Treatment & Mitigating Measures
If symptoms of otic or sinus barotrauma, or discomfort, occur in-flight then action is required, depending on the stage of the flight profile , the severity of the trauma, and also depending on whether the patient is a crew member or passenger. Solutions may include: an immediate return to the departure aerodrome a reduced cruising altitude pressurisation management and, continuation to destination with the application of first aid. Most critical for severe cases will be the need to control the descent in stages, allowing the patient time to equalise their ears frequently. The most crucial stage is the last few thousand feet of altitude.
An badly affected crewmember should be removed from duties. There can be some leeway if one of only two pilots is affected, depending on the severity of pain but discussions will need to cover the potential symptoms of degraded hearing, performance and possible dizziness and imbalance.
All cabin and flight crew are regularly trained in first aid and the use of the first aid equipment on-board. This will include the use of nasal decongestants to assist in freeing up the Eustachian tubes and ostia, usually in connection with the Valsalva method of ear popping. They will also be familiar with the use of analgesics to relieve some of the associated pain.
Blockages resulting from allergic reactions may be relieved through decongestants and antihistamine, but ultimately the source of the allergy will need to be addressed.
When Should I Call The Doctor About A Cold Or Sinus Infection
Most colds go away without medical treatment. If you have pain around your face or eyes, along with thick yellow or green nasal discharge for more than a week, check with your doctor. Also call them if you have fever or symptoms that are severe or donât get better with over-the-counter treatments.
Complications Of Chronic Sinusitis
Some people are troubled by frequent sinus infections, or continuous infection. Chronic sinusitis can linger for weeks or even months at a time. This can sometimes lead to serious complications, including infections in the bones and tissue near to the sinuses. Very rarely this infection can spread to the brain and the fluid around the brain. The person will be very ill and have swelling around the eyes.People with chronic sinusitis may have other problems which affect the nose, throat and ears at the same time, including:
- Middle ear infection and temporary deafness
- Post-nasal drip , which can lead to constant coughing, a sore throat and bad breath.
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How Do You Clear A Stuffy Nose
Here are ways you can clear nasal congestion:
- Drink lots of water and clear fluids. Fluids help thin mucus and ease congestion.
- Use a saline nasal spray or wash to flush out mucus.
- Apply adhesive strips to your nose to open nasal passages.
- Use humidifiers to moisten the air at your home and/or workplace.
- Ask your healthcare provider to recommend over-the-counter medication that treats nasal congestion. Be sure they know about all medications you take so they can recommend medications that wont interact with your existing medications.
- If nasal congestion keeps your baby from nursing or taking a bottle, use a nasal bulb syringe to clear mucus from their nose.
Ready To See A Doctor About Your Sinus Infection
Being aware of complications associated with a sinus infection, symptoms of chronic sinusitis, and identifying the type of infection you have are vital to knowing the serious signs of a sinus infection. If you’ve been experiencing an infection that will not let up, please contact one of our ENT Doctors by phone or via their website to make an appointment.
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Learn More About Our Effective Treatments
Persistent sinus pressure and symptomatic ear pain can affect your quality of life. At our practice, Dr. Joshua Goldberg has the knowledge and experience to identify and treat the underlying causes of your ear pain so you can get back to living life to the fullest. Contact us today at 215-659-8805 to schedule an appointment at our offices.
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Medications For A Sinus Infection
Sometimes, your sinus infection wont go away without care from your primary care doctor or otolaryngologists . Most bacterial sinus infections can be cured with the help of antibiotic medicines a type of medicine that kills bacteria. Antibiotics will help you feel better after a couple days, but its important to finish the entire amount that your doctor prescribed.
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Why Should You Consult An Ent Doctor For A Middle Ear Infection
Although home remedies can heal middle ear infections, you have to consult an ENT doctor, who will make the call for you if the home treatment and nose drops are sufficient or if you need any antibiotics. If the infection is more, we will need antibiotics to treat the infection under the guidance of an ENT doctor.
Middle ear infections can spread to the outer and inner ear if uncontrolled. It can even cause perforation of the eardrum, which can lead to major surgery. So, it is better to consult an ENT doctor as early as possible. When diagnosed and treated early, it might require antibiotics, but we can avoid unnecessary major surgery that can take a toll on both your body and pocket.
Prevention is better than cure
Get your sinusitis treated and under control. Follow an ENT doctorâs advice carefully and avoid complications that can lead to the use of antibiotics or surgery. Sinus surgery and sinusitis complications are entirely avoidable. Just because you donât have many sinusitis symptoms doesnât mean your sinusitis is controlled.
