Chronic sinusitis treatment in adults

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How to recognize and treat chronic sinusitis?

Chronic sinusitis is a long-term inflammatory process of the maxillary sinus, which, depending on the form and stage, manifests itself in a varied clinical picture.

Table of contents:

The danger is that in the absence of treatment and erased signs, the disease causes constant intoxication of the body.

Reasons for development

  • Anomalies in the structure of the nasopharynx (deviated nasal septum, hypertrophy of the inferior turbinates, adenoids);
  • Irrational antibiotic therapy and resistant strains of bacteria;
  • Unfavorable external factors (dust, gas, smoke, dry indoor air);
  • History of allergic diseases (chronic allergic rhinitis, bronchial asthma);
  • Fungal invasion (candida, molds) with decreased immunity;
  • Chronic infectious diseases of the nose and throat (chronic tonsillitis, adenoiditis);
  • Odontogenic pathology and foreign bodies in the sinus cavity (filling material);
  • See a detailed analysis of each reason.

Among the bacteria most often sown in the sinus during a chronic process are H. influenzae, S. pneumoniae and Moraxella catarrhalis.

Symptoms of chronic sinusitis depending on the form

Exacerbation of chronic sinusitis occurs in exactly the same way as acute sinusitis. The patient experiences headache, nasal discharge, fever, sinus pain, and nasal congestion.

Outside of exacerbation, the nature of the symptoms depends on the form of sinusitis and the characteristics of the body.

Symptoms of purulent form

  • Difficulty in nasal breathing to varying degrees;
  • Decreased or absent sense of smell;
  • Recurrent headaches without precise localization;
  • Symptoms of chronic intoxication of the body: lethargy, fatigue, loss of appetite, low-grade fever, increased nervousness;
  • Copious nasal discharge of various types: mucous, mucopurulent and purulent;
  • Ear congestion;
  • Development of cough due to irritation of the mucous membrane of the back of the throat by constant secretions;
  • Less common is the appearance of lacrimation due to blockage of the nasolacrimal duct.

Symptoms of the odontogenic (dental) form

The lower wall of the maxillary sinus is formed by the alveolar process of the upper jaw. In most people, the roots of the 4th and 5th teeth protrude into the lumen of the sinus, which sometimes are not even covered with mucous membrane. With the development of pathological processes in the oral cavity, the infection penetrates the sinus and an inflammatory process develops.

  • As a rule, inflammation appears on one side - where the diseased tooth is;
  • The development of the disease may be preceded by a visit to the dentist and treatment of the upper teeth;
  • Does not respond to the standard treatment regimen (antibiotic therapy, sinus lavage) without eliminating dental pathology;
  • Nasal discharge has a specific foul odor.

Symptoms of the fungal form

Often, fungal infection of the sinuses is preceded by long-term and sometimes uncontrolled use of antibacterial drugs. It can also develop against the background of decreased immunity or in immunodeficiency states (HIV infection, taking cytostatics, etc.).

The nature of the discharge from the sinus depends on the type of fungus. With candidiasis, the discharge is cheesy and whitish in color; with aspergillosis, it is black-gray and thick; mold fungi cause a yellowish, jelly-like discharge.

Symptoms of an allergic form

Occurs together with signs of allergic damage to the nasal cavity. Special symptoms:

Paroxysmal course, a certain seasonality of the disease with allergies to pollen of various plants: trees during the flowering period, cereals, as well as to the spores of some fungi.

Symptoms intensify after contact with the allergen: sneezing, itching, watery eyes, pain in the sinus area, clear watery discharge from the nose. A long course of the process causes polypous degeneration of the mucosa. In such cases, you can consider polyps that fill the nasal cavity and interfere with proper breathing.

The symptoms of these forms of chronic sinusitis can be almost invisible, gradually leading to the depletion of the body's immune forces and causing the development of severe complications.

Chronic sinusitis in children and parental behavior

The symptoms of sinusitis in children can be erased and mild, moreover, children rarely attach importance to the developing signs of a disease that does not cause them significant discomfort. The task of parents is to recognize the erased symptoms of the disease in time and consult a doctor. Their main manifestations include:

Chronic runny nose can be expressed to a greater or lesser extent, it does not respond to conservative therapy and lasts more than 2-3 weeks.

The baby stops smelling, and this is one of the reasons for poor appetite.

Difficulty in nasal breathing: the child snores in his sleep, breathes mainly through his mouth, and speech acquires a characteristic nasal tone.

Swelling in the nasal cavity can cause ear congestion; the baby often asks questions or does not hear his parents. Older children may report that they feel like they hear their own voice inside (autophony).

