How to get rid of sinus headache pressure: The request could not be satisfied
How to Get Rid of a Sinus Pressure Headache
Updated February 2021
If you suffer from allergies, you may have congested sinuses as well, and this can lead to a sinus pressure headache. If you’re wondering how to get rid of a sinus pressure headache, the first thing you need to understand is that these types of headaches can have several causes. Consequently, sinus headaches have a few different remedies.
What are the Symptoms of Headaches Caused by Sinus Pressure?
Sinus headaches are the result of swelling or inflammation in the mucosal lining of the nose and sinuses. This swelling can cause a sensation of pressure in the head, face and behind the eyes, which is often accompanied by pain in the form of a headache, pain around the eyes, and pain in the face. These symptoms can get worse with movements such as lying or bending down.
Sinus headaches typically have other symptoms that coincide with them. These symptoms usually resemble a head cold and can include:
- Nasal congestion
- Post nasal drip
- Runny nose
- Sore throat
Causes of Sinus Pressure Headaches
Sinus headaches and inflammation can have a number of causes, including:
- Common cold virus or other rhinoviruses
- Flu virus
- Changes in humidity
Each of these different causes has different treatments, so it’s important to understand what is causing your symptoms in order to find a successful treatment.
How to Get Rid of a Sinus Pressure Headache
If your sinuses feel dry, or if you have thick, dried mucous in your nasal passages, your symptoms are probably caused by a lack of humidity. This typically occurs during the winter months when most people use their heaters or furnaces, but it can also occur with the use of air conditioning.
The most successful treatment for this type of sinus pain is to increase the humidity in your home or office. You can use a humidifier for this or take a hot shower and allow the steam to penetrate your sinuses. Drinking hot beverages such as tea or eating a bowl of hot soup can also help rehydrate the nasal passages and sinuses. It’s also important to drink plenty of fluids so that you stay hydrated and to avoid dry air coming from an air conditioner or heater.
Allergies are another common cause of sinus headaches and pain. They are typically seasonal, but many people suffer with them all year long. If you are suffering from sinus pressure and headaches that are the result of allergies, there are a couple of treatments you can try.
Antihistamines are the most popular treatment for allergies. They are available over-the-counter at your local pharmacy or through a prescription. Some of the most common antihistamines found over-the-counter include:
- Benadryl (diphenhydramine)
- Claritin (loratadine)
- Zyrtec (cetirizine)
There are several antihistamines that can be prescribed by your primary care physician. The most common of these are:
- Antivert (meclizine)
- Allegra (fexofenadine)
- Tavist (clemastine)
- Vistaril (hydroxyzine)
- Phenergan (promethazine)
- Clarinex (desloratadine)
- Xyzal (levocetirizine)
Antihistamines will help prevent the allergies from causing sinus symptoms, but that doesn’t help if you already have a sinus headache. To help get rid of an active sinus headache, anti-inflammatory medications work the best. The most common over-the-counter meds include non-steroidal anti-inflammatory drugs, or NSAIDs, such as:
- Advil (ibuprofen)
- Aleve (naproxen)
- Tylenol (acetaminophen)
If over-the-counter medications aren’t strong enough, prescription strength anti-inflammatories may be required. There are two types of prescription anti-inflammatories: NSAIDs and steroids. These medications include:
If you prefer to avoid conventional medications, or can’t find something that works, there are alternatives that you can try.
Alternative Methods for Sinus Pressure Headache Relief
Fortunately, there are several different alternative treatments for sinus pressure and pain. Irrigating your sinuses with a saltwater mix can help alleviate irritation and inflammation caused by a lack of humidity. It can also help flush out the sinuses if you have been suffering from a cold or the flu. There are a variety of over-the-counter saline nasal sprays to try, or you can use an old-fashioned neti pot or a bulb syringe to do the job.
Warm and cold compresses can also offer relief. A warm compress over the nose and eyes can help loosen the mucous and alleviate pressure, and a cold compress can help resolve any excess inflammation. Start with a hot compress, and leave it on your face for about three minutes, then follow that with a cold compress for about 30 seconds. Alternate the compresses a total of three times and repeat four times a day.
Another way to relieve sinus pressure headaches is to add a bit of spice to your diet. Capsaicin, the ingredient that makes spicy food hot, also has anti-inflammatory properties. A bit of hot sauce in a bowl of soup or on your dinner can help loosen up the sinuses and allow them to drain.
Experiencing Regular Sinus Headaches? Contact National Headache Institute Today!
The occasional sinus headache happens to everyone, but if you are having sinus pressure headaches regularly, it’s best to see a headache specialist, like those at National Headache Institute. Get in touch with us today to schedule a consultation in office or via telemedicine with one of our expert physicians. We have several locations to serve you and a variety of treatment options available – all of which have the power to stop your sinus pressure headaches indefinitely.
Sinus headache Information | Mount Sinai
The best way to avoid or get rid of a sinus headache is to treat the underlying sinus inflammation. Sinus pain caused by allergies may be helped by allergy medications and medicated nasal sprays. Your doctor may prescribe antibiotics or corticosteroids. Lifestyle changes, such as using a humidifier or irrigating your nasal passages with salt water, may also help. Several dietary supplements and herbs may help prevent colds and flu, shorten their duration, or work together with antibiotics to treat your infection and support your immune system. Flushing the nose and sinuses with saline solution may also help.
Doing the following things can help reduce congestion in your sinuses:
- Using a humidifier
- Using a saline nasal spray
- Breathing in steam 2 to 4 times per day (for example, sitting in the bathroom with the shower running)
- Quickly treating allergic and asthma attacks
Other techniques that might help include:
- Stretches for the head and neck
- Relaxation techniques (see Mind-Body Medicine section)
Antibiotics. Your doctor may prescribe antibiotics if they suspects you have a bacterial infection. To treat acute sinusitis, you may take from 10 to 14 days of antibiotics. Treating chronic sinusitis may take longer, usually 3 to 4 weeks.
Nasal corticosteroids. These prescription sprays reduce inflammation of the nose and help relieve sneezing, itching, and runny nose. They are most effective at reducing symptoms, although it can take anywhere from a few days to a week after you start using them to see improvement.
- Beclomethasone (Beconase)
- Fluticasone (Flonase)
- Mometasone (Nasonex)
- Triamcinolone (Nasacort)
Antihistamines. Antihistamines are available in both oral and nasal spray forms, and as prescription drugs and over-the-counter remedies, to treat allergies. Over-the-counter antihistamines are short acting and can relieve mild-to-moderate symptoms. All work by blocking the release of histamine in your body.
- Over-the-counter antihistamines: Include diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton), and clemastine (Tavist). These older antihistamines can cause sleepiness. Fexofenadine (Allegra), cetinzine (Zyrtec), and loratadine (Claritin) are newer antihistamines that do not cause as much drowsiness.
Decongestants. Many over-the-counter and prescription decongestants are available in tablet or nasal spray form. They are often used in combination with antihistamines.
- Oral and nasal decongestants: Include Sudafed, Actifed, Afrin, and Neo-Synephrine. Some decongestants may contain pseudoephedrine, which can raise blood pressure. People with high blood pressure or enlarged prostate should not take drugs containing pseudoephedrine. Avoid using nasal decongestants for more than 3 days in a row, unless specifically instructed by your doctor, because they can cause rebound congestion. Do not use them if you have emphysema or chronic bronchitis.
Triptans. In one study, 82% of people with sinus headaches had a significant response to triptans, a medication commonly used for migraines.
Surgery and Other Procedures
For chronic sinusitis that does not respond to medication, your doctor may recommend endoscopic sinus surgery, which may be done to remove polyps or bone spurs. Some doctors also recommend enlarging the sinus opening. A newer procedure called balloon rhinoplasty involves inserting a balloon inside the sinus cavity and then inflating it.
Sinus surgeries are done by an ENT specialist.
Nutrition and Dietary Supplements
Several supplements may help prevent or treat sinus headaches, either by reducing sinus inflammation, or by helping to ward off colds. (See Sinusitis for more details.) Because supplements may have side effects, or interact with medications, you should take them only under the supervision of a knowledgeable health care provider.
- Bromelain. Several studies suggest that bromelain, an enzyme derived from pineapples, may help reduce inflammation and swelling and relieve symptoms of sinusitis. However, not all studies agree. Bromelain is often combined with quercetin, a flavonoid or plant pigment responsible for the colors found in fruits and vegetables, which may act as an antihistamine. Bromelain may increase the risk of bleeding, so people who take blood thinners, such as warfarin (Coumadin) or clopidogrel (Plavix) should not take bromelain without talking to their doctor first. Taking bromelain with ACE inhibitors may cause a drop in blood pressure, called hypotension. Bromelain may interact with certain antibiotics as well. Speak with your doctor.
- Quercetin. In test tubes, quercetin stops the production and release of histamine, which causes allergy symptoms, such as a runny nose and watery eyes. It is often combined with bromelain. However, there is not yet much evidence that quercetin would work the same way in humans. More studies are needed. Some people may prefer water-soluble forms of quercetin, such as hesperidin methyl chalcone (HMC) or quercetin chalcone. Quercetin may interact with certain medications, so ask your doctor before taking it.
- Probiotics (Lactobacillus). Probiotics, or “friendly” bacteria, may help if you are taking antibiotics for sinusitis. They may also reduce your chances of developing allergies. People who have very weakened immune systems or who take drugs to suppress the immune system should ask their doctor before taking probiotics.
