Tuesday, January 31, 2023

Can Antibiotics Treat A Sinus Infection

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How To Treat A Sinus Infection Without Antibiotics

Do Antibiotics Help With Sinus Infections?

Before you consider antibiotics, a sinus infection can be treated without leaving at home. Some of the home remedies to treat a sinus infection without antibiotics include:

  • Keep your sinuses hydrated to help relieve pressure. One good way is to expose your sinuses to steam.
  • Drink plenty of water.
  • Essential oils like eucalyptus and peppermint oils may help open the airways and ease congestion.
  • Apply warm and cold compression alternately to relieve sinus pain and pressure.
  • Eat healthy foods colorful fruits and veggies that boost your immune system. These foods contain lots of vitamin C to fight off viruses.
  • Get plenty of rest for your body to heal and fight the infection.
  • What Is A Sinus Infection

    The sinuses are cavities in the head that are filled with air. These air-filled pockets are lined with a very thin layer of mucus that functions to collect particles from the air that are breathed in, such as dust, germs, or other particles.

    Very small hair-like projections function to sweep the mucus, along with any particles trapped inside of the mucus. The germ- or dirt-filled mucus then slides down the back of the throat and into the stomach where stomach acid works to kill any germs.

    When a sinus infection occurs, this natural process involving mucus flow is blocked.

    Side Effects Of Doxycycline For Sinus Infection

    Generally, there are only some minor side effects after taking Doxycycline for sinus infection. Common side effects that can occur after taking doxycycline are-

    • Nausea
    • Diarrhea that is watery or bloody
    • Irritation in the throat
    • Difficulty breathing
    • Little to almost no urination
    • Lower count of white blood cells
    • Iron supplements and laxatives
    • Oral birth control pills

    People who are in the habit of drinking alcohol are more likely to side effects of Doxycycline tablets, especially stomach upset. Moreover, when medicine is taken with milk or food it can reduce the absorption of medicine by the body.

    The medicine also enhances the sensitivity of the skin to sunlight. Hence, when stepping out of the house, make sure you are properly covered and wearing sunglasses and sunscreen.

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    When Should You Use Antibiotics

    You usually need an antibiotic when you have an infection that is caused by bacteria, and the infection is not going away on its own. This may be the case when:

    • Your symptoms last more than 10 days.
    • Your symptoms start to get better, but then get worse again.
    • Your symptoms are very severe. You should get immediate treatment if:
    • You have severe pain and tenderness in the area around your nose and eyes.
    • You have signs of a skin infectionsuch as a hot, red rash that spreads quickly.
    • You have a fever over 102°F.

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    Will Sinus Infections Resolve If Left Untreated

    Lingering sinus infections should be treated before they escalate into a more serious issue. If a sinus infection is untreated, it may begin to impact the surrounding areas: the eyes and brain.

    Untreated sinus infections can result in orbital and intracranial complications. Orbital refers to an infection that moves from the sinus into the eye. It can even result in an abscess in the eye area, which threatens vision.

    Intracranial infections refer to infection in the brain. These can ultimately progress to become a brain abscess or meningitis if left untreated.

    Because the sinuses are located close to the eye and brain, the most serious complications of an untreated sinus infection affect these important structures.

    When Antibiotics Are Appropriate Treatment

    Antibiotics may be given to people who are less able to fight off infection, such as those with diabetes, or serious heart or lung disease.

    In addition, antibiotics can be given to those whose symptoms have gotten worse or those who show no improvement after seven days.

    If antibiotics are given, a 10- to 14-day course is recommended, according to the practice guidelines. Amoxicillin or amoxicillin clavulanate are typically the first choice for people who are not allergic to penicillin.

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    Whats New: Realistic Evidence From Realistic Settings

    We believe this meta-analysis provides a high level of evidence against routine treatment of sinusitis with antibiotics in primary care practice. Treating 15 patients with an antibiotic to possibly benefit 1 patient 2 weeks after treatment commences does not seem like a good idea when one considers the cost and complications of antibiotic use. Diarrhea and other adverse outcomes are 80% more common among patients with sinusitis who are treated with an antibiotic compared with placebo. As noted above, prior meta-analyses of antibiotic treatment for acute sinusitis have been more encouraging than this meta-analysis, with a number needed to treat of 7, but those meta-analyses are clearly overly optimistic for the results one will achieve in primary care practice using clinical signs and symptoms to diagnose acute sinusitis., Unlike the Young study, they included trials in specialty clinics with CT scans and sinus puncture and culture used for the diagnostic standard.