Due to the thin bony walls of the sinus in a child, the process can spread to the wall of the orbit and manifest itself as swelling of the eyelids, pain in the eyes, and conjunctivitis. These symptoms are especially pronounced in the morning and after sleep.

Dry, irritating cough that does not respond to antitussive therapy. It occurs due to irritation of the back wall of the pharynx by discharge from the sinuses.

Chronic sinusitis without exacerbation in preschool children mainly gives a clinical picture of chronic intoxication: increased nervousness, poor appetite, drowsiness and lethargy.

In older children, the disease proceeds in the same way as in adults, but the likelihood of developing complications and involving other sinuses in the process increases due to the increased reactivity of the child’s body.

Diagnostics

Diagnosis is based on a combination of medical examination data, laboratory and instrumental tests.

First of all, the doctor collects anamnesis, specifying the patient’s symptoms, duration of the disease and previous treatment regimen. Then proceeds to external examination, palpation of the sinus and anterior rhinoscopy.

When performing anterior rhinoscopy (medical examination using a nasal speculum), preliminary anemization of the nasal cavity is performed (introduction of vasoconstrictor drops into the nose) in order to carefully examine the condition of the nasal cavity and its structures:

The presence of a strip of pus in the middle meatus.

It is one of the reliable signs of sinusitis. Purulent discharge may be absent if the sinus outlet is blocked.

It may persist even after the administration of vasoconstrictor drops and indicate the development of chronic hypertrophic rhinitis, which interferes with proper breathing and normal outflow of contents from the sinus.

The presence of ridges, spines, and curvature of the nasal septum.

They interfere with normal nasal breathing and contribute to the development of chronic sinusitis.

Pallor and cyanosis of the inferior turbinates.

It may indicate the presence of allergic rhinitis, which is often combined with chronic allergic sinusitis.

Other diagnostic procedures:

Superficial examination of teeth.

When examining the oral cavity, pay attention to the condition of the teeth from the side of the inflamed sinus. Tapping a dubious filled tooth causes pain in the presence of an inflammatory process. In such cases, a consultation with a dentist is scheduled.

X-rays are not always a good way to obtain the necessary information, especially in chronic processes.

More accurate data is provided by CT results: it is possible to assess the degree of destruction of the sinus walls, whether the pathological process has affected other sinuses and structures of the facial skeleton.

MRI provides information about the existence of soft tissue neoplasms (for example, cysts or tumors) in the cavity of the maxillary sinus.

Carrying out a diagnostic puncture of the maxillary sinus allows you to visually assess the appearance and amount of discharge, as well as send it for culture to select rational antibiotic therapy.

Study of a sample from the sinus.

Bacteriological culture is a special microbiological study in which the resulting contents of the maxillary sinus are applied to certain nutrient media at specified humidity and temperature parameters and the growth of pathogenic and opportunistic bacteria and their resistance to antibiotics are observed.

The advantage of the method is the ability to make an accurate diagnosis, but the disadvantages are the length of time it takes to obtain data (you need to wait for the culture to grow, which takes about 7–10 days) and high requirements for equipment and laboratory personnel to obtain accurate results.

The reliability of the culture is affected by recent use of antibacterial drugs, so at least 3–4 weeks should pass after the end of antibiotic treatment. Visual endoscopic examination.

A modern diagnostic method is direct visual examination of the nasal cavity and maxillary sinus using special endoscopic equipment.

Laboratory tests of blood and urine, in the absence of complications, are practically not informative. In allergic processes, an increase in the level of eosinophils in the blood is observed. Chronic intoxication of the body can cause an increase in leukocytes and ESR.

Treatment of various forms of chronic sinusitis

The key principles for the treatment of chronic forms of sinusitis are:

  • The choice of antibiotic is strictly taking into account the sensitivity of the pathogen;
  • Exacerbation of sinusitis is treated in the same way as the acute form;
  • Treatment of chronic sinusitis in remission is carried out conservatively (sinus lavage, physiotherapy, mucolytics, antihistamines and restorative therapy);
  • If necessary, corrective operations are performed to restore sinus aeration and normal nasal breathing: septoplasty, removal of adenoids, conchotomy, polypotomy, etc.;
  • In the absence of a positive effect from conservative therapy and the development of complications, chronic sinusitis is subject to full surgical treatment.

Treatment of purulent form

Taking into account the spectrum of pathogens, protected penicillins, macrolides and 3rd generation cephalosporins are used to treat chronic forms.

3rd generation cephalosporins. Representatives: Pancef, Suprax, Zinnat.