The use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, can trigger side effects and can interact with other herbs, supplements, or medications. For these reasons, you should take herbs with care, under the supervision of a health care practitioner.
As with supplements, there are many herbs that may help reduce your chances of getting a sinus headache by preventing or treating a cold, boosting your immune system, or reducing sinus inflammation.
Sinupret, a proprietary formulation containing European elder (Sambucus nigra), common sorrel (Rumex acetosa), cowslip (Primula veris), European vervain (Verbena officinalis), and gentian (Gentiana lutea). In two studies, Sinupret was found to work better than placebo in relieving symptoms of sinusitis. The herbs it contains may work by thinning mucus and helping the sinuses drain, and they may also help strengthen the immune system.
Although research is lacking, other herbs have been used traditionally to treat headaches:
- Chinese skullcap (Scutellaria baicalensis)
- Feverfew (Tanacetum parthenium)
- Willow bark (Salix spp.)
People who take blood thinners, or women who are pregnant or breastfeeding, should not take these herbs. People who are allergic to aspirin should not take willow bark. Feverfew can interact with several medications. If you are allergic to ragweed you may also be allergic to feverfew.
One of the most common reasons people seek homeopathic care is to relieve chronic headaches. Few studies have examined the effectiveness of specific homeopathic remedies. Professional homeopaths, however, may recommend treatments for sinus headaches based on their knowledge and clinical experience. In one study of homeopathy for sinusitis, more than 80% of the participants had significant improvement in their symptoms after taking the homeopathic remedy for 2 weeks.
Before prescribing a remedy, homeopaths take into account a person’s constitutional type. In homeopathic terms, a person’s constitution is his or her physical, emotional, and intellectual makeup. An experienced homeopath assesses all of these factors when determining the most appropriate remedy for a particular individual.
The following are remedies commonly prescribed for sinus congestion and headache:
- Arsenicum album. For throbbing, burning sinus pain that is relieved by lying upright in a cool room with open windows.
- Belladonna. For throbbing headaches that come on suddenly and feel worse with motion and light; pain is partially relieved by pressure, standing, sitting, or leaning backwards.
- Bryonia. For headaches with a steady, sharp pain that occurs most often in the forehead but may radiate to the back of the head; symptoms tend to worsen with movement and light touch, but firm pressure alleviates the pain; the person for whom this remedy is most appropriate is usually irritable and may experience nausea, vomiting, and constipation.
- Hepar sulphuricum. For headaches described as “a nail being driven between the eyes,” these types of headaches are often accompanied by thick, yellow nasal discharge; symptoms tend to worsen with movement and light touch of the scalp and improve with pressure.
- Iris versicolor. For throbbing headaches that occur on one side of the head, especially after eating sweets; visual disturbances may also occur; these headaches are worse in the early morning, during spring and fall, and symptoms tend to worsen with vomiting.
- Kali bichromicum. For sinus headaches and congestion; pain often occurs between and behind the eyes; symptoms typically progress throughout the morning, worsen with cold and motion, and improve with warmth and pressure.
- Mercurius. For raw, swollen nostrils; this remedy is most appropriate for individuals whose pain feels as though the head has been placed in a vise; pain may also extend to the teeth; symptoms tend to worsen at night and the individual may alternate between sweating and having the chills; nasal discharge may be bloody.
- Natrum muriaticum. For headaches and congestion associated with allergies.
- Pulsatilla. For headaches triggered by eating rich, fatty foods, particularly ice cream; pain may move around the head but tends to be concentrated in the forehead or on one side of the head and may be accompanied by digestive problems or occur around the time of menstruation; symptoms tend to worsen at night and with coughing and blowing the nose; children often develop these symptoms while at school.
- Silicea. For sinus pain that improves with pressure, head wraps, and warm compresses.
- Spigelia. For stinging, burning, or throbbing sinus pain that often occurs on the left side of the head; symptoms tend to worsen with cold weather and motion but may be temporarily relieved by cold compresses and lying on the right side with the head propped up.
Although studies are few and have found conflicting results, some people may find that acupuncture helps relieve symptoms of sinusitis. An acupuncturist diagnosis headaches not as migraine, tension, or sinus, but rather as conditions deriving from “energetic” imbalances. Acupuncturists usually describe sinusitis as “dampness” which creates inflammation and congestion in the mucus membranes. This dampness is cleared by strengthening the spleen meridian and by working with the stomach meridian. Practitioners often perform needling therapy and/or moxibustion, a technique in which the herb mugwort is burned over specific acupuncture points, for this condition.
Although there are no studies on using chiropractic to treat sinus headaches, some practitioners suggest that it may decrease pain and improve sinus drainage for some people.
For headaches in general, relaxation techniques can be helpful. This is especially true for frequent headaches, such as sinus headaches. You may want to try these techniques:
- Biofeedback to control muscle tension
- Learn to meditate, breathe deeply, or try other relaxation exercises, such as yoga or hypnotherapy
- Try guided imagery techniques
Sinus Relief: How Do I Relieve Sinus Pressure? – Advanced ENT Associates
Do you suffer from obstructed nasal breathing, obstructive sleep apnea, chronic drainage or recurring facial pressure? You may think you have a sinus infection, but antibiotics may not be the answer. In fact, it is incredibly common for people to suspect an infection when nasal inflammation, also known as rhinitis, is the cause of their symptoms. The ENT experts at Advanced Ear, Nose & Throat Associates in Atlanta, GA are well versed in effective sinus relief procedures, which work because they correct the root cause of your condition.
When sleep apnea, pain and difficulty breathing during the day are caused by a deviated or crooked septum, septoplasty is one of the most effective forms of sinus relief. Septoplasty, also known as septal reconstruction or submucous septal resection, is a corrective procedure which straightens a deviated nasal septum.
It is not uncommon for people to be born with a deviated nasal septum, which is the partition between their naval cavities. However, it can also occur during a rapid growth spurt in childhood or adolescence, as well as traumatic injury.
Besides reversing sleep apnea and helping you breathe during the day, septoplasty also alleviates chronic throat pain. When your nasal septum is straightened, your nasal passages drain more efficiently, mitigating your risk of sinus infection and reducing post-nasal drip.
When it comes to sinus relief from recurrent acute sinusitis, or recurrent acute rhinosinusitis (RARS), sinuplasty is held in high regard. If you suffer from RARS, balloon sinuplasty can improve your life immeasurably without general anesthesia and aggressive surgery. Gone are the days of endoscopic sinus surgery with a significant recovery time.
Balloon sinuplasty relieves sinus pressure, alleviates sore throats and helps you breathe better. It works by dilating one or more of the three major nasal sinuses so they can be cleared and drained. When the congestion causing the significant nasal blockages is flushed out or removed, usually with a saline solution, symptoms including insomnia, jaw ache and headache are also alleviated.
No-scalpel septoplasty, like septoplasty, corrects a deviated septum. This brief treatment is performed under local anesthesia via a numbing medicine. It is often used in conjunction with turbinate reduction to relieve many sinus symptoms, including chronic or recurring sinus infections, sinus headache, difficulty breathing and congestion.
In some cases, turbinate reduction can be the primary cause of sinus problems. Usually combined with septoplasty or no-scalpel septoplasty, this procedure removes excess turbinates so you no longer experience sinus headaches. It also reduces snoring and sleep apnea so you and your partner can sleep sounder throughout the night.
Sometimes, sinus problems are caused by allergies. If you suffer from recurrent acute sinusitis, you can greatly benefit from an allergy evaluation. Allergies can cause nasal swelling, which leads to infection. By taking a quick, effective skin allergy test, you can identify and avoid potential triggers. This can prevent more serious sinus issues from occurring in the future.
It is not advisable to take antibiotics whenever you feel like you have a sinus infection. The overuse of antibiotics can make them less effective in the future when they are actually needed. Keeping your nasal passages moist can go a long way in preventing nasal irritation. Among the most popular at-home remedies for preventing nasal irritation are:
- Drinking plenty of fluids
- Breathing in steam
- Using a vaporizer or humidifier
- Using a homemade or OTC saline solution
- Using a nasal saline spray
- Avoiding chlorinated pools
- Using an extra pillow at night
Usually, the best over-the-counter medication for sinus relief is a decongestant. Decongestant medication can be purchased in caplet or nasal spray form and eases stuffiness and sinus pressure by reducing the swelling in your nasal passages. The most common types of decongestant sprays include phenylephrine (Sinex, Rhinall, Neo-Synephrine), naphazoline (Privine) and oxymetazoline (Vicks Sinus Nasal Spray, Afrin, Dristan and Nostrilla). In pill form, you most often find psuedoephedrine sold under the brand name Sudafed and phenylephrine, most commonly sold as Sudafed PE.
Antihistamines are another highly effective over-the-counter form of sinus relief. If allergies are triggering your sinus pressure and nasal congestion, treating your allergies will relieve symptoms. Sometimes, you may need to take an antihistamine in conjunction with a decongestant to treat sinus pressure most effectively. If you have trouble sleeping, look for a nighttime cold medicine which includes an antihistamine. This will treat all your symptoms at once.
