Sinusitis Symptoms: A Guide for Patients Abroad - Otolaryngology

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I would like to know if I might have sinusitis, as it's not very convenient for me to seek medical attention abroad?


Hello Doctor: I started experiencing gum pain on the first day, which improved after two days.
On the third day, at 5 PM, I developed a fever reaching 39 degrees Celsius, along with a headache, general weakness, and painful cramps in my legs.
On the fourth day, I woke up with the fever gone, but I still experienced headaches and general weakness with any movement.
On the fifth day, I began to have persistent pain in my right cheek, particularly near the area close to my nose.
Only my right nostril has been producing nasal discharge, which is yellowish, and I notice a strange smell when I sniff.

kate, 20~29 year old female. Ask Date: 2019/09/08

Dr. Li Jiaxuan reply Otolaryngology


It is likely a respiratory infection, which also aligns with the symptoms of sinusitis.
However, the infection may also involve other areas such as the teeth, brain, or lower respiratory tract.
Please be cautious of other symptoms, and seek medical attention if necessary.
Wishing you good health.

Reply Date: 2019/09/08

More Info


Sinusitis, commonly known as sinus infection, is a condition that can significantly impact a person's quality of life. Understanding its symptoms is crucial for timely diagnosis and treatment, especially for patients seeking medical care abroad. Based on the symptoms you've described, it appears you may be experiencing acute sinusitis, which can develop following a respiratory infection, such as a cold or flu.


Symptoms of Sinusitis
1. Facial Pain and Pressure: The pain you feel in your right cheek, particularly near the nose, is a classic symptom of sinusitis. This discomfort often intensifies when bending forward or during sudden movements. The pain can also radiate to the forehead, teeth, and even the ears.

2. Nasal Discharge: The yellowish nasal discharge you mentioned is indicative of inflammation and infection within the sinuses. Healthy sinuses typically produce clear mucus, but when infected, the mucus can become thick and discolored.

3. Fever and Fatigue: The fever you experienced (up to 39 degrees Celsius) is a common response of the body to infection. Coupled with feelings of overall weakness and fatigue, these symptoms suggest that your body is fighting off an infection.

4. Altered Sense of Smell: The "strange smell" you noticed while blowing your nose can be attributed to the presence of bacteria or other pathogens in the sinuses, which can affect your olfactory senses.

5. Headache: The headache you experienced, especially after the fever subsided, is often due to pressure build-up in the sinuses. This pressure can lead to a dull, throbbing pain that can be quite debilitating.


Diagnosis and Treatment
To confirm a diagnosis of sinusitis, a healthcare provider may perform a physical examination, focusing on the nasal passages and sinuses. They may also recommend imaging studies, such as a CT scan, to assess the sinuses' condition more thoroughly. In some cases, nasal endoscopy may be performed to visualize the sinuses directly.

Treatment Options:
1. Medications: Depending on the severity and duration of your symptoms, treatment may include:
- Decongestants: These can help reduce nasal swelling and improve drainage.

- Nasal Corticosteroids: These sprays can reduce inflammation in the nasal passages.

- Antibiotics: If a bacterial infection is suspected, antibiotics may be prescribed. However, they are not effective against viral infections.

- Pain Relievers: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate pain and reduce fever.

2. Home Remedies:
- Steam Inhalation: Breathing in steam can help relieve nasal congestion.

- Saline Nasal Rinses: Using a saline solution can help clear mucus and allergens from the nasal passages.

- Hydration: Drinking plenty of fluids can thin mucus and promote drainage.

3. Surgery: In chronic cases or when there are structural issues (like nasal polyps), surgical intervention may be necessary to improve sinus drainage.


When to Seek Further Medical Attention
If your symptoms persist for more than a week, worsen, or are accompanied by severe headache, swelling around the eyes, or vision changes, it is essential to seek medical attention promptly. These could be signs of a more serious condition requiring immediate intervention.

In conclusion, understanding the symptoms of sinusitis is vital for effective management. If you suspect you have sinusitis, consult with a healthcare provider who can guide you through the appropriate diagnostic and treatment processes. Remember, timely intervention can prevent complications and improve your overall well-being.

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