  • High level of bacterial activity against most gram-positive microorganisms that cause disease;
  • Achieving a high concentration of the drug in the sinus mucosa;
  • Convenient dosing regimen: 1 capsule (400 mg) once a day for 5–7 days;
  • Lower percentage of allergy development compared to penicillins.

Macrolides. Representatives: Azithromycin, Sumamed.

  • It has a bacteriostatic and, in high concentrations, a bactericidal effect;
  • Acts on extra- and intracellular pathogens (chlamydia, fungi, etc.);
  • Suitable for patients with allergies to penicillin antibiotics;
  • Convenient use: 1 tablet (250 mg) once a day for 3–6 days.

Protected penicillins. Representatives: Augmentin, Amoxiclav.

  • Wide spectrum of action, affects most likely pathogens of sinusitis;
  • Relative safety and possibility of use in pregnant and lactating women;
  • Used in children of any age in the appropriate form and dosage;
  • Thanks to clavulanic acid, it is active against bacteria that produce enzymes that destroy regular penicillin.

Mucolytics.

The representative is carbocisteine ​​(mucodin). Stimulates the functional activity of the epithelium of the respiratory tract and facilitates the passage of pathological discharge from the sinus. Can be used in both adults and children.

The use of antiallergic drugs (Zodak, Zyrtec, Tavegil, etc.) can be started at the time of exacerbation or a week before the expected exacerbation (in case of allergies to the flowering of certain plants).

Glucocorticosteroids for intranasal use.

Representatives: Avamis, Flixonase, Nasonex. They have a pronounced anti-inflammatory and antiallergic effect, but there are no side effects of systemic hormones due to the low concentration of the substance in the blood.

Used in children from 4 years of age. Use for a long time up to 3-4 months. Such drugs remain active for some time after stopping treatment.

Promote the drainage of discharge from the sinuses:

  • Punctures with placement of drainage and regular washing of the sinuses with antiseptic solutions;
  • Treatment with YAMIK catheter;
  • Nasal lavage using the Proetz fluid movement method.

Physiotherapy.

Magnetic and laser therapy, UHF, electrophoresis, etc.

Irrigation and rinsing of the nose.

Salt solutions (saline, aquamaris, etc.).

Operations are performed to help restore full nasal breathing:

Septoplasty is the elimination of a deviated nasal septum by removing or changing the shape of its bone or cartilaginous part.

Adenotomy is the removal of adenoids, performed in children, and in rare cases in adults.

Bilateral inferior conchotomy - resection of an enlarged part of the inferior turbinates.

Surgical and conservative treatment of chronic diseases of the oropharynx (chronic tonsillitis, pharyngitis, etc.) is carried out.

Treatment of the odontogenic (dental) form

First of all, for treatment, the cause in the oral cavity that provokes sinusitis is eliminated. This could be a carious tooth or a fistula formed as a result of tooth extraction, but not closed in time and through which bacteria from the mouth enter the maxillary sinus.

  • An operation is performed in which pathological contents and foreign bodies are removed and the sinus is washed with an antiseptic solution. Drainage is left in the sinus for 3–4 days;
  • If the cause of the disease is a damaged tooth or its root, then after or during the operation they are removed and the communication between the sinus and the socket of the extracted tooth is closed. If the cause is gum disease, then dead tissue is removed and teeth are professionally cleaned;
  • In the postoperative period, antibiotic therapy, mucolytics and drugs for rinsing the nose and mouth are selected.

During the period of remission, treatment is the same as for purulent non-exacerbated forms of the disease, only with mandatory oral hygiene and visits to the dentist.

Treatment of allergic forms

To diagnose the causative allergen, visit an allergist who prescribes:

Skin prick tests.

It is carried out on the inner surface of the forearm: small scratches are made with a sterile instrument, then a previously prepared allergen is applied to them and the skin reaction is assessed.

Disadvantages: high frequency of false-positive reactions, cannot be performed during an exacerbation of the allergic process, small number of samples (about 10).

The essence of the method: Depending on the molecular weight, antigens are applied to nitrocellulose paper in the form of separate strips. If there are antibodies to antigens in the blood, then a dark line appears in a certain area.

Four standard panels are used (food, inhalation, mixed, pediatric), which contain the most common allergens of their class. After identifying an allergen, measures are taken to eliminate it or limit contact:

  • If possible, during the flowering period of causative allergens, go to another climate zone;
  • Frequent wet cleaning of the house;
  • Use of vacuum cleaners with HEPA filters, purifiers, air humidifiers;
  • Refrain from walking during these periods;
  • Regular shower after going outside and change of clothes.

Specific immunotherapy.

