What are the common causes of sinus infections. How can you treat sinus infection symptoms at home. When should you see a doctor for sinusitis. What does an ENT specialist do for sinus problems. How are chronic sinus infections diagnosed and treated.

Understanding Sinus Infections: Causes and Risk Factors

Sinus infections, medically known as sinusitis, occur when the hollow spaces in your facial bones become inflamed and filled with fluid. These infections can be caused by viruses, bacteria, or fungi, with viral infections being the most common.

Several factors can increase your risk of developing sinusitis:

• Nasal congestion from colds or allergies
• Asthma
• Blocked drainage ducts
• Nasal passage abnormalities (e.g., polyps or deformities)
• Weakened immune system
• Smoking

Understanding these risk factors can help you take preventive measures and recognize when you might be more susceptible to sinus infections.

Recognizing Sinus Infection Symptoms

Identifying the symptoms of a sinus infection is crucial for proper treatment. The most common symptoms include:

• Sinus headache (pressure and pain behind cheekbones or around eyes)
• Yellow or green nasal discharge
• Foul taste in the mouth
• Fever
• Facial pain, especially when tapping near infected sinuses

Sinus infections can be classified based on duration:

1. Acute: Lasting less than a month
2. Subacute: Lasting up to three months
3. Chronic: Lasting longer than three months
4. Recurrent: Occurring several times a year

Home Remedies for Sinus Infection Relief

While it’s difficult to determine the cause of a sinus infection at home, there are several steps you can take to alleviate symptoms:

• Use a humidifier or vaporizer to moisturize room air
• Increase fluid intake to stay well-hydrated
• Use saline sprays or nasal irrigations
• Apply nasal spray decongestants (for no more than 2-3 days)
• Use warm compresses on your face to relieve pain and pressure
• Sleep with your head elevated

These home remedies can provide significant relief while you determine whether professional medical care is necessary.

When to Consult a Doctor for Sinus Problems

Knowing when to seek medical attention for sinus issues is crucial for proper treatment and prevention of complications. You should consult a doctor if:

• Symptoms persist beyond 7-10 days
• You experience severe facial pain or headaches
• Over-the-counter medications don’t provide relief
• You have a high fever (above 101°F or 38.3°C)
• You have recurring sinus infections

Your primary care physician can provide initial treatment and determine if a referral to an ENT specialist is necessary.

The Role of ENT Specialists in Treating Sinus Infections

Ear, Nose, and Throat (ENT) specialists, also known as otolaryngologists, play a crucial role in diagnosing and treating complex or chronic sinus problems. These physicians have advanced training in managing conditions affecting the head and neck region.

ENT specialists can offer various treatments for sinus infections, including:

• Prescription medications (antibiotics, stronger decongestants, or corticosteroids)
• Allergy testing and management
• Nasal endoscopy for detailed examination
• Sinus surgery for chronic or severe cases

Their expertise extends beyond sinus infections to include a wide range of conditions affecting the ears, nose, throat, and related structures of the head and neck.

Advanced Diagnostic Techniques for Chronic Sinusitis

For patients with chronic or recurrent sinus infections, ENT specialists may employ advanced diagnostic techniques to identify the root cause and develop an effective treatment plan. These may include:

• Nasal endoscopy: A thin, flexible tube with a camera is inserted into the nasal passages to examine the sinuses directly.
• CT scans: Detailed imaging of the sinuses to reveal structural abnormalities or blockages.
• Allergy testing: To determine if allergies are contributing to sinus problems.
• Cultures: To identify specific bacteria or fungi causing the infection.

These diagnostic tools allow ENT specialists to tailor treatment plans to each patient’s specific condition, improving outcomes and reducing the risk of recurrence.

Comprehensive Care: ENT Collaboration with Other Specialists

ENT specialists often work in collaboration with other medical professionals to provide comprehensive care for patients with sinus and related issues. This multidisciplinary approach can involve:

• Audiologists for hearing loss diagnosis and treatment
• Neurosurgeons for skull-based tumors
• Oncologists for head and neck cancers
• Plastic surgeons for facial reconstructive procedures
• Sleep medicine specialists for sleep apnea and snoring issues
• Speech pathologists for speech and swallowing disorders

This collaborative approach ensures that patients receive holistic care addressing all aspects of their ear, nose, throat, and related conditions.

Preventing Sinus Infections: Lifestyle Changes and Strategies

While not all sinus infections can be prevented, certain lifestyle changes and strategies can reduce your risk:

• Practice good hand hygiene to reduce exposure to viruses and bacteria
• Avoid known allergens and irritants
• Use a humidifier to keep nasal passages moist
• Quit smoking and avoid secondhand smoke
• Manage allergies and asthma effectively
• Stay hydrated to keep mucus thin and flowing
• Use nasal saline rinses regularly to clear sinuses

Implementing these preventive measures can significantly reduce the frequency and severity of sinus infections, improving overall quality of life.

The Impact of Chronic Sinusitis on Quality of Life

Chronic sinusitis can have a significant impact on a person’s daily life and overall well-being. Patients with chronic sinus infections often experience:

• Persistent fatigue
• Difficulty sleeping
• Reduced productivity at work or school
• Social isolation due to symptoms
• Depression or anxiety related to chronic illness

Recognizing these impacts underscores the importance of seeking proper treatment and management for chronic sinus conditions. ENT specialists can provide comprehensive care that addresses both the physical symptoms and the quality-of-life issues associated with chronic sinusitis.

Emerging Treatments for Sinus Infections

As medical research advances, new treatments for sinus infections are being developed and refined. Some emerging therapies include:

• Balloon sinuplasty: A minimally invasive procedure to open blocked sinus passages
• Biologic therapies: Targeted treatments for certain types of chronic sinusitis
• Photodynamic therapy: Using light-activated agents to target bacterial infections
• Probiotic nasal sprays: To promote healthy nasal microbiome

These innovative treatments offer hope for patients with difficult-to-treat or recurrent sinus infections. ENT specialists stay abreast of these developments to provide the most current and effective treatments to their patients.

The Connection Between Sinus Health and Overall Wellness

Maintaining healthy sinuses is an important aspect of overall health and well-being. The sinuses play a crucial role in:

• Filtering and humidifying inhaled air
• Producing mucus to trap harmful particles
• Enhancing vocal resonance
• Reducing the weight of the skull

When sinus health is compromised, it can affect various aspects of physical and mental well-being. This interconnection highlights the importance of addressing sinus issues promptly and maintaining good sinus health through preventive measures and appropriate medical care.

The Role of Telemedicine in ENT Care

Telemedicine has become an increasingly important tool in healthcare, including in the field of otolaryngology. For sinus-related issues, telemedicine can offer several benefits:

• Initial consultations and follow-up appointments
• Prescription renewals for ongoing treatments
• Visual examinations of the nose and throat
• Patient education and lifestyle counseling

While some conditions may still require in-person visits, telemedicine provides a convenient and efficient option for many aspects of ENT care, improving access to specialists and enhancing patient experience.

