diseases

SINUSITIS


Introduction
Sinusitis refers to inflammation of the sinuses that occurs with a viral, bacterial, or fungal infection.Sinuses are hollow air spaces within the skull surrounding the nose.

These cavities located within the skull include the:

. Frontal sinuses over the eyes in the brow area
. Maxillary sinuses inside each cheekbone
. Ethmoidal sinuses just behind the bridge of the nose and between the eyes
. Sphenoidal sinuses in the upper region of the nose and behind the eyes

Each sinus has an opening into the nose for the free exchange of air and mucus. Each sinus is joined with the nasal passages by a continuous mucous membrane lining. Therefore, anything that causes a swelling in the nose whether it is an infection or an allergic reaction can affect the sinuses. Air trapped within an obstructed sinus, along with pus or other secretions, causes pressure on the sinus wall which results in intense sinus pain.

Sinusitis means inflammation of sinuses.It can be divided into Acute Sinusitis and Chronic Sinusitis

Acute Sinusitis : The most frequent cause of acute sinusitis is common cold virus. Most colds resolve with time, but some people develop acute sinusitis. Untreated acute sinusitis can lead to more-serious infections or become a chronic condition. However, most cases are short-lived. When symptoms last less than four weeks, the sinusitis is considered acute.

Chronic Sinusitis: It refers to inflammation of the sinuses that continues for at least 3 weeks, and can often continues for even months. The Inhalation of airborne allergens (substances that provoke an allergic reaction) such as dust, mould, and pollen, often set off allergic reactions (allergic rhinitis) .This in turn, may cause sinusitis.People who are allergic to fungi can develop a condition called "Allergic fungal sinusitis. It is more common in people suffering from asthma and other allergic disorders like Allergic rhinitis. Damp weather also can lead to chronic sinusitis.

Causes:

. Sinusitis develops when mucous membranes of nose, pharynx, throat and sinuses become inflamed.The swelling obstruct the sinus openings and prevents mucus from draining normally.
. The cause of sinusitis is most often viral, such as the common cold virus, but the cause can also be bacterial or fungal. When an upper respiratory tract infection persists longer than 14 days, it's more likely a bacterial cause than a viral cause.
. Allergies, Nasal polyps and Deviated nasal septum may cause sinusitis.
. Other medical conditions such as Cystic fibrosis, Immunodeficiency diseases may cause nasal blockage. Smoking and air pollution can worsen the blockages which can cause further irritation or inflammation.
. Frequent swimming or diving.
. Gastroesophageal reflux disease (GERD).
. Diseases that put you at increased risk for sinusitis include Kartagener syndrome and immotile cilia syndrome.

Signs and Symptoms:

. Pain, tenderness and swelling around eyes, cheeks, nose and forehead.
. Difficulty in breathing
. Fever
. Cough
. Nausea
. Fatigue
. Post nasal drip i.e. mucus drainage in the back of the throat.
. Pain when the forehead over the frontal sinuses is touched may indicate inflammation of the frontal sinuses. Infection in the maxillary sinuses can cause the upper jaw and teeth to ache and tenderness over the cheek.

Treatment and Management
Homeopathic treatment: It includes giving the Constitutional homeopathic remedy which will help in improving the resistance of the person. There are also acute Homeopathic remedies which are prescribed depending upon the symptom totality which helps in relieving the acute symptoms.

Auxiliary treatment

. Steam inhalation 2-4 times in a day helps to reduce the congestion in your sinuses.
. Have hot vegetable soups and fluids to thin the mucus.
. Use a humidifier.
. Try to avoid allergens which worsen sinusitis.

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