Shouldnt A Sinus Perforation Have Healed By Now
September 27, 2020 by AllSmiles
In June, my dentist extracted two teeth, and Im waiting to get dental implants. For one upper right tooth, my dentist said he could see into my sinuses. He prescribed antibiotics for me to take for a week. I didnt have any special instructions other than taking antibiotics. My other tooth healed fine, but the sinus perforations still isnt closed. My primary care doctor prescribed more antibiotics. I have a continual headache and a low-grade fever. How long does it take for a sinus perforation to heal? Its going to be months before I can get dental implants. I think I need a second opinion. Am I going to need an oral surgeon or an ENT doctor to close the perforation? Thanks. Clay
It seems that your dentist doesnt how to handle a perforation that doesnt heal. Its wise to get a second opinion.
What Are The Stages Of A Sinus Infection
- Acute sinusitis usually starts with cold-like symptoms such as a runny, stuffy nose and facial pain. It may start suddenly and last 2 to 4 weeks.
- Subacute sinusitus usually lasts 4 to 12 weeks.
- Chronic sinusitus symptoms last 12 weeks or longer.
- Recurrent sinusitis happens several times a year.
Causes Of Sinus Infection
There may be several causes of sinus infection. Typically a sinus infection starts from a cold, and develops because the mucus in your sinus does not drain properly and causes an infection in your sinus cavity. Most sinus infections are viral but some are bacterial.
Allergies can also cause a sinus infection. More severe causes included a deviated septum, nasal bone spur, or polyps in your nose. If you have recurrent acute sinusitis, your doctor may run additional tests to rule out a different medical condition causing your sinus infections.
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Will A Sinus Infection Go Away On Its Own
Dr. Chacko Featured on the Cover ofAtlanta’s Top Doctor Magazine
Vast numbers of people in Atlanta experience the pain and discomfort of sinusitis each year. While some simply suffer through the sharp pain, congestion and headaches that accompany the condition, others seek out sinus infection treatments. But should you make an appointment with an ENT doctor, or wait until the infection goes away?
Is A Sinus Infection Contagious To Others
Yes, but only if your sinus infection has been caused by a virus. Potentially you can pass this virus onto someone, which may cause them to develop a cold, which in turn can develop into sinusitis. However if your sinus infection hasnt be caused by a virus but bacteria instead then its not contagious.
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Do You Need To Talk To An Ent
As you can see, untreated sinus infections arent something that you should ignore. If you suffer from chronic sinus issues, then it might be time to talk to an ear, nose, and throat specialist about your condition.
Here are a few signs that you should book an appointment with an ENT for a sinus infection:
- Symptoms continue for more than 10 days
- Recurring infections throughout the year
- Discolored, thick nasal discharge
- Pressure and pain that is interrupting your daily life
- At-home or over-the-counter treatments dont provide relief
- Pain and discomfort are increasing with time
A general practitioner can help with occasional sinus infections, but they will refer you to see an ENT for recurring, chronic conditions. Primary care doctors are limited to prescription medications for treatments. On the other hand, an ENT can address sinus infections with a range of other treatments.
Essential Oils For Sinus Infection
There are many essential oils that have antiseptic, antifungal, antibacterial and anti inflammatory properties, including:
Combining a few drops from different oils may be the best route to obtain maximum benefit from their different properties. Components of eucalyptus oil help to clear the air as well as break up mucus, while oregano oil is a potent antibacterial and antifungal oil. Eucalyptus is commonly found in cough drops and other medicines, but using it as an essential oil will yield a pure and more concentrated dose. There are a few ways to reap the benefits of these oils when you have a sinus infection.
- Steaming add a few drops to a pot of boiled water and hold your face over the steam.
- Sinus irrigation add a few drops to your neti pot solution for sinus irrigation.
- Homemade vapor rub or massage oil combining a few drops of essential oil with a base oil such as coconut oil or olive oil will yield a mixture that you can massage onto your throat to soothe and break up congestion.
- Oral consumption put one drop of food grade essential oil on the roof of your mouth. Careful not to consume much more than this, as essential oils are highly concentrated.
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How To Treat Sinus Infections With Surgery
When other treatment methods fail, the final resort for sinusitis is surgery. In many cases, the goal is to fix defects in the sinuses. Reasons to undergo surgical treatment for sinusitis include:
- Narrowing of the sinuses caused by other reasons
- Presence of nasal polyps growths that block the sinuses and increase the risk of infection
- Recurrent sinus infections
- Small sinus drainage openings from birth
Do You Need An Antibiotic Or Are There Other Ways To Get Rid Of A Sinus Infection
Story by: Rebecca Hall on May 13, 2019
Sinus symptoms can be easy to recognize when youre used to experiencing them around the same time every year. In most places, thats cold and flu season, which occurs in late fall and into winter. But here in Kentucky? Due to high pollen counts, we can be susceptible to sinus infections all year.
The trademark symptom of sinus infections is pressure under and between your eyes and just over your eyebrows. Theres nothing like that tight squeezing feeling in your head! The dreaded sinus pressure may be accompanied by a headache, nasal mucus , cough, sore throat, congestion or other symptoms.
