Sinus headache without congestion
Sinusitis is a disease that can show various symptoms caused by inflammation of the sinuses. It is divided into two as acute and chronic and the treatment is determined according to the type of sinusitis. What should be done for sinusitis headache? Causes of sinus headache without congestion? We explain the answer to your question.
What is Sinusitis?
Sinuses are air-sized spaces varying in age, between the nose, eyes, and brain, which have tasks such as humidification of the air, lightening of the head, the resonance of smell and sound. Inflammation of these cavities is considered sinusitis. There are two types, acute (new) and chronic (chronic). Acute sinusitis is a self-limiting infection that often develops after upper respiratory tract infections, whereas chronic sinusitis is considered to be a disease with sinusitis symptoms for more than 3 months and unresponsive to medication.
Acute sinusitis is divided into viral and bacterial. Acute sinusitis can be treated with nasal (washing, decongestant or anti-inflammatory sprays) and systemic pain relievers for 1 week-10 days since surgery is usually self-limiting;
What are the symptoms of sinusitis?
Although headache is one of the main symptoms of sinusitis, it may rarely be the only sign of sinusitis. Therefore, if there are at least two of the following symptoms in addition to headache, it would be more accurate to suspect sinusitis. These findings:
- Nasal congestion,
- Green-yellow nose or nasal discharge,
- Print or density on face, cheeks, forehead or eyes
- Sore throat, tooth or ear pain
- Cough, especially at night
- Odor or taste disorders
- Bad breath
- Sound changes.
- sinus headache without congestion
In the presence of sinusitis, paranasal sinus radiology and endoscopic nasal examination are very important for diagnosis. For cases such as foreign bodies or tumors that cause similar complaints to sinusitis, tomography or endoscopy is used to prevent misdiagnosis and treatment. Diagnostic nasal endoscopy performed by ENT physicians as part of the examination can prevent both time and material losses. In addition, radiation exposure due to unnecessary tomography is eliminated.
I have sinusitis, won’t I get better?
In fact, a significant portion of sinusitis is acute, so it is usually new to the control horse before any problems develop with appropriate treatments. However, it should not be forgotten that the complete elimination of the complaints may take up to 8 weeks, especially in cases with cigarette and hookah addicts or allergies. Sinusitis is also eliminated if the event that causes the chronicity of the disease is eliminated in these cases. Endoscopic nose examinations for anatomical reasons, paranasal sinus tomography, allergy for systemic causes, asthma and autoimmune diseases should be investigated.
This term, which is commonly used for chronic sinusitis, is rarely used in sinusitis where complications are suspected. In this case, tomography is taken to determine which sinuses are affected, anatomical problems and possible risks.
What is chronic sinusitis?
With the complaints of sinusitis for more than three months, the presence of inflammatory appearance in the paranasal sinuses is considered chronic, ie chronic sinusitis. The duration of complaints, endoscopic examination of the nose and tomography play an important role in the diagnosis. Allergy, asthma or polyps and anatomical problems in the nose play a very important role.
Although the treatment varies according to the existing problems, it can be divided into 3 main headings:
1. Intra-nasal treatments: Cortisone or saline nasal washings are the recommended applications in almost all cases with chronic sinusitis.
2.Antibiotic use: It is the recommended application in the first step in chronic sinusitis. Although the duration is determined by the physician applications can be made up to 3-4 weeks. Antibiotics are usually used orally in sinusitis, but intravenous antibiotics are preferred if complications or suspicion are available.
3.Surgery: Sinusitis that causes the eroticization of the anatomical problems to correct or chronic inflammation in order to clear the endoscopic instruments known as endoscopic surgery through the nostrils. After these operations, a 4-5 day rest is usually sufficient for our patients. The purpose of these surgeries is to eliminate the nasal factors that cause the disease to become chronic.
Do children have sinusitis?
Sinusitis is a very common condition in children. In patients with acute sinusitis following UTI, the disease should be controlled before an additional treatment is developed, and in recurrent acute sinusitis or chronic patients, systemic problems such as nasal flesh or allergy should be investigated. It should be kept in mind that cystic fibrosis and laryngopharyngeal reflux in children may cause the development of these problems.
In children with chronic sinusitis, nasal surgery is a very useful procedure in the light of tomography and nasal examination findings.
Does sinusitis go without antibiotics?
Antibiotic use is not necessary because a significant proportion of acute sinusitis is caused by viruses. However, antibiotic use is useful in individuals at risk or in cases whose complaints do not regress after 1 week.
Antibiotic use, especially in cases of suspected complications or chronic sinusitis, is the recommended first-line treatment for both children and adults.
What is balloon sinusitis surgery?
In endoscopic sinus surgery, “balloon” applications are an instrument used to open the sinus cavities. The benefit for each case is controversial and there is no scientific consensus on its use.