Rhinosinusitis is inflammation of the lining of the nose and sinuses. Acute episodes are often viral; compatible symptoms lasting 12 weeks or longer prompt assessment for chronic rhinosinusitis.
Blocked nose and discharge may accompany facial pressure or reduced smell. Chronic disease requires supporting inflammation on examination, endoscopy or CT. Persistent, severely starting or initially improving then worsening acute illness may need assessment for bacterial infection; discharge colour alone is insufficient. Saline and an appropriate steroid spray are principal options for chronic disease. Surgery is discussed individually when symptoms continue to impair quality of life despite treatment.
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