Acute sinusitis in adults is defined as inflammation of the paranasal sinus cavities lasting less than 4 weeks.

Symptoms can include all or some of the following: nasal congestion, nasal blockage, green and/or yellow nasal discharge, facial pain or pressure, ear pressure, ear fullness, ear pain, headache, upper tooth pain, fever, cough and fatigue.

The most common culprits are viruses and bacteria.

Treatment includes ibuprofen and acetaminophen for fever and pain; nasal irrigation with saline, antihistamines-decongestant combinations such as Zyrtec D®, Claritin D® or Allegra D® to name a few.  Nasal inhaled steroids such as Flonase®, Nasonex®, Nasacort AQ®, Veramyst® are helpful for nasal inflammation and clearing obstruction.  Inhaled decongestants such as Afrin® should be used sparingly and for no more than 3 days as rebound congestion usually occurs. Antibiotics are usually indicated for patients who have symptoms lasting greater than 10 days or those who present with fever or facial pain.

*Always consult your physician before initiating any over the counter treatment.

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