Sometimes, sinus problems cause nasal drip-related pain. If you suffer from a sore throat and sinus pressure headaches, take an over-the-counter pain reliever like naproxen sodium, ibuprofen or acetaminophen. Just be sure to read all labels carefully and never exceed the recommended dose or combine medications that contain pain relievers.
Learn More About Sinus Relief Today
Sinus pain, pressure and discomfort can be caused by a number of sources. The cause of your symptoms will determine the most effective treatments for your unique situation. To discover the best sinus relief methods for you, contact the professional ENT experts at Advanced Ear, Nose & Throat Associates in Atlanta, GA today to schedule your initial consultation. We can’t wait to meet you and help you experience lasting relief from your sinus problems.
Sinus headaches | Ministry of Health NZ
Your sinuses are lined with a membrane – similar to that on the inside of your nose – which keeps them moist and produces mucous.
When germs settle and grow on this surface, the surface swells and begins to produce too much mucous. It’s the pressure from the swelling inside your sinuses that causes the headache.
Your sinuses are hollow spaces in your skull bone, above and between your eyes and behind your cheeks.
- Most sinus problems follow a cold or a sore throat.
- Some occur after a dental infection.
- Sometimes hay fever or irritation from dust or smoke will cause the swelling.
If you have a sinus infection and it isn’t treated, your sinuses will become more and more clogged. The excess mucous gives the germs a good place to multiply. These germs could be viruses, bacteria or even fungi.
If you have a sinus headache, the pain will be in your face and forehead – and sometimes behind or between your eyes.
- It can be dull or severe.
- Often the pain is worse in the morning and improves by the afternoon.
- The pain may be worse when you bend your head forward.
- It can feel worse on cool, damp days.
You may have a fever with a sinus infection.
Other signs are mucous coming out of your nose that is an unusual colour (red, yellow or green) or that smells foul.
Treatment of a sinus headache involves helping your sinuses drain and treating any infection.
- Inhaling steam or mist from a hot shower, or putting moisture in the air with a vaporizer, often relieves the clogging.
- You can get nasal sprays or pills that unclog sinuses (called ‘nasal decongestants’) from a pharmacy. The sprays usually work better than the pills. Don’t use the sprays for more than three days at a time.
- Smokers should stop smoking and avoid other people’s smoke, and other irritants in the air.
- Try not to lean over, and use an extra pillow to raise your head in bed to relieve pressure.
Warm compresses to your face may relieve pain. You can get painkillers from a pharmacy – but make sure you read the instructions and precautions carefully.
When to see your doctor
See your doctor if:
- your sinus pain doesn’t go away after self care, or if it gets worse.
- you have sinus pain and a fever, or foul-smelling mucous from your nose.
Sinus Pressure | Why Your Sinuses May Be Worse At Night
Do you ever go to sleep feeling perfectly fine but then wake up to a clogged nose? While you sleep, there are a few different factors that may be worsening your sinuses throughout the night. In today’s blog, we will be discussing the four common reasons that your sinuses are worse at night, and what you can do to prevent waking up with sinus pressure and a congested head.
1. Your Sleeping Environment
When you are sleeping, what is going on around you? If your pets sleep in your bed and you have even the slightest allergies, their fur can irritate your sinuses throughout the night. If your bedroom doesn’t have enough moisture, the dry air could irritate your sinuses, so be sure to invest in a humidifier to soothe sinus pressure and congestion while you sleep. These aren’t the only factors that may be causing you to wake up with clogged sinuses, so in short, be sure to make your sleeping environment nice and comfortable before you hit the hay.
2. Your Sleep Quality
Even if you think you are sleeping a full eight hours every night, the quality of your sleep could be affecting your sinuses. In fact, even if you sleep less than the recommended eight hours, as long as that sleep is uninterrupted and you stay in deep sleep the whole night, you will wake up feeling refreshed and ready to go. Some things that may affect your sleep quality include pets jumping on your bed or on you during the night, a snoring or tossing and turning partner, your own snoring, and what food and drink you consume before bed. There are many factors to consider, but in all, to prevent waking up with clogged sinuses, be sure to get a full night of quality sleep, don’t eat too close to bedtime, and stay away from caffeine and alcohol a few hours before bed.
Staying hydrated and drinking lots of water throughout the day will not only help you feel better overall, but it will also improve your sleep quality and does some work to alleviate sinus pressure, congestion, and pain. A properly hydrated body gets to work moisturizing the sinuses, allowing any clogs and tightness to loosen. If you ever get that feeling where you feel your sinuses are clogged and you blow and blow your nose but nothing comes out, you may not be properly hydrated. Be sure to drink plenty of water, about 1-2 fluid ounces per pound of your body weight per day, in order to keep your entire body, and especially your sinuses, nice and hydrated.
Even if you follow all of our advice so far, know that gravity actually impacts your sinuses during the night. As you lay down on your back or side, gravity helps your blood circulate easier to the head. An increased blood flow to the brain for eight or more hours at night can certainly lead to sinus congestion, and in some cases, sinus pain. Additionally, as you are laying down during the night, gravity is working to drain your sinuses, however, they are likely getting drained into your esophagus and stomach which may lead to you waking up with a sore throat or wet cough. While there may not be anything you can do about gravity, you can still improve your sleeping environment, your sleep quality, and keep your body properly hydrated to prevent waking up to clogged sinuses every day.
Alleviate Sinus Problems in Detroit
At Detroit Sinus Center, we are a team of ENT specialists and sinus doctors that specialize in treating sinus congestion, pressure, and pain. Our doctors can do everything from prescribing a nasal steroid spray to performing balloon sinus dilation, depending on the severity of your sinus problems. In order to get long-lasting relief from chronic sinus pain and trouble breathing, schedule an appointment with us. We look forward to helping you breathe easy once again!
Foods That Help Relieve Sinus Congestion
Sinus congestion has many reverberating symptoms that can ruin your day and put you out of commission. Sinus congestion is the fullness you feel in various areas across your face, head and neck caused by a blockage in the sinus cavities. Sinus congestion occurs when the mucus in your nasal passageway doesn’t drain properly, leaving a build-up that blocks your sinuses.
What are the symptoms of sinus congestion?
- Sinus pain
- Sinus headache
- Runny or stuffy nose
- Post-nasal drip
- Pressure in your face and eyes
Foods to quickly relieve sinus congestion
There are a number of ways to help relieve sinus congestion, including hovering over a pot of hot water or taking over-the-counter medications. However, for quick relief, sometimes the best medicine is food!
Spicy foods:Everyone knows that spicy foods like hot peppers can clear sinuses. Capsaicin is a chemical found in spicy foods that causes a burning sensation when in contact with bodily tissues. Capsaicin irritates mucous membranes, which results in a runny nose, thereby softening any nasal obstruction.
Pineapple: Pineapple is a great decongestant because it contains the enzymes called bromelain. Bromelain breaks down the junk that builds up in the sinuses and helps reduce inflammation and swelling.
Horseradish: Horseradish has many health benefits that are attributed to its high nutrient and mineral content. Horseradish can help clear the sinus passages and ease mucus from the upper respiratory passages.
Garlic: Garlic is a versatile spice that goes well with almost anything. Similar to the benefits of peppers, garlic helps reduce inflammation and pain in the sinus passages.
Antioxidant-rich foods: Antioxidant-rich foods, such as citrus, kiwi, spinach, berries and other vegetables help protect the mucous membranes from free radical damage. Such antioxidant-rich foods are also loaded with vitamins and minerals.
Ginger and Turmeric: These spices have many anti-inflammatory properties that help open up congested nasal passages. The best ways to enjoy ginger and turmeric are by adding them to hot lemon water or by creating a refreshing tea from them.
If your sinus congestion lasts longer than 6 weeks, call the Ear and Sinus Institute to learn more about treatment options. Schedule an appointment by calling (817) 406-1581.
The Do’s & Don’ts During A Sinus Infection
Sinus infections and suffering from sinusitis can be tough. They affect a majority of people and can be more prevalent when you have allergies or a difficult cold. However, you can recover quickly with a few helpful do’s and don’ts! Detroit Sinus Center is here to help you through the process. With offices in both Allen Park and Southfield, we are conveniently located to serve your community. These are our tips and best practices when dealing with a sinus infection.
Do’s: What To Do When You Have A Sinus Infection
When you have sinusitis there are specific things you can do to reduce inflammation and pain, and to recover faster. Our doctors at Detroit Sinus Center recommend the following:
- Stay hydrated: be proactive about drinking fluids. Your body needs to be fully hydrated in order to recover from a sinus infection. Also, drinking hot liquids like tea or soup can help break down the stuffiness and mucus in your nasal cavities.
- Use a humidifier: the cool mist of a humidifier can help you feel less stuffy and release some of the built up mucus and pressure. Make sure you always use clean water and you routinely clean your humidifier to avoid further infection.
- Use a warm compress: applying a warm compress like a washcloth to your face and allowing it to sit for 10-15 minutes can also help break up the mucus and alleviate the pressure when you have a sinus infection.
- Sleep: make sure you are getting plenty of sleep when you are fighting sinusitis. Your body needs to be well rested in order to fight the infection and recover properly.
- Rinse your sinuses: using a neti pot or nasal spray can help clean out your nasal cavities and alleviate the pressure build up. Remember to always use distilled, sterile, or boiled water to cleanse your sinuses.
- Over The counter drugs: if you have mild pain or pressure, over the counter drugs can help with this. We recommend acetaminophen or ibuprofen for pain.
