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What is the treatment of sinusitis?

Sinusitis treatment depends on several factors, including the underlying cause (viral, bacterial, fungal, or allergic), the severity of your symptoms, and whether it's an acute or chronic condition. For many individuals, sinusitis resolves on its own within a week or two with simple self-care measures like staying hydrated and using over-the-counter saline nasal sprays. However, if your symptoms persist or worsen, seeking professional medical advice is essential.

A doctor can accurately diagnose the cause and severity of your sinusitis and recommend the most appropriate treatment plan. This might involve medications to alleviate symptoms or procedures to address underlying issues like nasal polyps or a deviated septum. At SCI Hospitals, we offer a comprehensive approach to sinusitis treatment, tailoring it to each individual's specific needs. Our team of experts will work with you to develop the most effective strategy to manage your sinusitis and provide relief. We take into account your overall health, medical history, and preferences when designing a personalised treatment plan.

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Types of sinusitis treatment

Various treatment options are available for sinusitis, depending on the specific cause and severity:

  • Saline Nasal Irrigation: This simple yet effective therapy involves rinsing your nasal passages with a saline (saltwater) solution. It helps to clear out mucus, irritants, and allergens, providing relief from congestion and promoting sinus drainage.
  • Intranasal Corticosteroids: These are nasal sprays that help reduce inflammation in the sinuses. They are often the first line of treatment for allergic and non-allergic sinusitis.
  • Oral/Topical Decongestants: These medications can help relieve stuffiness and congestion, improving airflow through the nasal passages. They are available in various forms, including pills, liquids, and nasal sprays. However, oral decongestants can raise blood pressure, so they may not be suitable for everyone.
  • Antibiotics (for Bacterial Infections): If a bacterial infection causes your sinusitis, your doctor may prescribe antibiotics to eliminate the bacteria and resolve the infection. It's crucial to complete the entire course of antibiotics as prescribed, even if your symptoms improve before the course is finished.
  • Over-the-Counter (OTC) Pain and Fever Management: Medications like ibuprofen or acetaminophen can help reduce pain and fever associated with sinusitis. They can provide temporary relief while other treatments address the underlying cause.
  • Antifungal Medications (for Fungal Infections): If a fungal infection is responsible for your sinusitis, antifungal medications are necessary to target and eliminate the fungi.

Surgical Solutions for Chronic Sinusitis: When chronic sinusitis becomes resistant to conservative treatments or involves structural abnormalities, surgical intervention may be necessary. Chronic sinusitis often persists for 12 weeks or longer, even with medication. Structural issues, such as nasal polyps (benign growths in the nasal passages) or a deviated septum (a crooked nasal wall), can obstruct sinus drainage and create a favourable environment for infection.

Surgery aims to restore proper sinus drainage and ventilation, relieving symptoms and reducing the frequency of infections.

  • Functional Endoscopic Sinus Surgery (FESS): FESS is a minimally invasive procedure performed using an endoscope, a thin, flexible tube with a camera and light. The surgeon inserts the endoscope into the nasal passages to visualise the sinuses. Small instruments are then used to remove blockages, such as polyps or excess bone and tissue, widening the sinus openings and improving drainage. FESS is generally performed as an outpatient procedure, allowing patients to return home the same day. Recovery typically involves minimal discomfort and a relatively short recovery period.
  • Balloon Sinuplasty: A Less Invasive Option: Balloon sinuplasty is a less invasive surgical procedure compared to FESS. It involves inserting a small, flexible balloon catheter into the blocked sinus passage. The balloon is then inflated to expand the sinus opening, improving drainage. The catheter and balloon are then removed. Balloon sinuplasty is often preferred for patients with less severe blockages or those who prefer a less invasive approach. Recovery from balloon sinuplasty is generally faster than FESS, with minimal discomfort and downtime. This procedure is also often performed on an outpatient basis.
  • Septoplasty for Deviated Septum: A deviated septum, a crooked wall between the nostrils, can obstruct airflow and contribute to sinusitis. Septoplasty is a surgical procedure that straightens the deviated septum, improving airflow and sinus ventilation. The surgeon makes incisions inside the nose to access the septum. They then reshape and reposition the cartilage and bone to create a straighter nasal passage. Septoplasty may be performed in conjunction with other sinus surgeries, like FESS, for optimal results.
  • Turbinate Reduction: Turbinates are small structures inside the nose that help warm and humidify inhaled air. Enlarged turbinates can block airflow and contribute to sinusitis. Turbinate reduction surgery aims to reduce the size of the turbinates, improving airflow and sinus drainage. Several techniques are available for turbinate reduction, including radiofrequency ablation, coblation, and microdebrider-assisted reduction. The choice of technique depends on the individual patient's anatomy and the extent of turbinate enlargement.
  • Immunotherapy (for Allergy-Related Sinusitis): If allergies contribute to your sinusitis, immunotherapy can help desensitise your immune system to specific allergens, reducing allergic reactions and inflammation in the sinuses.
  • Lifestyle Modifications: Simple lifestyle changes, such as staying hydrated, using a humidifier, and avoiding irritants like smoke and dust, can help relieve sinusitis symptoms and prevent future occurrences.