Understanding the Economic Impact of Sinus Infections

Sinus infections have a significant economic impact, both on individual patients and the healthcare system as a whole. Costs associated with sinusitis include:

• Direct medical expenses (doctor visits, medications, procedures)
• Lost productivity due to missed work or school days
• Over-the-counter treatments and home remedies
• Long-term costs associated with chronic sinusitis management

Understanding these economic factors can help patients and healthcare providers make informed decisions about treatment options and preventive strategies, potentially reducing the overall financial burden of sinus infections.

As we continue to explore the complexities of sinus infections and their treatment, it becomes clear that a multifaceted approach is necessary. From home remedies and preventive measures to advanced medical interventions and collaborative care, managing sinus health requires a comprehensive strategy. By understanding the causes, symptoms, and treatment options for sinus infections, individuals can take proactive steps to maintain their sinus health and overall well-being. When professional care is needed, ENT specialists stand ready to provide expert diagnosis and treatment, ensuring that patients receive the most appropriate and effective care for their specific condition.

Allergies or Sinus Troubles? When to See an ENT Specialist| “Healthy@UH” Health Articles| University Hospitals | Cleveland, OH

March 20, 2018

By
UHBlog

Seasonal allergies, scratchy throats, nasal congestion and sinus problems. For some, the symptoms and discomfort are enough to send them to their primary care doctor for help. However, if the problem is chronic and recurring, your doctor may refer you to an ear, nose and throat (ENT) specialist.

ENT specialists — or otolaryngologists — have advanced medical and surgical training in the diagnosis and treatment of a wide range of conditions, ranging from simple sinusitis and allergies to complex cancers, trauma and deformities of the head, neck and face.

In addition, ENT physicians often work closely with:

• Audiologists to diagnose and treat hearing loss
• Neurosurgeons for the removal of skull-based tumors
• Oncologists for the treatment of head and neck cancers
• Plastic surgeons when reconstructive surgery of the face and neck is required
• Sleep medicine specialists to surgically correct problems with the nose, palate and tongue that may cause sleep apnea and/or snoring
• Speech pathologists to manage speech and swallowing disorders

There are many different symptoms that might suggest the need for an ENT consultation.

Who Can Benefit From ENT Care

If you experience any of these symptoms and they persist beyond seven to 10 days, talk to your primary care doctor and ask if you might benefit from specialty ENT care. A referral usually will be necessary.

• Chronic sinusitis and/or postnasal drip
• Difficulty swallowing
• Frequent headaches
• Hearing loss or impairment
• Pain in your face, upper teeth or ears
• Persistent sore throat and/or voice hoarseness
• Problems with balance and/or dizziness
• Recurring ear, adenoid or tonsil infections
• Ringing in your ears (tinnitus)
• Voice problems

Related Links

Division of Pediatric Otolaryngology
Community Ear Nose and Throat Center

Tags:
Sinusitis, ENT, Otolaryngology, Allergies, Head And Neck Cancer, Audiology, Speech Pathology, Tinnitus, Swallowing Problems, Hoarseness, Hearing Loss, Ear Infections

When to See a Doctor for Sinus Infection Symptoms

Sinus infections, also called sinusitis, are very common. You have four pairs of sinuses which produce mucus. Three pairs are behind, above and between your eyes. You have a fourth pair of sinuses along the sides of your nose. These sinuses are hollow, but if they become blocked and the mucus can’t drain, they fill with fluid, causing sinusitis. A gentle finger tap to the face near an infected sinus is often extremely painful.

The most common symptom of a sinus infection is a sinus headache: pressure and pain behind your cheekbones or around your eyes. Other symptoms include yellow- or green-colored nasal discharge, a foul taste in your mouth, and fever. Sinusitis can be acute (lasting less than a month), subacute (lasting up to three months), or chronic (lasting longer than three months). You can also have recurrent sinus infections, which occur several times a year.

Common Causes of Sinus Infection

Sinus infections are caused by either viruses or bacteria, but they can be caused by fungi as well. Although sinusitis is a very common condition, some people are at higher risk of developing the infection. They include people who:

• Have nasal congestion from a cold or allergy

• Have asthma

• Have blocked drain ducts

• Have abnormalities in the nasal passages, such as nasal polyps or a deformity

• Have a weakened immune system

• Smoke

Sinus Infection Treatment at Home

It isn’t possible for you to tell at home if sinusitis is caused by a bacteria, virus or fungus, but there are some steps you can take to help relieve sinus infections symptoms. They include:

• Moisturizing the room air with a humidifier or vaporizer

• Increasing your fluid intake to ensure you are well hydrated

• Using saline sprays or nasal irrigations

• Using nasal spray decongestants for 2 or 3 days at the most

• Applying warm compresses to your face to help relieve pain and pressure

• Sleeping with your head elevated. If sleeping on a pile of pillows isn’t comfortable, place blocks under the two legs at the head of your bed to elevate it.

• Taking over-the-counter pain relievers, such as ibuprofen or acetaminophen

When to See a Doctor for a

Sinus Infection

Acute sinusitis often goes away on its own; however, there are times when you should see your doctor for sinus infection treatment if self-care doesn’t work. You should see a doctor if you still have sinusitis symptoms after a week or if they return more than a few times within a year. You should also see a doctor as soon as possible if the infection worsens. Signs of a worsening sinus infection include:

• Fever

• Increase in pain or the pain spreads

• Over-the-counter pain medications do not relieve the pain

• Increase in nasal discharge

Who to See for a Sinus Infection

Most often, you would see your primary care physician or family doctor to be assessed for sinus infections. If you have a bacterial infection, you may be prescribed antibiotics, and a fungal infection would be treated with an antifungal medication. Viral infections do not respond to antibiotics, but your doctor may recommend prescription-strength decongestants to help relieve symptoms until the virus goes away.

If you have chronic or recurrent sinus infections, your primary doctor may refer you to see a specialist, an otolaryngologist, often called an ear, nose and throat (ENT) doctor. An otolaryngologist can determine why you have an infection and recommend treatment. Check with your insurance to see if you need a referral from your doctor before seeing a specialist.

Sinus infections can be quite painful, but they generally go away on their own or with treatment. If you get frequent sinus infections or you have one that is not responding to your home treatments, see your doctor for an evaluation.

What Type Of Doctor Should I See For Relief From Nasal Congestion?

Nasal congestion is the swelling of the nasal passages. Symptoms include difficulty breathing, sinus pressure, and fevers. Caused mostly by allergies or common colds, most congestion is minor and can be treated at home. However, if the symptoms escalate, certain doctors can help patients find relief.

What is nasal congestion?

Nasal congestion occurs when the sinus cavities become inflamed and swollen. Breathing through the nose becomes difficult and can be blocked entirely. Often the result of a sinus infection, congestion is identified by sinus pain, mucus build-up, and a stuffy or runny nose. Most nasal congestion can be treated with home remedies and over the counter medication. Chronic congestion will likely need antibiotics.

