Sinus Problems
Many patients with allergies suspect they have a sinus problem, i.e. runny, stuffed nose and feeling of pressure over the middle area of face. Medically speaking, however, "sinusitis" (or inflammation of the sinuses) is a distinct condition that is only sometimes associated with allergic rhinitis (hay fever).
There are 2 large sinuses (air spaces) under the cheeks, 2 small sinuses in the forehead, several small sinuses between the eyes, and 2 small sinuses in the head at the back of the nose. When these sinuses are infected and inflammed (sinusitis), the patient usually has symptoms of headache and thick yellow or green nasal discharge.
There is a 15-20% chance of developing sinusitis with untreated allergic rhinitis. This is one of the reasons that allergic rhinitis should be treated aggressively.
Diagnosis is made from detailed history and examination and sometimes by CAT scan of sinuses.
Treatment is directed at the underlying cause – either allergy or infection.
Allergy treatment similar to allergic rhinitis (hay fever) – see allergic rhinitis section.
Antibiotics are used for infections lasting longer than 5-7 days or causing severe symptoms.
Saline nasal wash, nasal decongestants (which open sinuses and promote drainage), and pain medications (such as Tylenol®) are useful for any sinus/nose symptoms.