A small amount of the allergen is injected under the patient’s skin, gradually increasing the dosage, so that the immune system learns to cope with the disease on its own.

Several courses of such therapy are required, it is not suitable for patients with sensitivity to various allergens, and is carried out during a period of remission.

Radical maxillary sinusotomy (surgery)

Sometimes treatment of chronic sinusitis is impossible without taking serious measures. If conservative therapy is ineffective and orbital and intracranial complications develop, as well as the formation of polyps and cysts, a radical maxillary sinusotomy is performed.

The essence of the operation: An incision is made along the transitional fold from 2 to 5 teeth. Special instruments are used to penetrate the sinus through the front wall. A visual inspection is carried out and the contents of the sinus are cleaned out, followed by sending it for histological examination. A connection is formed between the sinus and the nasal passage, and a tube is left in this hole to rinse the sinus. Soft tissues are sutured.

Postoperative management: Wash the sinus through the formed anastomosis for 3–4 days, treat the edges of the wound with an antiseptic solution, and be sure to carry out antibacterial therapy.

In children, such an operation is practically not performed, only when life-threatening complications develop.

Traditional methods of treatment

How to cure chronic sinusitis? With a long, protracted course of the disease, tired of taking medications, patients begin to treat chronic sinusitis with traditional methods.

Washing and disinfection.

Treatment of the disease is carried out using herbs with antiseptic properties: chamomile, calendula, St. John's wort. The nose is washed with a solution prepared from these herbs to remove pathological contents from the sinuses.

They also use plants that increase overall immunity and help the body cope with the infection itself: ginseng root, eleutherococcus, echinacea.

Steam inhalations with potatoes, bay leaves, aloe and other herbs are used to relieve nasal congestion and improve sinus drainage.

You can make an ointment that will help clear your nasal passages. Garlic, honey and vegetable oil are mixed in equal proportions, the resulting mixture is spread on cotton wool and injected into both nostrils for a few minutes.

After this, the turundas are removed and the nose is actively cleaned. This ointment irritates the nasal mucosa and helps get rid of mucus that accumulates in the nose.

Preventive actions

  • Prevention of colds by strengthening the general immunity of adults and children through normal sleep and rest, hardening, moderate physical activity, good nutrition and walks in the fresh air;
  • Vaccination against influenza and other infections;
  • Timely sanitation of foci of chronic infection: tonsillitis, rhinitis and adenoiditis;
  • Treatment and prevention of diseases of the dental system: regular brushing of teeth after meals, use of dental floss, visiting the dentist once a year, treatment of caries, periodontal disease, etc.
  • Control of allergic diseases and elimination of contact with the causative allergen;
  • Creating an optimal temperature and humidity regime in the room, since dryness or excessive moisture of the nasal mucosa disrupts its functioning and makes it difficult to remove mucus and dust particles from the nasal cavity and sinuses. For this purpose, climate control technology can be used;
  • Periodic irrigation or rinsing of the nose with solutions of sea salt, purchased at a pharmacy or prepared independently;
  • Living in an ecologically unfavorable area or area can cause another exacerbation of the disease, so in critical situations you should think about moving to a place with a more favorable environment and climatic conditions;
  • When diagnosing “chronic sinusitis,” you should reconsider the types of sports that a person enjoys. Visiting the pool or swimming can cause infected or chlorinated water to enter the sinus and provoke another exacerbation. Diving, flying, or climbing mountains due to pressure changes sometimes cause exacerbation or development of ear, nose, and sinus diseases.

With a competent approach to prevention, you can achieve a state of stable remission and a noticeable improvement in the quality of life.

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Source: http://gaimoritus.ru/lechenie/hronicheskij-gajmorit-prichiny-simptomi-priznaki.html

Symptoms and treatment of chronic sinusitis in adults

Exacerbation of chronic sinusitis is one of the most common complaints with which patients turn to otolaryngologists (ENT doctors). The disease is a type of sinusitis and develops as a result of an inflammatory process in the paranasal (maxillary) sinuses. It is characterized by a long course, which is characterized by alternating periods of subsidence and exacerbation of symptoms. Self-medication for chronic sinusitis can lead to serious consequences, so when the first signs of inflammation appear, a person should seek help from a qualified specialist.

Causes and symptoms of the disease

Why does a person develop a chronic form of sinusitis? Experts name the following reasons for the occurrence of a protracted inflammatory process in the paranasal sinuses:

  • untimely or unqualified treatment of the acute stage of sinusitis;
  • the patient has a streptococcal or staphylococcal infection;
  • deviated nasal septum (congenital or acquired);
  • polyps or cysts in the sinuses;
  • prolonged inflammation in the nasopharynx (prolonged runny nose, chronic pharyngitis or tonsillitis, allergic reactions);
  • caries of the upper molars located in close proximity to the maxillary sinuses;
  • unfavorable environmental conditions (polluted air can cause irritation of the nasal mucosa).

