First a thorough diagnostic
work-up should be performed to rule out any underlying conditions.
In case a primary trigger for chronic sinusitis is identified, it
should be treated or controlled.
A broad-spectrum antibiotic
taken for at least 30 days.
A corticosteroid nasal
spray. Oral corticosteroids may be recommended in some cases.
washes are widely recommended. (Neti Pot preferable)
If the condition improves
in two months, then the antibiotics are stopped. The patient should
continue with both the steroid and saline nasal solutions. If there
is no improvement after this time, the surgery may be considered.
In some cases, the
condition is not curable. The treatment is meant only to improve
the quality of life.
The aerobic and anaerobic
bacteria present in chronic sinusitis are often different from those
that cause the acute form, and more potent and expensive antibiotics
are usually needed to oppose these organisms. Antibiotic treatment
in such cases may continue for several weeks.
therapy has been found to be effective in children and adolescents
with chronic sinusitis, sometimes, even eliminating the need for
for Chronic Sinusitis
sprays are sometimes prescribed to reduce inflammation that occurs
in certain cases of chronic sinusitis.
steroids, are powerful anti-inflammatory agents. They are not infection
fighters and can actually prolong infections and are generally not
used for bacterial sinusitis. Steroid sprays may injure the nasal
septum (the bony area that separates the nasal passage) if the spray
is directed onto it. In rare cases they can cause headaches or nosebleed.
are oral drugs that block leukotrienes, powerful immune system factors
that are important in causing airway constriction and mucus production
in allergy-related asthma.