Sinusitis, also known as a sinus infection or rhinosinusitis, Sinusitis (or rhinosinusitis) is defined as an inflammation (swelling) of the mucous membrane that lines the paranasal sinuses and is classified chronologically into several categories:
- Acute rhinosinusitis – A new infection that may last up to four weeks
- Recurrent acute rhinosinusitis – Four or more full episodes of acute sinusitis that occur within one year
- Sub acute rhinosinusitis – An infection that lasts between four and 12 weeks, and represents a transition between acute and chronic infection
- Chronic rhinosinusitis – When the signs and symptoms last for more than 12 weeks.
- Acute exacerbation of chronic rhinosinusitis – When the signs and symptoms of chronic rhinosinusitis exacerbate, but return to baseline after treatment.
Causes — Sinusitis can be caused by
- Air pollution, or
- Structural problems in the nose.—deviated nasal septum, nasal bone spur, enlarged adenoids nasal polyp
- Most cases are caused by a viral infection.b> <
- A bacterial infection may be present if symptoms last more than ten days or if a person worsens after starting to improve.
- Recurrent episodes are more likely in people with b>asthma,b> b>cystic fibrosis, and b>poor immune function.
Signs and symptoms — Common signs and symptoms include
- Thick nasal mucus,
- Plugged nose,
- Pain in the face. — Pain occurs and located to that sinus only, which is affected.
- Sometimes fever,
- Poor sense of smell,
- Sore throat,
- Cough. The cough is often worse at night. Serious complications are rare
- Pain occurs and located to that sinus only, which is affected
In both acute and chronic sinusitis most of the symptoms are same as above.
- X-rays are not needed unless complications are suspected.
- In chronic cases direct visualization or computed tomography done. Imaging by X-ray, CT or MRI is generally not recommended unless complications develop
- Nasal endoscopy and clinical symptoms are also used to make a positive diagnosis.
- A tissue sample for histology and cultures can also be collected and tested. Allergic fungal sinusitis (AFS) is often seen in people with asthma and nasal polyps. In rare cases, sinoscopy may be made.
Management and treatment
Sinus infection can be prevented by hand washing, avoiding smoking, and immunization.b>
- Rest and drinking enough water to thin the mucus.
- Breathing low-temperature steam such as from a hot shower or gargling can relieve symptoms<
In allopathic – Pain killers, b>nasal steroids, and b>nasal irrigation may be used to help with symptoms. b>Antibiotic are used when bacterial infection occurs. b>Corticosteroids may be used. b>Surgery may be advised if any structural problem is present.
In homoeopathy — sinusitis can be treated completely with the help of wide range of homoeopathic medicines by considering patient’s complains along with his/her constitutional built. There are so much effective medicines like – kali bich. , silicea, thuja, etc. For complete cure one must contact to homoeopathic physician.