Chronic sinusitis occurs when the spaces inside your nose and head (sinuses) are swollen and inflamed for three months or longer, despite treatment.

This common condition interferes with the way mucus normally drains, and makes your nose stuffy. Breathing through your nose may be difficult, and the area around your eyes might feel swollen or tender.

Chronic sinusitis can be brought on by an infection, by growths in the sinuses (nasal polyps) or swelling of the lining of your sinuses. Also called chronic rhinosinusitis, the condition can affect both adults and children.

Sinusitis is considered chronic after symptoms last for more than 12 weeks. Acute sinusitis often happens because of a cold and disappears along with the cold.

• trouble smelling or tasting food and drinks
• yellow or green-colored mucus dripping from your nose
• dry or hardened mucus blocking your nasal passages
• mucus leaking down the back of your throat (postnasal drip)
• tenderness or discomfort in your face, especially in the area of your eyes, forehead, and cheeks

Treatments for chronic sinusitis include:

• Nasal corticosteroids. These nasal sprays help prevent and treat inflammation. Examples include fluticasone, triamcinolone, budesonide, mometasone and beclomethasone. If the sprays aren't effective enough, your doctor might recommend rinsing with a solution of saline mixed with drops of budesonide or using a nasal mist of the solution.
• Saline nasal irrigation, with nasal sprays or solutions, reduces drainage and rinses away irritants and allergies.
• Oral or injected corticosteroids. These medications are used to relieve inflammation from severe sinusitis, especially if you also have nasal polyps. Oral corticosteroids can cause serious side effects when used long term, so they're used only to treat severe symptoms.
• Aspirin desensitization treatment, if you have reactions to aspirin that cause sinusitis. Under medical supervision, you're gradually given larger doses of aspirin to increase your tolerance.

Immunotherapy

If allergies are contributing to your sinusitis, allergy shots (immunotherapy) that help reduce the body's reaction to specific allergens might improve the condition.

Media Contact:
Larry Tyler
Managing Editor
Journal of Pain Management and Therapy
Email: pain@journaloa.org 
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