- Exercise with caution: if you feel like exercising, great! Exercise can also help break up some of the mucus. However, always use caution when exercising with an infection, you may feel slightly dizzy as a result of your sinusitis.
- Go to work and school: do not skip work or school because of a sinus infection. We always suggest that our patients continue their normal schedule.
- Visit Detroit Sinus Center: when you feel a sinus infection coming on or you are experiencing more difficult symptoms, call for an appointment, we are here to help! Sometimes sinusitis cannot be handle on your own and we are here for that specific reason. If you continually suffer from sinus infections, our doctors may recommend balloon surgery, a safe and effective sinus procedure to alleviate sinus pain.
Sinusitis is frustrating and uncomfortable. With these best practices and our doctors, we will have you back to normal in a heartbeat.
Don’ts: What Not To Do With Sinusitis
Of course there are certain activities you should do when you have a sinus infection and things that you should not do when you have a sinus infection. We recommend avoiding the following activities to have a speedy recovery.
- Don’t fly in an airplane: The pressure on an airplane can increase the pain in your ears and nasal cavities. If you can avoid it, we suggest not flying when suffering from sinusitis.
- Don’t drink alcohol: You shouldn’t consume alcohol with a sinus infection. Alcohol dehydrates the body and can cause your nose and nasal cavities to swell when dehydrate, in turn exacerbating your symptoms.
- Don’t swim in a pool: chlorine in swimming pools can irritate your nose, especially in higher doses. If suffering from sinusitis, avoiding returning to the pool until you’ve fully recovered from the infection.
- Don’t breathe irritating materials or smoke:avoid breathing in harmful materials or fumes when you have a sinus infection. You should not smoke cigarettes or cigars. And, you should avoid high pollution areas. Try to breathe in clean, fresh air. This will be the best for your sinuses and your recovery.
Questions & Consultations
Our do’s and don’ts list is a pretty good place to start when dealing with a sinus infection. However, if you symptoms increase or you are experiencing continual sinusitis, please call one of our offices in Allen Park or Southfield for a consultation today. Our doctors and staff will be happy to answering any initial questions or concerns, and set you up with a scheduled appointment. Sinus infections are difficult, but relief is right around the corner and we can help. Call or visit Detroit Sinus Center today!
90,000 Treatment of inflammatory diseases of the paranasal sinuses in Odessa
The paranasal sinuses are cavities in the bones of the skull that are connected to the nasal cavity through small openings (fistulas). The biological role of these voids is to reduce the mass of the skull, in addition, they are resonators and give the voice of each person their own unique timbre.
Polyps are formed for a reason. It is the reaction of the mucous membrane to chronic irritation. The process of polyp formation can be figuratively compared to the appearance of blisters and calluses on the leg when wearing uncomfortable shoes.
There are several paranasal sinuses:
- Lattices (labyrinth of the ethmoid bone) – many small cavities in the thickness of the ethmoid bone.
- Maxillary sinuses (maxillary sinuses) – named after the medical scientist who first described it).
- Sphenoid sinus.
Sinuses are not closed cavities!
Figuratively, the sinus can be represented as a bottle with a narrow neck, and this neck “opens” into the lumen of the nasal cavity.The necks, and according to the scientific fistula of all sinuses, except for the wedge-shaped, open in one specific place – under the middle turbinate.
See how it looks on the diagram using the example of maxillary and frontal sinuses.
The maxillary sinuses (G) have an excretory anastomosis from above, and the frontal sinuses (L) from below, these are, as it were, bottles upside down.
This scheme is, of course, exaggerated. In life, everything is a little more complicated …
Why is this necessary?
Each sinus is covered from the inside with a mucous membrane, the same as the nasal cavity.The mucous membrane, despite its apparent tenderness and vulnerability, is a powerful protective barrier, impervious to most infections. There is no better way for nature to protect any vulnerable organ than to cover it with mucous membranes. And there are plenty of such organs in the immediate vicinity of the nose: the brain, eye sockets, large vessels and nerves.
The mucous membrane produces mucus, which contains a number of protective substances that neutralize microbes. The mucus formation process is constant, so it must be constantly drained away.For this, fistulas are needed – through them, mucus is drained into the nasal cavity.
Fig. 3 Computed tomography of the paranasal sinuses. The arrows point to the excretory fistulas of the maxillary sinuses.
And it is not taken away by “gravity”. The surface of the mucous membrane is covered with microscopic cilia. These cilia are in constant motion and it is they who propel the mucus towards the sinus opening.
When a person becomes ill with a respiratory viral infection, the secretion of mucus in the nose and sinuses increases.If the sinus anastomosis has a sufficient diameter (for large sinuses it is 2.5-3 mm), the mucus has time to evacuate completely and does not accumulate in the sinus.
If the size of the anastomosis turns out to be less than necessary, the mucus will not be able to escape and the sinus will begin to fill with it. There is a feeling of pressure and distention in the projection of the sinus.
There are 3 reasons why the sinus fistula can be narrowed:
- Severe edema of the mucous membrane surrounding the fistula (typical for some respiratory viral infections).
- Individual anatomical features (naturally narrow anastomosis).
- Volumetric pathological process in the anastomosis area: polyp or tumor, hypertrophy of the middle shell, curvature of the nasal septum in the upper section.
Although nasal mucus is a cocktail of antimicrobial substances, when the mucus stagnates, their activity decreases and it turns into a nutritious “broth” for microorganisms, which the latter certainly use. When a microbial infection is attached, the mucus turns into pus – it becomes cloudy, acquires an unpleasant odor.
This is how the main symptoms of inflammation in the sinus turn out – pain in the projection of the sinus, purulent discharge from the nose, intoxication (rise in body temperature, weakness)
Both one and several sinuses can become inflamed. Inflammation of the maxillary sinus is called sinusitis, frontal sinus – frontal sinusitis, ethmoid labyrinth – ethmoiditis, sphenoid sinus – sphenoiditis.
The main problem that needs to be solved when examining patients with sinusitis is why the anastomosis is blocked.Which of the three reasons (see above) the narrowing of the sinus fistula is present in this particular patient? The treatment algorithm and prognosis depend on this.
If inflammation in the sinus is caused by cause # 1 (edema of the mucous membrane surrounding the anastomosis), then in the overwhelming majority of cases, a victorious result can be achieved with medication, without punctures and other invasive manipulations. If the reasons # 2 and # 3 – be sure that without surgical expansion of the anastomosis it is impossible to achieve normal drainage of the sinus and, accordingly, a long-term result.Any cold can provoke a new exacerbation. Such a person may suffer from sinusitis (sinusitis, frontal sinusitis, ethmoiditis or sphenoiditis) all his life, becoming a regular “client” of ENT doctors.
The first stage is a diagnostic endoscopy of the nose. Endoscopy allows, under 30x magnification, to examine all structures of the nasal cavity, approach the exit site of the anastomosis and see if there is discharge from the sinuses and if there is something in the nasal cavity that impedes the outflow from under the middle concha.
In order to see what is going on inside the sinus itself and to trace the entire excretory path from the sinus, computed tomography of the paranasal sinuses is performed. This is an x-ray examination. However, unlike a traditional X-ray image, a CT scanner allows you to perform a three-dimensional scan of the area of the body being examined and obtain images with the highest resolution. Images obtained with a tomograph have incomparable diagnostic value.
This is how the area of the middle turbinate should look like. The gap between the middle turbinate and the lateral wall of the nose should ideally be 3 mm. This space is necessary for the normal outflow of mucus from the sinus fistula.
The gap between the middle sink and the partition must also be 3 mm. It is called the olfactory cleft because this is where the receptors for smelling are located.
Anatomy of the middle shell is normal.A cloudy discharge is released from the sinus fistula. The outflow is free. With such sinusitis, you can cope with medication.
Puncture and drainage of the sinus, as well as other invasive measures are not indicated!
Hypertrophied (enlarged) middle shell. It is so large that it fills the entire space between the partition and the side wall.
Such a shell as a plug closes the outflow from the maxillary sinus anastomosis. The patient has chronic purulent sinusitis.
Surgical treatment is required – partial resection of the middle turbinate. This will restore the outflow from the sinus and permanently relieve the patient from exacerbations of sinusitis.
A tiny polyp just emerged from under the middle shell. It also closes the sinus fistula and provokes chronic sinusitis on the right in this patient. Such a polyp can only be seen with an endoscope!
In order to relieve a person of sinusitis, surgical treatment is necessary – removal of the polyp.
Similar situation, larger polyp.
Pay attention to the photo. This patient has the right side of the nose without problems, and on the left there is a thickening of the septum in the upper part. This thickening (red arrow) presses the normal shell (*) against the lateral wall. It turns out that it closes the outflow from the anastomosis. As a result – chronic sinusitis and frontal sinusitis on the left.
History of the issue.
It’s amazing, but at the end of the 19th century, the German professor A.Onodi investigated and described in detail the anatomy of all the paranasal sinuses and their excretory anastomoses. It is even more surprising that for almost 2 centuries this knowledge was not useful to anyone. In medicine, the views are firmly established that if the mucous membrane in the sinus is often inflamed, then it is the mucous membrane that is the culprit of the inflammation and it must be completely removed. Amazing logic, isn’t it? The patients underwent so-called radical surgeries, in which the entire inflamed mucous membrane was removed down to the exposed bone.Subsequently, it was replaced by functionally inactive scar tissue.
