Sinusitis
Sinusitis is an inflammation of the sinuses, most commonly caused by a viral infection such as the common cold. It can lead to facial pain, nasal congestion and thick nasal discharge. Most cases improve without antibiotics and can often be assessed during an online consultation.
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Symptoms
Common symptoms of sinusitis include:
A blocked or congested nose
Thick yellow or green nasal discharge
Pain or pressure around the cheeks, eyes or forehead
Reduced or lost sense of smell
Headache
Toothache or upper jaw pain
Fever
Bad breath
Cough, particularly at night
Symptoms often begin after a cold and may last for several weeks.
Causes
Sinusitis usually develops after a viral upper respiratory tract infection.
Other possible causes include:
Bacterial infection
Allergic rhinitis (hay fever)
Nasal polyps
Smoking
Asthma
Dental infections
Structural abnormalities of the nose
Most cases are viral and do not require antibiotics.
Diagnosis
A diagnosis can usually be made based on your symptoms and medical history.
During your consultation, your doctor will assess how long your symptoms have been present, whether they are improving or worsening, and whether a bacterial infection is likely. Imaging tests are rarely required unless complications are suspected.
Treatment
Most cases of sinusitis improve without antibiotics.
Treatment may include:
Drinking plenty of fluids
Saline nasal rinses
Nasal steroid sprays (when appropriate)
Paracetamol or ibuprofen (if suitable for you)
Rest
Antibiotics might be needed, especially if it has been more than 5 days and bacterial infection is suspected.
When should I seek urgent medical care?
You should seek urgent medical attention if you have:
Swelling around one or both eyes
Double vision or changes in your vision
Severe headache that is worsening
Confusion or drowsiness
High fever with facial swelling
Severe neck stiffness
These symptoms may indicate a serious complication requiring immediate medical assessment.
Related Symptoms
Related Conditions
Common cold
Allergic rhinitis (Hay fever)
Influenza
Nasal polyps
COVID-19
Frequently Asked Questions
Can I get antibiotics online?
Yes. If your symptoms suggest a bacterial sinus infection, your doctor may prescribe antibiotics following an assessment.
How long does sinusitis last?
Most viral sinus infections improve within 2 to 3 weeks.
Do all sinus infections need antibiotics?
No. Most cases are caused by viruses and recover without antibiotic treatment.
Can sinusitis be assessed online?
Yes. Many uncomplicated cases can be safely assessed during an online consultation.
What can I do to relieve my symptoms?
Drinking plenty of fluids, using saline nasal sprays or rinses, taking suitable pain relief and resting can help relieve symptoms while your body recovers.
Need medical advice?
If you think you may have tonsillitis or a sore throat, an online consultation can help determine the cause of your symptoms and whether treatment is appropriate.
Book an appointment with an English-speaking doctor today.