Causes of congestion

Most congestion is caused by sinus infections such as the common cold and the flu. Symptoms typically last 5-7 days. Congestion lasting more than a week is often a sign of an underlying health issue. Chronic congestion can be caused by allergies, both environmental and food, sinusitis or rhinitis, nasal polyps, chemical exposure, environmental exposure, or a deviated septum. Certain medications can also cause congestion. Hormone fluctuations during the first trimester of pregnancy can also cause these symptoms.

Treatment options

Home remedies are the most popular method to treat congestion. Humidifiers and vaporizers put moisture back in the air and can soothe irritated and dry nasal passages. Drinking fluids, hot or cold, will thin out mucus. A saline spray will prevent nasal passages from becoming too dry. Steam from long showers can decrease swelling and open the nasal passages. Elevating the head up on a pillow will make breathing easier. Placing a warm towel across the nose can decrease pressure and open the sinuses.

Decongestants and antihistamines are both effective in treating congestion. These medications work by reducing swelling, thinning mucus, and relieving overall sinus pressure. Oral decongestants should not be taken for more than a week. Using a nasal spray for more than 3 days can have the reverse effect and make congestion worse. Antihistamines control the body’s reaction to allergens. Certain antihistamines are designed for long-term use.

When to go to the doctor

Congestion is more of a nuisance than anything else. Most congestion is minor and can be treated at home. There are, however, a handful of symptoms that should be brought to the attention of a medical professional. The patient should seek medical attention if experiencing:

• difficulty breathing
• a high fever lasting more than a few days
• nasal discharge that is abnormal in color
• severe sinus pain
• symptoms that have spread to the throat
• the condition has lasted more than 7 days

Additionally, if a child is under 2 years of age and experiencing prolonged congestion, a doctor should always be consulted.

What type of doctor to choose

Primary care physicians, internists, and general practitioners are all equipped to treat nasal congestion. If the congestion becomes severe, a patient will be referred to an ear nose and throat (ENT) specialist. The ENT specialist is also called an otolaryngologist. Nurse practitioners and physician assistants are also able to diagnose and write prescriptions for most sinus problems. Pediatricians can diagnose and treat children.

Home vs the doctor

Most congestion is a minor and does not require medical intervention. If symptoms persist for more than a week or become more severe, including high fever, abnormal discharge, or severe pain, the patient should see a medical professional. Patients with chronic nasal congestion should consult an ENT specialist to find treatment options and relief.

When Do You Need to Call a Sinus Doctor?

A runny nose or sinus congestion happens to everyone, often occurring when a person gets sick with the common cold. Even though these illnesses are uncomfortable, they often clear up on their own within a few days. But if home remedies and rest don’t help you heal, then it might be time to talk to a doctor.

When health symptoms arise, it’s common for people to call their general physician for an appointment. These visits can be helpful for basic diagnosis and medical care. But don’t underestimate the importance of talking to a specialist when needed.

For example, an ear, nose, and throat doctor has more experience treating conditions relating to these areas of the body. This experience can improve your treatment, resulting in faster relief from your health concerns.

What Do You Call a Sinus Doctor? 

A sinus doctor is called an Ear, Nose, and Throat (ENT) specialist.

How a Sinus Doctor Can Help

A sinus specialist, sometimes known as a sinus doctor, has advanced surgical and medical training for the diagnosis of a range of conditions affecting the ears, nose, and throat.

What doctor specializes in sinus problems? The official medical name for a doctor that focuses on conditions in the ears, nose, and throat is an otolaryngologist. Not only can an ENT help with sinus-related concerns; they are also trained to treat other conditions such as allergies, trauma, cancer, deformities, and more.

When you are having symptoms in your ears, nose, and throat for a few days, then you probably don’t need to schedule an ENT appointment because the symptoms will go away with basic home remedies.

When Should I See a Sinus Specialist?

When the symptoms persist longer than a week to ten days, then your primary care doctor might give you a referral to talk to a sinus specialist. These are some of the symptoms that might require an ENT visit instead of a standard appointment with your regular doctor:

• Chronic sinus issues
• Ongoing post nasal drip
• Frequent headaches
• Reduced sense of smell
• Pain in the ears, upper teeth, or face
• Hearing impairment
• Hearing loss
• Difficulty swallowing
• Difficulty breathing through the nose
• Voice problems
• Tinnitus (ringing in your ears)
• Recurring infections in the ears, tonsils, or adenoids
• Dizziness or balance issues
• Persistent sore throat

If you are living with chronic congestion, problems breathing, and unexplained sinus issues, then it’s time to talk to a sinus specialist. Working with an ENT gives you access to advanced options that aren’t available through a general practitioner.

Ear, Nose, & Throat: Diagnosis of Sinus Issues

In most cases, patients have acute sinus problems – the symptoms start suddenly and then clear up on their own within a week or two. If you notice that these acute flare ups happen frequently, or you have chronic sinus symptoms that last for months, then you need to talk to a doctor for an official diagnosis.

One of the first things your ENT will do is perform an exam and order testing as needed to diagnose your condition. Knowing the underlying cause of your sinus issues gives the ENT a foundation to build an effective treatment plan.

For example, if the sinus issues are caused by a viral infection (such as the common cold), then there is no need to prescribe antibiotics. This medication will not be effective in clearing up the congestion. The only time antibiotics should be used is if the sinus symptoms are caused by bacteria.

Here is an overview of what you can expect during the diagnostic process:

• History and Information: During your diagnostic exam, your doctor will ask questions about your symptoms, timeline, and treatments. You should always share as much information as possible to help the doctor understand the extent of your symptoms.
• Examination: A physical exam can also be helpful in identifying areas that are affected, such as the sinuses and throat.
• Digital Imaging: Next, the doctor might request in-depth testing, such as digital imaging to get a closer look at what is happening in the sinuses. For example, a CT scan can be used to see a cross-section of your sinuses.
• Endoscopy: For chronic issues, a nasal endoscopy can help the ENT see the inside of your sinuses. This procedure is simple: your nose is numbed using a spray, then the doctor inserts a flexible, thin device into the nose. This instrument has a small lens at the end to provide real-time imaging of the sinuses.
• Swab: Sometimes, a sinus swab might be required to determine the reason why you have an infection in the sinuses. These swabs can be used to diagnose bacterial or fungal issues that require treatment.
• Allergy Testing: Chronic sinus issues could be caused by allergies. Your doctor might recommend an allergy test to identify triggers and help you get these allergy symptoms under control.

Once the diagnostic process is complete, then the doctor can design an ideal treatment plan to relieve your sinus discomfort.

Can a Doctor Drain Your Sinuses?

The fastest way to drain the sinuses is through surgery, but this treatment is only used when other treatments are not effective. Draining the sinuses is much more complicated than opening the drain in a sink or bathtub. Sinus congestion typically causes inflammation of the tissues. The actual amount of drainage can vary from person to person because the blockages are often caused by swollen sinus tissue.

When sinus infections don’t clear up with non-invasive treatments, then your ENT might recommend office based procedures or sinus surgery to relieve your pain. An in-office balloon procedure may be recommended to widen the sinus openings to help with recurrent or chronic sinus infections. Surgery may be a treatment option if your sinus issues are caused by nasal polyps, a deviated septum, or other structural issues.