Sinus symptoms are not much fun. So how do you know whether an at-home treatment will do the trick, whether you need to be examined by a health care provider, or if you need an antibiotic for your sinus infection? Heres what you need to know about what to do and where to go for sinus infection treatment.
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How Do You Treat A Sinus Infection
If you suspect you have a sinus infection, you should see a medical professional in order to get advice on proper treatment. In most cases, antibiotics are not necessary. However, if your sinus infection is caused by a bacterial infection, your doctor may prescribe medications. You can also try some of these home care techniques to help relieve discomfort and congestion:
- Hot showers or stream treatments, especially before bed, may help open up your sinuses and allow you to breathe better.
- Using a nasal nebulizer with a saline moisturizer to clear out congestion and soothe irritated areas.
- Ask a pharmacist or a healthcare professional about over-the-counter medications and treatments to relieve pain and other symptoms
- Get plenty of rest and drink warm fluids to reduce post nasal drip.
Tips To Help You Feel Better Now
With respiratory symptoms, there are some things you can do to start getting some immediate relief, according to Dr. Buzzard.
The first tip I have is to take make sure you are getting an adequate amount of rest, as well as fluids. Secondly, over-the-counter medicines for cold symptoms can be helpful for symptoms like sore throat, fever, congestion, and cough. Check with your doctor if you have questions about what is safe and effective, says Dr. Buzzard. My third tip is if you are smoking, stop. Smoking will make your symptoms worse and can increase your risk of secondary infections like sinus infections or pneumonia. Finally, if you are getting worse or youve gone longer than a week without feeling better, come in to see us.
If you think you might have a COVID-19, a sinus infection, or another respiratory illness, a visit to one of Physicians Immediate Cares convenient locations in Illinois, Indianaand Wisconsin couldprovide the relief you need. In addition to caring physicians and staff who have been serving patients for more than 30 years, Physicians Immediate Care also offers evening and weekend hours, and no appointment is needed.
If you have any symptoms of COVID-19, please let us know before you arrive so we can keep you safe with our enhanced health and safety protocols.
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Check If You Have Sinusitis
Sinusitis is common after a cold or flu.
Symptoms of sinusitis include:
- a reduced sense of smell
- green or yellow mucus from your nose
- a sinus headache
Signs of sinusitis in young children may also include irritability, difficulty feeding, and breathing through their mouth.
The sinuses are small, empty spaces behind your cheekbones and forehead that connect to the inside of the nose.
Sinusitis causes the lining of the sinuses to swell up.
This stops mucus draining into your nose and throat properly, making you feel blocked up.
When A Sinus Infection May Be Dangerous
A sinus infection occurs when the tissue lining in your sinus cavity becomes swollen or inflamed. When your sinuses are blocked, they become a breeding ground for bacteria and viruses that can lead to an infection. Thats why its best to visit your doctor at the first signs of a sinus infection. Otherwise, it could lead to a chronic condition. Heres how to know if your sinus infection has developed into something more dangerous:
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Viral Vs Bacterial Sinus Infection
Viral Sinus Infection
Aside from causing common cold, viruses can cause inflammation in the sinuses. Symptoms like a runny nose and nasal congestion are some of the hallmarks of viruses which can further lead to inflammation of the sinuses. The discomfort from the illness reaches its peak usually on the fourth or fifth day and slowly begins to recede afterwards. It can take anywhere from a week to ten days for the above mentioned nasal symptoms to go away on their own. Improvement in patients with common cold can be seen after that, yet it might take them more time to return to normal.
Bacterial Sinus Infection
Bacterial sinus infection or bacterial sinusitis occurs when drainage of the fluid collected within the sinuses is hampered somehow. This is often observed in common cold which causes an overload of the fluid in the sinuses. Bacteria tend to thrive in the sinus pockets that are wet, moist and filled with fluid. The bacterial growth usually occurs after 10-day duration of the common cold.
Doctors are not able to differentiate between viral or bacterial sinusitis since the diagnosis for both of them is to check the symptoms like nasal congestion, headache, cough, thick post-nasal or nasal drainage, etc. In some cases, the help of other diagnostic tests like cultures or CT scans is taken to reach a definitive diagnosis.
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What Is Acute Sinusitis
Acute sinusitis is a short-term inflammation of the sinuses, most often including a sinus infection. The sinuses are four paired cavities in the head. They are connected by narrow channels. The sinuses make thin mucus that drains out of the channels of the nose, cleaning the nose. Typically filled with air, the sinuses can become blocked by fluid and swell from irritation. When this happens, they can become infected.
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Rare Cases Can Turn Serious
Antibiotics also can help ward off rare but potentially dangerous complications that arise when a sinus infection spreads to the eyes or brain, Dr. Sindwani says.
Complications around the eyes are the more common of the two. These complications can cause redness, swelling around the eyes and reduced vision, and even lead to blindness in a severe form known as cavernous sinus thrombosis. Serious cases are immediately treated with IV antibiotics. Patients are usually admitted to the hospital for a CT scan to see if fluid needs to be drained, Dr. Sindwani says.
