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Sinusitis

Discussion in 'All Categories' started by Jeetu - Jul 2nd, 2025 6:46 am.
Jeetu	I have sinusitis. Do I need antibiotics, or can my sinusitis be treated with over-the-counter medications?
re: Sinusitis by Dr. B. S. Bhalla - Jul 2nd, 2025 6:51 am #1
Dr. B. S. Bhalla	Sinusitis means swelling or infection of the sinuses, which are air-filled spaces in your skull. There are two main types: acute sinusitis (short-term) and chronic sinusitis (lasting more than 12 weeks). Whether you need antibiotics depends on the cause. In most cases, sinusitis is caused by a viral infection, like the common cold. This usually gets better on its own within 7–10 days. For viral sinusitis, antibiotics are not needed. You can treat it with over-the-counter (OTC) medications like: Decongestants (e.g., oxymetazoline nasal spray – for short-term use only, not more than 3 days) Antihistamines (if allergies are involved) Pain relievers (like paracetamol or ibuprofen for headache and facial pain) Steam inhalation or saline nasal sprays to clear nasal passages However, if your symptoms last more than 10 days, worsen after initial improvement, or if you have high fever, thick yellow/green nasal discharge, or severe facial pain, it may be a bacterial infection, and then a doctor might prescribe antibiotics. In cases of chronic sinusitis, you may need longer-term treatment such as: Nasal corticosteroids (like mometasone or fluticasone) Allergy treatment (if allergy is a cause) In rare cases, CT scan and ENT consultation for possible surgery Start with home treatment and OTC medicines. Watch your symptoms. If you do not improve in a week or if symptoms worsen, consult a doctor. Avoid using nasal sprays for too long, and drink plenty of fluids. Always take antibiotics only when prescribed by a doctor, as unnecessary use can lead to resistance and side effects.