All acute inflammatory processes in the sinuses were treated by washing according to Proets (familiar to many under the name “cuckoo”) or by puncturing the sinuses with washing out pus and administering antiseptics. But that was the 19th century! Antibiotics have not yet been invented, so the doctors tried their best to alleviate the suffering of the patient. In the 50s of the 20th century, it became clear that we (doctors) were doing something wrong. New knowledge of the structure and functioning of the sinuses appeared and accumulated.New developments in the field of optics have made it possible to create small-diameter wide-angle endoscopes, with the help of which it became possible to examine the nasal cavity. This is how a new direction in ENT surgery was born, which is called functional endoscopic surgery of the nose and paranasal sinuses. The main idea of this direction is to restore the normal outflow of mucus from the sinus, which leads to its self-cleaning and recovery.
Unfortunately, domestic medicine turned out to be the most difficult to climb! Only in 1991, a group of 10 professors from the CIS was invited to Austria in the city of Graz to teach the basics of endoscopy.Among them was my respected teacher, Professor Serafim Zakharovich Piskunov.
It is very sad, but to this day in most medical institutions, punctures and cuckoos are widely used, radical operations are carried out. These procedures are unpleasant for the patient, and most importantly, they do not always cure sinusitis!
If there is any anatomical disorder in the nasal cavity that impedes the natural outflow of the contents from the sinus, it is necessary to carry out a low-traumatic endoscopic operation to eliminate it.Endoscopic control allows you to precisely remove an obstacle in the area of the middle shell. Thus, the amount of tissue removed is very small. The operation is usually performed under general anesthesia. The postoperative period is tolerated quite easily., The general condition resembles a cold. Complete recovery after surgery takes place within 1 week. This will completely get rid of the disease and forget about seasonal exacerbations.
Endoscopic picture after surgery.Under the control of optics, several cells of the ethmoid bone under the middle shell were removed, which made it possible to open the fistulas of the inflamed maxillary sinus (large arrow) and other lattices (small arrows). New fistulas are wide, no pus is secreted from them, the patient is cured.
If there is no anatomical block of anastomosis, but the patient has severe pain and it is necessary to remove pus from the sinus, we use the YAMIK catheter. It is an effective and painless alternative to the traditional puncture.YAMIK-catheter is a development of scientists of the Yaroslavl Medical Institute. It is a system of latex tubes and cuffs that create negative pressure in the nasal cavity and pump out the contents of all inflamed sinuses using a conventional syringe.
*** Use of site materials only with the permission of the author and a link to the source.
90,000 Vasomotor rhinitis – all about the disease: symptoms, causes, treatment
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90,000 Treatment of chronic catarrhal rhinitis – runny nose, vasomotor rhinitis
One of the most common ENT diseases, as a result of which it is difficult to breathe through the nose, the sense of smell disappears, a headache and persistent mucous discharge.Catarrhal rhinitis can develop on its own and accompany viral or bacterial infections of the respiratory tract.
There are three stages:
- Dryness, burning, sneezing, general weakness, “aches” in the joints and muscles.
- Nasal congestion and mucous discharge. Due to a violation of nasal breathing, headaches appear, appetite decreases, and insomnia appears. Breathing through the mouth, in turn, increases the spread of the infection to the lower respiratory tract.
- Strengthening of the listed symptoms, viscous discharge and the formation of crusts on the mucous membrane.
Such rhinitis must be diagnosed promptly and correctly. If a severe runny nose does not go away for more than 1-2 weeks, you are a candidate for a visit to the ENT. In order to accurately establish the cause and choose an effective treatment in a paid ENT clinic in Moscow, the doctor can send for additional studies: X-ray, endoscopy, ultrasound of the sinuses and laboratory tests.
Catarrhal rhinitis must be cured to the end.Otherwise, bacteria infect the nasal mucosa, causing the destruction of its cells, reduce the level of local immunity and can cause sinusitis.
A symptom of chronic hypertrophic rhinitis is a violation of normal breathing through the nose. This increases the volume of the inferior turbinates, one of the functions of which is to “regulate the supply of air to the body.”
Most often ENT clinic patients in Moscow complain not only about nasal breathing.
- Decreased sense of smell;
- Persistent nasal discharge appears;
- General scattered state;
- The timbre of the voice is disturbed;
- Headache appears.
Runny nose. Atrophic form
Atrophic rhinitis can be diffuse and limited, mild and severe. Nasal bleeding from the vessels of the Kisselbach zone can complicate rhinitis.
Among the chronic diseases of the mucous membrane of the nasal cavity, which are most often referred to an ENT doctor, vasomotor rhinitis occupies one of the leading places.Periodic difficulty in nasal breathing, aggravated in a horizontal position or with a change in the position of the head, watery, causeless discharge from the nose – all these are signs of a developing disease.
Vasomotor rhinitis has two forms: neurovegetative and allergic. In many patients of the ENT clinic in Moscow, these complaints are accompanied by headaches and deterioration of the general condition. Vasomotor rhinitis is often combined with bronchial asthma and other allergic conditions of the body.
One of its main reasons is the long-term use of vasoconstrictors.
Whatever form of rhinitis is causing you inconvenience, remember, a runny nose can be a manifestation of a more serious illness. Plan a visit to a paid ENT clinic in Moscow and get prompt help.
90,000 Services and directions of the clinic “Scandinavia”
I express my HUGE gratitude and great human THANKS to the wonderful doctor ENT and a professional in his field – Izotov Vladimir Vladimirovich! We contacted him on March 7, 2019.with his 10-year-old son, who practically could not breathe through his nose, breathed only quite a bit with the right half of his nose. In 10 years we faced this for the first time, ANY drops, etc., did not help, as before. Our life, our full-fledged life, both mine, as a working mother, and my son, practically stopped. We turned to other ENTs in other clinics – they tried to make him “cuckoos” there, only torturing the child, showing their “professionalism”, without sucking anything out of the nose. They looked at me as if I was a “crazy”, “inadequate” mother, moreover, whose son, just imagine, at the age of ten, put something in his nose and simply does not confess.What kind of nonsense ????? Perhaps it is more convenient to think and reason that all people are fools than to simply make the correct diagnosis. Not wanting to endure the torment of my son from all sorts of manipulations with his nose, according to the recommendations of friends and all kinds of reviews, I found this wonderful doctor. Attentive, calm, confident, benevolent Vladimir Vladimirovich sent us after the reception and examination with a preliminary diagnosis (cysts of the maxillary sinuses, nasal polyposis), for CT, which confirmed his correct diagnosis.On Sunday, we passed tests and on March 12, my son was operated on – bilateral sinusitis and nasal polypotomy. This doctor brought my son back to life. A day later we were discharged from the hospital. Vladimir Vladimirovich explained everything in detail during the examinations, about the operation itself, after the operation, gave recommendations for further recovery. I think this is a doctor from God, a man in his place, who makes the life of his little patients and, of course, adults, as well as their parents – happy! Many thanks to all the doctors and nurses of the pediatric department and the anesthesiologist! All attentive and sensitive, responded to every request and experience of my son.My baby’s nose is BREATHING freely now like never before! I am very grateful to you, you are the best doctor!
What are snoring and sleep apnea syndrome?
During sleep, when there is a significant decrease in the tone of the pharyngeal muscles, the muscles relax and conditions are created for the complete collapse of the airways, the vibration of the mucous membrane when the walls approach the narrowed areas of the airways causes vibrations, sound phenomenon snoring . As a result of the formation of a partial vacuum on the walls of the airways during breathing, the air channel collapses, breathing is reduced and when the channel is completely closed, a complete cessation of breathing can occur.
Obstructive apnea is an episode of respiratory arrest lasting more than 10 seconds , Apnea Index or Respiratory Distress Index reflects the average of all respiratory events per hour of sleep.
Hypopnea is an episode of incomplete cessation of breathing lasting at least 10 seconds with a decrease in air flow 30-50%, with an associated drop in blood oxygen saturation (O2 saturation) or awakening reactions.
The generally accepted criterion for the severity of respiratory arrest disease
is RDI ( I NDEX P respiratory N disorders) or the apnea / hypopnea index (AHI) and the total frequency of apnea. In recent years, the level of decrease in blood oxygen saturation during sleep and the duration of the fall of this parameter has been considered in more detail.
Sleep disorders in the field of otorhinolaryngology include
uncomplicated snoring, upper airway resistance syndrome (resistance) and obstructive sleep apnea syndrome.
• AHI is below 5,
• During sleep, blood oxygen saturation (saturation) is always above 90%
• In patients, the measured pressure in the esophagus during breathing is not falls below 10 cm of water, are signs of an uncomplicated form of snoring.
Syndrome of increased resistance of the upper respiratory tract (resistance):
• The AHI index is below 5,
• During sleep, the blood oxygen saturation level, saturation exceeds 90%
• Patients have a decrease in the measured pressure in the esophagus during breathing below 10 cm of water, there is a syndrome of increased resistance of the upper respiratory tract.
In this group of patients, in addition to snoring, there is an increase in electrical activity during periods of awakening and in the diaphragm.
Obstructive sleep apnea (OSAS):
• AHI index above 5,
• During sleep, blood oxygen saturation level, saturation below 90%
Apnea / hypopnea index : no more than 5 -15 apnea episodes per hour mild ,
Not more than 15-30 apnea episodes per hour moderate-severe degree,
More than 30 apnea episodes per hour severe obstructive sleep apnea.
