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Sinus Problems (Sinusitis)

by Roheen Raithatha, M.D. & B. Todd Schaeffer, M.D., F.A.C.S.

Sinuses are air-filled spaces in the face and head that are lined by mucous membranes. They produce mucus (or phlegm) to cleanse the nose and upper respiratory tract. There are multiple sinuses located on each side of our face (maxillary, ethmoid, frontal, sphenoid) which have small openings that drain mucus and circulate air from the nose.

What is Sinusitis? Irritants or infections in the nose can cause swelling of the nasal cavity and sinuses, leading to pressure and pain. The extra mucus that is produced along with the swelling can cause blockage of the breathing passages. The common symptoms of sinusitis include:

  • Pain/pressure over sinuses
  • Discolored nasal drainage or mucus
  • Nasal congestion
  • Inability to smell
  • Low grade fever
  • Cough
  • Phlegm in throat
  • Post nasal drip
  • Fatigue

What Are Treatments for Sinusitis?

Medical Treatment for Sinusitis Includes:

  • Saline spray, wash, irrigation (Neilmed sinus rinse, Neti Pot)
  • Decongestants - oral or nasal
  • Antihistamines - oral or nasal
  • Mucolytics
  • Antibiotics (oral, topical, intravenous)
  • Steroids (nasal or oral)

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