Table of contents:
- How to treat chronic sinusitis
- Home care options
- Treatment for childhood sinusitis
- Care during treatment for sinusitis
Treatment for acute sinusitis is usually done with drugs to relieve the main symptoms caused by inflammation, prescribed by the general practitioner or otolaryngologist, however some home measures such as nasal washing with s alt water or saline solution, or steam inhalations can help reduce the symptoms and discomfort of the illness.
In this way, treatment for sinusitis usually includes the use of remedies such as:
- Analgesics and anti-inflammatories such as Paracetamol or Ibuprofen, for example, to relieve headache and facial bones, and reduce sinus inflammation;
- Nose sprays such as Fluticasone or Mometasone, for example, under medical advice, which serve to reduce sinus inflammation and relieve nasal congestion, runny nose, itching and sneezing;
- Oral corticosteroids such as Prednisone, under medical indication and prescription, to treat sinus inflammation;
- Antibiotics, such as Amoxicillin or Azithromycin, for example, are recommended by the doctor only for the treatment of bacterial sinusitis, that is, when it is caused by a bacterial infection;
- Nasal decongestants containing Naphazoline, Oxymetazoline or Tetrahydrozoline, such as Sorine, for example, help to improve symptoms, but should be done with caution, for less than 3 weeks, because they cause rebound and dependence.
When sinusitis has an allergic cause, such as after episodes of dust allergy, for example, the doctor may prescribe anti-allergy drugs such as Loratadine or Cetirizine, to treat sinus inflammation triggered by a dust allergy.
In addition, it is important to avoid antibiotics when there is no indication of bacterial sinusitis, as the unnecessary use of these drugs can lead to bacterial resistance, which can cause chronic and difficult-to-treat sinusitis.To better differentiate each type of sinusitis, check out sinusitis symptoms.
How to treat chronic sinusitis
Chronic sinusitis is one that lasts longer than 12 weeks, usually caused by antibiotic-resistant bacteria or other causes such as difficult-to-control allergies, fungi or other rarer conditions, such as immunity deficiency or changes in the drainage of secretions from the sinuses, as in cystic fibrosis, for example.
Treatment for chronic sinusitis is prolonged, lasting 3 or 4 weeks, and may include the use of antibiotics, oral corticosteroids or nasal spray, as well as nebulizers with filtered water or saline to relieve nasal congestion.
In cases where people with chronic sinusitis do not improve with medications, surgery may be indicated by the otolaryngologist to try to solve the problem. This surgery consists of opening the sinus drainage holes, facilitating the drainage of mucus retained in the sinuses, or correcting a deviated septum of the nose, improving the symptoms of sinusitis.
Learn more about how sinus surgery is done, risks and recovery.
Home care options
Some home treatment options can help complement the treatment, but do not replace the doctor's advice. A great option is nasal washing with water and s alt, as it facilitates the removal of secretions, leaving the airways free, reducing pain and nasal congestion. Here's how to make this saline solution for sinusitis.
Another natural remedy for sinusitis is steam inhalations from medicinal plants, such as eucalyptus or orange peels, as they have expectorant properties. To make these inhalations, place 1 drop of eucalyptus essential oil or the peel of 1 orange in a pan, along with 1 liter of water, and let it boil. Then, put out the fire and breathe in the steam, when it is warm, to avoid injuries.
Treatment for childhood sinusitis
The treatment of childhood sinusitis should also be done according to its cause and the symptoms of each child, with the use of anti-inflammatory, anti-allergic and, if necessary, antibiotics that must be prescribed by the pediatrician according to the age and weight of the child.
In addition to medication, a great solution is to perform nasal washes with saline solution or water and s alt, as well as nebulizations with saline solution, to facilitate the release of secretions and relieve inflammation of the sinuses and some symptoms such as runny nose and nasal congestion. See how to do nebulization for sinusitis by watching this video:
Care during treatment for sinusitis
During treatment for sinusitis, it is important to adopt some precautions such as:
- Drink about 1.5 to 2 liters of water a day;
- Avoid going to places with cigarette smoke or with the air conditioning on;
- Avoid cleaning the house until the sinusitis passes;
- Avoid being in places or handling objects with a lot of dust.
Also, if you are in a cold place, it is recommended to protect your mouth and nose with a scarf.
Signs of improvement
Signs of improvement in sinusitis include a decrease in runny nose, nasal congestion, headache, and pain in the bones of the face.
Signs of worsening
Signs of worsening sinusitis include increased runny nose, nasal congestion, headache, and pain in the bones of the face. In these cases, it is important to return to the doctor to reassess the symptoms and consider the possibility of changing or increasing the dose of medication.