
Medication
You may also get better without medicine, but antibiotics can help things move faster. Other symptoms of sinusitis include congestion that makes it hard to breathe through your nose, and tenderness around your nose and eyes. If you cough up colored mucus or feel mucus drain down the back of your throat, you could have sinusitis.
Self-care
However, when the condition fails to respond to treatment or is worsening, your doctor may swab inside your nose to collect samples that might help determine the cause, such as bacteria or fungi. Treatments for chronic sinusitis include: Nasal corticosteroids. These nasal sprays help prevent and treat inflammation.
Nutrition
Enlarging a narrow sinus opening also may be an option to promote drainage. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. A neti pot is a container designed to rinse the nasal cavity. These self-help steps can help relieve sinusitis symptoms: Rest.
How do you know if you have sinusitis without medicine?
Tests for Sinusitis. Your doctor will talk to you about your symptoms, and then he’ll look inside your nose. He may start out with an otoscope, an instrument that helps doctors examine the ear and nose. Signs of swelling, congestion, and infection may be obvious, and you may learn right away that it’s sinusitis.
Can a doctor swab your nose for sinus infection?
What can I do to relieve sinusitis symptoms?
How does a doctor test for sinusitis?

How long do sinus infections last when treated?
A viral sinus infection can develop into a bacterial infection, which typically lasts longer than 10 days. Patients will usually respond to antibiotics within two to three days after a bacterial sinus infection is diagnosed and treated. After that, sinus infections can resolve anywhere between seven and 14 days.
How do you know when your sinuses acting up?
SymptomsNasal inflammation.Thick, discolored discharge from the nose (runny nose)Drainage down the back of the throat (postnasal drainage)Blocked or stuffy (congested) nose causing difficulty breathing through your nose.Pain, tenderness and swelling around your eyes, cheeks, nose or forehead.More items...•
How do I know when I sinus infection is getting worse?
Rare Symptoms Because viral inflammation should improve and go away after a few days, a bacterial infection is suspected if symptoms have lasted more than 10 days without improvement or they got better, then worse (what's known as "double sickening"). This is the kind of sinus infection that may need an antibiotic.
Does sinusitis get worse before it gets better?
A viral sinus infection will usually start to improve after five to seven days. A bacterial sinus infection will often persist for seven to 10 days or longer, and may actually worsen after seven days.
What are the stages of a sinus infection?
TypesAcute sinusitis usually starts with cold-like symptoms such as a runny, stuffy nose and facial pain. It may start suddenly and last 2 to 4 weeks.Subacute sinusitus usually lasts 4 to 12 weeks.Chronic sinusitus symptoms last 12 weeks or longer.Recurrent sinusitis happens several times a year.
What can be mistaken for a sinus infection?
Several conditions mimic sinus infection, including the common cold, influenza, nasal polyposis, sarcoidosis, neoplasia, acquired and congenital immuno-deficiency, allergic and nonallergic rhinitis, Wegener's granulomatosis, and fungal infection.
How do you know if sinus infection has spread to the brain?
Headaches, fever, and a stiff neck are potential symptoms of meningitis. This is a medical emergency. Encephalitis: This results when the infection spreads to your brain tissue. Encephalitis may not have obvious symptoms beyond a headache, fever, or weakness.
What is the difference between sinus pain and COVID-19?
“COVID-19 causes more of a dry cough, loss of taste and smell, and, typically, more respiratory symptoms,” Melinda said. “Sinusitis causes more discomfort in the face, congestion, nasal drip, and facial pressure.”
How to treat sinusitis?
Treatments to relieve symptoms. Your doctor may recommend treatments to help relieve sinusitis symptoms, including: Saline nasal spray, which you spray into your nose several times a day to rinse your nasal passages. Nasal corticosteroids . These nasal sprays help prevent and treat inflammation.
How to get rid of sinuses?
This will help ease pain and help mucus drain. Rinse your nasal passages. Use a specially designed squeeze bottle (Sinus Rinse, others) or neti pot. This home remedy, called nasal lavage, can help clear your sinuses.
