Chronic Sinus Infections

Symptoms

Unlike acute sinus infections — in which sinus headaches, facial pain, and fever are frequent — the symptoms of chronic sinus disease are a nagging and constant pressure. The most common symptoms include:

• Purulent postnasal discharge
• "Fullness" or congestion around the sinus areas (commonly over the bridge of the nose or under the eyes)
• Chronic coughing, frequently at night
• Chronic sore throat
• Bad breath

Causes

The most common causes of chronic sinus infection result from obstruction and congestion due to:

• Viral infections
• Allergy
• Environmental irritants such as smoke and dust fumes
• Other irritants

Complications

While chronic sinus infections are not life threatening (unlike some forms of acute sinus infection), possible complications may include worsening of asthma symptoms, fatigue, chronic headache, and constant sore throats.

Prevention and Treatment

Two important things need to be done: recognize the symptoms of chronic sinus infection, and prevent the causes — including removing irritants from the environment or treating allergies.

Treatment includes:

• Prevention
• The use of antibiotics for one to four weeks
• The use of topical nasal anti-inflammatory medications (steroids — very safe)
• Occasional use of decongestants and antihistamines
• Saline (salt water) nasal sprays
• Occasional warm packs to the sinus areas
• In recalcitrant cases, a needle may need to be introduced into the sinus area to irrigate and drain the sinuses

On occasion, blood tests evaluating infection, allergies, or immunity may be performed, as well as X-rays. Certain vaccinations such as the Haemophilus influenza or Pneumococcal vaccines may be given to help prevent sinus infection.

In summary, chronic sinus infections are common and prevention is essential.

If you have any questions, contact our office: Omaha: 402-391-1800 Lincoln: 402-464-5969