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    Research Into Antibiotics And Sinus Infections

    The guidelines were triggered, in part, by studies finding that antibiotics may not make a difference. About 60% to 70% of people with sinus infections recover without antibiotics, according to the American Academy of Allergy, Asthma & Immunology.

    In one study of symptom relief, patients given antibiotics generally did no better than patients not given antibiotics.

    This study, published in the Journal of the American Medical Association, observed 240 patients with sinusitis. They were given one of four treatments: antibiotics alone, nasal steroid spray alone to reduce tissue swelling, both antibiotics and the spray, or no treatment.

    Patients who got no treatment were as likely to get better than those who got the antibiotics. The nasal spray seemed to help people with less severe symptoms at the beginning of their sinus problem, and seemed to make those with more intense congestion worse.

    The patients all had sinus symptoms that suggested a bacterial infection. Sinus problems are also caused by viruses, for which antibiotics definitely offer no help.

    Treating Sinus Infections: Dont Rush To Antibiotics

    Millions of people are prescribed antibiotics each year for sinus infections, a frequent complication of the common cold, hay fever, and other respiratory allergies. In fact, 15 to 21 percent of all antibiotic prescriptions for adults in outpatient care are for treating sinus infections. Unfortunately, most of those people dont need the drugs. Heres why:

    The drugs usually dont help.

    Sinus infections can be painful. People with the condition usually have a stuffy nose combined with yellow, green, or gray nasal discharge plus pain or pressure around the eyes, cheeks, forehead, or teeth that worsens when they bend over. But sinus infections almost always stem from a viral infection, not a bacterial oneand antibiotics dont work against viruses. Even when bacteria are the cause, the infections often clear up on their own in a week or so. And antibiotics dont help ease allergies, either.

    They can pose risks.

    About one in four people who take antibiotics have side effects, such as stomach problems, dizziness, or rashes. Those problems clear up soon after stopping the drugs, but in rare cases antibiotics can cause severe allergic reactions. Overuse of antibiotics also promotes the growth of bacteria that cant be controlled easily with drugs. That makes you more vulnerable to antibiotic-resistant infections and undermines the good that antibiotics can do for others.

    So when are antibiotics necessary?

    How should you treat sinus infections?

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    Do Antibiotics Benefit Any Subgroups

    The investigators also analyzed the prognostic value of specific signs and symptoms to answer the question: Is there any subgroup of patients who might benefit more from antibiotic treatment?

    Duration. Patients with a longer duration of symptoms, more severe symptoms, or increased age took longer to cure, but were no more likely to benefit from antibiotic treatment than other patients.

    Symptoms, such as a previous common cold, pain on bending, unilateral facial pain, tooth pain, and purulent nasal discharge did not have any prognostic value.

    Only one signpurulent discharge noted in the pharynx on examinationwas associated with a higher likelihood of benefit from treatment with antibiotics, but the NNT was still 8 in this group. Patients with symptoms for 7 days or longer were no more likely to respond to antibiotics than those with symptoms for fewer than 7 days.

    But Sometimes Antibiotics For Sinus Infections Are Needed

    Top 8 Sinus Infection Natural Remedies

    So how does one judge when it is appropriate to prescribe antibiotics for a sinus infection? There are several sets of official guidelines, which are all similar. When a patient has thick, colorful nasal discharge and/or facial pressure or pain for at least 10 days, they meet criteria for antibiotic treatment. If a patient has had those symptoms, but the symptoms seemed to start improving and then got worse again, then even if its been less than 10 days, they meet criteria for antibiotic treatment.

    The authors, however, also suggest that doctors discuss watchful waiting with patients and explain that most sinus infections clear up on their own in one to two weeks, and its a safe option to hold off on antibiotics. The symptoms can then be treated with a cocktail of over-the-counter medications and supportive care, like nasal saline irrigation, nasal steroid sprays, decongestants, and pain medications.

    Of course, many patients expect and demand antibiotics for sinus infections, and even those who are open to watchful waiting may hear about the rare but possible complications of things like, oh, brain abscess, and opt to treat.

    In the case of my patient above, she met criteria for treatment. She weighed the watchful waiting option against the potential risks of antibiotics for her sinus infection, and chose the prescription. I can tell you from very close follow-up that she improved quickly, though in truth, we will never really know if she would have gotten better anyway.

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    Could I Have A Sinus Infection And Strep Throat

    Did you know that It is possible to have a sinus infection and strep throat at the same time? When your bodys immune system is low, you are more susceptible to illnesses and have a harder time fighting them off. So, what starts as a mild cold can end up a severe sinus infection and strep throat.

