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Read on to find out how to treat chronic sinus infections. DETERMINE THE UNDERLYING CAUSE Doctors will try to treat sinusitis with conservative measures whenever possible. This means they must first determine the underlying cause of your chronic sinus infections. Examples include: * allergies * infections * inflammatory disorders * a combination of the above causes To diagnose your condition, a doctor will: * listen to your symptoms * conduct testing, including using a special tool to look up your nose and into your sinus passages * collect imaging * potentially perform other tests to determine a cause MEDICAL THERAPIES FOR CHRONIC SINUS INFECTIONS Once a doctor has diagnosed what’s causing your chronic sinus infections, their goal will be to: * treat the underlying cause (or causes) * reduce inflammation that keeps your sinus passages from draining They usually accomplish this by: * thinning nasal secretions * prescribing corticosteroids Ideally, doctors can prescribe medical therapies that clear up chronic sinusitis symptoms and keep them from coming back. Depending on the underlying cause, medical therapies may include: INTRANASAL CORTICOSTEROIDS Intranasal corticosteroids reduce inflammation in the nasal passages. Examples include fluticasone (Flonase) and mometasone (Nasonex). They reduce swelling so mucus can exit the nose more easily and breathing is enhanced. ORAL CORTICOSTEROIDS Oral corticosteroids are pill medications that work like intranasal steroids. They also have whole-body effects. Your doctor will usually prescribe short-term oral corticosteroids for chronic infections that don’t respond to antibiotics because oral steroids have more side effects than nasal ones. DECONGESTANTS These medications work to unblock the sinuses and reduce nasal congestion symptoms. They’re sold as either nasal sprays or oral medications. Examples include nasal Afrin or Sudafed. However, you shouldn’t use nasal decongestant sprays for more than a few days. They can have a reverse effect if you use them for too long. SALINE IRRIGATION Saline irrigation is a simple method. It’s a low-cost way to thin nasal secretions. Thinner secretions exit the nasal passages more easily, reducing chronic sinusitis symptoms. You can purchase saline nose sprays at most pharmacies. ANTIBIOTICS Your doctor will perform a special test to obtain cells from inside your nasal passages. This is more than just a nasal swab. Your doctor will likely send this sample to a laboratory to determine the type of pathogen that has infiltrated your nasal passages. They can then prescribe the right antibiotics to treat your symptoms. IMMUNOTHERAPY Some people with chronic sinusitis have the condition as a result of immunodeficiency-related conditions. Examples include IgA deficiency and C4 deficiency. Treatment may include prescribing immunotherapy treatments like intravenous immunoglobulins to enhance the body’s ability to fight infection and inflammation. According to an article in the journal American Family Physician, most doctors think chronic sinusitis is an inflammatory condition. That’s why they often prescribe anti-inflammatory medications, such as corticosteroids. SINUS SURGERY FOR CHRONIC INFECTIONS If medical therapies don’t clear up chronic sinusitis, your doctor will usually recommend surgery. Several surgical approaches can enlarge the sinus cavities to make breathing and drainage easier. In the past, sinus surgeries required bone and tissue removal. Recent advancements mean this isn’t the case. BALLOON SINUPLASTY Doctors have used balloon sinuplasty as a surgical approach in the United States since 2004. Your surgeon will insert a small, balloon-tipped catheter into the sinus passages. Under imaging guidance, they ensure the catheter is in the right location and slowly inflates the balloon. The balloon inflation widens your sinus passages. Once this is complete, your doctor deflates the balloon and removes the catheter. Because your doctor doesn’t have to cut out any tissue, your recovery time is usually shorter with balloon sinuplasty. However, not all people with chronic sinusitis are good candidates for the procedure. If cysts or polyps are also blocking your sinus passages, you may not be a good candidate. FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS) Functional endoscopic sinus surgery or FESS is another approach your doctor may recommend to treat chronic sinusitis. An ear, nose, and throat (ENT) surgeon will use a special tool with a lighted camera on the end to visualize the inside of your nose. They will then use small instruments to remove excess tissue, nasal polyps, or nasal cysts to widen your sinuses. Your ENT surgeon will perform the procedure under anesthesia. They may use general anesthesia (completely asleep) or conscious sedation (twilight sleep). SURGERY CONSIDERATIONS If you choose to have sinus surgery, you’ll still need to use medical therapies to reduce your symptoms and prevent chronic sinusitis from coming back. An estimated 75 percentTrusted Source of people who don’t respond to medical therapies find symptom relief with surgery. NATURAL REMEDIES FOR CHRONIC SINUS INFECTIONS Natural remedies for sinus infections may not fully cure your symptoms, but they can work to reduce them. Examples of these approaches include: * Drinking plenty