The goal of sinus surgery is to reduce the number of sinus infections you get. Removing excess tissue and opening up the nasal passages decreases the risk of infection by eliminating the conditions that lead to chronic infections. This treatment isn’t right for every patient though, which is why it’s best to talk to an ENT about your individual situation.

Call the Best ENT in Frisco and Plano, TX

If you are tired of dealing with chronic sinus issues, then Collin County Ear, Nose, and Throat offers the solutions that you need. We serve patients throughout the local communities, including the Collin County area. We have two convenient offices located in Frisco and Plano, TX.

At Collin County Ear, Nose, and Throat, our experienced team offers a range of diagnostic and treatment services. Our services are available for people of all ages. Contact us by filling out our online appointment request form, or calling: (972) 596-4005.

Top 5 Reasons to See a Sinus Specialist

1. I’m sick and tired of being sick and tired– Sinusitis, particularly chronic sinusitis can severely impact a person’s overall quality of life. Common symptoms include: discolored drainage, headache, change in sense of smell/taste, fatigue, poor sleep, facial pain/pressure, and an overall reduced sense of wellbeing. Many people don’t know that sinusitis is more common than heart disease, diabetes, cancer, and COPD and has a similar impact on quality of life. We understand how much sinusitis impacts you and your family.

2. Time – It’s gone on too long. If your symptoms have lasted longer than 12 weeks or occur multiple times a year, it may be time to see a specialist. A specialist visit may be needed if you have no improvement with treatments that have been given by other health care providers.

3. Treatment Options – I’ve been on antibiotics too often. As a team, we work with patients to incorporate their individual needs and concerns to develop the best, most effective treatment. Some of these treatment options include; irrigations, antibiotics, nasal sprays, or surgery, and are often times a combination. Chronic sinus problems are often not caused by a bacterial infection, but instead by uncontrolled inflammation.

4. Education – I want to understand more about my sinus problem. What is sinusitis? Do I have a sinus infection and what is the cause? How can I tell if I have acute sinusitis? What is the difference between chronic and acute sinusitis? Are they treated differently? 

5. Specialty Care – I want to see people who know the most about sinusitis. Our rhinology specialists have additional training in sinus and nasal problems. We’re the only fellowship-trained rhinologists in the Mountain West. We combine specialty training and current research to provide a thorough evaluation and individualized treatment plan.

Sinusitis – ENT Health

Sinusitis is treated differently based on the cause. Most cases of acute sinusitis, about 98 percent, are caused by a virus, not bacteria, and should not be treated with antibiotics. Acute viral sinusitis may be treated using pain relievers such as acetaminophen or ibuprofen, steroid nasal sprays, or salt water irrigation in the nose. These treatments are also good options for acute bacterial sinusitis. Most people get better naturally from acute bacterial sinusitis, called “watchful waiting,” but some patients with acute bacterial sinusitis may get better faster with an antibiotic.

Chronic sinusitis is treated differently than acute sinusitis. Because chronic sinusitis is caused more by inflammation than infection, the treatments for chronic sinusitis aim to control the inflammation. Salt water nasal irrigation and/or nasal steroid sprays are the main treatments for the symptoms of chronic sinusitis. Antibiotics may sometimes be helpful but not always.

Other factors, including allergies, nasal polyps, asthma, and problems with the body’s ability to fight infections, can go along with sinusitis and make it worse unless they are also treated.

X-rays or CT scans of the sinuses are not necessary to diagnose uncomplicated sinusitis if you have the symptoms of sinusitis (discharge plus pressure or blockage). If your doctor suspects a complication or if you have repeated episodes or prolonged sinus symptoms, a CT scan of your sinuses may be needed.

Surgery

Surgery is not recommended for acute sinusitis except in rare circumstances. Sometimes the sinus infection can spread to the eye, face, or brain; this would be considered an emergency, and surgery may be needed to reverse the infection and keep it from spreading.

For chronic sinusitis, surgery is an option when the symptoms cannot be controlled with medications and other treatments. The most common type of surgery for the sinuses is called endoscopic sinus surgery; a pencil-sized scope (endoscope) is used to see inside the nose and sinuses and guide the surgery. The surgery widens the natural drainage pathways between the sinuses and the nose, allowing mucus to get out of the sinuses and air to get in. Medications that are delivered into the nose and sinuses, like sprays and irrigations, can also get into the sinuses better after surgery.

Balloon sinus ostial dilation (BSOD) is a newer treatment option where an endoscope is also used, but instead of carefully removing the bone and tissue that may be blocking a sinus, a balloon is used to make the sinus openings bigger. Balloon dilation may not be appropriate for every type of chronic sinusitis and cannot be used on all of your sinuses, but can be helpful depending on your circumstances.

When to Contact an Allergist vs ENT

It’s common for people with allergy symptoms to go directly to an ear, nose, and throat (ENT) doctor for treatment. ENT doctors are surgeons who are experts in resolving structural problems involving the head, face, sinuses, nose, throat and voice box.  Allergist/immunologists are expert physicians who manage inflammatory (allergic) conditions of the nose, sinuses, ears, throat and lungs without surgery. Symptoms such as trouble breathing, sinus pressure, episodic ear discomfort, or a raspy voice can be caused by allergies and may not require surgery.

If you’re wondering whether your symptoms require visiting an Allergist or ENT doctor, continue reading to help decide the right course of action for you.

When to See an Allergist

Allergists/Immunologists are highly trained specialists that diagnose, treat, and manage allergic inflammation of all types through nonsurgical methods.

Allergies are caused when the immune system decides that an otherwise harmless substance is now a threat (i.e. pollens, mold, dust mite, pet dander and foods). Symptoms can be mild or severe, and in some cases, can lead to a life-threatening reaction called anaphylaxis when triggered by foods, stinging insects or medications. Allergic reactions to environmental substances are very common and usually cause recurrent nasal congestion, uncomfortable facial pressure, nasal drainage, throat clearing, and/or sneezing. Many people with environmental allergies frequently complain of having chronic “sinus headaches” or sinus pain.

There is no doubt that allergies can have a major impact on the quality of life for people of all ages. Unfortunately, many people struggling with allergic nasal or sinus problems do not realize their symptoms are due to allergies and believe that their condition is untreatable. Fortunately, these symptoms can usually be effectively managed or even prevented with an Allergist’s help.

Allergists can help prevent allergic symptoms by turning off the allergic process.  Since allergen avoidance is the only true “cure” for allergies, it is important for Allergists to know if a person has allergic triggers so that they may be avoided. Allergy testing can detect relevant allergies and allows the Allergist to determine the most effective therapies to improve the person’s quality of life. Such therapies include focused allergen avoidance measures, appropriate medication use and, in some cases, allergen immunotherapy. Allergen immunotherapy is a very important tool and is the ultimate allergy treatment, which retrains the immune system to stop reacting to allergens– thereby preventing allergic symptoms in the first place and decreasing the need for medications.