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Throat Irritation And Cough
As discharge from your sinuses drains down the back of your throat, it can cause irritation, especially over a long period of time. This can lead to a persistent and annoying cough, which can be worse when lying down to sleep or first thing in the morning after getting up from bed.
It can also make sleeping difficult. Sleeping upright or with your head elevated can help reduce the frequency and intensity of your coughing.
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Sinus Infections: Your Top 5 Questions Answered
Cold and flu season isnt quite over yet. If you have congestion that includes sinus pressure, you may have a coldor it could be a sinus infection. How can you be sure that its one or the other, and when is it time to make an appointment with your doctor?
Symptoms That Sinusitis Has Spread To The Brain
A patient experiences severe symptoms when the sinusitis spreads and reaches to the brain. Some of the symptoms including-
- Changes in vision
- Difficulty speaking
- Severe headache inside the skull
However, our Pristyn Care ENT specialist explains that headaches can be a symptom of migraine or pressure build up inside the skull that irritates the brain lining. Another cause of headaches could be brain infection. However, if there is an infection in the brain there can be other symptoms.
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Types Of Sinus Infections: Chronic Vs Acute
There are four types of sinus infections. These classifications depend on the length and frequency of the infection:
- Acute sinusitis.This type of sinus infection lasts only for a short time, defined by the American Academy of Otolaryngology as less than 4 weeks. This short-term infection is usually part of a cold or other respiratory illness. It may also be caused by a bacterial infection .
- Subacute sinusitis. A subacute sinus infection lasts between 4 and 12 weeks .
- Recurrent acute sinusitis. An acute sinus infection is considered recurrent if the infection returns four or more times within a year, with each infection lasting 7 days or more.
- Chronic sinusitis.Chronic sinus infections last for more than 12 weeks or continue to recur.
Many sinus infection symptoms are common in both acute and chronic forms. Seeing a doctor is the best way to learn if you have an infection, find the cause, and get treatment.
For cases of acute bacterial sinus infections, these symptoms last at least 10 days without improving, or they worsen within 10 days after seeming to improve. In this case, its important to talk with a doctor, such as a general practitioner or an ear, nose, and throat doctor , to get a diagnosis and treatment plan.
Learn more about the symptoms of a sinus infection below.
Can A Sinus Infection Be Deadly
Just last month, a high school senior in Kansas City made news when doctors saved his life from a near-fatal brain infection. The root cause? A sinus infection that escalated out of control. You may be asking yourself, Can a sinus infection be deadly? In very rare cases, untreated infections sinusitis, urinary tract infections, even bug bites can lead to a condition called sepsis, also known as blood poisoning. About one in 100,000 patients will have an infection escalate like the Kansas City teen did.
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When To See A Healthcare Provider
Most of the time sinusitis will resolve in 10 days or less without the need to see your healthcare provider for treatment or a prescription. If you have been dealing with your symptoms for 10 days to two weeks and your symptoms are not improving, it is time to consider contacting your healthcare provider.
Blockage Due To Foreign Object
You can do the following things at home as first aid for a foreign object in the ear:
- if the object is visible, carefully use tweezers to gently remove it
- tilt your head to the side to use gravity to remove the object
- try to wash the object out using a small syringe with warm water to gently irrigate the ear canal
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Muffled Hearing In One Ear After A Cold
Even though some people have muffled hearing while sick with the common cold, it can also develop after a cold. This can happen when a cold progresses to a sinus infection or a middle ear infection. In this case, drainage or congestion from these secondary infections causes clogged ears.
Common treatment options for muffled hearing include:
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Treatment For Persistent Sinus Infections And Ear Infections
Having a sinus infection is never pleasant, especially if it leads to an ear infection. Luckily, Kaplan Sinus Relief is here to help with all of your sinus issues. Dr. Kaplan uses an innovative treatment named Balloon Sinuplasty to clear your sinus passageways by inserting and inflating a small balloon.
A minimally invasive procedure, Balloon Sinuplastys success rate is incredibly high. This treatment is painless, requires minimal recovery time, and requires only local anesthesia. Patients can often resume their daily activities within two days of the procedure. Balloon Sinuplasty is an effective treatment for all who suffer from the difficulty of sinus infections.
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Is It A Sinus Infection Or An Ear Infection
Sometimes, people who experience a feeling of fullness in the ear, muffled hearing and fever attribute these symptoms to a sinus infection. That could be a mistake because the symptoms all together line up more with an ear infection. Each type of infection has different treatments, so having the proper diagnosis is important.