Blood oxygen saturation level below 85% sleep apnea moderate ,
Falling below 60% sleep apnea severe .
Diagnosing sleep apnea?
Sleep apnea, also known as obstructive sleep apnea syndrome (OSAS), causes a variety of disorders in the body, often caused by abnormalities in more than one anatomical region of the body.
Basic methods used in the diagnosis of the disease;
• Medical history
• General assessment and physical examination
• examination of the ear, throat, nose
• Examination of the larynx using an endoscopic (fiber optic) device
• Radiological imaging techniques (computed tomography, MRI)
• Measurement facial structures and airway sizes (cephalometric analysis)
• Polysomnography (sleep test)
• Sleep endoscopy
What are the symptoms of sleep apnea?
While patient complaints provide important clues for diagnosing sleep apnea disorders, patients themselves are often unaware of the presence of snoring during sleep and the main cause of the disorders; contact with relatives and friends of the patient and their participation in the recognition of sleep apnea syndrome is important. establishing the fact of respiratory arrest during sleep to obtain a reliable picture of the presence of sleep apnea syndrome.
The most common complaint described by patients is daytime sleepiness, depending on the severity of the disease. Despite the fact that patients slept at night for long hours, there is a feeling of morning tiredness and fatigue after waking up. Patients with mild apnea tend to fall asleep in a calm environment during the day, while patients with moderate to severe apnea tend to fall asleep during breaks from work while driving.
As a result of inadequate sleep, patients develop headaches in the morning, which are weakened during the day, fatigue, decreased performance, irritability, fatigue during the day, decreased memory and concentration.Impaired sleep quality can lead to anxiety disorders, decreased mental capacity, aggression and depression. Patients with snoring syndrome and sleep apnea often develop fatigue, psychological distress and sexual dysfunction due to hormonal changes caused by insomnia.
Patients diagnosed with sleep apnea have an increase in the amount of carbon dioxide in the blood during sleep, causing dysfunction of the bladder in children and frequent urinary incontinence, in adults, frequent urge to urinate.
Due to sleep apnea, metabolic changes occur, leading to obesity, patients tend to gain weight. As weight problems increase, metabolic changes become more pronounced and it becomes more difficult for the patient to lose weight. Another consequence of sleep apnea is increased night sweating, most often seen on the chest and neck.
The decrease in the level of oxygen in the blood, which occurs as a result of depression of breathing during night sleep, is recorded by sensitive sensors located in the blood vessels and nerve endings of the brain, and in order to saturate the body with oxygen, reflex mechanisms that improve blood circulation begin to be activated.These processes in the body cause problems such as high blood pressure, pulmonary hypertension, heart rhythm disorders, cardiovascular disorders and stroke, which are also common in patients with sleep apnea. Patients with a respiratory distress index of more than 20 apnea episodes per hour are identified with a higher relative risk of sudden death relative to normal; in this regard, it is required to carry out immediate treatment of patients of this subgroup.
Sleep Analysis Test (Polysomnography)
Polysomnography is the most accurate method for diagnosing obstructive sleep apnea sleep disorders. It is not possible to diagnose sleep apnea without a polysomnographic examination.
The polysomnography study is carried out during a normal night’s sleep, in accordance with the characteristics of the device used during the test, information about the processes occurring in the patient’s body during the procedure, such as the duration and number of respiratory stops, heart rate, body position during sleep, blood oxygen saturation, severity of snoring sound, electrical activity of the brain, negative airway pressure, then the values are recorded for analysis at the end of the sleep period.Sleep testing is usually performed in specialized sleep centers, and wearable devices and systems are available that allow patients to be tested at home.
To diagnose sleep apnea, 3-4 hours sleep analysis with REM sleep phases ( B rapid d roll g laz) and slow non-REM sleep are sufficient. As a result of relaxation of the muscles in the throat during REM sleep, the airways remain stationary, while reduced muscle tension is observed during non-REM sleep.Therefore, collapse of the upper airway wall becomes more pronounced in the REM sleep phase. Repeat the test procedure without REM sleep.
Recently, it has become the preferred method of evaluating patients diagnosed with sleep apnea. During the sleep endoscopy procedure, the patient is given intravenous anesthesia on an outpatient basis and, through endoscopy, immersed in a state of deep sleep with medication that mimics normal sleep, thus assessing the level and form of obstruction.Carrying out such an assessment made it possible to select the most appropriate surgical or non-surgical methods of intervention depending on the location of the problem, in particular, in patients with difficulties with the root of the tongue, the ability to control the effect of opening the airways through the use of intraoral devices. Detailed information on sleep endoscopy techniques can be found in the Sleep Endoscopy section.
Treatment of obstructive sleep apnea syndrome?
Therapeutic approaches and methods of treating snoring and obstructive sleep apnea syndrome are determined by qualified specialists depending on the causes and severity of the condition, the location of the airway obstruction.
The following are treatments and methods other than surgical procedures:
Extrauterine pressure therapy apparatus (CPAP, BIPAP devices)
In particular, decreased oxygen consumption during sleep apnea,
Decreased calorie intake, slowed metabolism and decreased activity due to fatigue during the day lead to excessive weight gain. An increase in body weight leads to an increase in the volume of soft tissues in the region of the larynx and the root of the tongue, which aggravates the severity of the disease. For this reason, weight loss is one of the most important elements of treatment. All overweight patients should first be screened for hormonal and metabolic disorders leading to weight gain. For patients who have not found additional pathology, in order to achieve consistent positive results, it is necessary not only to adhere to a dietary diet, but also to form and constantly adhere to a healthy lifestyle with an increase in daily activity. At this stage, professional support is essential to regulate the diet of patients with severe weight deviations.
Complaints about snoring and manifestations of sleep apnea syndrome are more pronounced in patients using sedatives or alcohol.It should be borne in mind that patients in this subgroup should not drink alcohol and avoid taking sedatives and sedatives.
Breathing disorders are significantly aggravated in the supine position due to tongue sinking, as evidenced by complaints from patients’ relatives and sleep tests. The recommended reception position for snoring and sleep apnea patients is lateral. There are special devices and pillows to get rid of the supine position, as well as an effective way to sew a pocket on a night pajamas or a special vest between the shoulder blades, in which a shady ball is placed. Nasal congestion is a serious problem that increases the severity of snoring and sleep apnea.
Patients with nasal obstruction should be investigated for allergies, sinusitis, vasomotor rhinitis, which should be treated with medical procedures. The headboard must be raised. The elevated position of the trunk reduces the retraction of the tongue, even in the supine position. Moreover, the fluid in the body is displaced downward, which leads to a decrease in the swelling of the mucous membrane at the level of the nose and throat, an increase in their lumen, and a decrease in snoring.
Continuous positive pressure CPAP therapy device:
The main treatment for sleep apnea syndrome is CPAP assisted ventilation during nighttime sleep (CPAP therapy).
Weakening of the muscles in the airway walls during sleep, especially during REM sleep in patients, puts patients at risk of upper airway collapse, apnea episodes, and negative pressure airway obstruction.The use of CPAP therapy for the treatment of obstructive sleep apnea syndrome consists in creating a constant positive airway pressure, balancing the negative pressure that causes the airway to collapse and maintaining airway patency during sleep. In cases of impossibility of carrying out surgical treatment, or when its results were insufficient, or the patient voluntarily refuses surgery, the use of CPAP is mandatory. The use of CPAP therapy is also recommended in terms of preparing the patient for surgical treatment.
Patient tolerance is the most important factor limiting the use of a CPAP device. A special device supplies air with positive pressure to a mask tightly worn on the patient’s face, so the device cannot be used if there are problems that cause serious obstruction in the nasal sinuses. Regular use of the device every night may cause nasopharyngeal dryness, swelling and bleeding, despite the use of moisturizers. Taking into account these daily problems after the adaptation period, the patient tolerance of CPAP therapy remains in the range of 60-80%.The need to use the device every night is difficult for patients with an active lifestyle, frequent movement, and especially for young people.
In order to increase the tolerance of CPAP patients when breathing compressed air, the IPAP (two-level CPAP devices) was invented, which provides high pressure during breathing and reduces the pressure during exhalation, however, no significant difference in levels was found. patient tolerance.
Intraoral applicators: In recent years, the use of various intraoral devices has been practiced, of which there are two types of intraoral devices that are fundamentally different in their mechanism of action, acting by extending the lower jaw or by the principle of holding the tongue. Due to the extension of the lower jaw, an increase in the lumen of the upper airways of the throat and root of the tongue is achieved, the extension of the root of the tongue prevents the tongue from sinking during sleep. Oral devices reduce the predisposition to pharyngeal collapse and are preferred for patients with symptoms of uncomplicated snoring.
Among the early side effects, there is an increase in saliva secretion, dry mouth and difficulties in adaptation, often patients note severe discomfort when using them and need a long enough time to get used to, long-term use leads to a disorder of the jaw joint and disorders of closing the mouth caused by tooth displacement … Due to difficulties arising after a long period, it is recommended to select the device with the participation of a qualified dentist. The use of intraoral devices is difficult in patients with a very small curved dome of the palate, an elongated uvula, and enlarged tonsils.
