Do you have chronic sinusitis?

Do you have chronic sinusitis?  Does your nose drip all the time?  Do you have

  • Facial pain/pressure,
  • decreased or inability to smell,
  • nasal drainage, and
  • nasal obstruction?

When 2 or 4 symptoms are present, chronic rhinosinusitis is present. chronic part means that symptoms have occurred for more than 12 weeks.

Treatment is directed at helping the clearance of secretions in the nose, improving sinus drainage, and decreasing local infection and inflammation.

  1. First-line treatment is nasal saline irrigation (found at pharmacies and called a Neti-Pot) and
  2. intranasal corticosteroid sprays (of which fluticasone is now available over the counter).
  3. Antibiotics may help if there is evidence of an active, superimposed acute sinus infection.
  4. If treatment does not help, then a consult with an ear,nose,throat doctor may help.4343716879_a89038810f_o

They may perform endoscopy (a small tube put in the nose to look at the structures inside the nose, sinuses, and the back of the throat). For patients who have other conditions such as inflammation of the blood vessels, cystic fibrosis, or immunodeficiencies, an allergist or pulmonologist may also be of help.

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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