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Sinusitis
Common symptoms of sinusitis
The symptoms of sinusitis can vary widely, primarily related to the extent of the inflammation and the patient's own immune resistance. It is possible to have no obvious clinical manifestations, mainly in those with good resistance and very mild inflammation. The patient may not experience any significant symptoms, and sinusitis might only be discovered through a sinus CT or a head CT. If the inflammatory response is more noticeable, symptoms may include nasal congestion, purulent nasal discharge, headache, dizziness, and a reduction or loss of smell. Some patients might also experience numbness and a feeling of pressure in the face. Diagnosis typically involves a sinus CT or nasopharyngeal examination, as well as direct visual observation of the nasal cavity and an overall assessment of the patient's condition, followed by targeted treatment.
How should sinusitis be treated?
Sinusitis is caused by acute inflammatory infections, mainly hemolytic streptococcus or Staphylococcus aureus. Pathogens enter the sinuses through the sinus openings due to the patient catching a cold or having a flu, leading to congestion, swelling, hyperplasia, and exudation in the sinus mucosa. Symptoms include persistent nasal congestion, discharge of yellow secretions from the nasal cavity accompanied by a foul smell, and severe cases may also experience facial swelling, pain, and headaches. In terms of treatment, during the acute phase, patients need to first undergo symptomatic anti-inflammatory treatment, taking oral antibiotics such as cephalosporins, which are very effective. Additionally, physiological saline is used for nasal and sinus irrigation. If conservative treatment is ineffective, patients may require endoscopic sinus surgery and sinus mucosa clearance for recovery. (The use of medications should be under the guidance of a professional doctor.)
Can sinusitis be cured completely?
Sinusitis can be completely cured. Sinusitis, also known as rhinosinusitis, is a condition caused by bacterial infection due to weakened immunity and resistance. Typically, patients may experience sudden high fever with a body temperature above 38°C, dryness and pain in the nasal cavity, and yellow discharge might be present in the nose. Examination can reveal congestion and significant edema of the bilateral middle and inferior turbinates, and abnormal secretions may be found in the middle meatus or common nasal passage. In terms of treatment, since it is a bacterial infection, patients can orally take cephalosporin or penicillin antibiotics, which are effective. Additionally, nasal irrigation with saline solution is necessary. If conservative treatment fails, patients may need to undergo endoscopic sinus surgery and sinus mucosa cleaning to achieve complete recovery. (Medications should be used under the guidance of a doctor.)
Is sinusitis serious?
Sinusitis is a relatively common otolaryngological disease and generally is not very severe. The main clinical symptoms include nasal congestion with thick nasal discharge, reduced sense of smell, headache, and dizziness. After onset, it is necessary to visit an otolaryngology department for a sinus CT scan to help determine the extent of the lesion. If the inflammatory response is localized and the clinical symptoms are mild, conservative medical treatment can be considered. Common treatments include oral medications and nasal sprays. During treatment, regular follow-ups are needed to observe the effects. If the inflammatory response is severe and conservative medical treatment is ineffective, surgical treatment may need to be considered.
How to treat sinusitis?
The treatment of sinusitis is mainly divided into two major categories. The first category is conservative treatment, and the second category is surgical treatment. Most patients consider conservative treatment because it can effectively control the condition and alleviate inflammation, and the overall effect is relatively good. In terms of medication, oral medications are primarily considered, commonly involving the use of antibiotics combined with nasal sprays and traditional Chinese medicine treatments. Additionally, physiological saline or seawater can be considered for nasal irrigation. Generally, the treatment period is about one to two weeks or more, and regular follow-ups are required. If it is fungal sinusitis, or if the effect of drug treatment for chronic sinusitis is not satisfactory, surgery may be considered. The surgery mainly involves minimally invasive sinus surgery under nasal endoscopy, which generally causes less damage and is quite effective.
What IV fluids are used for sinusitis?
