If symptoms don't improve after 10 days or if you have a persistent fever for more than three or four days, seek medical attention. Also, if you have a history of recurrent acute sinusitis or chronic sinusitis, consider seeing an ear, nose and throat specialist for evaluation and treatment.
Chronic sinusitis may have several different causes. People with asthma or allergies are more likely to develop this long-lasting inflammation. This is often exacerbated by smoking, second-hand smoke, and environmental factors. It can also be caused by an infection of some sort.
If your sinus infection just won't go away or keeps coming back, it may be time to see an ear, nose, and throat (ENT) specialist. An ENT treats conditions of the ear, nose, throat, head, face, and neck. It may be time to see an ENT if: You've completed several courses of antibiotics without success.
Acute sinusitis lasts for less than four weeks. Chronic sinusitis can last for more than 12 weeks. The majority of sinus infection sufferers will see their symptoms start to resolve after about 10 days. While one to two infections a year is considering normal, more than four requires medical attention.
Schedule an appointment with your doctor if:
See a doctor immediately if you have the following signs or symptoms, which could indicate a serious infection: Fever. Swelling or redness around your eyes. Severe headache.
Serious Sinus Infections
While rare, the infection from a sinus issue can spread to the eyes or brain. If the infection reaches the eyes you can experience redness, swelling around the eyes and reduced vision. Cavernous sinus thrombosis is a rare infection that can lead to blindness.
Chronic Sinus Infections
If you keep having the same symptoms for over two weeks without getting better, a trip to the ER is the best way to stop the signs, especially if there is already difficulty breathing. It may also be possible that there is an underlying condition you may not have discovered yet.
If the condition lasts longer than ten days, or there is a worsening of symptoms after five to seven days, the sinusitis is more likely caused by bacteria than a virus.
Viral infections are spread the same way as bacterial infections. The difference is that the viral infection will start to improve after 5 to 7 days of the initial onset of the symptoms. There is no one definitive way for a doctor to determine if you have a bacterial or viral sinus infection based on symptoms alone.
The typical amoxicillin dosage for a sinus infection is 500 mg every 8 hours, or 875 mg every 12 hours, taken for 5 to 10 days. This may vary based on the severity of your infection. Body weight will determine the dosage for children. You can take amoxicillin with or without food.
Most people with sinusitis will feel better within two or three weeks and can look after themselves at home. You can help relieve your symptoms by: taking over-the-counter painkillers such as paracetamol or ibuprofen.
Place each of your index and middle fingers on either side of your nose, just between your cheekbones and upper jaw. Try using your thumbs instead of your index fingers for stronger pressure. Gently massage this area using a circular motion. Repeat for around 30 seconds to a minute.
Moisten your sinus cavities.
Drape a towel over your head as you breathe in the vapor from a bowl of hot water. Keep the vapor directed toward your face. Or take a hot shower, breathing in the warm, moist air. This will help ease pain and help mucus drain.
Fungal and bacterial sinus infections, on the other hand, are not contagious, but these types of infections are uncommon. If you have a sinus infection, it's best to assume that it is viral and take as many precautions as you can, like staying home from work or school.
Typically, antibiotics are needed when: Sinus infection symptoms last over a week. Symptoms worsen after starting to get better. Sinusitis symptoms are severe (high fever, skin infection or rash, extreme pain or tenderness around the eyes or nose)
What are the best antibiotics for a sinus infection? If your symptoms don't get better after about 7 days, your healthcare provider is more likely to prescribe an antibiotic. The recommended choices are amoxicillin or amoxicillin/potassium clavulanate (Augmentin) for 5 to 10 days.
Seeking medical attention is important as sinus infections can quickly worsen and cause further complications. It's important to seek medical attention if you're experiencing persistent symptoms, a high fever, severe headaches, pain in the face or teeth, difficulty breathing, or loss of smell or taste.
Call 911 immediately or go to the nearest emergency room (ER) if you have any of the following symptoms of sinus infection: Intense sweating. Horrible chills. Inability to breathe.
You doctor may recommend antibiotics if: You have symptoms of a bacterial infection and you have not gotten better after 10 days, even with home treatment. Your symptoms are severe, or you have other problems, such as pus forming in your sinus cavities. You have had sinusitis for 12 weeks or longer (chronic sinusitis).
Sinusitis may require a call to your doctor.
Although many sinus infections go away on their own, you may need to see a doctor if: You have severe symptoms from the beginning. You start to get better but then feel worse again. Have symptoms that last more than 10 days.
Fighting a sinus infection demands energy from the body, so it is common to feel fatigued. Some people feel exhausted because they cannot breathe easily or are in pain.
Causes. Sinus infections happen when fluid builds up in the air-filled pockets in the face (sinuses). This fluid buildup allows germs to grow. Viruses cause most sinus infections, but bacteria can cause some sinus infections.