What to do in case of sinusitis?

What to do in case of sinusitis?

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What to do in case of sinusitis?

What to do in case of sinusitis? We have explained the details of the news, step by step, below. What to do in case of sinusitis? Keep reading our news. Here are all the details on the subject.

What to do in case of sinusitis?

She can bring us down all at once, with a feeling of noose under the eyes. But, behind this banal ENT infection, hide different forms that are not treated in the same way.

Sinuses are our lives, but we often don’t know exactly where these tiny bony cavities are. What is certain is that there are four pairs! The maxillary (under the eyes), frontal (above), ethmoid (between the eyes) and sphenoid (deepest, behind the eyes) sinuses.

What are they used for? “Many hypotheses are made, but none is really proven” , underlines Prof. Jean-François Papon, head of the ENT department at Bicêtre hospital and vice-president of the French Association of rhinology. They are thus given the ability to humidify and filter the air (as the nasal cavities also do), to protect against trauma, to reduce the weight of the skull, or to act as a sounding board for the voice. Each sinus communicates with the nasal cavity through a narrow opening, called an ostium, which allows mucus to drain out and, with it, impurities and potential pathogens. The catch? The reverse path is possible: viruses and other bacteria can therefore easily reach the sinuses from the nasal cavity.

It usually starts with a virus

Stuffy, runny nose, headaches … nothing more banal than a cold. But when viruses find their way into the sinuses and multiply there, the symptoms get worse! We then speak of acute rhinosinusitis, most often localized in the maxillary sinuses. The resulting inflammation and edema hamper the drainage of secretions, increasing nasal obstruction and causing diffuse pain around the nose and eyes, headache, and sometimes fever. No need to consult at this stage if you are in good health, do not have diabetes or an immune deficiency. As with any viral infection, antibiotics are not indicated. In addition to not speeding up healing, which can take a good ten days, they risk favoring the selection of resistant bacteria which will only ask to proliferate.

What to do? Essentially nose wash. This is the number one therapeutic reflex. Objective: clear the nose and facilitate the elimination of secretions and microbes. It can be used several times

per day using seawater sprays of the Stérimar or Humer type. Choose hypertonic formulas if the obstruction is very bothersome. Inhalations, by moistening the nasal cavities, can also provide relief (Calyptol Inhalant, Naturactive Aromasol, Pranarôm Capsules Inhalation …). Based on essential oils, they are reserved for adults or older years. Another tip: sleep in a cool room with your head slightly elevated to help remove the blockage. In case of fever or headache, we put on paracetamol but, above all, we forget the anti-inflammatory drugs such as ibuprofen, “which can complicate an ENT infection ”, reminds Prof. Papon.

If the infection lags or if the pain increases, a bacteria is involved

It happens that the infection is immediately due to bacteria or that these take advantage of a decline in local defenses caused by viruses to proliferate in turn. This is called acute purulent rhinosinusitis. The risk ? Poorly treated, it can tend to recur or lead to more serious infections, especially in the case of frontal sinusitis, ethmoidal or sphenoidal. “These are rarer than maxillary sinusitis, but can cause serious complications due to the proximity of these sinuses to the tissues of the eye , brain or meninges ”, explains the

Prof. Papon. What signs should alert? Mainly the pain which, instead of being diffuse, is localized opposite the affected sinus. It is therefore often unilateral and frequently strong and pulsating, increasing when lying down. No hesitation either in case of fever persisting for more than two days or symptoms of viral sinusitis lasting for more than ten days: it is necessary to consult.

What to do? The effective treatment of a bacterial infection occurs by taking antibiotics (usually seven days), although the effect is not instantaneous. “Due to the extent of the edema and inflammation, it takes two to three days to see an improvement” , warns the expert. But, in the absence of efficacy after this period, it is better to warn your doctor. If the nose washes remain indicated, a nasal vasoconstrictor, by prescription only, can also be prescribed in the event of significant congestion (Aturgyl, Déturgylone, Derinox …). Its use should be limited to three days, or even a maximum of five, as it can induce dependence, as well as cardiovascular and n$logical adverse effects. For these same reasons, it should not be combined with oral decongestants present in certain anti-rheumatic drugs (Actifed Jour & Nuit, Dolirhume, etc.), which are often ineffective in relieving sinusitis.

In case of redaction, we push the investigation

Poorly treated bacterial sinusitis – due to inappropriate antibiotic treatment or interrupted too early, for example – can recur several times a year or take a dragging form due to poor drainage of the affected sinus. In these situations, we always look for a dental origin (see box). A sinus CT scan can also be performed to determine the location and origin of the damage and to rule out a cause related to an obstacle, such as a foreign body, or to chronic inflammation (nasal polyposis).

What to do? If the infectious origin of the sinusitis is well established, we change the antibiotic (still in a seven-day course), until the one that works on the germ in question is found. This allows, most of the time, to overcome the problem. Otherwise, surgery may be proposed to widen the sinus drainage opening and make it functional again. “This procedure is most often performed endonasally under general anesthesia” , specifies Professor Papon. And, of course, when a polyp or foreign body is present, surgery is scheduled.

What if that came from the teeth?

The roots of the upper molars are located near or even in contact with the wall of the maxillary sinuses. This explains why an infection of one of these teeth or their supporting tissue (periodontitis) can spread to the sinus cavity. In this context, the pain is unilateral, under the eye, and radiates to the jaw. More or less strong, it is not associated with classic cold symptoms and the affected tooth does not always hurt. Is this your case? A dental check-up is then recommended urgently!

Be careful if you are traveling by plane

The sinuses participate in the regulation of the pressure at the level of the inner ear, they will not fulfill this role if they are congested. A medical opinion is therefore necessary before taking the plane during an acute sinusitis.

> Also to be discovered: Sleep: this benefit unsuspected nap on our brain


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