Sinusitis is a long term inflammation of the sinuses that lasts 12 weeks or more that’s caused by bacterial infections, viral infections and allergies. It affects the spaces inside your nose and head and makes them swell and block. This is very uncomfortable and means mucus can’t drain properly.
In Singapore, approximately 5-10% of the population is estimated to suffer from chronic sinusitis.
If you’re struggling with ongoing sinus issues, get help. A GP or ear, nose and throat specialist can diagnose and prescribe a treatment plan for you.
Don’t let sinusitis run your life. Book an appointment today.
Bacterial sinusitis occurs when harmful bacteria infect your sinuses and cause ongoing inflammation. Common culprits are Streptococcus, Pneumococcus and Haemophilus. You may experience symptoms like facial pain, nasal congestion and thick, coloured discharge.
This type of sinusitis often starts as a viral infection that doesn’t clear up. If left untreated it can last for months. Your doctor may prescribe antibiotics to treat the bacterial infection.
To treat bacterial sinusitis you can try nasal irrigation with saline solution. This will flush out mucus and bacteria. Decongestants may also help by reducing swelling in your nasal passages.
Bacterial vs. Viral Sinusitis
Both types of sinusitis cause similar symptoms, but they differ in cause and treatment. Most sinusitis results from viral infections like the common cold, which have no cure and typically improve within 5-7 days. Bacterial sinusitis lasts longer, often worsening after a week, and may require antibiotics. These infections can overlap, with a viral infection sometimes leading to a bacterial one due to mucus build-up.
Sinusitis vs. Sinus Infection
Although often used interchangeably, sinusitis refers to sinus inflammation, while a sinus infection, usually viral, causes that inflammation. Allergies, however, can cause sinusitis without infection.
Fungal sinusitis occurs when fungi grow in your sinuses. It’s less common than bacterial sinusitis but can be more serious. There are several types including allergic fungal rhinosinusitis.
You’re more likely to get fungal sinusitis if you have a weakened immune system. Symptoms can include nasal polyps, loss of smell and headaches. In severe cases it can affect your vision.
Treatment for fungal sinusitis involves antifungal medication. Your doctor may also recommend surgery to remove the fungal growth. Steroid nasal sprays can help reduce inflammation and prevent recurrence.
If you have allergic fungal rhinosinusitis you may need long term management. This can include immunotherapy to reduce your sensitivity to fungi.
Invasive Fungal Sinusitis
These rare infections can extend to the eyes, brain, and other parts of the body, potentially becoming life-threatening.
Non-invasive Fungal Sinusitis
These infections are more frequent and typically remain confined to the nose and sinus area.
It’s important to consult a healthcare provider immediately if you experience any of the following symptoms:
These symptoms could indicate a more serious condition, such as a severe sinus infection or complications that may require urgent medical attention.
Don’t ignore the warning signs of a serious condition. If you’re experiencing any of these symptoms, trust Nuffield’s award-winning team to provide expert care and personalized treatment. Schedule your consultation now, and let us help you find relief and restore your well-being before complications arise!
Nasal polyps are small soft growths that can block your sinuses. They develop from inflamed tissue in your nose or sinuses. These growths can prevent mucus from draining properly.
You may be more likely to get nasal polyps if you have allergies or asthma. Some people are born with a higher risk of getting them.
Allergies and asthma can cause swelling in your nasal passages. This swelling can block your sinuses and trap mucus inside.
If you have hay fever or react to things like dust or pet dander you may be more at risk. Your doctor can test you for allergies and recommend treatment to manage them.
A deviated septum is when the thin wall between your nostrils is crooked. This can make one nasal passage smaller than the other.
You may have been born with a deviated septum or it may have occurred after an injury. It can make it harder for mucus to drain and increase your risk of sinus infections.
Colds and other respiratory infections can cause chronic sinusitis. These infections cause swelling in your nasal passages and sinuses.
Viruses are the most common cause of respiratory infections. Sometimes a bacterial infection can follow a viral infection and make your symptoms worse.
If your immune system is weak you may be more likely to get chronic sinusitis. Your body may struggle to fight off infections that cause sinus problems.
Certain medical conditions like HIV or cystic fibrosis can weaken your immune system. Some medications can also affect your body’s ability to fight infections.
Doctors diagnose chronic sinusitis when symptoms last for 12 weeks or more. They will ask about your symptoms and examine your nose and face.
A key part of diagnosis is nasal endoscopy. Your doctor will insert a thin tube with a light into your nose. This lets them see inside your sinuses and see what’s going on.
CT scans are also useful. These detailed images can show what’s going on in your sinuses that’s causing your symptoms.
In some cases your doctor may recommend an allergy test. If they think allergies are behind your chronic sinusitis.
Sometimes doctors need to take samples from your nose or sinuses. They may do this if your symptoms don’t improve with treatment.