Symptoms of chronic sinusitis in adults differ depending on the phase of the disease. During the period of exacerbation, patients complain of nasal congestion, increased body temperature to the level of low-grade fever, pressing headache localized in the forehead, weakness and general malaise. This phase is also characterized by the appearance of mucous discharge from the nasopharynx, which often contains pus. During remission, the symptoms of the disease are mild or completely absent.

Exacerbation of chronic sinusitis (sinusitis) occurs against the background of colds and viral diseases. The cause of inflammation in the paranasal sinuses can also be normal hypothermia of the body. To avoid deterioration in health, people suffering from a chronic form of sinusitis need to dress warmly in the cold season, strengthen their immune system and try to avoid contact with infectious patients. Having noticed the first signs of chronic sinusitis, a person must immediately contact an ENT specialist and undergo the treatment prescribed by him. If a sick person delays visiting a doctor and tries to get rid of the disease on his own, he risks complications. An advanced inflammatory process can spread to nearby areas and cause frontal sinusitis, tonsillitis, laryngitis, dacryocystitis and other serious diseases in humans.

Features of treatment of the disease at different stages

What to do in case of exacerbation of chronic sinusitis? When prescribing treatment for patients, otolaryngologists first try to eliminate the cause that provoked the development of the disease. To do this, they recommend that the patient visit the dentist, cure advanced tonsillitis, remove polyps in the nasal sinuses, etc. Until the main factor of the disease is eliminated, attempts to get rid of the disease will only lead to temporary relief of the condition.

In case of exacerbation of chronic sinusitis, the specialist recommends to the person treatment aimed at alleviating the inflammatory process in the paranasal sinuses and eliminating the main symptoms of the disease. For these purposes the following are used:

  • Antibiotics. Prescribed for sinusitis of bacterial or fungal origin. Sinusitis caused by a virus cannot be treated with antibiotics. The decision about which drug to prescribe and in what dose is made individually by the doctor based on the results of the examination of the patient.
  • Nasal drops and sprays with vasoconstrictor action. Allows you to relieve nasal congestion, reduce swelling and inflammation in the maxillary sinuses.
  • Mucolytic agents. Helps to liquefy and remove purulent nasal discharge.
  • Multivitamin complexes. Strengthen the body's defenses and reduce the likelihood of exacerbations of the disease in the future.
  • Physiotherapy for sinusitis includes treatment of the nasal sinuses with ultra-high frequencies, the use of ultrasound therapy, electrophoresis with antibiotics, phonophoresis with hydrocortisone, and helium-neon laser.
  • Puncture of the maxillary sinuses. It is carried out for the purpose of washing the inflamed area and introducing the necessary medications into it.
  • The "cuckoo" method. It consists of treating and cleansing the nasal sinuses with a medicinal solution, which includes antibacterial drugs and hydrocortisone.
  • The use of the YAMIK sinus catheter for sinusitis allows you to clean the paranasal sinuses without puncture.

Chronic sinusitis in adults in remission is treated by regularly rinsing the nose with saline solutions and using nasal drops and sprays that have an anti-inflammatory effect. In rare cases, the patient may be prescribed long-term antibiotics in small doses. To reduce the manifestation of the disease to a minimum, otolaryngologists recommend that patients maintain the body’s defenses through the use of multivitamin complexes and immunostimulants.

An exacerbation of sinusitis causes physical and mental suffering to a person and can lead to many complications. Preventing this disease is much easier than curing it, so everyone who cares about their health needs to familiarize themselves with the measures to prevent the disease. It is not difficult to follow them if you carefully monitor your health, treat viral and colds under the supervision of a doctor, avoid prolonged rhinitis and regularly visit an ENT specialist and dentist.

Source: http://gaimorit-sl.ru/obshie-simptomy/hronicheskii-gaimorit-u-vzroslyh.html

Treatment of chronic sinusitis with folk remedies

Published by: admin in Traditional medicine 03.22.Views

Treatment of chronic sinusitis with folk remedies

Weakness, headache, general depression - all these are symptoms of sinusitis. Insufficient attention to the treatment of a simple runny nose can develop into a serious illness with very serious consequences.

Treatment of chronic sinusitis with folk remedies

In official medicine, the main method of treating sinusitis is puncture of the maxillary sinuses. However, this method has certain disadvantages associated with the presence of contraindications and the possible lack of qualifications of the doctor. In addition, a puncture is a surgical intervention, and those with sinusitis, of course, want to avoid it.

