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Sinusitis

WHAT YOU SHOULD KNOW

Sinusitis (SINE-uh-SI-tis) is swelling and irritation in the sinuses (the air spaces behind and above the nose), especially the sinuses located behind the forehead and cheekbones. Treatment should relieve the problem within a few days.

Causes

The problem usually starts during or just after a cold, when bacteria grow in your sinuses, causing an infection. It may also be caused by smoking, allergies (hay fever), swimming in dirty water, staying outside in cold damp weather, or spending a lot of time in dry indoor heat.

Signs/Symptoms

Typically, you'll have pain, pressure, or swelling around the forehead, cheeks, or eyes that sometimes gets worse when you bend over. You may have a headache, fever, chills, or other cold symptoms, a dry cough or tooth pain. The discharge from your nose may be thick and yellow or green in color.

Care

If an infection is the cause, your doctor is likely to prescribe an antibiotic. Without treatment, the infection will continue, and could cause long-term problems. Decongestants and pain-killers may also be advised.

WHAT YOU SHOULD DO

  • Use a cool-mist vaporizer or humidifier to add moisture to the air. This will help thin the nasal discharge, allowing it to drain more easily.
  • To help ease the pain, put heat on your face and nose with a warm wash cloth or an electric heating pad (set on low).
  • Blow your nose gently. In very young children, use a bulb syringe to empty the nose. Place your thumb on top of the bulb and squeeze it down. Insert the tip of the syringe into the nose while you hold the bulb with your thumb. Slowly take your thumb off the bulb. Repeat this 2 or 3 times in each nostril. Do not hold the child's nose closed over the syringe.
  • You may need decongestant medicine to unplug your nose and ease the pain. Over-the-counter pain-killers, such as acetaminophen and ibuprofen, will also help. Always take these medicines exactly as directed.
  • If your doctor has prescribed antibiotics, finish all the medication even if you feel better. If you stop treatment too soon, some bacteria may survive and cause a second infection.
  • If you do not have to limit the amount of liquids you drink, drink 8 to 10 (soda-can sized) glasses of water each day.
  • To prevent future attacks, wash your hands after touching a person who has a cold. Don't smoke or swim in dirty water.

Call Your Doctor If...

  • You develop a high temperature.
  • Your nose bleeds.
  • You have a really bad headache that is not eased by over-the-counter medication.
  • You have swelling over the forehead, eyes, side of the nose, or cheek.
  • Your vision becomes blurred.

Seek Care Immediately If...

  • You have trouble breathing and develop a rash, itching, or swelling after taking your medicine.

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