One of our allergists can determine which spray will best treat your symptoms. Treating a sinus infection means unblocking and draining the sinuses. Corticosteroid nasal sprays such as Flonase and Nasacort are the best source for treatment because they help reduce swelling in the nasal passages.
Most sinus infections can be treated with nasal sprays and antibiotics. Sometimes your doctors may add oral medications as well. Your doctor may also want to do in-office imaging of your sinuses to see if you have a structural issue that is affecting your sinuses, leading to chronic sinusitis or recurrent sinusitis.
In rare cases, you may need surgery to treat recurring sinus infections. One of our allergists will determine your course of treatment. If they determine you need surgery, they will recommend an experienced ENT specialist near you.
Nasal sprays help drainage of mucus from your nasal passages. The topical steroids can also decrease the inflammation of your blood vessels and help empty fluids from your nose. All nasal sprays do not work the same way. Here a few recommended treatments:. A saltwater, or saline, nasal wash helps remove mucus and bacterial from the nose and sinuses. This can temporarily reduce symptoms of nasal congestion and postnasal drip.
It also helps to clear out environmental triggers from the nasal lining. We often recommend doing a nasal wash before using medicated nasal sprays. After doing a nasal wash, wait until the draining stops; then use your nasal spray as prescribed by your health care provider. Learn more. A prescription steroid nasal spray can decrease nasal inflammation and mucus production. This will decrease symptoms of nasal congestion and improve sinus drainage. A steroid nasal spray does not provide immediate relief of symptoms and may require several weeks of routine use to be effective.
If you have chronic sinusitis, you may benefit from continued daily use of this medication. If you have occasional sinusitis episodes, you may only require periodic use. The combination of nasal wash and nasal steroid sprays can be highly effective for many patients with nasal and sinus problems.
Several steroid nasal sprays are available and include:. When used properly, steroid nasal sprays are safe and effective, however, nasal dryness and bleeding are possible side effects when using these medications. We recommend trying to spray the medication towards the sidewalls of the nose laterally , rather than along the nasal septum in the center.
Antibiotics are medicines designed to treat bacterial infections. In some cases of sinusitis, but certainly not all, the underlying cause will be a bacterial infection. Such an infection can be difficult to treat because the bacteria thrive in the warm, moist and dark areas of the sinus cavities. These infections usually respond to antibiotic treatment, however, you may need to continue treatment for one to three weeks or longer.
The choice of antibiotic depends on several factors such as: drug allergies , past use of antibiotics and your symptoms. In some cases, your healthcare provider can collect mucus from your nose and send it to the laboratory for culture to confirm the presence of bacteria.
This test can also help in the selection of the proper antibiotic to fight the infection. The majority of episodes of sinusitis upper airway infection are successfully treated without the use of antibiotics by treatments directed at the nasal inflammation and specific symptoms. Inappropriate use of antibiotics can lead to bacterial resistance and side effects, thus these medications must be used carefully and thoughtfully.
These medicines, available as tablet, syrup or nasal spray, may help unblock the openings of the sinuses and temporarily reduce symptoms of nasal congestion. Read the label to see what is in the over the counter medicine you are buying and discuss the medicine with your healthcare provider. Topical nasal decongestants sprays can be highly effective in the immediate shrinking of swollen nasal tissue. However these sprays should be used only for 2 to 3 consecutive days because more prolonged use can cause rebound nasal congestion with increased symptoms.
Systemic decongestants have the same effect of decreasing the swelling of the lining of the nose and promoting drainage of the sinuses. However, since higher concentrations are present in the bloodstream, systemic decongestants are more likely to cause side-effects.
These may include high blood pressure, anxiety, sleeplessness, prostate problems in men, and the "jitters". You should always discuss the use of these medications with your physician. Antihistamines are medicines designed to counter the actions of histamine, the main chemical produced in the body in allergic reactions.