Of course, allergies can affect other parts of the body including the skin, eyes, lungs, gastrointestinal system, inner ears, and sinuses. Allergists are the experts who treat all allergic symptoms, no matter which part of the body is affected,  Before heading straight to an ENT for chronic sinus pressure, it may be best to consult with an Allergist particularly you have a family history of allergies or asthma.

Common reasons to see an Allergist/ Immunologist include:

• Frequent sinus infections
• Sinus or facial pressure
• Ear fullness, pressure, or popping in the ears
• Itching in the ears or back of the throat
• Nasal congestion, difficulty breathing through the nose, runny nose, sneezing
• Itchy, red, or watery eyes
• Recurrent throat clearing or post nasal drainage
• Voice changes or hoarseness
• Chronic cough
• Asthma, shortness of breath, wheezing
• Recurring bronchitis
• Atopic dermatitis
• Immunodeficiency
• Concern for food allergies

When to See an ENT

According to the American Academy of Otolaryngology– Head and Neck Surgery, otolaryngologists (ENTs) specialize in dealing with disorders and conditions of the ear, nose, and throat, including related areas of the neck and head. ENT doctors are experts in surgical and medical management of:

• Ear: ENT specialists treat ear disorders or conditions such as ear infections, hearing loss, balance disorders (vertigo), pain in your ear, or ringing in the ears (tinnitus). ENT doctors can also treat ear disorders you were born with.
• Head and Neck: If you experience cancerous tumors, deformities, trauma, or diseases of the neck, face, and head, ENT doctors can do cosmetic and reconstructive surgery in these areas. Problems with nerves in the head and neck controlling smell, sight, hearing, and facial movements can also be managed.
• Nose: ENT doctors often manage and treat issues affecting the nose, sinuses, and nasal cavity. These issues may affect your breathing, smell, or physical appearance.
• Throat: An ENT doctor can help manage and treat conditions or disorders of the throat can affect your eating, swallowing, digestion, speech, and even singing.

Common reasons to see an ENT specialist include:

• Cancer and tumors in the head and neck
• Nerve problems, pain, or injury to your ears, nose, or throat
• Breathing problems originating in nose or throat
• Tonsil or adenoid infection
• Dizziness and balance issues
• Tinnitus
• Chronic sinusitis
• Ear infections
• Hearing impairment
• Swallowing or voice problems
• Cleft palate
• Deviated septum
• And more

Putting it all together

Allergists/immunologists and ENT’s often work together to maximize control of nasal/sinus congestion and it’s entirely possible you may require evaluation from both specialists. Allergists will often refer patients to ENT’s when surgery is needed and ENT’s often refer patients to allergists when a formal allergy assessment is required.

Allergies are not the only cause of nasal symptoms. So if you have a known structural problem or suspect one, then an ENT specialist would be a good first choice.  But if you suspect that you have a sinus or breathing issues related to allergies or asthma, consider seeing a Board Certified Allergist/Immunologist who can help diagnose, treat, and effectively control your symptoms through non-surgical methods.

More Questions People Also Ask — Allergist or ENT for Sinusitis Treatments:

Chronic sinusitis and allergies. What kind of doctor do you see for allergy testing?

Board-certified Allergists are highly trained physicians who specialize in the diagnoses and nonsurgical treatment of chronic sinus issues and allergies. They also specialize in the management of asthma since most asthmatics have allergic triggers that affect their breathing. Allergists focus on the underlying cause of the symptoms (such as the facial pressure, watery eyes, nasal congestion, etc)  to lessen the need for medications and surgery. In doing so, Allergists are like medical detectives who take a comprehensive and integrated approach to treatment.  Through the appropriate use of allergy testing, Allergists can help patients to understand their triggers and teach patients the environmental strategies needed to avoid their triggers. Allergists use allergy test results to decide which medications would be the most effective. Allergists can also guide patients through allergen immunotherapy to help relieve persistent nasal and sinus symptoms when medications are not helpful or when patients wish to minimize the need for medications.

Can an Allergist help with sinusitis?

Absolutely. Board-certified Allergists are physicians who have received substantial training in the nonsurgical treatment of chronic sinus issues. Sinusitis, is due to an inflammation in the tissue of the sinuses that can be caused by allergies or microbes, and sometimes both.  When sinuses become obstructed, germs fester and can cause an infection, congestion, and facial pressure. Your allergist can help diagnose the root causes of your symptoms and provide a regimen of non-surgical treatments to prevent recurring sinus infections or allergic reactions.

Can all sinus issues be treated with non-surgical methods?

No. Some patients have a structural problem within their nose or sinuses that cannot be adequately treated with medications or allergen avoidance measures. In these cases, Allergists will refer the patient to their surgical colleagues, ENTs (Ear, Nose, Throat), who treat a variety of anatomical ailments affecting the head and neck.

How do I know if I need to see the Allergist or ENT?

ENTs are highly proficient surgeons who specialize in structural disorders of the ears, nose, and throat such as head and neck tumors, facial reconstruction and plastic surgery, chronic sinusitis, deviated septum, hearing impairment, and dizziness/balance problems. Board-certified Allergists optimize control of nasal and sinus problems though nonsurgical means. ENTs and Allergists commonly work together to treat conditions where allergies are causing problems in the ears, nose, sinuses and throat regions. ENTs often refer patients to Allergists when surgery is not indicated. Likewise, Allergists will refer patients to ENTs for surgical options when medications and allergen avoidance are not adequately controlling symptoms.

What kind of tests does an ENT do?

ENTs employ a wide variety of tests in helping them determine the causes of a patient’s ear, nose, and throat discomfort. Visual, tactile examination and endoscopy all provide a baseline from which additional tests like laboratory analysis and imaging can confirm. Appropriate treatment is then provided for the given diagnosis.

What will ENT do for a sinus infection?

Sinusitis has varying degrees of severity. For a mild sinus infection, an ENT may advise using conservative care including a decongestant and/or nasal spray. More serious infections may require the use of antibiotics, nasal irrigations, steroids and even surgery. Chronic sinusitis symptoms can be alleviated by avoiding triggers which may include allergens or fungi.

What can an ENT do for chronic sinusitis?

When symptoms of sinusitis prolong past the 12-week mark despite receiving treatment, the condition moves from acute to chronic. Chronic sinusitis is best treated utilizing a holistic approach – targeting both the trigger of the condition as well as effectively treating any ensuing infection. ENT’s can correct anatomical or structural problems that are contributory to chronic sinus infections. When the symptoms are tied to an allergy, a Board-certified Allergist can help guide treatment options and lessen the long term need for medications through allergen immunotherapy.

What can I do if I am prone to sinus infections?

Ways to help mitigate the symptoms of chronic sinusitis include:

• Consult with a Board-certified allergist to help determine if allergies are a cause for your symptoms.
• Application of a warm towel to the head, neck, and face to ease pain and pressure.
• Use of saline spray to keep nasal passages clean and decongested.
• Use of OTC decongestants, although these are not recommended as part of a long-term treatment plan.
• Use of a vaporizer or humidifier, especially during the dry winter months. Just be sure to clean the unit routinely, as unclean it poses more risks than benefits.
• Get a better understanding and management plan for allergies, which can be a trigger.
• Try to avoid smoke like cigarettes or even cars, which can inflame the nasal passages.