What is the best way to check sinuses?
A thin, flexible tube (endoscope) with a fiber-optic light inserted through your nose allows your doctor to visually inspect the inside of your sinuses. Imaging studies. A CT scan shows details of your sinuses and nasal area. It's not usually recommended for uncomplicated acute sinusitis, but imaging studies might help find abnormalities ...
How to get rid of sinus infection?
Moisten your sinus cavities. Drape a towel over your head as you breathe in the vapor from a bowl of hot water. Keep the vapor directed toward your face. Or take a hot shower, breathing in the warm, moist air. This will help ease pain and help mucus drain.
What is the best treatment for sinusitis?
It's been suggested that products containing certain combinations of herbs may be of some help. These combination therapies contain cowslip, gentian root, elderflower, verbena and sorrel.
Can you take nasal decongestants for a few days?
These medications are available in over-the-counter (OTC) and prescription liquids, tablets and nasal sprays. Use nasal decongestants for only a few days. Otherwise they may cause the return of more-severe congestion (rebound congestion). OTC pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin.
Can you get a sinus test for sinusitis?
Nasal and sinus samples. Laboratory tests aren't generally necessary for diagnosing acute sinusitis. However, when the condition fails to respond to treatment or is worsening, tissue samples (cultures) from your nose or sinuses might help find the cause, such as a bacterial infection. Allergy testing. If your doctor suspects that allergies have ...
What test to do if you have sinusitis?
An allergy test. If your doctor suspects that allergies might be triggering your chronic sinusitis, he or she might recommend an allergy skin test. A skin test is safe and quick and can help detect what allergen is responsible for your nasal flare-ups. Samples from your nasal and sinus discharge (cultures). Cultures are generally unnecessary ...
How to diagnose sinusitis?
Methods for diagnosing chronic sinusitis include: Imaging tests. Images taken using CT or MRI can show details of your sinuses and nasal area. These might pinpoint a deep inflammation or physical obstruction that's difficult to detect using an endoscope. Looking into your sinuses.
What is the best treatment for sinusitis?
Treatments for chronic sinusitis include: Nasal corticosteroids. These nasal sprays help prevent and treat inflammation. Examples include fluticasone, triamcinolone, budesonide, mometasone and beclomethasone. If the sprays aren't effective enough, your doctor might recommend rinsing with a solution of saline mixed with drops ...
What to do if nasal spray isn't effective?
If the sprays aren't effective enough, your doctor might recommend rinsing with a solution of saline mixed with drops of budesonide or using a nasal mist of the solution. Saline nasal irrigation, with nasal sprays or solutions, reduces drainage and rinses away irritants and allergies. Oral or injected corticosteroids.
How to help sinuses heal faster?
Moisturize your sinuses. Drape a towel over your head as you breathe in the vapor from a bowl of medium-hot water. Keep the vapor directed toward your face.
Can antibiotics help with sinusitis?
Antibiotics. Antibiotics are sometimes necessary for sinusitis if you have a bacterial infection. If your doctor can't rule out an underlying infection, he or she might recommend an antibiotic, sometimes with other medications.
Can corticosteroids cause sinusitis?
Aspirin desensitization treatment, if you have reactions to aspirin that cause sinusitis. Under medical supervision, you're gradually given larger doses of aspirin to increase your tolerance.
What is the best treatment for sinusitis?
Nasal irrigation and decongestants can help in the treatment of chronic sinusitis by keeping mucus loose and nasal passages clear. The mucus-thinning agent guaifenesin (Mucinex) is another option. (Be sure to drink a full glass of water when you take it.)
Why doesn't my cold go away?
If you've ever had a cold that just wouldn't go away, chances are it was sinusitis — an inflammation of the paranasal sinuses, the cavities within the bones that surround the nose. The sinuses are lined with a thin membrane that produces mucus, which is normally swept along by hair cells and drains through small openings into the nasal cavity.
