Once in the nasal cavity there’s only two things it can do, first thing is to come out of your nose so people will notice nasal discharge, the second thing you can do is go to back of your throat as the back of your nose related to back of your throat and there it causes irritation and cause you to cough. Inflammation of mucosa can also alter the smell and taste of things, patients can also have fever because of the infection and inflammation.
How can we diagnose sinusitis, by and large the diagnosis of sein scientists is made by symptoms alone, common symptoms include nasal or post nasal drip, sinus pain or pressure nasal congestion, decreased ability to smell, cough, headache, and fever but sometimes the symptoms aren’t clear-cut, in that case there’s some other tests that can be done to diagnose…sometimes, a medical practitioner will take a look inside your nose to get a better look at nasal or post nasal drip, this is called Rhino’s copy x-rays, it can be done to visualize sinuses. The gold standard to diagnose is CT scan, other tests are only done if needed in special circumstances.
How can we treat sinusitis;
For acute viral sinusitis, the most common type of sinusitis, there is not a lot we can do to actually treat the disease itself but we can treat symptoms, one of the first drugs to treat symptoms is going to be nasal decongestants, these medications shrink swollen nasal passages facilitating the flow of drainage from the sinuses. We also give mucolytics medications which help clear mucus, we also ask the patient to remain well hydrated as being well hydrated helps in drainage. A mucus form is not so sticky that it gets stuck in if your body is well hydrated and finally we also give painkillers to help relieve the pain, for acute bacterial sinusitis we give all of the above plus antibiotics for 10 to 14 days.
For chronic sinusitis, again all of the above but the antibiotics have to be given for a lot longer period, most people recommend 4 to 6 weeks of antibiotics if the sinusitis is too severe and the person is at risk of complications, we go for surgery. Surgery may be done to remove small amounts of bone or other material blocking the sinus openings or to remove growth blocking sinuses also called as polyps, normally a thin lighted tool called an endoscope is inserted through the nose so the doctor can see and remove whatever is blocking the sinuses.