Sinusitis medications
Can sinusitis be treated with Western medicine? Is surgery necessary, and what would that entail? What foods can be consumed with sinusitis? What happens if I take Siwu Decoction? I have just started experiencing sinusitis and have taken Western medicine, which has helped a bit, but I still occasionally have nasal congestion and a little runny nose.
Should I consider surgery, or can I continue with Western medicine for recovery? Thank you for your response.
Huang Wan-Ting, 30~39 year old female. Ask Date: 2018/04/06
Dr. Zheng Jueyi reply Otolaryngology
Hello: Acute sinusitis generally requires 10-14 days of antibiotic treatment, and most cases will improve.
If symptoms persist for more than three months without improvement, it may be chronic sinusitis, which may require medical evaluation to determine if surgery is necessary for improvement.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2018/04/06
More Info
Managing sinusitis can be a complex issue, and understanding the treatment options available is crucial for effective management. Sinusitis, which is the inflammation of the sinus cavities, can be either acute or chronic. Acute sinusitis often follows a cold and can improve with appropriate medical treatment, while chronic sinusitis lasts for more than 12 weeks and may require more intensive intervention.
Can Western Medicine Help?
Western medicine offers various treatment options for sinusitis, primarily focusing on alleviating symptoms and treating underlying infections. For acute sinusitis, doctors typically prescribe antibiotics if a bacterial infection is suspected, especially if symptoms persist for more than 10 days or worsen after initial improvement. Common antibiotics include amoxicillin or amoxicillin-clavulanate. In addition to antibiotics, decongestants, nasal corticosteroids, and saline nasal sprays can help reduce inflammation and promote drainage of the sinuses.
For chronic sinusitis, the treatment approach may differ. If symptoms are mild, a doctor may recommend a course of nasal corticosteroids to reduce inflammation. If there is no improvement after several weeks, or if the sinusitis is recurrent, further evaluation may be necessary. This could include imaging studies like a CT scan to assess the sinuses' condition and determine if there are anatomical issues contributing to the problem.
Is Surgery Needed?
Surgery is generally considered a last resort for sinusitis treatment. It may be necessary if there are structural problems, such as nasal polyps or a deviated septum, that prevent proper drainage of the sinuses. Functional Endoscopic Sinus Surgery (FESS) is a common procedure that aims to restore normal drainage and ventilation of the sinuses. However, surgery is not always guaranteed to resolve symptoms, and many patients may still require ongoing medical management post-surgery.
Dietary Considerations
When it comes to diet, while there is no specific food that can cure sinusitis, certain dietary choices may help support overall sinus health. Staying hydrated is essential, as it helps thin mucus and promotes drainage. Foods rich in antioxidants, such as fruits and vegetables, can support the immune system. Additionally, spicy foods may temporarily relieve nasal congestion, but they should be consumed in moderation, as they can also irritate the nasal passages in some individuals.
Regarding the use of traditional herbal remedies like "四物藥" (Four Substance Decoction), it is essential to consult with a healthcare provider. While some herbal remedies may provide symptomatic relief, they should not replace conventional treatments, especially if the sinusitis is bacterial in nature.
Conclusion
In summary, Western medicine can effectively manage sinusitis through medications and, in some cases, surgery. If you are experiencing persistent symptoms such as nasal congestion and discharge, it is advisable to consult with a healthcare professional. They can evaluate your condition and recommend an appropriate treatment plan tailored to your needs. If you have already started on antibiotics and noticed some improvement, it is essential to continue the prescribed treatment and follow up with your doctor if symptoms persist or worsen. Remember, early intervention can prevent complications and improve your quality of life.
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