What is the name of the channel that drains mucus from the nose?
The paranasal sinuses comprise four pairs of sinuses that surround the nose and drain into the nasal cavity by way of narrow channels called ostia (singular: ostium). Mucus leaving the frontal (forehead) and maxillary (cheek) sinuses drains through the ethmoid sinuses (behind the bridge of the nose), ...
How to treat sinusitis?
First line of defense against sinusitis: Nasal irrigation. One of the simplest, cheapest, and most effective ways to prevent and treat sinus problems is nasal irrigation. Using a homemade solution, you can often relieve sinusitis symptoms, reduce reliance on nasal sprays and antibiotics, and improve your quality of life.
How long does sinusitis last?
Treating sinusitis. Sinusitis is classified by how long it lasts. "Acute" sinusitis lasts a month or less; "subacute" sinusitis, a month to three months; and "chronic" sinusitis for longer than that (sometimes for years). If several acute attacks occur within a year, it's called "recurrent.". Treatment begins with simple remedies, such as nasal ...
What is the cause of sinusitis?
More serious sinusitis can result from structural problems, such as a deviated septum (a crook in the partition that separates the right from left nasal cavities) or nasal polyps (small, grapelike growths in the lining of the sinus cavity).
What is the treatment for a swollen nose?
Treatment begins with simple remedies, such as nasal irrigation (see the box above) and, if necessary, progresses to more advanced strategies, such as prescription drug therapy or surgery.
What is the best treatment for sinusitis?
Conventional medical treatment of sinusitis includes antibiotics and corticosteroids, with additional care generally involving decongestants and antihistamines. Surgical drainage by endoscopy of the sphenoid, ethmoid, and maxillary sinuses may be recommended to help restore the clearance of mucus and normal airflow.
How to get rid of mucus in nose?
Coughing, sneezing, and blowing the nose help remove particulate-dense mucus from the body, but do not do this – block one nostril and blow hard out through the other. You will create back pressure, forcing mucus deep into a sinus cavity and may actually perpetuate chronic sinusitis.
How to use nasal irrigation for sinusitis?
Numerous studies support adjunctive use of nasal irrigation in sinusitis. 1. Observe the colour of the nasal or phlegm discharge. If it is clear, proceed to the next step. Any discoloration, usually green or yellow, visit your practitioner (herbalist or naturopath) for a course of natural antibiotic treatment.
What is nasal polyp?
Nasal polyps. Nasal polyps are a common finding in late-stage chronic sinusitis. A French study investigated four patients with nasal polyps for allergies to Candida albicans, then treated all four with Candida antigen Immuno-therapy (homeopathy).
How to get rid of sinuses that are colored?
Begin rinsing your sinuses in the following manner. Dissolve 1/4 teaspoon of pure sea salt (no additives, use Himalayan or Celtic salt) in a glass of warm tepid clean water (if any question of the water purity, use tepid filtered or bottled).
What is the most common chronic disease in developed countries?
One look at TV in springtime will also tell you that the drug companies have it all worked out too, for this is the time of year that sinusitis, hayfever and allergies are at their peak. Chronic sinusitis is probably one of the most common chronic diseases in many developed countries in the world today, including NZ.
How much NAC is safe?
The typical adult oral dose for NAC as a mucolytic agent is 600-1,500 mg daily in three divided doses. NAC is generally safe and well tolerated, even at high doses.
How to treat sinusitis with OTC?
OTC decongestants, such as pseudoephedrine ( Sudafed ), may relieve sinusitis symptoms by narrowing the blood vessels. This helps reduce inflammation and swelling.
What is sinus infection?
A sinus infection occurs when the tissue in the sinuses swells up. This leads to a buildup of mucus, pain, and discomfort. The sinuses are the air-filled pockets in the bones of the face that form the top part of the respiratory tract. These pockets run from the nose into the throat.
How to relieve pressure in sinuses?