For patients with sinusitis who do not respond to standard treatments, MRI can reveal underlying issues such as nasal polyps, anatomical variations, or chronic inflammation that may require surgical intervention.
It’s rare but in some cases your doctor may recommend a biopsy. This is usually only if they suspect something other than chronic sinusitis is causing your symptoms.
Nasal corticosteroid sprays : Often the first line of defence. These sprays reduce inflammation in your sinuses. You can buy some over the counter like fluticasone or budesonide.
Saline nasal rinses : A simple home remedy, they clear your sinuses of mucus and irritants. You can use a special bottle or neti pot to flush your nasal passages with salt water.
Oral Corticosteroids : For severe cases, your doctor may prescribe these powerful drugs. They can quickly reduce swelling but are only used for short periods due to side effects.
Antihistamines or Immunotherapy : If allergies are behind your sinusitis, antihistamines or immunotherapy (allergy shots) may help. These treatments can reduce your body’s reaction to allergens.
Antibiotics : Sometimes needed if a bacterial infection is causing your sinusitis. Your doctor will decide if this is for you.
Functional Endoscopic Sinus Surgery (FESS) : For persistent cases, surgery may be an option. Functional endoscopic sinus surgery (FESS) can remove blockages and improve sinus drainage.
Bioelectronic Sinus Device : This device utilizes microcurrents to stimulate the nerve fibers in your sinuses, helping to alleviate inflammation, pain, and congestion. Available over-the-counter, it offers a convenient option for managing sinus discomfort.
Decongestants : Decongestants can also work by reducing the amount of mucus in the sinuses and come in both nasal spray and pill forms. However, it’s important to use decongestant nasal sprays for no longer than three days, as prolonged use can lead to increased congestion; always follow the label instructions.
Steriods : In certain cases, doctors may prescribe inhaled steroids to help decrease swelling in the sinus membranes. For more severe cases of chronic sinusitis, oral steroids may be necessary to manage symptoms effectively.
Balloon Sinuplasty : A minimally invasive procedure that involves your doctor inserting a thin catheter into your nose to access blockages in your sinuses. By inflating a small balloon at the catheter’s end, the surgeon opens the sinuses, allowing for better drainage and improved airflow.
Steroid Nasal Sprays or Drops : These help reduce swelling in the sinuses and may need to be used for several months to achieve optimal results.
Antihistamines : If allergies are triggering your symptoms, antihistamines can be effective in managing allergic reactions and relieving sinus pressure.
Septoplasty : If you’re experiencing repeated sinus infections or breathing problems, a deviated septum might be the culprit. Septoplasty is a simple procedure to straighten the nasal septum—the wall between the nostrils. This will improve airflow through your nose and reduce sinus congestion. Recovery typically involves minimal discomfort, and most patients notice improved breathing soon after.
Don’t let chronic sinusitis control your life. Book an appointment with an ENT specialist today to see what’s best for you.
Nasal Polyps : These are soft, painless, non-cancerous growths that develop in the nasal passages or sinuses. They often form due to chronic inflammation and can block airflow, increasing the risk of sinusitis.
Asthma : Individuals with asthma are more susceptible to sinusitis because asthma causes airway narrowing, swelling, and excess mucus production, which can lead to breathing difficulties and symptoms such as coughing, wheezing, and shortness of breath.
Pollutants : Constant exposure to environmental irritants like tobacco smoke can irritate the nasal lining and trigger inflammation, increasing the likelihood of sinusitis.
Deviated Septum : A misaligned septum narrows one side of the nasal passage, hindering proper airflow and sinus drainage, which can cause blockages and sinus infections.
Smoking : Tobacco smoke irritates the nasal passages and can lead to chronic inflammation, raising the risk of sinus infections.
Bacterial sinusitis : This tends to last longer and may require treatment with oral antibiotics to resolve.
Funga : sinusitis is the rarest form of sinus infection and typically affects individuals with weakened immune systems. Certain pre-existing conditions, such as structural abnormalities in the nose, unmanaged allergic rhinitis, immune system deficiencies, and some dental infections, can increase the likelihood of developing sinusitis. Unmanaged allergic rhinitis, often associated with sinusitis, contributes to inflammation and mucus buildup which can block sinus drainage and make you prone to infections.
Viruses : These are the most common cause of sinusitis, and these infections usually clear up on their own with basic symptom management.
Dental infections : This can lead to sinusitis because the upper teeth are close to the sinuses. Bacteria from an infected tooth can spread to the sinuses, causing inflammation and infection, known as odontogenic sinusitis.
Other Medical Conditions : Diseases such as HIV, cystic fibrosis, or other immune-related issues can lead to sinus blockage and a higher risk of sinus infections. Viral sinusitis typically clears up with symptomatic treatment, while bacterial infections may require antibiotics. Fungal sinusitis is rarer and usually affects individuals with weakened immune systems. Conditions like anatomical abnormalities in the nose, allergic rhinitis, or dental infections can also contribute to chronic sinusitis.