Sinusitis, which we now clinically refer to as sinusitis. When sinusitis acutely flares up, our main treatment is to administer anti-infection medications and corticosteroid drugs. This includes oral medication treatment or intravenous infusion therapy. Clinically, our main approach is the aforementioned medication treatment, and we also conduct CT scans and surgical treatments based on the patient's condition, of course, assessing symptoms before proceeding. Before surgery, preoperative medication preparation is also needed, which involves some infusion therapy, using these medications, including cephalosporin antibiotics and corticosteroid drugs. (The use of medications should be carried out under the guidance of a professional doctor.)
Symptoms of sinusitis recovery
Sinusitis is a relatively common otolaryngological disease. If sinusitis is cured after treatment, clinically it means that the symptoms have subsided; there is no nasal congestion, no purulent nasal discharge, normal sense of smell, and no headache, dizziness, or blood in the nasal discharge. However, individual differences in treatment outcomes do exist. During the treatment process, regular follow-up visits are necessary to observe the recovery status of the condition. Additionally, combining nasal endoscopy, routine blood tests, and sinus CT scans with the doctor's clinical experience can help determine whether the sinusitis has healed. However, some patients may experience a recurrence of symptoms after treatment.
How to treat hypertrophic turbinates and sinusitis?
Nasal hypertrophy and sinusitis are relatively common diseases. In terms of treatment, it is first necessary to visit the Otolaryngology department, where an endoscopic nasal examination, sinus CT scan, and routine blood test should be conducted to assess the severity of the condition. If the inflammatory response is relatively localized, it is generally considered treatable with medication. If the inflammatory response is particularly severe, accompanied by related clinical symptoms such as nasal congestion, thick nasal discharge, headache, dizziness, and reduced sense of smell, and if the effect of standardized conservative medical treatment is not satisfactory, surgical treatment may also be considered. However, whether it is medical treatment or surgical treatment, regular follow-up checks are necessary to observe if there is any recurrence of the condition. (Please take medication under the guidance of a professional physician.)
Can sinusitis cause a fever?
Sinusitis may cause fever, but this is mainly seen in acute sinusitis or during the acute flare-ups of chronic sinusitis, which relatively tends to provoke a fever. If it is just a mild case of sinusitis or plain chronic sinusitis, most patients do not experience significant fever changes, but they might have symptoms like nasal congestion, runny nose, headaches, dizziness, and a decrease in the sense of smell. When experiencing a fever, it is important to visit an otolaryngology department as soon as possible where you might consider undergoing a routine blood test to check the extent of the inflammatory response. Most patients will need to consider antibiotic treatment for the infection. If the body temperature exceeds 38.5 degrees Celsius, there may be a need to consider antipyretic medications. If the fever is below 38.5 degrees, physical cooling measures are generally recommended, but it is necessary to regularly reassess and monitor the temperature, selecting targeted treatments based on the fluctuations of the condition. (The use of medications should be under the guidance of a doctor.)
How to deal with frontal headache caused by sinusitis?
In the acute phase, symptomatic anti-inflammatory treatment is needed, which can be administered orally or intravenously through antibiotics, whereas chronic sinusitis requires local surgical treatment. The frontal headache caused by sinusitis is generally common in frontal sinusitis. Frontal sinusitis is a common type of sinusitis which occurs when the body's immunity is lowered, allowing bacteria to invade along the opening of the frontal sinuses, thus affecting the mucous membranes of the frontal sinuses, leading to congestion, swelling, proliferation, and exudation. Patients may experience symptoms such as nasal congestion, runny nose, and frontal swelling pain. An examination with an endoscope and a CT scan of the sinuses will reveal purulent secretions in both nasal cavities. At the same time, enlargement of the nasal conchae on both sides can block the nasal passages causing nasal congestion in patients. In terms of treatment, the acute phase requires symptomatic anti-inflammatory treatment. Generally, in cases of bacterial infection, patients can achieve good results with oral or intravenous antibiotic treatment. However, for chronic sinusitis, local surgical treatment is required for cure.