Can sinusitis cause a fever?

Written by Li Rui
Otolaryngology
Updated on September 17, 2024
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Sinusitis can potentially cause fever, primarily seen in cases of acute sinusitis or acute exacerbation of chronic sinusitis. Additionally, some cases are due to a systemic or localized inflammatory response caused by fungal sinusitis, leading to related changes in the condition. For fever, it is first necessary to check the body temperature. If the temperature is below 38.5 degrees Celsius, physical cooling methods are generally recommended. If the temperature exceeds 38.5 degrees Celsius, antipyretic medications should be considered. In cases of acute bacterial infections, timely antibiotic treatment for infection should be considered, along with using saline solution to wash the nasal cavity. If inflammation occurs repeatedly and conservative medication treatment is not effective, surgery may need to be considered.

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Written by Deng Bang Yu
Otolaryngology
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How to relieve headache from sinusitis?

Sinusitis is currently the general term for what was traditionally called accessory sinusitis. Accessory sinusitis can cause headaches, which is a clinical manifestation of sinusitis. The clinical treatment of headaches primarily targets the sinusitis itself. The causes of the headaches are twofold: one is the headache caused by the irritation of purulent secretions, and the other is the negative pressure headache caused by blockage of the sinus opening and the resultant intrasinus pressure. The treatment includes using medications that constrict the blood vessels in the mucous membranes and then clearing the sinus openings. Additionally, it is crucial to actively pursue anti-inflammatory and anti-infection treatments, primarily using macrolide antibiotics or cephalosporin antibiotics. (Medication should be used under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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What should be paid attention to with sinusitis?

The precautions for sinusitis mainly include the following aspects: First, it is important to determine the degree and type of sinusitis. Currently, sinusitis is primarily classified into two main types: fungal sinusitis and bacterial sinusitis. It is recommended to assess the severity of the inflammation. For mild inflammation, conservative treatment is generally considered. For severe inflammation or fungal sinusitis, surgery may be necessary. Second, it is important to take precautions in daily life to avoid exacerbating sinusitis, especially by avoiding colds and opting for a lighter diet. Third, monitor the recovery of sinusitis in daily life and check for any possible complications. Therefore, it is necessary to visit an otolaryngology (ENT) clinic regularly for follow-up.

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Written by Zhang Jun
Otolaryngology
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How to treat nasal congestion caused by sinusitis?

Nasal congestion caused by sinusitis requires symptomatic anti-inflammatory treatment as the initial step, because sinusitis, which includes inflammation of the paranasal sinuses, is caused by acute inflammatory irritation leading to nasal symptoms. This condition can result in nasal congestion due to the repeated stimulation of the nasal conchae by yellow purulent secretions. Additionally, patients may experience discharge of yellow purulent material from the nasal cavity, facial swelling and pain, headaches, and fever among other symptoms. Examination with an endoscope may reveal bilateral congested and swollen nasal mucosa, and yellow purulent secretions in the nasal passages. Treatment initially requires symptomatic anti-inflammatory measures to reduce inflammation. Since it is a bacterial infection, patients can use antibiotics. Also necessary is the use of saline nasal irrigation and nebulized inhalations to contract the nasal conchae and alleviate congestion. Once the inflammation is reduced, nasal congestion will gradually improve. (The use of medications should be under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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What is the method for examining sinusitis?

Sinusitis refers to the inflammation that occurs in the mucous membrane or cavity of the sinuses. Clinically, the examination of sinusitis includes two aspects: one is the clinical examination, such as anterior rhinoscopy to inspect the nasal cavity, nasal endoscopy to inspect the nasal cavity, the opening of the sinuses, and the nasal passages; on the other hand, some imaging examinations can also be used, such as sinus CT examination, which is very important, and if necessary, sinus MRI can also be performed; there are also some other examination methods, such as nasal resistance examination, examination of sinus and nasal secretions, etc. Therefore, there are quite a few examination methods, among all the examination methods, the most important are the nasal endoscopy and sinus CT examination.

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Written by Li Rui
Otolaryngology
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How to treat sinusitis?

The treatment for sinusitis primarily involves conservative medication, as well as surgical procedures. Generally, conservative medical treatment is the standard first-line method. In terms of treatment methods, antibacterial therapy is mainly used, along with the oral administration of traditional Chinese medicine preparations, and mucolytic agents, which help alleviate sinus inflammation and facilitate the discharge of secretions from the nasal and sinus cavities. Additionally, nasal irrigation with saline solution can be considered to further improve the condition. If standardized medical treatment is ineffective, or in cases of fungal sinusitis, we may consider conducting minimally invasive sinus surgery using nasal endoscopy. Overall, the outcomes of surgical treatment are usually quite good, but regular follow-up examinations are needed to check for any recurrence of the condition.