What are the treatment options for chronic sinusitis?

Chronic sinusitis is ongoing inflammation of the lining of the nose and sinus spaces. Swelling and thick mucus can block drainage, causing congestion, facial pressure, reduced smell and nasal discharge. Treatment is chosen according to the pattern of symptoms and may involve checking for allergies, nasal polyps, asthma or a physical blockage.

A saline nasal rinse can wash away mucus and irritants when prepared and used safely. A prescribed nasal steroid can reduce swelling over time; it needs regular technique rather than occasional use. Antibiotics are not suitable for every flare because many episodes are driven by inflammation rather than bacteria.

Arrange a GP Consultation if congestion, discharge, facial pressure or reduced smell keeps returning. Ask how to use a rinse and nasal spray correctly, and do not share sprays or use decongestant sprays longer than directed. If allergy symptoms accompany your sinus problems, Allergy Testing may help identify triggers and guide avoidance or treatment. Persistent blockage may need specialist assessment.

Seek urgent help for swelling or redness around an eye, vision changes, severe headache with neck stiffness, confusion, or marked facial swelling. Contact a clinician promptly for high fever, severe one-sided facial pain, worsening symptoms after initial improvement, or repeated nosebleeds. These signs need assessment for complications or another cause.

Ask whether your symptoms suggest allergy, polyps, infection or blockage; which rinse and spray technique is appropriate; and how long to try the plan before review. Ask whether Allergy Testing or an ear, nose and throat assessment would add useful information.