How do you know if it is a sinus infection or allergies?

Even if you know you have a sinus infection, an allergy test can help determine if allergies are contributing to the symptoms, which helps you make smart choices about changes in your environment that can decrease the odds of repeat infections. A Board-certified Allergist can clarify if allergies are contributing to your symptoms or if nonallergic factors are causing your problem.

Are you wondering if you may be suffering from allergies?

Call the experts at the Allergy & Asthma Specialists of North Florida to schedule an appointment today.

Sources: American Academy of Allergy, Asthma & Immunology and American Academy of Otolaryngology– Head and Neck Surgery

90,000 Odontogenic sinusitis. Who should treat: dentist or ENT doctor?

What is odontogenic sinusitis?

This is an inflammation of the mucous membrane of the maxillary sinus, which occurs as a result of the spread of infection from the affected tooth, tissues around it, or through the formed communication between the oral cavity and the sinus after tooth extraction.

Who should treat odontogenic sinusitis?

Since the causes of inflammation of the maxillary sinus are inflammation of the teeth and tissues around, the source of the infection must be eliminated first.

This is done by dentists. In some cases, conservative treatment of the tooth (cleaning of canals, filling, etc. ) and the appointment of antibiotic therapy are sufficient. The help of an ENT doctor in such cases is reduced to washing the sinuses, prescribing means that ensure the restoration of patency of the natural openings of the sinuses and their self-cleaning.

However, conservative dental treatment, even with the use of modern microscopes, is not always effective. It is known that the only way to eliminate the source of infection in a tooth is 100% by removing it.Removal of the apex of the roots of the teeth is currently receding into the background. As a rule, the roots of 5-7 teeth in the upper jaw are bordered by the lower wall of the maxillary sinus. Sometimes the roots of the teeth can stand in the lumen of the maxillary sinus, and the bone plate separating them is very thin or completely absent. When inflammation spreads from the affected tooth to the sinus mucosa, the bone is very often destroyed. Therefore, the removal of such teeth leads to the formation of a communication between the sinus and the oral mucosa – an oroantal fistula.

If, as a result of tooth extraction, such a message is formed, some dentists recommend waiting for the inflammation to subside and then stitching it up. In this case, conservative treatment, antibiotic therapy and lavage of the affected sinus are prescribed. However, in such cases, bacteria can enter the maxillary sinus through the opening from the oral cavity and maintain inflammation there.

We are of the opinion about the need for simultaneous closure or closure of the message formed after the extraction of a “diseased” tooth.

Are there cases when conservative treatment and extraction of the causative tooth is ineffective?

Yes, if the patient has prerequisites in the structure of the nasal cavity and paranasal sinuses, which disrupt the outflow of mucus from the maxillary sinus and air exchange in it through natural communication. For example, a curvature of the nasal septum, a violation of the anatomy of the middle nasal passage leads to the closure of the natural communication with the sinus and a violation of its self-cleaning.

In such cases, it is necessary for the ENT doctor to act.

We have observations of patients who, after tooth extraction and repeated courses of antibiotic therapy and washing of the maxillary sinuses, continued to hurt. Moreover, after the restoration of the outflow through the natural anastomosis, the inflammation was quickly eliminated on its own.

Therefore, if the patient has causes inside the nose that block the natural anastomosis of the maxillary sinus, they must be eliminated by surgery. Without this, success cannot be achieved.

Such causes can be detected using computed tomography of the paranasal sinuses or cone-beam tomography in 3 projections.

Conventional X-rays are not informative !!!!!

What should a patient do if sinusitis persists?

• Cone beam tomography or computed tomography of the sinuses in 3 projections should be done.
• Consult a dentist to rule out an odontogenic source of infection.
• Consult an ENT doctor who is proficient in endoscopic sinus surgery.

We use an integrated approach in our clinic.

Often we simultaneously remove the causative tooth, we simultaneously close the communication between the oral cavity and the maxillary sinus after its removal. We correct the causes inside the nose blocking the natural junction with the maxillary sinus (we eliminate the curvature of the nasal septum, restore the normal anatomy of the middle nasal passage, expand the blocked natural junction with the sinus).

This operation is carried out simultaneously under general anesthesia and allows you to speed up recovery and reduce the percentage of relapses of the disease.

THERE ARE CONTRAINDICATIONS, SPECIALIST CONSULTATION IS REQUIRED

Which doctor should I contact with nasal congestion

Laura (otolaryngologists) Moscow – latest reviews

The doctor knows his stuff. I communicated well with the child.At the reception, Azimjon Narzulloevich helped, made a diagnosis, examined, prescribed treatment, and told how to treat. He recommended to donate blood and continue treatment. In time, the consultation lasted about 20 minutes. I would reapply.

Marina,

September 20, 2021

I liked everything.Natalya Ananyevna figured out my problem. She is a good specialist, a competent doctor. The doctor devoted enough time to my problem, explained everything in an accessible way.

Oksana,

September 22, 2021

Nice and attentive specialist. We talked to the doctor. She told everything and said that the girl needed to be sewn in chips, and the patient was wearing headphones anyway. We don’t know what to do. If necessary, I would recommend this specialist to my friends.

Moderation,

September 23, 2021

I went to the doctor with a complaint of pain in the ears.Elena Ivanovna carried out a very thorough examination and found out that the problem was not with the ears, for which many thanks to her. Before that I went to the state polyclinic, where I was treated for a very long time. I was very pleased with the reception and received the right direction for solving my problem, recommendations and appointment. A professional, sociable doctor, she made a good impression.

Oksana,

September 21, 2021

My throat was very sore.I really liked the doctor. She explained everything to me in clear language and prescribed treatment. The doctor also examined me, listened to me, asked questions, recommended to be tested and prescribed the correct treatment. Yesterday, after taking it, I started treatment. I feel very different today. It became much easier for me. A very good, pleasant, dismissive and kind doctor. I found this specialist after reading reviews about him. Recommend! I want to return to this doctor.

Gulnara,

September 22, 2021

I went to a specialist with a child.At the appointment, the doctor examined her, gave her recommendations and prescribed treatment. She took enough time to solve our problem. The doctor is attentive, explains everything clearly and easily. I can recommend this specialist to my friends, if necessary, and if necessary, we can apply again. We were satisfied with the quality of the reception.

Sergey,

September 22, 2021

The doctor is very kind, attentive. At the reception, Alik Gadelyanovich listened attentively, looked at his nose, ears, talked to the child that he was in pain, and asked when everything happened, how he was treated. He gave good treatment, prescribed procedures, there is already a result, but so far there is nasal congestion. After the tests, I want to talk to him about further treatment. I talked well, kindly, my daughter is happy, usually afraid of doctors, I found an approach. Allowed the child to understand that it is not scary. I answered all the questions.

Moderation,

September 23, 2021

I liked the doctor very much, quickly examined her. I sent for an X-ray, prescribed the necessary medications. Anna Dmitrievna is an attentive and just a very good doctor. Explains everything very well understood. I was pleased with the reception. If necessary, I will also turn to this specialist.