Surgical methods for snoring and sleep apnea
The phenomenon of airway obstruction, which causes problems with snoring and sleep apnea, is mainly present simultaneously in several anatomical areas, with severe symptoms of varying degrees.
Depending on the site of obstruction and the form of airway obstruction, in the presence of diseases from the group below, different approaches and methods of surgical intervention are preferable: below 90%
Constant sleepiness during the day adversely affects daily life
Severe cardiac arrhythmia due to sleep apnea
Identification of a specific anatomical problem that caused the disease and which can be treated with surgical methods
Insufficient effectiveness of previous treatments, in particular,
CPAP with continuous positive pressure.
No medical problems that hinder surgery
Surgical interventions in patients with snoring and obstructive sleep apnea syndrome can be performed in different anatomical areas depending on the location and content of the airway obstruction.
• Plastic surgery of the nose (correction of nasal obstruction)
• Plastic surgery of the soft palate
• Surgery of the root of the tongue
• Surgery to move the lower and upper jaw bones (advancement of the maxillofacial bone)
• Stimulation of the nerve of the muscles of the tongue Hypoglossa)
• Opening and enlarging the airway through the larynx (tracheotomy)
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“What you need to know about nosebleeds with blood clots” – Yandex.Kew
Nosebleeds – damage to the blood vessels of the nose. In response to bleeding, a blood clot (thrombus) forms, which stops the bleeding
Bleeds from the nose are very common, but extremely rarely dangerous. The blood clot that forms can vary in size depending on the amount of blood.
When blown out, the clot may come out, but it may remain in the nasal cavity. If necessary, it can be removed by gently blowing your nose after the bleeding stops.
Causes of nosebleeds
Physical injury such as a blow to the face is one of the most common causes of nosebleeds.
Various types of trauma can cause nosebleeds, including:
- blow with an object on the nose
- punch in the face
- misuse of nasal sprays
- insufflation, such as sniffing a substance or medicine
Injury to the nose can rupture the small blood vessels that line the inside of the nose.
The most common type of nosebleeds from trauma is bleeding from the anterior portions of the nose, for example, when an injury ruptures blood vessels in the lower portion of the nasal septum.
The nasal septum is a thin cartilaginous plate that separates the nostrils from each other.
In most cases, epistaxis does not require any special treatment. the bleeding stops on its own.
Otherwise, nosebleeds can be stopped by following three steps:
- Gently blow your nose (if a child has nosebleeds, this step is optional)
- Lean forward with your chin to your chest. This will prevent blood from flowing down the throat.
- Gently squeeze the soft tissue on both sides of the nose with two fingers to prevent blood from flowing out.
- Remain in this position for about 10-15 minutes (for children – 5 minutes) and wait until the blood stops flowing.If the bleeding does not stop after this, continue to gently press on the nose from both sides for another 10-15 minutes.
Repeat until bleeding stops completely.
If a blood clot interferes with breathing through your nose, blow your nose gently. It is best to wait until the bleeding has completely stopped before blowing out the blood clot.
Rhinitis and sinusitis
Another common cause of nosebleeds is inflammation of the nasal cavity, surrounding tissues and sinuses.For example, allergies can cause inflammation in the nasal passages, allergic rhinitis.
A similar condition is sinusitis, in which inflammation affects the paranasal sinuses. In both cases, inflammation can lead to nosebleeds.
These conditions can also cause nasal congestion. The congestion causes the blood vessels to dilate, which makes them more susceptible to injury and further increases the risk of nosebleeds.
The same applies to other conditions that cause nasal congestion, such as the common cold.
If one of these conditions is causing your nosebleeds, you can follow the three steps above to stop the bleeding.
However, it should be noted that nasal irritation or nasal congestion can cause discomfort when applying pressure to the nose to stop bleeding.
Large blood clot can make breathing difficult. You may want to focus on trying to breathe through your mouth. Too much pressure on the nose should be avoided.
Also, do not remove mucus from the nose by blowing your nose or picking.It is best to use a nasal spray to relieve congestion after nosebleeds.
The best treatment for these types of nosebleeds is to treat the underlying cause, such as allergic rhinitis or sinusitis. Read more about sinusitis
At higher altitudes, where the air is drier, nosebleeds occur more often.
Very dry air can cause epistaxis by drying out and cracking the nasal mucosa.In turn, this leads to damage to the blood vessels in the nose and bleeding.
For example, nosebleeds can occur when you are in a dry, hot room. These types of nosebleeds are common during the winter months. Also, these nosebleeds are more likely to occur at high altitudes, where the air is drier.
Following the same three steps, epistaxis can be stopped. This will allow the blood clot to form.
However, if environmental conditions do not change, epistaxis may recur.Using a humidifier will reduce dryness in the air and help prevent further nosebleeds.
A mild moisturizer can be applied at high altitudes to relieve dryness.
Curvature of the nasal septum
Curvature of the nasal septum occurs when the septum has an irregular shape or position, from birth or as a result of an injury to the nose.
A deviated nasal septum can restrict airflow in one of the nostrils.As a result, the mucous membrane inside the nostril dries up and cracks, which increases the risk of damage to the blood vessels.
Another symptom of nasal septum curvature is nasal congestion, as noted above, nasal congestion is an independent risk factor for nosebleeds
Septal deviated nosebleeds can be stopped, but there is a high risk of recurrence.
Nasal congestion can be relieved by using nasal sprays and decongestants.However, the only radical solution is surgery to correct the nasal septum.
Certain types of medicines
Medicines that thin the blood, or anticoagulants, can increase the likelihood of nosebleeds, as can NSAIDs.
These drugs increase the risk of nosebleeds because they interfere with the formation of blood clots. For this reason, these types of nosebleeds can last longer because the blood clot is not able to form quickly.
If bleeding persists, medical attention may be needed. A healthcare professional may clot damaged blood vessels or use a drug to stop the bleeding.
When to see a doctor
If the bleeding does not stop within 30 minutes, see a doctor
Most nosebleeds are not serious and do not require medical attention.
However, if bleeding persists after 30 minutes, seek immediate medical attention. It is also necessary to see a doctor if nosebleeds are accompanied by other symptoms, including:
- very severe bleeding in which blood flows down the throat
- severe weakness
- chest pain
- heart palpitations
And here we will note the most important thing: nosebleeds are NOT a sign of high blood pressure.High blood pressure does not by itself cause nosebleeds. Accordingly, nosebleeds are not a reason to consult a cardiologist and / or to suspect you have high blood pressure. Read about arterial hypertension
Nosebleeds occur when blood vessels in the nose burst and blood flows out of them.
Normally, the body forms a blood clot to stop bleeding and repair a defect in the vessel wall.Trauma is a common cause of nosebleeds, but it can also occur in people with allergies or sinusitis.
Most nosebleeds are not serious, but it is important to see a doctor if the bleeding lasts more than 30 minutes or is accompanied by other symptoms, such as in the chest.
90,000 How to Ease Sinus Headaches | Tips
Sinus headache occurs as a result of swelling, inflammation, or infection in one or more of the sinuses of the head.Many sinus headaches have the same symptoms as headaches on
Sinus headache occurs as a result of swelling, inflammation, or infection in one or more of the sinuses of the head. Many sinus headaches have the same symptoms as tension or migraine headaches, with other symptoms such as nasal congestion, cough, sore throat, fatigue, or a runny nose. Sinus headaches can be caused by allergies, changes in ear pressure, tooth infections, colds, bacterial sinus infections, or sinus infections.It is very important to consult your doctor for the correct diagnosis of headache. Plus, there are many ways to treat sinus headaches with medication and home remedies. Typically, sinus headaches go away 4 to 8 weeks after or without treatment.
Method 1 of 2: Get medical attention
Use a steroid nasal spray. Over-the-counter steroid nasal sprays such as fluticasone (flonase) can help reduce inflammation in the nose.This is especially useful for allergy-related sinus headaches. Steroid nasal sprays do not have the same side effects as drowsiness and dry mouth as do decongestants and antihistamines. However, it takes several days for the medication to take full effect, which means the pain will not go away immediately.
- If you are using Flonase, the usual dose is one spray in one nostril twice a day. When using Nazacorta, the usual dose will be 2 sprays into each nostril, once a day.
- There are many other steroidal nasal sprays that are prescribed as Mometasone Furoate (Nasonex).
- Potential side effects include indigestion, nausea, headache, bitterness or foul odor when sprayed.
- New treatment guidelines suggest that steroidal nasal sprays should be used as the first line of treatment for sinusitis.
Use medication to treat nasal congestion. Over-the-counter decongestants can help relieve pressure in your sinuses by clearing your nasal passages and helping to drain fluid from your nose. You can buy it in spray form or by mouth at most pharmacies. Check with your doctor to make sure decongestants are not affecting your medical condition (if any), such as high blood pressure, or are not responding negatively to medications you are taking.
- You can also spray your nose with salt water to relieve nasal congestion.Spray your nose with salt water up to 6 times a day. Nasal sprays other than saline can worsen nasal congestion or inflammation. Follow the directions for use and dosage of the nasal spray.
- Do not use decongestant sprays for more than 3 days at a time. Prolonged use can lead to repeated swelling of the nasal passages.
- Oral decongestants such as Sudafed or Broncaid can be taken for 1 to 2 weeks without medical supervision. Although recurrent edema is less common, some people have high blood pressure or a rapid heart rate.
