Diagnosis

Your doctor will feel for tenderness in your nose and face and look inside your nose, and can usually make the diagnosis based on the physical exam.

Other methods that might be used to diagnose acute sinusitis and rule out other conditions include:

  • Nasal endoscopy. A thin, flexible tube (endoscope) with a fiber-optic light inserted through your nose allows your doctor to visually inspect the inside of your sinuses.
  • Imaging studies. A CT scan shows details of your sinuses and nasal area. It's not usually recommended for uncomplicated acute sinusitis, but imaging studies might help find abnormalities or suspected complications.
  • Nasal and sinus samples. Laboratory tests aren't generally necessary for diagnosing acute sinusitis. However, when the condition fails to respond to treatment or is worsening, tissue samples (cultures) from your nose or sinuses might help find the cause, such as a bacterial infection.
  • Allergy testing. If your doctor suspects that allergies have triggered your acute sinusitis, he or she will recommend an allergy skin test. A skin test is safe and quick, and can help pinpoint the allergen that's causing your nasal flare-ups.

Treatment

Most cases of acute sinusitis get better on their own. Self-care techniques are usually all you need to ease symptoms.

Treatments to relieve symptoms

Your doctor may recommend treatments to help relieve sinusitis symptoms, including:

  • Saline nasal spray, which you spray into your nose several times a day to rinse your nasal passages.
  • Nasal corticosteroids. These nasal sprays help prevent and treat inflammation. Examples include fluticasone (Flonase Allergy Relief, Flonase Sensimist Allergy Relief, others), budesonide (Rhinocort Allergy), mometasone (Nasonex) and beclomethasone (Beconase AQ, Qnasl, others).
  • Decongestants. These medications are available in over-the-counter (OTC) and prescription liquids, tablets and nasal sprays. Use nasal decongestants for only a few days. Otherwise they may cause the return of more-severe congestion (rebound congestion).
  • OTC pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin.

    Use caution when giving aspirin to children or teenagers. Children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin. This is because aspirin has been linked to Reye's syndrome, a rare but potentially life-threatening condition, in such children.

Antibiotics

Antibiotics usually aren't needed to treat acute sinusitis. Even if your acute sinusitis is bacterial, it may clear up without treatment. Your doctor might wait and watch to see if your acute sinusitis worsens before prescribing antibiotics.

However, severe, progressive or persistent symptoms might require antibiotics. If your doctor prescribes an antibiotic, be sure to take the whole course, even after your symptoms get better. If you stop taking them early, your symptoms may recur.

Immunotherapy

If allergies are contributing to your sinusitis, allergy shots (immunotherapy) that help reduce the body's reaction to specific allergens may help treat your symptoms.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

Lifestyle and home remedies

These self-help steps can help relieve sinusitis symptoms:

  • Rest. This will help your body fight infection and speed recovery.
  • Moisten your sinus cavities. Drape a towel over your head as you breathe in the vapor from a bowl of hot water. Keep the vapor directed toward your face. Or take a hot shower, breathing in the warm, moist air. This will help ease pain and help mucus drain.
  • Rinse your nasal passages. Use a specially designed squeeze bottle (Sinus Rinse, others) or neti pot. This home remedy, called nasal lavage, can help clear your sinuses.

Alternative medicine

No alternative therapies have been proved to ease the symptoms of acute sinusitis. It's been suggested that products containing certain combinations of herbs may be of some help. These combination therapies contain cowslip, gentian root, elderflower, verbena and sorrel.

Possible side effects from these herbal products include stomach upset, diarrhea and allergic skin reactions. Check with your doctor before taking any herbal or dietary supplement to be sure they're safe and that they won't interact with any medications you're taking.

Preparing for your appointment

When you see your doctor, expect a thorough examination of your sinuses. Here's information to help you get ready for your appointment.

What you can do

Make a list of:

  • Your symptoms, including any that seem unrelated to the reason for your appointment
  • Key personal information, including whether you have allergies or asthma and family medical history
  • All medications, vitamins or other supplements you take, including the doses
  • Questions to ask your doctor

For acute sinusitis, questions to ask your doctor include:

  • What's likely causing my symptoms?
  • What are other possible causes for my symptoms?
  • What tests do I need?
  • Is my condition likely temporary or chronic?
  • What's the best course of action?
  • What are the alternatives to the primary approach you're suggesting?
  • I have these other health conditions. How can I best manage them together?
  • Are there restrictions I need to follow?
  • Should I see a specialist?
  • Are there brochures or other printed material I can have? What websites do you recommend?

Don't hesitate to ask other questions.

What to expect from your doctor

Your doctor is likely to ask you questions, such as:

  • When did your symptoms begin?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
  • Do you smoke or are you around smoke or other pollutants?
June 22, 2019
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  2. Bennett JE, et al., eds. Sinusitis. In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, Pa.: Elsevier; 2015. https://www.clinicalkey.com. Accessed April 30, 2019.
  3. Sinusitis. American Academy of Allergy, Asthma & Immunology. https://www.aaaai.org/conditions-and-treatments/library/allergy-library/sinusitis. Accessed April 30, 2019.
  4. Sinus infection. Centers for Disease Control and Prevention. https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/sinus-infection.html. Accessed April 30, 2019.
  5. Wyler B, et al. Sinusitis update. Emergency Medicine Clinics of North America. 2019;37:41.
  6. Ferri FF. Reye's syndrome. In: Ferri's Clinical Advisor 2019. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed May 12, 2019.
  7. Sinupret + by Bionorica AG. Natural Medicines. https://naturalmedicines.therapeuticresearch.com. Accessed May 12, 2019.
  8. European elder. National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/euroelder. Accessed April 30, 2019.