As always, alternative medicine comes to the rescue. Nature's pantry contains all the remedies that can help you cope with your illness.

Sinusitis: symptoms

Sinusitis is called inflammation of the paranasal or maxillary sinuses. If the process lasts more than a month, sinusitis is chronic.

The main cause of sinusitis is incomplete or poor-quality treatment of a runny nose, which results in active filling of the nose with mucus, and later with pus. Caries of the upper dentition can also contribute to the development of sinusitis.
There is a group of people who are particularly susceptible to chronic sinusitis. If you smoke, have a weak immune system, are prone to allergies, or have a deviated nasal septum, be especially careful about your health.

It is very easy to detect sinusitis based on the following symptoms:

  • weakness, fatigue;
  • nasal congestion;
  • loss of smell;
  • headache;
  • pain when swallowing;
  • swelling of the face;
  • heat.

Traditional medicine against sinusitis

Traditional medicine recipes work effectively in three directions:

  • drain pus from the sinuses;
  • kill germs;
  • relieve swelling.

For chronic sinusitis, various drops and ointments are very popular at home. All of them are very effective due to their ability to delicately soften and remove pus from the sinuses.

Various types of heating (for example, hot potatoes or boiled eggs) will also help free the nasal passages and sinuses from pus and make breathing easier. Inhalations, which can be both cold and hot, also serve this purpose.

In addition, traditional medicine perfectly performs a bactericidal function and also relieves inflammation.

Let's look at exactly how you can get rid of chronic sinusitis using natural remedies.

Treatment of sinusitis with onions

Treatment of sinusitis with onions

  1. Peel one onion, finely chop and wrap in gauze. Such a bag should be brought to the nose and inhaled several times a day. To achieve recovery faster, you can additionally massage the bridge of your nose and sinuses.
  2. This method requires no ordinary bow. You will need blue snowdrop bulbs. The juice is squeezed out of them in a way convenient for you, which is diluted with water in a ratio of 1 to 5. The resulting solution is dropped into the nose, three drops in each nostril.

Treatment of sinusitis with bay leaves

Treatment of sinusitis with bay leaves

Several sheets (3-4 pieces) are placed in a pan of water and kept on low heat until it boils. Then you need to take a cloth, wet it with the broth and apply it to the patient’s forehead and bridge of the nose. It is advisable to cover your head from above to conserve heat. As soon as the napkin has cooled, you need to wet it again in a hot pan. Compresses alternate until the bay decoction cools completely.

Treatment of sinusitis with calendula

Treatment of sinusitis with calendula

To 35 drops of calendula tincture add two glasses of water and one teaspoon of table or sea salt. This solution should be used as a regular nasal remedy, injecting it twice a day with a syringe. The course of treatment with calendula is two weeks.

Treatment with drops and ointments

Treatment with drops and ointments

  1. Mix one teaspoon of glycerin with three tablespoons of warm water. Add ten ground mumiyo tablets to the resulting composition. All components need to be mixed and dripped into the nose three times a day. You can be treated in this way for three weeks, then you need to take a break for a week and repeat the course again;
  2. Mix celandine juice and aloe juice, add honey. The mixture is dropped into the nostrils throughout the day. You can also mix honey, potato juice and onions. The mixture is dripped into the nostrils throughout the day;
  3. Place 2-3 teaspoons of honey, 2 tablespoons of onion juice, two tablespoons of milk, a couple of tablespoons of vegetable oil, a small amount of grated laundry soap and 2 teaspoons of alcohol into a saucepan. All ingredients are steamed in a water bath until the composition becomes homogeneous. The cooled ointment is placed in the nostrils and left for minutes. This remedy can be used up to 5-6 times a day.

Horseradish root is washed and finely grated. You need to get a third of a glass of grated horseradish. Take three lemons, squeeze out the juice and mix with horseradish. This paste is eaten on an empty stomach, half a teaspoon for four months. It is advisable to carry out treatment in the fall and spring, when the immune system is weakened. Ancient healers promised that four courses of such treatment would relieve chronic sinusitis forever.

Inhalations instantly relieve the patient's condition by warming up the respiratory tract.

The event is carried out like this: you need to boil water in a pan, add medicine to it and, lowering your head over the pan and covering yourself with a towel, inhale the medicinal steam.

Menthol or propolis tincture can be used as a medicine for inhalation.

Treatment of Kalanchoe

Along with aloe, Kalanchoe is the most popular home healer growing on the window. This is a very powerful anti-inflammatory and bactericidal agent.