What are the complications of sinusitis treatment?

While sinusitis treatments are generally safe and effective, potential complications can arise:

  • Medication Side Effects: Some medications used to treat sinusitis can cause side effects such as nosebleeds, nasal dryness, or throat irritation. It's important to discuss any side effects you experience with your doctor.
  • Surgical Risks: Surgical procedures, while often successful, carry potential risks such as bleeding, infection, or changes in the sense of smell. These complications are rare but require careful consideration.
  • Recurrence of Sinusitis: Sinusitis can sometimes recur even after successful treatment. This is more common in individuals with chronic sinusitis or underlying health conditions that predispose them to sinus infections.
  • Drug Interactions: Certain medications used to treat sinusitis can interact with other medications you may be taking. It's essential to inform your doctor about all the medications and supplements you use to avoid potential drug interactions.

What food should be avoided after sinusitis treatment?

Here's a guide to help you choose the right foods after sinusitis treatment:

  • Dairy Products: Dairy can thicken mucus, potentially exacerbating congestion. Consider reducing your intake of milk, cheese, yoghurt, and other dairy items, especially if you notice increased congestion after consuming them.
  • Sugary Foods and Drinks: High sugar intake can suppress your immune system, making you more susceptible to infections. Limit your consumption of sugary treats, desserts, sugary drinks, and processed foods containing added sugars.
  • Alcoholic Beverages: Alcohol dehydrates the body, which can lead to thicker mucus and worsen congestion. It's best to avoid or minimise alcohol consumption during and after sinusitis treatment.
  • Identifying Trigger Foods: Keep a food diary to track your meals and any related sinusitis symptoms. This can help you identify specific foods that may be triggering or worsening your symptoms. Personalised guidance is available at SCI Hospitals from doctors and registered dietitians.
  • Hydration is Key: Drink plenty of fluids, especially water, to help thin mucus and promote sinus drainage. Good hydration is vital for recovery.
  • Beneficial Fluids: Herbal teas, clear broths (low-sodium is preferable), and electrolyte drinks (avoid sugary varieties) can contribute to hydration and soothe irritated sinuses.
  • Personalised Hydration Guidance: Consult with healthcare providers at SCI Hospitals for advice on the optimal amount of fluids for your individual needs.
  • Nutritional Counselling: SCI Hospitals provides nutritional counselling to help you make informed food choices that support your sinusitis treatment plan and overall health.
  • Seeking Professional Advice: Schedule a consultation online or by phone with SCI Hospitals for personalised recommendations on diet, hydration, and sinusitis management. Their healthcare professionals can offer tailored advice for your specific situation.

What is the cost of sinusitis treatment?

The cost of sinusitis treatment varies depending on several factors, including the type and severity of your sinusitis, the specific treatments used, and your insurance coverage. At SCI Hospitals, we understand that managing healthcare costs is important. We work with patients to explore various options, including insurance coverage and payment plans, to make treatment accessible. Our team can provide you with more specific cost information based on your individual needs. Don't hesitate to contact us to discuss your options. We are here to help.

Dr. Manish Gupta

"MBBS, MS - ENT ENT/ Otorhinolaryngologist", ENT/ Otorhinolaryngologist

  • ENT/ Otorhinolaryngologist
  • 24+ Years Experience

FAQs

Many cases of sinusitis, especially those caused by viruses, can resolve on their own with rest and home care. However, if your symptoms persist or worsen, it's essential to seek medical attention. The experts at SCI Hospitals can assess your condition and determine the best course of action.

Antibiotics are only effective for bacterial sinusitis, not viral sinusitis. Your doctor at SCI Hospitals can determine if an antibiotic is necessary based on your symptoms and diagnosis. They will prescribe the most appropriate antibiotic if needed. Self-treating with antibiotics can be harmful, so always consult a doctor.

While chronic sinusitis may not be completely curable, effective management can significantly reduce the frequency and severity of symptoms. SCI Hospitals offers personalised treatment plans to help you achieve long-term relief and improve your quality of life. Contact us to explore your options and find lasting solutions for your sinusitis.

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doctor
Written By: Dr. Aashima Chopra
Education: MBBS, DNB - ENT
Experience: 11 Years

Dr. Aashima is a versatile ENT surgeon with 8 years of experience under her belt, she is making strides in the field of Ear, Nose and Throat. A GOLD medallist of her batch, she is experienced in the latest advances in the field of ENT including endoscopic, minimally invasive ear surgeries.

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