What medicine is good for sinusitis?

Written by Zhang Jun
Otolaryngology
Updated on November 06, 2024
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Sinusitis is mainly caused by acute inflammatory infections, such as Staphylococcus aureus or Streptococcus pyogenes. When a patient's immunity and resistance are low, these bacteria can invade the sinuses through the sinus openings, leading to congestion, swelling, proliferation, and exudation of the sinus mucosa. Patients will experience persistent nasal congestion and discharge of yellow purulent secretions from the nasal cavity. Additionally, patients may also experience fever, facial swelling and pain, headaches, dry mouth, coughing, and other related symptoms. Upon examination, bilateral nasal turbinate mucosal congestion and swelling can be found, and yellow secretions may be seen adhering in the middle nasal meatus or common nasal passage. In terms of treatment, as it is a bacterial infection, patients firstly need symptomatic anti-inflammatory treatment. Oral cephalosporin antibiotics are effective. Moreover, using saline to rinse the nasal cavity also provides very good results. If necessary, patients may require endoscopic sinus surgery for recovery. (Please use medication under the guidance of a professional physician.)

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Does sinusitis affect the eyes?

Sinusitis is a relatively common otorhinolaryngological disease. A small percentage of patients may experience effects on their eyes, leading to decreased vision, orbital abscesses, eye swelling and pain, or visual field defects. There is significant individual variation in clinical symptoms. After the onset of the disease, it is necessary to visit the otorhinolaryngology and ophthalmology departments to assess the severity of the condition. In terms of treatment, some patients may opt for conservative medical treatment. However, for others with more severe conditions where conservative medical treatment proves ineffective, surgical treatment should be considered, followed by regular follow-up exams to observe the outcomes of the surgery.

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Can sinusitis cause headaches?

Sinusitis, now commonly referred to as sinusitis, is primarily caused by purulent secretions from bacterial infections that irritate structures, leading to symptoms such as toxic headaches and dizziness. During sinusitis, blockage of the sinus openings can cause negative pressure within the sinus cavity, which may also lead to pressurized headaches. Additionally, if sinusitis is accompanied by hypertrophy of the nasal turbinates or a deviated nasal septum, it can stimulate a nerve reflex causing neuralgic headaches. Therefore, it is certain that clinical sinusitis or paranasal sinusitis can cause headaches.

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Can sinusitis cause a fever?

Sinusitis may cause fever, but this is mainly seen in acute sinusitis or during the acute flare-ups of chronic sinusitis, which relatively tends to provoke a fever. If it is just a mild case of sinusitis or plain chronic sinusitis, most patients do not experience significant fever changes, but they might have symptoms like nasal congestion, runny nose, headaches, dizziness, and a decrease in the sense of smell. When experiencing a fever, it is important to visit an otolaryngology department as soon as possible where you might consider undergoing a routine blood test to check the extent of the inflammatory response. Most patients will need to consider antibiotic treatment for the infection. If the body temperature exceeds 38.5 degrees Celsius, there may be a need to consider antipyretic medications. If the fever is below 38.5 degrees, physical cooling measures are generally recommended, but it is necessary to regularly reassess and monitor the temperature, selecting targeted treatments based on the fluctuations of the condition. (The use of medications should be under the guidance of a doctor.)

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What are the symptoms of sinusitis?

The symptoms of sinusitis vary significantly between individuals. In cases of mild inflammation, there may be no symptoms, and the condition might only be discovered during a physical examination or through a head or sinus CT scan. However, in some patients with more severe inflammatory reactions, clinical symptoms can occur. Common clinical symptoms include nasal congestion, thick nasal discharge, reduced sense of smell, headache, dizziness, as well as potential facial pain, numbness, and vertigo. Some individuals may also experience changes in vision or field of vision. Generally, sinusitis is a common disease. Usually, it can be diagnosed based on clinical symptoms and examination of the nasal cavity. Some patients may need to undergo a CT scan, and in severe cases, surgery might be considered necessary.

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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.)