Chronic sinusitis

Chronic sinusitis involves inflammation of the air-filled spaces found inside the bones in and around the nose. This result to swollen mucus membranes lining the sinuses along with pain and pressure in and around the eyes and cheekbones as well as dense greenish discharge from the nose.

Generally, a chronic case is diagnosed if the symptoms last longer than 12 weeks despite treatment. The mucus membranes within the nose and paranasal sinuses are continuously inflamed and become thicken. Upon inspection by the doctor, the membranes are evidently inflamed.

What are the indications?

The indications of chronic sinusitis strikingly resemble the acute form. Nevertheless, a chronic case usually has symptoms that are milder without fever. The effects of the condition tend to vary from one individual to another. The usual indications include the following:

  • Chronic coughing especially among children
    Chronic sinusitis

    Headache that is worse when lying down or bending.

  • Diminished sense of smell
  • Headache that is worse when lying down or bending
  • Fatigue
  • Pain around the upper jaw
  • Pain or pressure in the face or area in and around the eyes
  • Thick mucus or postnasal drainage
  • Stuffed nose and difficulty breathing via the nose
  • Swelling around the eyes, nose and eyelids


The treatment for chronic sinusitis are generally aimed on alleviating the nasal congestion, improving breathing, minimizing the pain and pressure and correcting any physical or structural issues of the nose or sinuses.

General treatment

  • Avoidance of the allergic triggers among those with allergies
  • Get enough rest
  • Drink more fluids to keep the body hydrated and keep the nasal discharge loose
  • Use a cool mist vaporizer to moisten and loosen the nasal drainage
  • Keep the head raised while sleeping to minimize the pressure on the sinuses


Medications might be prescribed by the doctor. It is vital to carefully follow the directions when using over-the-counter medications.

The medications prescribed to manage infections such as antibiotics and antifungals should be taken as directed to deal with the underlying infection. The commonly used medications include:

  • Antibiotics
  • Antihistamines
  • Antifungal drugs
  • Antileukotrienes
  • Decongestants
  • Corticosteroid nasal sprays
  • Non-steroidal anti-inflammatory drugs (NSAIDs)


Surgery might be an option is some cases of chronic sinusitis to fix any structural issues, get rid of any physical obstructions or polyps, repair any injuries or clear out diseased tissues.


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