What is the first treatment tried for chronic sinusitis?

Chronic sinusitis involves ongoing inflammation of the nose and sinuses. Swelling can narrow drainage openings and lead to blocked breathing, facial pressure, reduced smell or thick nasal mucus. A GP consultation helps distinguish this pattern from a cold, allergy, dental problem or another cause of facial pain.

Saline rinsing helps clear mucus and irritants. A steroid nasal spray reduces inflammation when used consistently and with the correct technique. Antibiotics are not automatically the first step because sinus symptoms can arise without a bacterial infection. Allergy testing may be considered when the history suggests an allergic trigger.

Use a clean, suitable saline solution and follow the product instructions. If you use a nasal spray, aim it slightly away from the middle wall of the nose and use it regularly as advised; benefit may take time. Ask a pharmacist or clinician to check your technique if symptoms persist.

Avoid smoke and other irritants, and note whether dust, pets or seasonal exposure changes your symptoms. Do not use decongestant nasal sprays for longer than the label advises, because overuse can worsen congestion. Arrange review if treatment does not improve your breathing, smell or facial pressure.

Seek urgent medical care for swelling around an eye, vision changes, a severe headache unlike your usual symptoms, stiff neck, confusion or a very unwell state. Contact a clinician for persistent fever, worsening one-sided facial swelling or severe pain, especially when symptoms are not following their usual pattern.

Ask whether your symptoms fit chronic sinusitis, how long to try the nasal plan, and whether allergy testing or an ear, nose and throat referral is appropriate. Ask which rinsing solution and spray technique are suitable, and what changes would mean you need a review.