Chronic rhinosinusitis is inflammation lasting at least 12 weeks. Blockage or discharge may accompany reduced smell and facial pressure; objective findings support the diagnosis.
Allergy, polyps and anatomical factors are assessed together. Treatment may include appropriate nasal steroids and irrigation. Surgery is selected according to symptoms and response to previous care; it is not the first or only answer for every chronic case. Antibiotics require a suitable indication.
Diagnosis uses symptom duration and examination; endoscopy and CT are selected when needed. Saline, appropriate nasal medicines and sometimes surgery may form an individual plan. Not every sinus complaint needs antibiotics.
Seek emergency care for swelling around the eye, reduced vision, severe unusual headache or neurological symptoms. Use sterile, distilled or previously boiled and cooled water in nasal irrigation devices.
This information does not replace an individual consultation. Diagnosis and treatment depend on a medical assessment.
Consultation and treatment