Sinusitis & Rhinitis Treatment in Indore

Sinusitis and Rhinitis

The infection, allergies, and structural problems of paranasal sinuses lead to the inflammation known as sinusitis.

Rhinitis is the inflammation of the mucosa of the nose, and it may be allergic (hay fever) or non-allergic.

The problem is treated depending on the nature, extent, and cause of the condition.

1. Goals of Treatment

Decongest the nose, release of nasal mucus and pain in the face.

Address the underlying (infection or allergy) cause.

Avoid complications (e.g. chronic sinusitis)

Improve quality of life

2. Sinusitis Treatment

A. Non-Surgical Medical (Non-Surgical) Treatment.

Acute Bacterial Sinusitis

Antibiotics: They are added when it is suspected or confirmed that there is a bacterial infection.

As a routine medication: Amoxicillin, Amoxicillin-Clavulanate.

Illness: 514 days, depending on the severity.

Analgesics/ Antipyretics: Paracetamol or ibuprofen to alleviate fever and pain.

Decongestants: Oral or Nasal (short-term) to relieve nasal congestion.

Saline nasal irrigation: Assists in clearing the mucus and inflammation.

Viral Sinusitis

Usually self-limiting (7–10 days)

Supportive care:

Hydration

Rest

Nasal saline sprays

Analgesics for discomfort

Chronic Sinusitis

Long-term nasal corticosteroids (i.e. fluticasone, mometasone)

Treatment of underlying disorders (polyps in the nose, allergies, etc.)

Antibiotics in case of persistence of bacterial infection.

ENP referral should be made in case of medical therapy unresponsive.

B. Surgical Treatment

Endoscopic sinus surgery (ESS): In chronic or complicated cases.

Indicated if:

Persistent obstruction

Recurrent infections

Anatomical abnormalities

Complications (e.g. orbital or intracranial spread) develop.

3. Rhinitis Treatment

A. Allergic Rhinitis

Preserving the allergens (dust, pollen, pets) is not to be avoided.

Medications

Antihistamines: Oral (or nasal, e.g. cetirizine, loratadine)

Nasal corticosteroids: Decrease inflammation (fluticasone, mometasone)

Decongestants: Temporary clearing of the nose.

Leukotrien receptor antagonists: Persistent symptoms (e.g. montelukast)

Immunotherapy

Long-term relief using allergen-specific desensitisation.

B. Non-Allergic Rhinitis

Avoidance of triggers (smoke, strong odours)

Saline nasal irrigation

Symptomatic antihistamine or corticosteroid topical.

4. Assistance and Home Interventions.

Stay hydrated

Dryness can be reduced by using humidifiers.

Use warm compresses in case of sinuses.

Nose Saline nasal irrigation Practice.

Avoid smoking and irritants.

5. Complications to Monitor

Sinusitis

Orbital cellulitis

Meningitis or abscess of the brain (rare)

Chronic sinus infection

Rhinitis

Sleep disturbances

Sinus infections

Tube of eardrum dysfunction.

6. Prognosis

The majority of acute sinusitis and rhinitis cases can be managed medically.

Chronic sinusitis can be treated through surgery.

The long-term management of allergic rhinitis is necessary to avoid new attacks.

Summary

Treatment of sinusitis: The choice of treatment is based on the cause; bacterial infections need antibiotics, viral more sinusitis is supportive, chronic sinusitis can be treated with steroids or surgery.

It aims at preventing allergens, antihistamines, nasal steroids, and occasionally immunotherapy.

The two conditions respond to supportive measures such as hydration, saline irrigation and prevention of triggers.