Common misunderstandings of people with sinusitis

Many people mistakenly assume that only surgery will be complete, if the headache is due to sinusitis, wrong treatment leads to blindness .

Talking at the Respiratory Patient Club on October 16, Dr. Nguyen Minh Hao Hon, Ho Chi Minh City's Ear Nose Throat Hospital, said sinus rhinitis is a very high and increasing incidence. Clinical symptoms of sinus rhinitis according to the disease:

1. Acute sinus rhinitis (occurring less than 8 weeks): Common symptoms are runny nose, nasal congestion, headache and sometimes fever. Nasal nasal endoscopy shows excruciating nasal cavity, nasal mucosa edema, congestion . Imaging is often not recommended during this period.
2. Chronic sinusitis (over 12 weeks): The main symptom is persistent nasal discharge to the anterior or posterior nose, sputum, nasal congestion, odor loss. Headache occurs in less than 30% of cases. In addition, there are some additional symptoms such as persistent cough, bad breath, fatigue .

CT scan of the sinus nose.

In this case, the nasal nasal endoscopy detected opaque nasal currents flowing from the middle nasal slot, the upper nasal slot. X-rays of the sinuses may show faint sinus or sinus congestion. CT Scan helps to accurately diagnose inflamed sinuses and suggests a number of causes such as fungi, tumors and anatomical abnormalities.

According to Hao Hao doctor, some misunderstandings common patients in the treatment of sinus rhinitis.

Misunderstanding 1: Sinus rhinitis cannot be cured

Non-allergic sinus rhinitis is a common disease and is completely cured, if the cause of the disease is treated correctly.

Misunderstanding 2: Stop the medicine halfway when you hear less

When treatment must comply with the regimen. Do not abuse antibiotics. If antibiotics are not used correctly, insufficient doses will contribute to an increase in resistant strains of bacteria. At that time, the disease will not stop completely but must be re-treated next time more expensive and more expensive.

Acute viral sinusitis does not require antibiotics but only symptomatic medications such as anti-inflammatory, analgesic, anti-allergic. Can use nasal spray for a short time of 3-5 days, nasal wash saline . In case of opaque nose, caused by germs, antibiotics can be used for 7-10 days.

Chronic sinus rhinitis often uses at least 4 weeks.

Chronic sinus rhinitis often uses at least 4 weeks. When endoscopic nasal sinus nasal discharge flows from the nasal passage, take CT Scan to check whether the sinuses remain pus. In some cases, the treatment duration can be prolonged up to 6 weeks, 8 weeks . Anti-inflammatory, anti-allergic, long-term treatment will increase the effectiveness of treatment. Topical inhaled corticosteroids show increased efficacy without any side effects.

Misunderstanding 3: Sinusitis must be operated before the disease stops

Many people are hospitalized with more serious complications after having to go through expensive surgery. Not all sinus infections are indicated for surgery. Sinus surgery is indicated when chronic sinusitis is caused by:

1. Tumors such as bone tumors, retrograde tumors . squeeze and block sinus vents.
2. Change anatomical structure causing narrow, blocked sinus drainage.
3. Fungal sinusitis.
4. Chronic sinusitis does not respond to medical treatment.

Misunderstanding 4: A headache is caused by sinusitis

Many patients think the headache is due to sinusitis and decide to have sinus surgery at all costs. Headaches are often caused by different causes.

For patients with abnormal anatomical structure such as septal bulge, ventilator (concha bullosa), contact point . often have symptoms of headache with nasal congestion. Pain in the face area will increase when there are episodes of allergic rhinitis, menstruation, dyspepsia, stress . This rate occurs in 60-80% of normal people with absolutely no symptoms in the sinus nose. Therefore, the doctor must consider, carefully examine the medical history, examine carefully and often treat neurological treatment one month before deciding on surgery.
Patients should be cautious with the symptoms of abnormal head and face tension, not responding to medication. When there are accompanying signs such as blurred vision, nosebleeds, weakness . should be examined early.

Headaches are often caused by different causes.

Misunderstanding 5: Subjective when blurry eyes cannot find the cause

In many cases, the patient has blurred vision. After many eye exams, the cause is not discouraged or subjective. Eye complications from sinusitis are an emergency in ENT. Patients must be correctly diagnosed and treated promptly, avoiding blindness and sinus congestion can be fatal.

Doctors recommend, when suspicion of sinus rhinitis, the patient visits the Otolaryngology medical facilities for diagnosis, effective treatment and timely avoid complications. As a precaution, clean a clean living environment and wear a mask. Increasing resistance like not smoking, not staying up too late, not drinking a lot of beer and alcohol, eating and drinking reasonably.