What are the treatment options for sinusitis?

Sinusitis can follow a viral cold, allergies or irritation, and many episodes improve with time. Rest, fluids and simple pain relief may ease pressure and facial discomfort. Saline nasal rinses can help clear mucus; use them as directed and with safe, prepared water. A clinician may consider a nasal steroid spray when swelling or allergies are contributing. Antibiotics are not suitable for every episode because they treat bacteria, not viruses. A GP assessment can help distinguish likely causes and check for complications.

Record when symptoms began, whether they improved and then worsened, and whether you have fever, facial pain or thick nasal discharge. Arrange a GP Consultation if symptoms are severe, persistent or interfering with sleep and normal activities. If Antibiotic Treatment is prescribed, follow the instructions and complete the course unless the prescriber changes it. Do not use leftover antibiotics. Gentle steam from a shower, a humid room and avoiding smoke may make breathing more comfortable.

Seek urgent medical help for swelling or redness around an eye, vision changes, severe headache, confusion, a stiff neck, or marked drowsiness. Prompt assessment is also appropriate if you are very unwell, have difficulty breathing, or symptoms are rapidly worsening. These signs can indicate a problem beyond uncomplicated sinusitis.

Ask whether your symptoms fit sinusitis, whether allergies may be contributing, and which form of pain relief or nasal treatment is appropriate. You can also ask what changes should prompt review and whether an antibiotic is likely to help.