Sinusitis

The sinuses are small, air-filled cavities behind cheekbones and forehead. Sinusitis is inflammation of the lining of the sinuses.

Types—

  • Acute
  • Sub-acute
  • Chronic

Causes—

Infections

  • Flu
  • Common cold
  • secondary bacterial infection
  • An infected tooth

Irritants to sinuses

  • air pollution
  • smoke
  • chemicals (pesticides)
  • disinfectants
  • Household detergents.

Allergies

  • Asthma
  • Allergic rhinitis
  • Hay fever

Narrowing of nasal passages

  • facial injuries
  • nasal polyp

Cystic fibrosis

Symptoms And Signs–

Adults

  • Bad breath /anosmia
  • Cough( worse at night)
  • Fatigue
  • Fever
  • Malaise
  • Headache; Pressure-like pain (behind the eyes)
  • Toothache
  • Facial tenderness
  • Nasal congestion and discharge
  • Sore throat
  • Postnasal drip

Children

  • Irritable
  • Breathe through mouth
  • Difficulty in feeding
  • Nasal speech

Investigations–

  • Allergy testing
  • Ciliary function tests
  • CT scan-sinuses
  • MRI-sinuses
  • Nasal cytology
  • Sweat chloride tests (cystic fibrosis)
  • Trans-illumination

Treatment—-

Self care

  • Apply a warm, moist washcloth to face several times a day
  • Avoid flying when congested
  • Avoid temperature extremes
  • Drink plenty of fluids to thin the mucus
  • Inhale steam 2 – 4 times per day
  • Use a humidifier
  • Use nasal saline spray several times per day.

Ayurvedic Medicines

These are very effective in all types of Sinusitis. In most of the cases the condition is relieved forever.

Surgery

Functional endoscopic sinus surgery (FESS)

Complications–

  • Abscess
  •  Osteomyelitis
  • Meningitis
  • Orbital cellulitis

Prevention —

  • Avoid nasal irritants
  • Eat a balanced diet and exercise.
  • Improve household ventilation by opening windows whenever possible.
  • Minimize exposure to persons with known infections.
  • Reduce exposure to allergens.
  • Sleep with the head of the bed elevated. This promotes sinus drainage.
  • Use a humidifier in the home or office when the person has a cold.
  • Use decongestants with caution.

 

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