Kalanchoe leaves need to be washed and finely chopped. Place the resulting mixture into the nasal passages. It is necessary to hold the Kalanchoe until active sneezing begins. This procedure can be repeated up to four times a day.

Treatment with butter

A small amount of butter should be placed in both nostrils overnight. This product softens pus, helping to remove it from the body.

Treatment with St. John's wort

This plant has an excellent bactericidal, immunostimulating and anti-inflammatory effect.

One tablespoon of dried St. John's wort herb is poured with boiling water. After the broth has infused, it must be carefully strained. You can rinse your nasal passages several times a day.

Clay treatment

Regular blue clay will help relieve inflammation.

To do this, a small amount of clay is diluted with boiling water to a dough-like state. Roll the resulting mixture into two flat cakes. Additionally, two napkins or pieces of gauze are soaked in sunflower oil and applied to the face in the sinus area. Hot clay is placed on top of the application.

Treatment with garlic

Finely chop a small clove of garlic and pour a glass of water over the floor. Leave for one to two hours. This tincture is dropped into the nose 2-3 times a day.

Chestnut treatment

For this method of treatment, it is advisable to choose wild chestnut. It should be soaked for several hours and, when it becomes soft, peeled. You need to scrape off the shavings from the white kernel and carefully insert them into both nostrils. You can also make small candles from chestnuts and insert them into the nose as turundas. Chestnut should be used within a week.

Be careful, there may be a strong burning sensation in the nasal mucosa!

Treatment with Adam's root

This herbaceous vine, growing in the Caucasus, has a wonderful anti-inflammatory effect. But you need to use Adam's root with caution - the plant can cause burns.

For a patient with chronic sinusitis, it is enough to cut the Adam's root in half and rub it on his forehead and sinus area. The product will also additionally warm these areas.

Treatment with honey

Honey baling is used to treat sinusitis. This beekeeping product is extremely effective against bacterial and inflammatory diseases of the nasopharynx. And using it is as easy as shelling pears – you just need to chew one tablespoon of zabrus six times a day. Tasty and healthy!

Chronic sinusitis is a nuisance that can happen to anyone and cause a lot of inconvenience. If you are determined to self-medicate, carefully read all the contraindications and possible consequences. Although folk methods are often much more effective than traditional ones, it wouldn’t hurt to visit an ENT specialist. In some severe stages of sinusitis, for example, heating is strictly prohibited. In this case, alternative medicine can only aggravate the disease.

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Symptoms and treatment of purulent sinusitis at home

Purulent sinusitis is an acute or chronic bacterial inflammation of the mucous membrane of the maxillary sinuses.

The danger of this disease lies in the proximity of vital organs to the source of inflammation. In particular, we are talking about the brain, eyes, and vestibular apparatus. You can avoid this nightmare by contacting a specialist and completing a full course of therapy.

Causes

Often acute sinusitis is a complication of ARVI, but there are other reasons:

  • Attachment of bacterial flora to chronic runny nose;
  • The presence of a focus of chronic inflammation anywhere in the body;
  • Allergic edema;
  • Deviation of the nasal septum.

All this leads to a predisposition, but for the occurrence of sinusitis itself, certain conditions must also be met - the bacterium must have a favorable environment. She may become:

  • Reduced immunity;
  • Frequent rhinitis (runny nose);
  • Constant exposure to mental stress;
  • Lack of comprehensive treatment for viral and bacterial infections.

Knowing the real reasons, it is much easier to cure acute purulent sinusitis. And eliminating each of the factors can make it possible to get rid of chronic forms of the disease for a long time.

Symptoms of purulent inflammation

Purulent sinusitis occurs in two forms - acute and chronic. Symptoms of the acute form are characterized by a sudden and violent onset, while the chronic form is sluggish and the symptoms are less pronounced. The clinical picture of these forms is different.

  • Chills;
  • Heat;
  • Severe headache in the forehead;
  • Nasal congestion (swelling);
  • Painful sensations when pressing on the sinus area;
  • Increased headache and feeling of pressure in the bridge of the nose when bending over or clenching the teeth;
  • Medium amount of mucopurulent and purulent discharge from the nose.

Outwardly noticeable, only swelling of the eyelids and swelling in the bridge of the nose. Often the congestion and swelling are so severe that the sick person is forced to breathe through the mouth.

  • Malaise and lethargy;
  • Constant mild headache;
  • Constant nasal congestion and difficult nasal breathing;
  • Copious mucous and mucopurulent discharge from the nose during an exacerbation.

