What is sinusitis?
For the cure of the sinusitis, first, let us know what is sinusitis. !!!
The Sinuses in the face are air spaces with in the facial bones that help with air humidification and mucus secretion.
The infection of these sinuses is said to be sinusitis .
It is the Inflammation of these sinuses which decrease the ability for the mucus to drain, and by increasing pressure within the sinuses, which can cause a sinus headache.
There are different sinuses in our face namely
Frontal sinuses:located above our eyes within the frontal bone of the skull
Maxillary sinuses: located bellow our eyes behind the cheekbones
Ethmoid sinuses: located in the ethmoid bone which separates the eyes from the nose
Sphenoid sinuses: located in the sphenoid bone at the base of our skull.
The maxillary sinuses appear on the X-ray only after 1 to 2 years of age.
The frontal sinuses are not seen until child is of age 5 or 6.
What causes sinusitis?
- Allergies: this is the hypersensitivity reactions in the body which causes inflammation of the sinus mucosa leading to the sinusitis. this is one of the most common causes of the sinusitis.
- Viral infection: mostly come along with the upper respiratory tract infection. it has been leading cause of the invective sinusitis.
- Bacteria infection: especially people who are having upper teeth infections and dental issues lead to the bacteria accumulation in the sinus
- Fungal infection: this is a rare kind of especially if the person is having low immunity like that of the diabetes, dialysis, immune-compromised states.
- Rare conditions like malignancies or benign tumors
How to treat sinusitis?
There are various modes of treatments for the cure of sinusitis of which includes
Conservative treatment for the cure of sinusitis :
Nasal washes help in cure of sinusitis by removing allergens
Drink plenty of fluids and warm water to help keep the body hydrated as it can lead to the thinning of the thick mucus in the sinuses.
Use a humidifier or steamer and a salt-water nasal spray
The Neti pots which are used in yoga teachings, these are an alternative way to get humidity into the nasal passages
It assists with drainage to prevent inflammation and infection. but the precautions to be taken to use warm clean water.
To this warm water following can be mixed: 1 teaspoon of salt and 1 pinch of baking soda and used for the nasal washes.
Medical treatment for the cure of sinusitis :
This helps to decrease the inflammation within the sinuses and promote drainage of the pus or mucus from the sinus.
Decongestants and antihistamines:
many contain pseudo-ephedrine , a medication that is related to adrenaline.
People with high blood pressure, the heart conditions, or who is pregnant, should consult their doctor before using the drugs to assess their safety before taking these medications.
Nasal decongestant sprays:
These can be used only for a short period because of their side effects and complications. like that of rebound inflammation
The sinuses may swell more and potentially leading to even more drainage complications and thereby increasing the problem.
Nasal steroids sprays:
Allergic causes of sinusitis can be cured by steroid sprays. Can be used unless there is no contraindication.
If the sinus infection is due to bacterial infection, then the health-care professional will prescribe antibiotics to treat the infection.
To establish the diagnosis of acute bacterial rhinosinusitis and the need for antibiotics, your doctor should confirm from the symptoms of bacterial rhinosinusitis that include pus-like (purulent) nasal drainage and nasal obstruction, fever, foul smell, facial pain or pressure.
Surgical treatment for cure of sinusitis:
If the sinus headache persists even after failed conservative and medical management, then surgery can be the next option.
This is final resort for the cure of sinusitis. The Otorhinolaryngologists (ENT surgeons) will widen the openings of the sinuses to allow the sinuses to drain and decrease the risk of recurrent inflammation that may obstruct the sinuses from draining.
It is not always surgery that is a cure for sinusitis,there are various modalities in the treatment of sinusitis. few steps using conservative tips like the nasal washes and steamers and medical management like nasal decongestants, antibiotics, and antihistamines in the treatment of sinusitis helps to cure sinusitis without requirement of the surgical treatment in more than 80% of cases.
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