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The goal is to relieve your symptoms by
reducing the inflammation and to cure infection, if present.
Antibiotics are used to get rid of bacteria and other organisms.
Try the following measures to help
reduce congestion in your sinuses:
-
Use a humidifier.
- Spray with nasal saline several
times per day.
- Inhale steam 2 to 4 times per
day (for example, sitting in the bathroom with the shower
running).
- Drink plenty of fluids to thin
the mucus.
- Apply a warm, moist wash cloth
to your face several times per day.
Be careful with over-the-counter
nasal decongestants, which can be helpful initially. However, using
topical (spray) nasal decongestants beyond 3 to 5 days can actually
worsen nasal congestion.
Also, for sinus pain or pressure:
-
Avoid temperature extremes,
sudden changes in temperature, and bending forward with your
head down.
-
Try an over-the-counter pain
reliever (like acetaminophen or ibuprofen).
-
Avoid flying when you are
congested.
If self-care measures are not working,
your doctor will consider prescription medications, further testing,
referral to an Ear, Nose, and Throat (ENT) specialist, and, rarely,
surgery.
Nasal corticosteroid sprays may be
used to decrease swelling, especially if you have swollen
structures (such as nasal polyps) or allergies. These include
fluticasone (Flonase), mometasone (Nasonex), and triamcinolone (Nasacort
AQ). Antibiotics are used
to cure the particular infection causing sinus inflammation.
Common antibiotics include ampicillin, amoxacillin, trimethoprim
with sulfamethoxazole (Bactrim), Augmentin, cefuroxime, and
cefprozil.
Other antibiotics may be used
depending on the type of organism present. Acute sinusitis
should be treated for 10 to 14 days, while chronic sinusitis
should be treated for 3 to 4 weeks.
Surgery to clean and drain the
sinuses may also be necessary, especially in patients with
recurrent episodes of inflammation despite medical treatment. An
ENT specialist, also known as an otolaryngologist, can perform
this surgery.
Most fungal sinus infections
require surgical intervention. Finally, surgical repair of a
deviated septum or nasal polyps may prevent the condition's
recurrence.
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