- Avoid using zinc aerosols. Zinc sprays can cause temporary (although rare) loss of odor.
Take an antihistamine. Antihistamines may help in some cases, especially if sinusitis is chronic or in people with allergies, because antihistamines can help relieve nasal congestion. Oral antihistamines include diphenhydramine (Benadryl), Cetirizine (Zyrtec), and Loratadine (Claritin).On the other hand, keep in mind that some older antihistamines, such as Benadryl, can cause serious sinus side effects, such as dry nasal mucous membranes and thickening of secretions, and cause drowsiness.
- Take 25-50 mg Benadryl every 8 hours to relieve nasal congestion. The patient may feel discomfort when taking the medication due to effects such as drowsiness and lethargy. Before giving Benadryl medicine to children, you should consult your doctor.
- Take 10 mg Zyrtec once daily. For children over 6 years old, the drug can be taken at a dose of 5-10 mg per day, depending on age and weight. Check with your doctor and follow their advice. Zyrtec medicine may cause drowsiness.
- Take Claritin 10 mg once daily. Second-generation antihistamines like Claritin cause fewer side effects and cause less sleep. Talk to your doctor before giving Claritin to children.
- You can use prescription antihistamine nasal sprays such as Azelastine (Astelin, Astepro) or Olopatadine Hydrochloride (Patanaza).
Take pain reliever. Over-the-counter non-steroidal anti-inflammatory pain relievers (NSAIDs), such as ibuprofen (Advil) or naproxen (Aleve), help open the airways, reducing inflammation. It also helps to reduce fever and relieve pain. Always talk to your doctor about taking these drugs ahead of time if you are unsure how to use them and if they are right for you.
- Aspirin (acetylsalicylic acid) is a medication that acts as an analgesic by suppressing pain signals to the brain. It is also a medicine to help reduce fever. However, be careful not to give aspirin to children.
- Acetaminophen (Tylenol) can be used to relieve pain and fever, but not to reduce inflammation. Acetaminophen is safe for children.
Consult a doctor. Seek medical attention if your headache recurs frequently, is severe, or does not improve with home treatment.Also, if your headache is caused by an abnormal growth, such as a polyp, or a blocked sinus, you will need surgery. When you should see your doctor:
- Edema of the soft tissues of the frontal sinus, accompanied by headache and fever. This could be a sign of a frontal bone infection.
- Swollen, droopy, red or warm eyelids or vision changes. This can be a sign of a rare but very dangerous problem that can lead to temporary blindness. You may also have a fever and feel very tired.If your sinus headache moves down the eyes or swells around the eyes, you should see your doctor right away.
- Sinus pain occurs in the frontal sinus. Infections can lead to the formation of blood clots on the forehead. The symptoms of a blood clot are similar to those of an orbital infection, but the pupils of the infected eye dilate or become larger than usual.
- People with headaches or sinus infections accompanying personality changes, neck stiffness, fever, altered consciousness, body rash, vision problems, or seizures require medical attention. at once . The above symptoms may indicate that the infection has spread to surrounding tissues, including the brain.
Method 2 of 2: Use Home Remedies
Clean nose. Mix 1/2 teaspoon salt with 8 ounces of warm water. Use a round syringe (purchased from a pharmacy) to rinse your nose with saline, which helps thin and dissolve your nasal passages, relieving nasal congestion.Try to spray twice into each nostril.
- Use distilled, sterilized or boiled water for cooling. Always wash tools after use and allow to air dry for next use.
Use a neti pot. A neti pot is a small kettle-like teapot maintained by medical experts to cleanse the sinuses. Water from a Neti bottle helps to increase drainage and reduce inflammation in the nasal passages – the cause of sinus headaches.The neti pot works by immersing warm water in one nostril and exiting the other. Do not use the Neti bottle if you cannot blow your nose. Just pour warm water (48 degrees C) into a Neti bottle and tilt your head, pour water into your right nostril to drain the water out of your left. Then change sides.
- Use cool distilled, sterile or boiled water. Always rinse the Neti bottle with clean soap and water after use.
- There have been several reports of cases of amoeba infection when using Neti bottles in areas with dirty water, but no cases have been reported in the United States.
Praise. When you go to bed, you should place a few more pillows underneath to raise your head. This will make it easier for you to breathe and prevent pressure in your sinuses from building up, thereby reducing headaches.
Par. Pour 1 liter of water into a saucepan. Boil the water for 1-2 minutes until it evaporates. Turn off the heat and place the pan on a table on a heat-resistant bottom. Place a large, clean cotton towel over your head and face over a pot of steaming water.Close your eyes and tilt your face at least 30 cm above the water to avoid scalding. Inhale through your nose and exhale through your mouth for 5 beats. Then decrease the breathing rate to 2 breaths. Steam for 10 minutes or more (while the water is still evaporating). Try blowing your nose during and after steam.
- Keep baby away from pot of boiling water and while you are in steam. Try to steam when young children are not around.
- You can do this regularly, every two hours.When you are outdoors or at work, you can use the steam room by drawing off hot steam from a cup of hot tea or soup.
- Herbs or essential oils can be added to the steam (1-2 drops). Peppermint, peppermint, thyme, sage, oregano, lavender, tea tree oil, and black lavender essential oil have antibacterial, antifungal, or antiseptic properties.
Take a hot bath. The effect of prolonged use of a hot steam bath is similar to that of the steam method.Hot water from the shower creates warm, moist air that helps loosen clogged nasal passages and relieve sinus pressure. You can try blowing your nose. The heat and steam will help moisturize and dissolve the discharge in your sinuses, making it easier to drain.
- You also get the same benefit by applying a warm compress to your face to clear your nasal passages and relieve sinus pressure. Heat a damp washcloth in the microwave for 2-3 minutes. Be careful when applying the washcloth to avoid scalding.
Use a humidifier. Moist and humid air from a humidifier helps relieve nasal congestion and sinus pain by helping to drain the nasal passages and reducing inflammation. Always follow the directions for using the humidifier.
- If you have sinus pressure, try putting a humidifier in your bedroom while you sleep.
- When your nasal passages are blocked, focus on keeping your nasal passages and sinuses moist.Many people assume that dry air will help relieve a runny nose, but in reality, dry air only causes additional irritation to the tissues of the nasal passages.
- Humidifiers are especially useful in winter because the air in the room is usually dry when the heater is turned on.
- Place a bowl of warm water on the floor in your bedroom to increase the humidity in the air. Just remember to put the bowl in a convenient place to avoid tripping.
Sinus massage. Press lightly with your index and middle fingers and rub in a circular motion on the forehead (frontal sinus), bridge of the nose and behind the eyes (orbital sinuses), under the eye (upper jaw). Massage your sinuses for a few minutes before blowing your nose.
- You can also use an essential oil such as rosemary or peppermint during a massage to clear your sinuses. Avoid getting essential oil in your eyes.
- If you can ask someone else, lie down and ask him to massage your head.Massage with two thumbs to your eyebrows, between your forehead, then up the hairline, and then remove your hand. Repeat this movement, but this time place your finger to your temples and then move it to your sideburns. Gradually create intense friction until you massage your entire forehead.
Drink water regularly. Maintain fluid balance by drinking plenty of fluids (at least 8 full glasses a day). The nasal passages become blocked when the tissue becomes inflamed and cannot drain fluid.Drinking water can help relieve nasal congestion. The fluid promotes drainage by thinning mucus in the nose and reducing the inflammation that causes sinus headaches.
- Thinner mucus will be easier to remove. When you have a sinus headache, try to drink plenty of fluids.
- Water is the best. Fruit juice tastes good, but is rich in fructose and unnecessary calories. If you don’t like drinking water, you can mix it with frozen lemon or strawberries.
- Hot herbal tea helps to relieve nasal congestion and also moisturizes the body.
Exercise. Exercise is a natural remedy for a stuffy nose. Increasing your heart rate before sweating can help relieve a runny nose. Do aerobic exercise like jogging or cycling for 15 minutes and you will notice fewer congestion.
- You can also do moderate-intensity exercises such as brisk walking.
Eat spicy food. Spicy salsa, chili peppers, fried chicken wings, horseradish, and other spicy foods can help improve nasal drainage and thereby reduce sinus pressure. It is best to blow your nose with a wet and runny nose. This is why spicy food makes your nose moist and moist.
- For sushi lovers, try mustard. The savory mustard temporarily relieves pressure in the sinuses and clears them.
- If you only have headaches, you probably won’t have sinus headaches.Sinus headaches often accompany other symptoms, including nasal congestion, cough, sore throat, fatigue, and a runny nose.
- Avoid smoking and drinking alcohol. Do not smoke or inhale tobacco smoke. Smoking contributes to sinus headaches because it increases inflammation in the nasal passages, preventing fluid from flowing out of the nose. Also, limit your intake of alcoholic beverages. Alcohol can cause sinuses and nasal passages to swell, which can worsen sinus headaches.
- Avoid contaminated air. Pollutants and allergens can trigger sinus headaches due to inflammation of the nasal passages and blockage of fluid in the nose.
- Limit the use of electronic devices. The light from the screen (however weak it may be) can aggravate the headache.
- Sinus headache from sinusitis is rarely life-threatening but requires proper treatment. The sinuses are close to the brain, so infection can enter the brain or eye tissue and cause permanent damage.