Alexandra,

September 22, 2021

Jenvery Zurabovich is a tactful doctor who knows how to do his job well.The doctor performed all procedures painlessly. Namely, they washed the plugs in my throat. It has already become noticeably better! As a result of the admission, I received relief from pain, recommendations, prescriptions and treatment. The meeting itself took place on time, even a little earlier.

Pauline,

September 20, 2021

Irina Borisovna listened to me, gave advice and suggested treatment options.Sociable, smiling, attentive and just a good doctor. Already signed up for a second appointment. I was advised this specialist and I will also recommend this doctor to others!

Dilshod,

September 20, 2021

Show 10 reviews of 14,462 90,000 Polyps of the nasal cavity and paranasal sinuses (polyposis of the nose)

Tsvetnoy Boulevard

Moscow, Samotechnaya, 5

around the clock

Preobrazhenskaya Square

Moscow, B. Cherkizovskaya, 5

Daily

from 09:00 to 21:00

Day off:

January 1, 2020

Dmitry Donskoy Boulevard

Moscow, Green, 28 building 1

Daily

from 09:00 to 21:00

Michurinsky prospect

Moscow, Bolshaya Ochakovskaya, 3

Daily

from 09:00 to 21:00

90,000 Odontogenic sinusitis – how to recognize and successfully cure the disease?

Tsvetnoy Boulevard

Moscow, Samotechnaya, 5

around the clock

Preobrazhenskaya Square

Moscow, B. Cherkizovskaya, 5

Daily

from 09:00 to 21:00

Day off:

January 1, 2020

Dmitry Donskoy Boulevard

Moscow, Green, 28 building 1

Daily

from 09:00 to 21:00

Michurinsky prospect

Moscow, Bolshaya Ochakovskaya, 3

Daily

from 09:00 to 21:00

90,000 Bacterial sinusitis: description of the disease, causes, symptoms, cost of treatment in Moscow

Bacterial sinusitis is a fairly common inflammatory disease of the paranasal sinuses, when purulent masses form in them, which are poorly separated or completely retained inside, without moving out. In the absence of timely treatment, the disease easily leads to serious complications that can pose a direct threat to human life. Seeking medical help when signs of bacterial pathology appear is mandatory.

Pathology is a complex inflammatory process that can be acute or chronic. The bacterial form is one of the most severe, as it leads to the active formation of a large volume of pus, which develops a general intoxication of the body.Since in pathology the symptomatology is such that it is impossible to ignore it, then you cannot miss the onset of a bacterial disease. If you seek medical help as soon as symptoms of a disorder appear, you will be able to fix the problem quickly and prevent the development of complications. The disorder can occur at any age, but most patients are persons aged 10 years and older. Self-medication for pathology is extremely dangerous and can lead to extremely serious consequences.

Differences from the viral form

There are no special cardinal differences in the viral and bacterial forms of the disease, but when the causative agent is a bacterium, the symptoms are much more intense and pronounced. You should also pay attention to the mucus that is secreted from the nose. With a viral infection, it is usually more liquid and does not have purulent impurities. If the sinusitis is bacterial, then the mucus is viscous, with pus and an unpleasant odor.

Body temperature, when acute bacterial sinusitis occurs, is usually higher than in viral pathology. Heavy sweating and severe chills are also noted. In order to accurately determine which disease is taking place, a nasal swab is required.A referral to such a procedure will be given by an otolaryngologist.

How infection occurs

In order for the inflammatory process to begin to develop, pathogenic bacteria must penetrate into the paranasal sinus, for which there are several ways. From how the infection occurred, the treatment and symptoms will not change. The factors contributing to bacterial infection are well known to physicians.

1. Overgrowth of adenoid lymphatic tissue or neoplasm in the nasal cavity.

2. Foreign body in the nasal cavity.

3. Injury to the face of the skull, in which bone damage occurs.

4. Strong general hypothermia of the body. In this case, a serious decrease in immunity occurs, due to which the body is unable to resist the pathogens of inflammation that penetrate along with the inhaled air.

5. The presence of carious teeth. They are a constant source of infection in the body, and located in the upper jaw lead to permanent infection of the maxillary sinuses.

6. Improper hygiene of the nasal cavity.

The main causative agents of the pathology are staphylococci, streptococci, pneumococci, hemophilus influenzae and moraxlla. To determine exactly which pathogen is present, a smear from the nasal cavity with further sowing on a nutrient medium helps.

Reasons

After the bacteria have entered the nasal cavity, a decrease in the body’s natural defenses is required. Without this, the immune system will be able to suppress their development and prevent the onset of the disease. The main factors provoking a decrease in immunity are the following:

• smoking;

• alcohol abuse;

• chronic overwork;

• inflammation of the pharynx;

• frequent viral infections;

• severe stress;

• prolonged lack of sleep;

• nervous strain.

Also at risk for the disease are people working in a chemical, dusty or hot production. Due to the constant negative effect on the nasal mucosa, they have a gradual atrophy of a number of its cells, leading to a decrease in natural defenses.

The age factor also plays a role in illness. Elderly people suffer from the disorder quite often, since due to natural age-related changes, the state of the mucous membrane also changes.Additionally, their situation is aggravated by the presence of various chronic pathologies. Treatment of the disease in elderly patients is more difficult.

Forecast

The prognosis for the patient depends on how timely the treatment of the disease was. If therapy is started immediately after signs of inflammation appear, the result will be positive. The prognosis in this case is good. With delayed treatment and the development of complications, the prognosis changes to a serious and even bad one.Bacterial sinusitis is not as harmless as it might seem at first glance, and you should not expect it to go away on its own without medical help. Complications develop especially quickly in children and the elderly.

Which doctor should I go to?

The otolaryngologist (ENT) is engaged in the specialized treatment of diseases of the respiratory system. In the event that it is not possible to visit this specialist, you need to contact a therapist. His qualifications are enough to suggest the presence of sinusitis and send the patient for examination.After that, based on the results of the tests, he will prescribe the treatment, which is accepted for the bacterial form of pathology.

Diagnostics

In most cases, it is not difficult to make a correct diagnosis, since this form of the disease is widespread. First of all, the doctor collects anamnesis and listens to the patient’s complaints, and then gives directions to the procedures necessary to diagnose the violation.

1. X-ray of the area of ​​the paranasal sinuses.This method is used very widely. It is simple, readily available in most healthcare settings, and is reasonably accurate. At the same time, it is not always reliable with inflammation of the ethmoid sinus, when, due to the peculiarities of its structure, it is not possible to properly visualize what is happening in it. Also, X-rays are strictly prohibited for young children and highly undesirable for pregnant women.

2. Computer or magnetic resonance imaging. Safe and informative method, which is much more accurate than X-ray.The choice of procedure depends on the capabilities of the medical institution. The study reveals the presence of pathology in the nasal sinuses and nasal passages.