    A sinus infection occurs when your sinuses become swollen and inflamed. It is common to develop a sinus infection after a cold because a cold can cause sinuses to swell, preventing the discharge of mucus. According to WebMD, When the sinuses become blocked and filled with fluid, bacteria can grow there and cause infection. This infection is sinusitis.

    Symptoms

    • Stomachache, fatigue, and vomiting

    Treatment

    A physician can usually determine if you have strep throat in a matter of minutes with a rapid strep test. Once it is confirmed that you have strep throat, he or she will normally prescribe antibiotics. If you have a sinus infection and strep throat, the antibiotics that are prescribed for one illness will usually take care of the other illness as well.

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    Nice Is Advising Healthcare Professionals To Tell Their Patients That A Sinus Infection Will Likely Clear

    27 October 2017

    The final guidance, developed with Public Health England, makes recommendations for treating acute sinusitis.

    In most cases, people who have sinusitis will start to feel better within two-to-three weeks. The infection is usually viral, which means antibiotics should not be routinely prescribed, the guidance says.

    Instead, NICE says healthcare professionals should advise their patients on how to manage their aches and pains with paracetamol.

    They should also tell them that there is no evidence oral decongestants or steam inhalation will make any difference. And inform them that they should seek further medical advice if their symptoms get worse, or last for more than three weeks.

    Dr Tessa Lewis, GP and chair of the managing common infections guidance committee, said: We know that most people with sinus infections will recover in a couple of weeks without needing any antibiotics, but that doesnt mean we should be sending them home without any information or advice.

    Health professionals can help their patients cope with this infection and the sometimes unpleasant symptoms it can cause. They should tell them that theyll probably be feeling this way for a while, and that unless they are very unwell, the best thing to do is to take paracetamol and take it easy.

    Professor Gillian Leng, deputy chief executive at NICE said:Antibiotic resistance is one of the greatest dangers to our health, which is why we must all work together to fight it.

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    How To Treat Sinus Infections Without Antibiotics

    While sinus infections caused by viruses, allergies, or other non-bacterial factors may not require antibiotics, they still cause the same symptoms which make you feel sick.

    Symptoms of a sinus infection include:

    • Nasal congestion
    • Pain or tenderness around the eyes, cheeks, or forehead
    • Thick nasal or post-nasal drainage

    Taking steps to alleviate your sinusitis symptoms is often the best treatment to lessen your discomfort.

    Sinus infection treatment options include:

    • Drink plenty of fluids
    • Rest, especially the first few days, to help your body fight the infection
    • Moisturize the air with a cool-mist vaporizer
    • Elevate your head while sleeping to decrease post-nasal drip
    • Take warm showers or baths, as steam can soothe your sore throat and loosen mucus
    • Gargle with warm salt water for a sore throat
    • Use saline nasal spray or nasal irrigation kit to alleviate congestion
    • Use over-the-counter treatments, such as nasal drops and sprays or pseudoephedrine pills, as your doctor recommends them

    What Not to Do for a Sinus Infection

    You should always follow your doctors instructions when you are diagnosed with a sinus infection.

    Do not:

    • Ask for antibiotics if your doctor feels they are unnecessary
    • Take antibiotics that are prescribed for someone else
    • Skip doses of your antibiotics or stop taking your antibiotics early when your doctor prescribes them
    • Save antibiotics for the next time you get sick

    Should You Treat A Sinus Infection With Antibiotics

    Sinus Infections Shouldn’t be Treated with Antibiotic

    Over the past few months Ive seen patient after patient drag themselves to the clinic with coughing, sneezing, headaches and green or yellow nasal discharge, sometimes accompanied by ear and tooth pain. Some people with infection may experience fevers, chills or night sweats signs that the body is fighting a virus or bacteria. These are symptoms I expect as a primary care doctor especially during the spring seasons. They are the telltale signs of sinusitis. But if that sums up symptoms you have, do you need antibiotics? The question may be more complicated than you think.

    Each year, more than 30 million Americans endure sinusitis an inflammation of sinus spaces surrounding the nose that makes it difficult to drain fluid that normally flows through the sinuses. Much like a detective weighing clues, us health providers use symptom severity and duration to determine the cause of a patients sickness.

    The World Health Organization has called antibiotic resistance one of the biggest threats to global health, saying misuse of antibiotics in humans and animals is accelerating the process.

    At a health professionals discretion, antibiotics can be prescribed if a person appears very sick or has any underlying chronic disease that may make them prone to becoming sicker.

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