Vision Problems : As the sinus infection spreads, you may experience vision issues due to its impact on the eyes, potentially leading to orbital cellulitis, a serious condition affecting the tissues around the eye.
Throat Infection : Infections can extend beyond the sinuses, resulting in laryngitis, which may cause voice loss or difficulty speaking.
Tear Duct Infection : Dacryocystitis, an infection of the tear ducts, can also occur as a complication of sinusitis.
Brain Infection : In rare instances, the infection may spread to the brain, leading to meningitis, a life-threatening inflammation of the membranes surrounding the brain and spinal cord.
Cavernous Sinus Thrombosis : This serious condition involves blood clots in the cavernous sinus, a large vein at the base of the skull.
Bone Infection : Osteomyelitis can develop in the frontal bone, causing severe pain and swelling in the forehead.
Dental Issues : You may also experience dental pain or toothache, as the sinuses are located near the upper teeth.
Eye Infection and Abscess : Sinus infections can spread to the eyes, initially causing swelling of the eyelids.
As the infection advances, the eye may become swollen and painful, potentially damaging its structures and resulting in vision issues such as double vision or blindness.
Blood Clot in the Cavernous Sinus : Untreated sinusitis can lead to blood clots in the cavernous sinus, a critical venous area at the base of the brain.
Brain Infection – Meningitis and Brain Abscess : Sinus infections can spread to the meninges, the membranes surrounding the brain, leading to meningitis. Symptoms typically include high fever, headache, neck stiffness, and altered neurological function.
Bone Infection – Osteomyelitis : Bacterial infections from the sinuses can extend to adjacent bones, particularly in the forehead area. This can result in persistent headaches, fever, bone swelling, and pus discharge through the skin.
Book your appointment today to prevent these risks and explore your treatment options. Take control of your health now!
Nuffield ENT is recognized as a leading destination for sinusitis care in Singapore, combining expertise with a patient-centered approach.
Equipped with advanced medical technology, Nuffield ENT ensures accurate diagnoses and effective treatments, enhancing patient care.
The friendly staff and welcoming environment at Nuffield ENT prioritize patient comfort, helping to ease anxiety during visits.
Don’t settle for less. Reclaim your health and breathe easier with Nuffield ENT. Call 6123 4567 or visit our website today!
Medication :
These meds can help manage symptoms and fight infections. Your doctor may prescribe a combination of these.
Diagnostic tests:
These tests are essential to determine the cause of your sinusitis and treatment plan.
These prices are estimates. Your actual cost may vary depending on the clinic you go to and your condition. Some insurance plans may cover part of the cost so do check with your provider.
At Nuffield ENT, we understand that chronic sinusitis can be a financial burden. From medications to advanced surgeries like FESS or balloon sinuplasty, we provide personalized, cost-effective care. Our transparent pricing ensures no surprises, and we accept most major insurance plans to ease your financial concerns.
Don’t let cost keep you from feeling better. Book your consultation with Nuffield ENT today and explore your treatment options!
Good hygiene is key. Wash your hands often with soap and water. This is especially important before meals.
Refrain from touching your face : Our hands are usually dirty from germs and bacteria and touching your face with the dirty hands can trigger sinusitis.
Avoid people with colds or other bugs. These infections can cause sinusitis.
If you have allergies, work with your GP to manage them. Avoid things that trigger your allergies when you can.
Stay well-hydrated by drinking plenty of water. It helps keep mucus thin and easy to clear. Keep a water bottle at your desk or place a glass by the kitchen sink to remind yourself to sip water throughout the day.
Stay away from cigarette smoke and polluted air. These can irritate your nose and lungs.
A humidifier can help if your home is too dry. Just make sure to clean it often to prevent mould growth.
Get an Influenza Vaccine Each Year. Annual influenza vaccinations protect against the flu, a common trigger for sinusitis, reducing the risk of viral infections that lead to sinus inflammation.
Reduce Stress. Lowering stress enhances immune function, making you more resilient to infections, including those that can lead to sinusitis.
At Nuffield ENT we can help if you’re suffering from chronic sinusitis. Our team will determine what’s causing your symptoms and create a plan for you. We offer a range of treatments from medications to surgery if needed.
Remember, early treatment can prevent sinusitis from becoming chronic. If you’ve had sinus pain for more than 12 weeks, it’s time to see a specialist. Let us help you feel better: reach out to our team for help.
Leung, Roxanne S., and Rohit Katial. “The Diagnosis and Management of Acute and Chronic Sinusitis.” Primary Care Clinics in Office Practice, vol. 35, no. 1, Mar. 2008, pp. 11–24, doi:10.1016/j.pop.2007.09.002.
Rudmik, Luke, and Zachary M. Soler. “Medical Therapies for Adult Chronic Sinusitis.” JAMA, vol. 314, no. 9, Sept. 2015, p. 926, doi:10.1001/jama.2015.7544.