Sinus Problems
Chapter 10. Eye, Ear, Nose & Throat Problems

Your sinuses are behind your cheekbones and forehead, and around your eyes. Healthy sinuses drain almost a quart of mucus every day. They keep the air you breathe wet.

Your sinuses can't drain right if they are infected and swollen. Your chances of getting a sinus infection increase if you:
Have hay fever
Smoke
Have a nasal deformity or sinuses that don't drain well
Have an abscess in an upper tooth
Sneeze hard with your mouth closed or blow your nose too much when you have a cold

Symptoms of a Sinus Infection Are:
Head congestion
Nasal congestion and discharge (usually yellowish green) with or without foul odor or bad taste
Pain and tenderness over the facial sinuses
Pain in the upper jaw
Recurrent headache that changes with head position and disappears shortly after getting out of bed
Fever

Sinus complications can be serious. Your doctor can tell if you have a sinus infection with a physical exam, a laboratory study of a sample of your nasal discharge, and X-rays of the sinuses. You may need prescriptions for an antibiotic, a decongestant as well as a nasal spray and/or nose drops. These work to clear the infection and reduce congestion. Severe cases may require surgery to drain the sinuses.

Questions to Ask

Do you have two or more of the following?
A fever over 101oF
Greenish-yellow or bloody-colored nasal discharge
Severe headache which doesn't get better when you take an over-the-counter pain reliever or that is worse in the morning or when bending forward
Pain between the nose and lower eyelid
A feeling of pressure inside the head
Eye pain, blurred vision, or changes in vision
Cheek or upper jaw pain
Swelling around the eyes, nose, cheeks, and forehead

Self-Care Tips

A "cool-mist" humidifier can help. Wet air helps make mucus thin. You can put a warm washcloth or compress on your face, too. This can help with the pain. Here are some more tips:
Drink plenty of water and other liquids.
Take an over-the-counter medicine for pain.{Note: See Pain relievers in Your Home Pharmacy.}
Take an over-the-counter decongestant pill or an over-the-counter pill for pain that also has a decongestant, such as Tylenol Sinus. (Note: Older men should check with their doctor before taking decongestants. Decongestants that have ephedrine can give older men urinary problems.}
Use nose drops only for the number of days prescribed. Repeated use of them creates a dependency. Your nasal passages "forget" how to work on their own and you have to continue using drops to keep nasal passages clear. To avoid picking up germs, never borrow nose drops from others. Don't let anyone else use yours, either. Throw the drops away after treatment.
Add a humidifier to your furnace.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/99