June 25, 2022

Sinusitis in 7 questions

When does sinusitis occur?
As soon as we have the nose blocked, the opening of the sinuses is obstructed. Inflammation or infection then invades the cavities and this causes what is called a sinusitis.
It is the normal evolution of a cold that drags on, which becomes infected.
You can also have a more fragile ground like in an allergic person. Allergy causes swelling of the lining of the nose and sinuses, the passage for air is reduced and this creates superinfections more quickly. It's here sinusitis the most classic.
You may also have non-allergic hypersensitivity. The same symptoms appear, but in fact you react to all the elements of modern life, all that desiccates the mucous membranes: air conditioning, electric or floor heating, pollution, tobacco smoke.

What are the symptoms of acute sinusitis and chronic sinusitis?
The sinusitis acute following a cold, causes significant pain in the face, especially the touch of the cheeks and between the eyes. This increases when you lower your head, because of the pressure. The frontal sinus appears as the most painful. These symptoms are accompanied by purulent blotches and often fever. There is also a feeling of heaviness in the head.
The sinusitis chronic does not cause any particular symptoms because inflammation has been established for a long time. Patients complain of permanent discomfort to breathe through the nose, headaches and sometimes loss of sense of smell. Note that some live very well with their sinusitis chronic.

When does sinusitis become chronic?
A sinusitis becomes chronic either because it has been poorly treated because of a diagnosis not made, or because the treatment has not been observed. Inflammation that persists requires long treatment, patients become discouraged and stop it. Unfortunately, there is a risk of chronicity. This sinusitis is more tied to a fragile terrain, like people living in big cities.
We note that a third of sinusitis Chronic remains linked to a dental problem. Indeed, the bottom of the maxillary sinuses corresponds to the upper part of the teeth. The infection of a tooth can therefore pass into the sinuses.
People exposed to air conditioning in the office and electric heating at home, are weakened and more easily affected by the sinusitis chronic.
Another factor favoring the appearance of a sinusitis chronic, a significant deviation of the nasal septum preventing air from circulating normally.

What are the treatments for sinusitis?
For a sinusitis Acute treatment is based on taking antibiotics and anti-inflammatories. For a sinusitis chronic is prescribed an anti-allergic, anti-inflammatory and nasal drops. Self-medication is not recommended, it does not always solve the problem. Even with well-targeted drugs we have trouble treating properly a sinusitis especially when there is fragile ground.
Faced with sinusitis We are always trying to find out what is behind with the aid of nasal fibroscopy, sinus radio or CT scan. The latter gives us very precise information on the mucosa of the nose.
A sinusitis can only be cured if the precise cause is identified as a dental problem, an allergy if it is well treated or other.

Are there any specific pathologies of the sinuses?
Yes, you can have a sinus cyst. The mucosa lifts up and forms a kind of bubble filled with liquid, causing pain. If it is too important, we intervene surgically.
There is also nasosinus polyposis. We are faced with a stage of inflammation so chronic that instead of uniformly inflating the mucosa does so by creating species of sticks called polyps. The latter develop abnormally inside the sinus, emerge through the small orifices and will lodge in the nose and the butcher. This pathology is linked to allergic terrain, associated with asthma or environmental factors such as pollution. It is difficult and long to treat, sometimes it is necessary to operate.

What prevention tips can you give?
The dryness of the air being one of the causes of the occurrence of a sinusitisIf your heater is electric, ventilate the room well before going to bed. You can put a humidifier that releases water vapor. A simple trick, put laundry to dry in your room or a wet towel near the radiator. Do you wash it nose regularly with saline and think of drinking well in the day.
If you have the nose blocked permanently or regularly consult a specialist.

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