Symptoms of a Sinus Infection
The signs of a sinus infection can include:
- Sinus pressure behind eyes and cheeks
- Thick yellow or green mucus dripping from your nose or into the back of your throat
- Lesser sense of smell
- Runny, stuffy nose for more than a week
When To Seek Emergency Care
The following signs and symptoms can be caused by a serious infection.
- Fever above 101 degrees
- Swelling or redness around the eyes or eyelids difficulty opening or moving your eye a protruding eyeball
- Changes in your vision, including loss of acuity or double vision
- Excessive sleepiness or difficulty waking up
- A severe headache in the front of your head, one you might classify as one of the worst of your life.
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Causes Of Blockage To The Middle Ear & Sinuses
Apart from physiological reasons, the anatomic causes of blocked Eustachian tubes and ostia are practically identical and often the two events will occur together.
Most commonly, these causes are both bacterial and viral infections such as colds and flu however, blockages can also occur as a reaction to allergies and various diseases. Because, in both the middle ear and the sinuses, a blockage means that mucous cannot be removed, it is possible for bacteria to grow in this mucous, causing further infection, such as sinusitis, and therefore prolonging the problem.
What Causes Sinus Infections
Sinus infections are caused by allergies, air pollution, and nose structure. Its important to take note of what triggers your sinuses. Are you more likely to get a sinus infection from mold, for example? Is dust the culprit? Or are your sinus infections brought on by less common causes, such as diabetes, autoimmune disorder, or a fungal infection?
Once you know what causes your sinus infections, reduce your risk of getting sinusitis by washing your hands frequently, avoiding touching your face, drying your hair after showering, receiving immunization shots, making your environment more sinus friendly by cleaning your house and replacing your air filter regularly, and avoiding smoking, people who smoke, sudden temperature changes , and caffeine or alcohol.
If your sinus infections are caused by allergies, try taking antihistamines. Sinusitis caused by fungal infections can be avoided with antifungal medicine. Finally, if you have immune deficiencies, immunoglobulin can help fight the irritants that cause sinus infections. Frequent or serious sinus infections and ear infections may indicate that you have acute or chronic sinusitis. Fortunately, there are treatment options for receiving lasting relief, even from acute or chronic sinusitis.
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Accurate Sinus Diagnosis And Treatments Is Essential
The only way to stop recurring sinus infections once and for all is to have an evaluation by a specialist who has the specialized training and experience to accurately diagnose their cause. Once you have an accurate diagnosis, we can discuss the options. The goal is always to provide the patient with all the available options, discuss the advantages and disadvantages of each, and help you find the best treatment plan for you.
Treatments For An Ear Infection
Symptoms of ear infections usually improve within the first couple of days, and most infections clear up on their own within one to two weeks without any medication or treatment. If your symptoms dont improve on their own, your physician will advise you on which treatments for pain from an ear infection. These may include the following:
- A warm compress
- Pain medication
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Pain Or Pressure In Your Sinuses
Facial pain is a common symptom of sinusitis. You have several different sinuses above and below your eyes, as well as behind your nose. Any of these air-filled cavities can hurt when you have a sinus infection.
Inflammation and swelling can cause your sinuses to ache with dull pressure. This is because inflammation may alter the typical path of mucus from the nose to the back of the throat.
You may feel pain in:
- on either side of your nose
- in your upper jaws and teeth
- between your eyes
This may lead to a headache. Headaches caused by sinus infections can occur where the sinuses are or in other places.
Treatment For Chronic Sinusitis
Antibiotics: The usual method of treatment for bacterial sinusitis is through a prescription for antibiotics. The length of the antibiotics course depends partially on the type of medicine that is taken, and also it depends on how severe or lengthy the case of sinusitis has been. The normal experience for a patient is that the medicine is taken for 3-28 days.
In light of common issues connected with antibiotics, such as abuse and overuse, there has been an obvious decrease in the effectiveness of these medicines. If a patient has only been experiencing symptoms for a few days, it is likely antibiotics will not be prescribed. If the symptoms are persistent , or worsening, a patient should then acquire a prescription for antibiotics from their doctor.
The purpose of antibiotics is not to alleviate symptoms, but to attack the bacterium that causes the infection in the first place. Therefore, when the antibiotics are taken, the effects may not be felt for a few days until the bacteria have been fully attacked.
If a patient needs immediate pain or symptom relief, there are various over-the-counter medications that can help.
Nasal Decongestant Sprays: Nasal decongestant sprays are not designed to fix the overall issues pertaining to sinus infections, but as a symptom reliever, to reduce swelling in the nasal passages, helping the flow of bacteria and mucus to be facilitated and clear the sinuses.
Surgery for Chronic Sinusitis
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