Also in rare cases, sinus infections in the rear center of ones head can spread into the brain. This can lead to life-threatening conditions like meningitis or brain abscess, Dr. Sindwani says.
Before antibiotics, people would die from sinusitis, he says. But he emphasizes that such complications are unlikely. In most cases, the bacterial infection goes away, especially if you dont have underlying medical problems.
Its important to monitor your symptoms if you suspect a sinus infection. If the condition lingers or worsens, call your doctor.
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When Do Symptoms First Appear
The symptoms of a sinus infection often come on suddenly. COVID-19 symptoms can develop more gradually 2 to 14 days after exposure to SARS-CoV-2.
A sinus infection can often happen after youve had a common viral illness, such as a cold or the flu. If your symptoms develop after youve already been sick, you may have a sinus infection.
Viruses that cause a cold or flu tend to circulate in the fall and winter months. COVID-19 can occur any time of the year. While a sinus infection could develop following COVID-19, this hasnt yet been reported by research.
A sinus infection can also occur after exposure to allergens or irritants, such as pollen, pet dander, and cigarette smoke. If you have allergies or were recently around an irritant, you may be at risk for a sinus infection.
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How To Treat Bacterial Sinus Infection
Taking rest and consuming plenty of fluids are highly effective natural remedies for a sinus infection and need to be used in case of both viral and bacterial sinus infections.
Congestion in the sinuses can be reduced by trying the following steps:
- Applying a moist and warm washcloth to the face several times throughout the day.
- Drinking a good amount of fluids for thinning the mucus.
- Inhaling steam for 2 to 4 times a day.
- Spraying with a nasal saline many times throughout the day.
- Using a humidifier.
- Using a Neti pot for flushing the sinuses.
- Note: The use of OTC spray nasal decongestants should be done very carefully. They are helpful in the beginning but continuous use can worsen nasal stuffiness.
Use the following self-care methods for easing sinus pressure or pain:
- Dont board an airplane if you are congested.
- Refrain from bending forwards and avoid sudden temperature changes.
- Make use of ibuprofen or acetaminophen.
Antibiotics can be required for treating a bacterial sinus infectionas they can fight the bacteria that have grown inside the sinuses.
Antibiotics should be prescribed for adults for preventing serious complications or speeding up the recovery process only if the diagnosis confirms that the patient is suffering from an acute bacterial sinus infection.Antibiotic treatment becomes necessary for adults if the following symptoms are observed.
When To Go To A Doctor For A Sinus Infection
An untreated sinus infection can turn into a chronic infection, so its important to see the doctor if your symptoms arent improving on their own. We recommend making an appointment with your doctor if:
- Your symptoms havent improved after two days of at-home treatment
- You have cold symptoms that last for 10 days
- You have a fever of 101 degrees Fahrenheit or higher
- Youre experiencing severe pain in the upper part of your face or your teeth
- You have facial pain from the bridge of your nose to your lower eyelid
- You notice thick and discolored mucus
- You have mild face pain for a month or longer
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How Severe Are The Symptoms
Most sinus infections go away on their own without severe symptoms or complications. If a sinus infection is caused by bacteria, you may need antibiotics.
Many cases of COVID-19 may be mild or moderate. The World Health Organization estimates that
Heres what to do next whether you think that you have a sinus infection or COVID-19.
What Is The Function Of The Sinuses
The human skull contains four major pairs of hollow air-filled cavities called sinuses. These are connected to the space between the nostrils and the nasal passage . Sinuses help insulate the skull, reduce its weight, and allow the voice to resonate within it. The four major pairs of sinuses are:
The sinuses contain defenses against viruses and bacteria . The sinuses are covered with a mucous layer and cells that contain tiny hairs on their surface that help trap and propel bacteria and pollutants outward.
Acute sinusitis typically lasts less than eight weeks or occurs no more than three times per year with each episode lasting no longer than 10 days. Medications are generally effective against acute sinusitis. Successful treatment counteracts damage done to the mucous lining of the sinuses and surrounding bone of the skull.
Chronic or recurring sinusitis lasts longer than eight weeks or occurs more than four times per year, with symptoms usually lasting more than 20 days.
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When Do You Really Need Antibiotics For That Sinus Infection
- By Monique Tello, MD, MPH, Contributor
It was February, and clinic was teeming with respiratory infections of all kinds: mostly the common cold, but also bronchitis, pneumonia, and sinus infections. The patients were coming in usually thinking that they needed antibiotics for their sinus infection, or another respiratory infection.The first patient on my schedule was a healthcare provider with sinus infection written down as her main issue.* Shed had about two weeks of nasal and sinus congestion which she blamed on a viral upper respiratory infection . Her two young kids had been sick with colds all winter, so she wasnt surprised to have these symptoms, along with endless postnasal drip and a cough.
Her congestion had improved a bit at one point, and she thought that she was finally getting better. But then, the day before her appointment, she awoke with throbbing pain between her eyes, completely blocked nasal passages, and, more concerning to her, green pus oozing from her left tear duct. She had body aches, chills, and extreme fatigue. Do I maybe need antibiotics? she asked.