Keeping your sinuses hydrated can help relieve pressure. Here are some tips to for hydrated sinuses: At night, sleep with a humidifier in your bedroom to help relieve nighttime nasal blockages. During the day and before bed, use natural saline nasal sprays.
What is the best medicine for sinus infection?
carrying out a physical examination. swabbing the inside of your nose (not routinely done) Amoxicillin ( Amoxil) is a commonly prescribed drug for acute sinus infections. Amoxicillin-clavulanate ( Augmentin) is often prescribed for a bacterial sinus infection.
How long does sinus infection last?
The big difference between the two is how long those symptoms linger. Sinusitis symptoms typically last no longer than 10 days. Chronic sinusitis can last for 12 weeks or longer. Sinus infections almost always get better on their own.
How to get rid of sinus pain from water?
Shop for a neti pot. 6. Ease facial pain with warm compresses. Applying moist, warm heat may help soothe sinus pain. Place warm, damp towels around your nose, cheeks, and eyes to ease facial pain.
How to get rid of sinuses?
Expose your sinuses to steam. Take regular hot showers and breathe in the damp air. You can also fill a bowl with boiling water and lean over it for 10 minutes. Cover both your head and the bowl with a thick towel. Keep your nose 10 inches above the water. Shop for a humidifier and saline nasal spray. 4.
How do you know if you have sinusitis?
If you cough up colored mucus or feel mucus drain down the back of your throat, you could have sinusitis. You may also think you have a toothache when it’s really a sinus infection.
What is sinusitis caused by?
Sinusitis is an inflammation of your sinuses, usually caused by a virus or bacterial infection. Even fungus can cause it. Most cases of sinusitis are “acute,” which means they come on suddenly and don’t last long (less than 8 weeks).
What to do if you have been sick for 10 days?
If you’ve been sick for 10 days or more with no improvement, or you got slightly better and then got sicker, it’s probably a bacterial infection . Again, you’ll need to see your doctor to find out. If it’s a bacterial sinus infection, you may need antibiotics.
Why do you need a CT scan for sinuses?
Sometimes, you may need to get a CT scan to look for more serious inflammation deep in your sinuses. It uses X-rays to produce a cross-section view of a particular part of the body. Your doctor may also take a swab from inside your sinuses if they think you may have a fungal infection or bacterial infection.
How long does it take for sinuses to go away?
Tell your doctor how long you’ve had sinus symptoms, and whether they’ve gotten worse or stayed the same. If you’ve had them for less than 10 days and they’re not getting worse, you probably have a viral infection. It will likely go away on its own.
How to see inside your nose?
If your doctor still doesn’t know for sure, they may want to use a light to see inside your nose. You may also get a “nasal endoscopy ,” a quick and simple procedure which lets your doctor see inside your sinuses. You’ll get a spray that numbs your nose.
What are the symptoms of a serious infection?
Contact your doctor immediately if you have any of these severe symptoms, which could be signs of a serious infection: High fever (over 102 F) Severe headache.
How to make a nasal solution?
Nasal solutions can be made at home by mixing 1 cup of prepared warm water with 1/2 teaspoon of table salt and 1/2 teaspoon of baking soda and spraying it into your nose using a nasal sprayer, or by pouring it in your nose with a Neti pot or sinus rinsing system.
How to treat sinus infection in children?
Nasal sprays, saline sprays, and pain relief are all effective treatments for acute sinusitis. Do not give over-the-counter cough or cold medicines or decongestants to your child if they’re under 2 years old. Most children will fully recover from a sinus infection without antibiotics.
What is the best medicine for sinus infection?
Currently, fluticasone and triamcinolone nasal sprays are available over-the-counter. Other over-the-counter medicines that contain antihistamines and decongestants can help with sinus infections, particularly if you also suffer from allergies. Popular medicines of this kind include: Sudafed. Zyrtec.
Why does my sinus hurt?
Sinusitis is usually caused by a virus and often persists even after other upper respiratory symptoms are gone. In some cases, bacteria, or rarely fungus, may cause a sinus infection. Other conditions such as allergies, nasal polyps, and tooth infections can also contribute to sinus pain and symptoms.
