis, treatment, or ongoing management for sinusitis, we are here to guide you through every step of your journey. With our expertise and compassionate care, you can find relief from sinus-related allergies and enjoy optimal sinus health.
Carolina Asthma and Allergy Center specializes in the evaluation and treatment of sinus-related allergies. If you suspect a sinus allergy or have experienced symptoms related to sinus issues, our team of board-certified allergists and skilled healthcare professionals is here to assist you.
To schedule an appointment, you can reach us by phone or fill out our online appointment request form on our website. Our dedicated staff will collaborate with you to find a suitable date and time for your visit.
During your appointment, our allergists will carefully assess your medical history, conduct a thorough physical examination, and perform any necessary tests to determine the presence of sinus issues. Based on the evaluation results, our team will devise a personalized treatment plan tailored to managing your symptoms and preventing future reactions.
Sinus disease, or “Sinusitis” refers to inflammation or infections that affect open spaces or cavities in your skull, around your nose. These cavities, located within the skull or bones of the head surrounding the nose, include the:
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.
Inflammation of the sinuses, called sinusitis, is common and affects roughly 28.5 million adults in the United States, according to the Center for Disease Control and Prevention (CDC). The sinuses are hollow air spaces located in the skull around the nasal passages. When the sinuses become inflamed or infected, it can lead to various symptoms and discomfort.
Sinusitis can be categorized into different types based on the duration and frequency of symptoms:
The location of your sinus pain depends on which sinus is affected.
Other symptoms of sinusitis can include
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.
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).
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.
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).
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:
You should, however, use over-the-counter or prescription decongestant nose drops and sprays for only a 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.
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.
At Carolina Asthma and Allergy Center, we are dedicated to providing compassionate care and ongoing support to help you live your life to the fullest. Contact us today to request an appointment and take the first step towards managing your sinuses.
It’s sometimes difficult to distinguish between allergies and sinusitis because their symptoms overlap. Along with a stuffy nose, other symptoms of allergies include:
In addition to stuffy nose, sinusitis can also cause:
To prevent sinusitis, consider the following measures:
