Sinusitis simply means inflammation of one or more of the sinuses .Sinuses are the small hollow cavities (spaces) located in the brain. They are also referred to as paranasal sinuses as they are present surrounding the nasal cavity.

Sinusitis can be caused by infection, also by allergies and chemical or particulate irritation of the sinuses.
There are four pairs of sinuses. Functions of the sinuses include humidifying and warming inspired air, insulation of surrounding structures.
 • Frontal sinuses over the eyes in the brow area
• Maxillary sinuses inside each cheekbone
• Ethmoid sinuses just behind the bridge of the nose and between the eyes
• Sphenoid sinuses behind the ethmoids in the upper region of the nose and behind the eyes

Causes of Sinusitis

Allergic reaction such as hay fever, asthma
• Viral, bacterial or fungal infection
•  Excessive blowing of nose
• Foreign objects in nostril (especially in children)
• Changes in air pressure
• Side effects of certain drugs
• Obstructions in the nasal or sinus cavities (such as nasal polyps, deviated nasal septum)
• Dental caries
• Large adenoids
• Smoking
• Weak immune system

Sinusitis Signs and Symptoms

• Clear, watery discharge from both sides of the nose
• Cough mild
• nasal and ear itching
• nasal congestion
• sneezing
• tearing and eye itching
• fever and chill
• muscle and joints pain
• sore throat and hoarsness
• post nasal dripping
• headache
• fatigue
• bad breath
• Loss of smell

Classification of Sinusitis

• Acute sinus infection -is usually caused by common cold and is  of less than 30 days duration.
• Subacute sinus infection -over 1 month but less than 3 months.
• Chronic sinus infection as being greater than 3 months duration.

Investigations of Sinusitis

• Medical history and physical examination of the patient.
• X-ray, CT scan or MRI may be performed in order to confirm the diagnosis.
• Examining Nasal secretions
• Allergy testing
• Blood tests for HIV or other tests for poor immune function
• Rhinoscopy, a procedure for directly looking in the back of the nasal passages with a small flexible fiber optic tube, may be used to directly look at the sinus openings (ostea) and check for obstruction of these openings by either swelling or growths.

Complications of Sinusitis

• Meningitis ( infection spread to lining of brain )
• Brain abscess
• Osteomyelitis
• Ear infection
• Reduced vision

Treatment of Sinusitis

• Antibiotics
• Nasal corticosteroids
• Antihistamines
• Nasal decongestants

Diet / management of Sinusitis

• Drink plenty of fluids to thin the mucus.
• Inhale steam 2 – 4 times per day
• Spray with nasal saline several times per day.
• Use a humidifier.
• Eat plenty of fruits and vegetables, which are rich in antioxidants and other chemicals that could boost your immune system and help your body resist infection.
• Influenza vaccine each year.
• Reduce stress.
• Wash your hands often, particularly after shaking hands with others.
• Avoiding smoke and pollutants.

Homeopathic treatment for Sinusitis

Regular Homeopathic treatment helps in improving immunity of an individual and getting rid of antibiotics and nasal decongestants .

Kali suphuricum
• Acute and chronic sinusitis with nasal obstruction.
• Cold with yellow expectoration
• Rattling of mucus in the chest .

• Right-sided sinusitis and nasal pain, severe nasal obstruction
• Fluent coryza
• Sense of smell reduced
• Emaciation and debility in morning

• Chronic and acute sinusitis with thick yellow discharge
• Constant urge to blow nose but nothing comes out
• Dry and full feeling in mouth and throat
• Worse: winter, indoors and better in open air

• Yellow-green mucous
• Complete nasal obstruction
• Pressure and pain at the root of nose
• Thick discharge , violent sneezing
• Profuse , watery nasal discharge

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