How long does sinusitis last?
Acute sinusitis only lasts for a short time, defined by the American Academy of Otolaryngology as less than four weeks. An acute infection is usually part of a cold or other respiratory illness. Chronic sinus infections last for more than twelve weeks or continue to recur. Specialists agree that the main criteria for sinusitis include facial pain, ...
How to prevent sinus infection?
It can be an important step in preventing episodes of both acute and chronic sinusitis. Wash your hands frequently, especially during cold and flu season, to keep your sinuses from becoming irritated or infected by viruses or bacteria on your hands . Talk to your doctor to see if allergies are causing your sinusitis.
How long does it take for sinusitis to go away?
Acute sinusitis usually goes away within one to two weeks with proper care and medication. Chronic sinusitis is more severe and may require seeing a specialist or having long-term treatment to address the cause of the constant infections.
What to do if you think you have a sinus infection?
If You Think You Have a Sinus Infection. If you feel you are experiencing sinus infection symptoms, make an appointment with your PartnerMD physician, and do not attempt to treat symptoms on your own .
How long does it take for a sinus infection to go away after antibiotics?
Some patients suffer from recurring sinus infections. If your sinus infection does not improve within five to seven days after you finish the whole course of antibiotics, or if you experience another sinus infection within a few weeks, you may be referred to an Ear, Nose and Throat (ENT) specialist for treatment.
Can you take antibiotics for sinus infection?
Antibiotics only work on bacterial sinus infections, so your doctor may not prescribe antibiotics immediately. Instead, your doctor may first prescribe nasal rinses, decongestants or anti-inflammatory medications to manage symptoms.
Can sinus infections cause headaches?
Symptoms of a sinus infection may include headache, facial pressure, and severe nasal congestion. If you experience any of these symptoms, visit your primary care physician for an accurate diagnosis. Sinus symptoms can be caused by bacterial or viral infections, or even allergies. Antibiotics only work on bacterial sinus infections, ...
Why is it important to continue antibiotics?
It is critical to continue the whole course of antibiotics, even if you start to feel better. If you don’t finish the whole course, your body could begin to build a resistance to those antibiotics. This makes future treatment more difficult.
Can antibiotics cause diarrhea?
In older adults, some types of antibiotics may cause inflammation in tendons. In addition to clearing your sinuses of infection, antibiotics also work in other parts of your body, particularly the gut. This could cause diarrhea, so you may want to take a probiotic as well.

Diagnosis
Treatment
Clinical Trials
Lifestyle and Home Remedies
Specialist to consult
Alternative Medicine
- Your doctor may ask about your symptoms. He or she may feel for tenderness in your nose and face and look inside your nose. Your doctor can usually make the diagnosis based on the physical exam. Other methods that might be used to diagnose acute sinusitis and rule out other conditions include: 1. Nasal endoscopy.A thin, flexible tube (endoscope) wi...
Preparing For Your Appointment
- Most cases of acute sinusitis get better on their own. Self-care techniques are usually all you need to ease symptoms.
Diagnosis
- Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
Treatment
- These self-help steps can help relieve sinusitis symptoms: 1. Rest.This will help your body fight infection and speed recovery. 2. Drink fluids.Continue to drink plenty of fluids. 3. Use a warm compress.A warm compress on your nose and forehead may help relieve the pressure in your sinuses. 4. Moisten your sinus cavities.Drape a towel over your head as you breathe in the vapo…
Clinical Trials
- No alternative therapies have been proved to ease the symptoms of acute sinusitis. It's been suggested that products containing certain combinations of herbs may be of some help. These combination therapies contain cowslip, gentian root, elderflower, verbena and sorrel. Possible side effects from these herbal products include stomach upset, diarrhea and allergic skin reacti…
Lifestyle and Home Remedies
- When you see your doctor, expect a thorough examination of your sinuses. Here's information to help you get ready for your appointment.
Preparing For Your Appointment