of fluids. Fluids help to thin out mucus, which makes it easier to pass through your sinus passages. You know you’re drinking enough when your urine is pale yellow. * Applying warm compresses. Create a warm compress using a soft washcloth and warm (not hot) water. These compresses help to open your sinus passages and soothe swollen facial tissues to make breathing easier. * Using a neti pot. A neti pot is an alternative to saline nose sprays. You can buy these at most drugstores and online. They look like a small tea pot with an elongated spout. You fill the pot with sterile water, insert it into one nostril, and pour in the water so it comes out the other nostril. Here are step-by-step instructions. In addition to these measures, it’s important to get plenty of rest. Getting enough sleep at night enables your body time to heal and maintain a healthy immune system. HOW TO PREVENT SINUS INFECTIONS Taking steps to keep your nasal passages draining well can help you avoid sinus infections. Examples of healthy habits to practice include: * Wash your hands regularly, especially after coming in contact with others who have colds or other illnesses. * Take medications to control your seasonal allergies. Examples include over-the-counter allergy medications, such as loratadine (Claritin) or cetirizine (Zyrtec). * Refrain from smoking and avoiding secondhand smoke whenever possible. * Perform nasal irrigation once daily if you’re prone to chronic sinus infections. * Avoid exposure to dry air. You may inhale steam (such as in a shower) or use humidifiers to keep your air moist. This prevents your nasal passages from drying out. You can also ask your doctor for additional prevention recommendations that target the cause (or causes) of your sinus infection. TAKEAWAY Chronic sinusitis can affect your quality of life. Fortunately — through medical therapies and sometimes surgery — most people can find relief from their symptoms. Here’s to breathing easier! Last medically reviewed on June 18, 2019 HOW WE REVIEWED THIS ARTICLE: Sources Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. * Chong L, et al. (2016). Different types of intranasal steroids for chronic rhinosinusitis. cochrane.org/CD011993/ENT_different-types-intranasal-steroids-chronic-rhinosinusitis * Chronic sinusitis. (2017). cdc.gov/nchs/fastats/sinuses.htm * Kwon E, et al. (2018). Chronic sinusitis. ncbi.nlm.nih.gov/books/NBK441934/ * Sedaghat AR. (2017). Chronic rhinosinusitis. aafp.org/afp/2017/1015/p500.html * Sinusitis. (n.d.). aaaai.org/conditions-and-treatments/library/allergy-library/sinusitis * Weber RK, et al. (2015). Comprehensive review on endonasal endoscopic sinus surgery. DOI: 10.3205/cto000123 Share this article Medically reviewed by Shilpa Amin, M.D., CAQ, FAAFP — By Rachel Nall, MSN, CRNA on June 18, 2019 For a Longer Life and Happier Gut, Eat More Fiber Top 6 Benefits of Taking Collagen Supplements 6 Ways to Boost Your Coffee with Vitamins and Antioxidants WAS THIS ARTICLE HELPFUL? YesNo READ THIS NEXT * Chronic Sinusitis Medically reviewed by Alana Biggers, M.D., MPH Learn about chronic sinusitis infections, including its treatment options and symptoms. READ MORE * Home Remedies for Sinus Drainage Home remedies can often treat sinus drainage. Learn about tips for relieving symptoms like inflammation, nasal congestion, and irritation. READ MORE * 9 Ways to Get Rid of a Sinus Infection, Plus Tips for Prevention Medically reviewed by Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP Most sinus infections resolve on their own within 10 days, but here are some things you can do to help get rid of sinusitis and improve your symptoms. READ MORE * How to Relieve Sinus Pressure Medically reviewed by Alana Biggers, M.D., MPH Here's how to treat sinus pressure and symptoms with seven natural home remedies that don’t involve medication. READ MORE * Sinus Infection (Sinusitis): What It Is, Symptoms, and More Medically reviewed by Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP A sinus infection occurs when your nasal cavities become swollen, infected, or inflamed. Learn about the symptoms and how to treat them. READ MORE * What’s Causing This Thick, Rubbery Nasal Mucus? Medically reviewed by Marc Meth, MD, FACAAI, FAAAI Sticky, rubbery mucus can develop from environmental and lifestyle factors. Viral, bacterial, or fungal infections in your sinuses can also trigger it. READ MORE * What Can Cause Bad Breath That Doesn’t Go Away, and How Do You Treat It? Medically reviewed by Jennifer Archibald, DDS A persistent, unpleasant odor that doesn't go away with brushing or flossing may be due to an underlying medical condition, such as diabetes or gum… READ MORE * How to Use Pressure Points for Sinus Relief Medically reviewed by Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP Let’s look at how to use pressure points for sinus relief, which ones may help your symptoms, and how to find them on your face and body. READ MORE * 10 Clever Ways to Stop Eating Late at Night By Helen West, RD Many people eat late in the evening or during the night, which can lead to weight gain. Here are 10 clever ways to stop eating at night. READ MORE GET OUR WELLNESS NEWSLETTER Filter out the noise and nurture your inbox with health and wellness advice that’s inclusive and rooted in medical expertise. 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