The discharge is yellow-green or brown in color and is often difficult to remove. In addition, sick people often feel pressure in the bridge of the nose and headaches with sinusitis are described as pressing. Sometimes, when the sinuses become inflamed, teeth begin to ache.

Treatment of purulent inflammation

Gone are the days when the only solution was to pierce your nose. Today, uncomplicated sinusitis is treated with conventional rinsing and medications. Surgery is indicated only in the most extreme cases, when there is a risk of the infection spreading to the brain or eyes.

Acute and chronic purulent sinusitis occurs in different ways, but the principle of treatment is the same - to eliminate the bacterial agent and restore aeration of the sinuses. There are two groups of methods - medicinal and non-medicinal.

It is better and more reliable, of course, to be treated in a hospital. Indeed, at home it is extremely difficult to carry out some procedures available in a hospital. Each stage of therapy should be monitored by a doctor who can give timely advice and adjust drug doses.

Drug treatment

  • Cephalosporins, such as cefazolin;
  • Penicillins - augmentin in tablets for adults or syrups for children;
  • Macrolides are, for example, Sumamed in tablets and suspensions.

Antibacterial drugs must be taken for the entire prescribed course and the results closely monitored. In parallel with them, it is worth taking probiotics, which will protect healthy intestinal microflora. Vasoconstrictor drugs. In the vast majority of cases, sinusitis is accompanied by severe swelling of the mucous membrane, which complicates the outflow of mucus and pus. In such cases, the doctor prescribes vasoconstrictors - naphthyzin, eucazoline, rhinos.

These medications are prescribed 2-3 times a day, but not more often. They are used 15 minutes before washing or disinfecting the nasal cavity and sinuses.

The main role of vasoconstrictor drugs will be to free up space for better penetration of antibacterial and antiseptic agents. Antiallergic drugs. Antiallergic (antihistamine) agents are also used to relieve swelling. Histamine is a substance that provokes the secretion of mucus as a protective mechanism of the respiratory tract. If a person’s purulent sinusitis was caused by stagnation during an allergy, there is too much mucus. The following medications are prescribed:

All these drugs are given in the prescribed dosage. In most of them it is one tablet per day. Nasal rinsing. One of the most effective ways to treat sinusitis is to rinse the nose with antiseptic solutions. The solutions are supplied warm to the nasal cavity. The temperature should be pleasant and almost unnoticeable - 37–38 °C. Rinse the nose with ectericide, furatsilin.

Antibacterial drops and sprays. Local antibacterial agents are used in almost all cases of sinusitis. Because they enhance the antibacterial effect and recovery occurs faster. Typical representatives are isofra, bioparox, polydex. Physiotherapy. Physiotherapeutic procedures are mandatory, along with drug treatment. UHF heating methods, electrophoresis and ultraviolet irradiation are used. These methods alone do not give a pronounced effect, but in combination with washing (“cuckoo”) and drugs, you can achieve amazing results. Operation. Surgical treatment is currently used as a last resort. The most common operation for sinusitis is a nose piercing. Sinus piercing is used if compressed and hardened pus does not come out after a course of antibiotics and multiple rinses. Then it can only be removed by creating an artificial opening with drainage of the maxillary sinus. Antiseptics and antibacterial drugs are also administered through it.

Traditional methods

Treatment of purulent sinusitis is impossible without medications, and this disease cannot be overcome only with folk recipes. Treatment with purely improvised means is fraught with the spread of inflammation to neighboring sinuses, throat or lungs. But at the same time, home remedies are an excellent aid to the main treatment.

In particular, plant extracts, herbal decoctions and ointments have shown high effectiveness. This is how this disease was treated before the advent of full-fledged antibacterial therapy.

After consulting with your doctor, you can try the following:

  • Rinse the nose with decoctions of sage and chamomile;
  • Turundas with ointment: alcohol, honey, onion juice, vegetable oil and tar soap in equal proportions. Before mixing, heat all this in a water bath and, when cooled, put it in your nose for 15 minutes. The course lasts 10 days;
  • Instillation of aloe juice into the nose, diluted with water and honey in equal proportions. 2-3 drops in each nostril.

You need to be able to put any drops in your nose correctly. In the case of purulent sinusitis, drops are needed and not a spray.

The person lies on his left side and puts drops into his left nostril. He lies there for at least 5 minutes. The same is done on the right side. Then the effect of the drug extends not only to the blood vessels, but also performs a disinfectant function in the sinuses and softens their contents.

For some patients, traditional medicine works even better than traditional medicine.

Therapy of this type is longer, but to some extent more gentle. In this regard, you can try to cure chronic purulent inflammation of the maxillary sinuses using the methods described above.

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