Sinusitis Symptoms: When to Seek Medical Attention - Otolaryngology

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excuse me?


I already have a nasal condition, which seems to be sinusitis.
Recently, I've been experiencing a lot of nasal discharge and mucus.
I also have myopia and flashes in my vision, but lately, my vision has suddenly become very blurry and unclear.
Additionally, I've been having a dry cough, and today I started feeling nauseous.
What could be the cause of this?

Yang, 10~19 year old female. Ask Date: 2010/04/01

Dr. Jian Huangqi reply Otolaryngology


It is likely that your dry cough, nausea, and the feeling of blurred vision are caused by sinusitis.
You should consult an otolaryngologist (ENT specialist).
Thank you.

Reply Date: 2010/04/01

More Info


When dealing with sinusitis, especially if you already have a history of nasal issues, it’s essential to understand the symptoms and when to seek medical attention. Sinusitis, or inflammation of the sinus cavities, can lead to a variety of symptoms that may overlap with other conditions, making it crucial to recognize when your situation might require professional evaluation.

From your description, it sounds like you are experiencing an exacerbation of your sinusitis symptoms. The increase in nasal discharge, particularly if it is thick and discolored, along with the sensation of your vision being blurry or unclear, could indicate that the sinus infection is affecting not just your nasal passages but potentially your eyes as well. This is not uncommon, as the sinuses are located close to the eyes, and inflammation can lead to pressure and discomfort in that area.

The dry cough you mentioned could be a result of post-nasal drip, where mucus from the sinuses drips down the back of your throat, leading to irritation and coughing. The feeling of nausea could be related to several factors, including the discomfort from sinus pressure, the effects of coughing, or even a side effect of any medications you may be taking.

Here are some key points to consider regarding your symptoms and when to seek medical attention:
1. Duration of Symptoms: If your symptoms have persisted for more than 10 days without improvement, it is advisable to consult a healthcare provider. Chronic sinusitis can sometimes require different treatment approaches than acute sinusitis.

2. Severity of Symptoms: If you experience severe headaches, facial pain, or swelling around the eyes, this could indicate a more serious infection that requires immediate attention. Additionally, if you develop a high fever (over 101.5°F or 38.6°C) or experience vision changes, these are red flags.

3. Vision Changes: Blurred vision or any changes in your eyesight, especially if accompanied by pain, should prompt an immediate visit to an eye specialist or an ENT (ear, nose, and throat) doctor. This could indicate that the sinus infection is affecting the optic nerve or other structures around the eye.

4. Nausea and Vomiting: If the nausea progresses to vomiting or if you are unable to keep fluids down, it is essential to seek medical attention. Dehydration can occur quickly, especially if you are also experiencing fever and other symptoms.

5. Underlying Conditions: Given your history of nasal issues, it’s important to consider any underlying conditions that may complicate your sinusitis, such as allergies or asthma. These can exacerbate symptoms and may require a tailored treatment plan.

In summary, while some symptoms of sinusitis can be managed at home with rest, hydration, and over-the-counter medications, it’s crucial to monitor your condition closely. If you notice any worsening of symptoms, particularly those affecting your vision or if you develop new symptoms like severe headaches or high fever, do not hesitate to seek medical attention. A healthcare provider can perform a thorough evaluation, possibly including imaging studies like a CT scan of the sinuses, to determine the best course of action for your treatment.

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