Sinusitis is inflammation of the air spaces around the nose. When symptoms last more than 12 weeks despite treatment, it is called chronic sinusitis. It may occur with or without nasal polyps and can affect sleep, smell and quality of life.
Chronic Sinusitis
Long-lasting inflammation of the sinuses causing blocked nose, facial pressure and post-nasal drip.
Overview
Common symptoms
- Blocked or stuffy nose
- Thick nasal discharge or post-nasal drip
- Pain or pressure over cheeks, forehead or around eyes
- Reduced sense of smell
- Headache and tiredness
Common causes
- Allergies
- Deviated nasal septum
- Nasal polyps
- Repeated colds and infections
- Dental infections (for some maxillary sinusitis)
How it is diagnosed
Nasal endoscopy
CT scan of the paranasal sinuses
Allergy evaluation when needed
Treatment
Medical treatment comes first: saline rinses, nasal steroid sprays, and antibiotics or anti-allergy medicines where appropriate. If symptoms persist, Functional Endoscopic Sinus Surgery (FESS) opens the blocked drainage pathways through the nose.
Surgical treatment options
See a doctor promptly if you have:
- Swelling or redness around the eye
- Severe headache with fever
- Double vision or reduced vision
- Symptoms lasting more than 12 weeks
Frequently asked questions
No. A cold settles in 7–10 days; chronic sinusitis lasts for months.
Most patients improve with medicines. Surgery is advised when proper medical treatment does not help.
This page is for general patient information and does not replace a medical consultation. The right treatment depends on your examination and test results.
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