3. Puncture of the inflamed sinus in order to obtain material for research. Also, this method allows you to immediately carry out the first stage of therapy, clearing the sinus from pathological contents, washing it and injecting a drug.

All these diagnostic measures make it possible to obtain the desired result and prescribe a full-fledged therapy that will be most effective in a particular case.

what is it and what are its reasons?

Select a specialist:

Pediatric dentistOrthodontistTherapistHygienistPeriodontistSurgeonOrthopedistPediatrician ENT Pediatric endocrinologist

• Yulia Vostrikova
  Pediatric dentist-therapist

• Ponomareva Maria Lvovna
  Orthodontist for children, adolescents

• Glazyrina Yulia Leonidovna
  Dentist therapist, children

• Pautova Larisa Evgenievna
  Dentist therapist, children

• Shirikhanova Natalia Valentinovna
  Dentist therapist, pediatric

• Shevtsova Yulia Vadimovna
  Dentist therapist, pediatric

• Grebenkina Victoria Alekseevna
  Dentist therapist, children

• Khimchuk Natalia Sergeevna
  Children’s dentist

• Sosnina Natalia Eduardovna
  Children’s dentist

• Kharlamova Anna Yurievna
  Children’s dentist

• Svetlitskaya Alexandra Nikolaevna
  Dentist-therapist for children, adolescents

• Strelkova Daria Mikhailovna
  Dentist-therapist for children, adolescents

• Rusinova Anastasia Sergeevna
  Children’s dentist

• Ponomareva Maria Lvovna
  Orthodontist for children, adolescents

• Davydov Kirill Andreevich
  Dentist-orthodontist

• Sakhnov Alexander Anatolievich
  Dentist-orthodontist

• Goreva Olga Borisovna
  Dentist-orthodontist

• Mokina (Domashevich) Olga Vasilievna
  orthodontist for children, adolescents

• Vera A. Kostrova
  Dentist therapist

• Mkrtchyan Aida Mikhailovna
  Dentist therapist

• Satina Anna Sergeevna
  Dentist therapist

• Motyl German Viktorovich
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• Chudinova Irina Viktorovna
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• Olga Shumatova
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• Eliseeva Svetlana Yurievna
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• Davydova (Aminina) Ekaterina Viktorovna
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• Ryabkova Olga Borisovna
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• Girsh Irina Leonidovna
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• Chikurova Valentina Anatolyevna
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  children’s hygienist

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• Krasnoperova Olga Igorevna
  Pediatric endocrinologist

90,000 Most sinus infections are viral and cannot be treated with antibiotics

The lion’s share of nasal sinus infections – rhinitis and sinusitis, expressed in a common cold – does not require antibiotic treatment, since it is of a viral nature. These are the new rules issued by the United States Association for Infectious Diseases Specialists. In Russia, the unjustified use of antibiotics by patients and doctors for viral diseases is also widespread, experts admit.

Respiratory diseases, that is, diseases of the respiratory tract, are one of the most common diseases. According to statistics, in the United States, one in seven patients suffered from sinus infections at least once a year. “The most common diseases on Earth are respiratory infections, and almost always they are accompanied by a runny nose and difficulty in nasal breathing,” agrees to.MD, otorhinolaryngologist NMHTs them. Pirogov Oleg Savchuk.

Both in Russia and in the United States, as it turned out, they like to treat a cold with antibiotics, although the validity of this approach has always been in great doubt. These doubts are fully confirmed, according to a report published on Wednesday by experts from the American Association of Specialists in Infectious Diseases (IDSA).

“Although sinus infections are the fifth most common cause of antibiotic prescriptions by doctors,

90–98% of them are of a viral nature, that is, they cannot be treated with antibiotics.The wrong prescription of antibacterial drugs leads to the development of drug resistance in bacteria “,

– the message says.

“Today there is no simple test that can quickly tell if an infection is viral or bacterial, so many physicians prescribe antibiotics ‘just in case’.However, if the infection turns out to be viral (and this happens in the overwhelming majority of cases), antibiotics will not help against it, but will only harm: microbes will have a chance to develop resistance to them, the patient may have side effects, and the cost of treatment will increase, ”- explained Dr. Anthony Chow, expert committee chairman and professor emeritus at the University of British Columbia (Vancouver).

It would seem that doctors are repeating a well-known truth: bacteria and viruses are completely different in nature.A bacterium is a microscopic unicellular organism, and a virus is a subcellular formation consisting only of DNA (or RNA) in a protein coat and can exist only inside another cell. Therefore, it is natural that antibiotics – antibacterial drugs – are powerless against viruses. However, the tendency towards self-medication with antibiotics, as well as their unjustified prescription by doctors to fight viral infections, is characteristic not only of the American, but also of the Russian public. “Going to a doctor during a flu epidemic leads to massive and unjustified prescription of antibiotics, to the delight of pharmacists and medical charlatans,” admits a children’s doctor, Ph.m. n. Evgeny Komarovsky.

The Code, the first IDSA guidance on this topic, provides precise disease characteristics that should help doctors distinguish between viral and bacterial infections.

Acute rhinosinusitis – the common name for “colds” – combines inflammation of the mucous membrane of the nasal cavity and paranasal sinuses,

causes unpleasant pressure inside the nose and can last for weeks. Most sinusitis develops on the background of a “cold” or other upper respiratory tract infections, but there is also a factor of allergy, as well as other forms of irritating environmental influences.

September 23 16:19

The IDSA believes that rhinosinusitis can be identified as bacterial (and therefore an antibiotic should be prescribed for its treatment) only if:

– symptoms do not disappear for 10 days or more;
– the disease is difficult: the temperature is 39 degrees and above, abundant nasal discharge and pain are observed for 3-4 days in a row
– the condition worsens after its partial improvement (usually after ARVI for 5-6 days, which seems to have begun to recede) . ..

If the infection was nevertheless identified as bacterial, then you should not abuse antibiotics and during its treatment – it is enough to take it for 5-7 days.

Traditional recommendations to take drugs for 10-14 days again increase the risk of developing resistance to them, experts say. However, for children, the previous recommendations have been preserved – admission up to two weeks.

In addition, doctors are advised to avoid the use of decongestants and antihistamines.The former include, for example, the widely used galazolin and other vasoconstrictor drops, and the latter – antiallergic drugs. Whatever the nature of rhinosinusitis, bacterial or viral, these types of drugs do not cure and can only worsen symptoms. An exception is made for people with a history of allergies.

Prescribed treatment for viral infections is, as always, the simplest – irrigation of the nose with disinfected saline and drinking plenty of fluids.

Sprays, drops, and liquid can be used for nasal irrigation.This will alleviate the most unpleasant symptoms. Well, for the relief of pain in the nose, eternal paracetamol is recommended.

“These are the first detailed guidelines for the treatment of rhinosinusitis. Health care professionals face a number of challenges in their treatment, and these guidelines summarize current knowledge to provide the most accurate recommendations. They are transparent and factual. True, a number of points suggest that this problem needs further research, ”concluded Dr. Thomas File, one of the co-authors of the rules and head of the infectious diseases department at Northeastern Ohio Medical University.

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