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Diseases & Conditions

Chronic Recurrent Sinusitis is Treatable

Chronic Sinusitis or rhinosinusitis is a common condition in which the nasal passages or sinuses are inflamed or swollen for 12 weeks or more.


There are several ways the nasal passages or sinuses may become blocked or irritated. Nasal polyps or a deviated nasal septum are the most direct causes of chronic sinusitis. Other factors contributing to the problem may be diseases such as cystic fibrosis or auto-immune disorders. Hay fever and other allergies will also provoke sinus conditions.

Symptoms of Chronic Sinusitis

The initial symptoms of sinusitis include a thick mucus-like discharge which drains from the sinuses or throat, nasal congestion, pain and inflammation and a reduced sense of smell and taste. More severe indications include ear pain, a cough, sore throat, nausea, bad breath, and irritability.

Risk factors

Those with asthma and other respiratory conditions are a higher risk for chronic sinusitis. Environmental factors such as smoking or secondhand smoke may aggravate or cause the condition. Many people are also very sensitive to smells from cleaning supplies and even perfumes. Taking aspirin can also create complications making rhinosinusitis more likely.


The cause must be determined and eliminated or reduced to treat chronic sinusitis. For example, if smoking or second-hand smoke is causing the problem, quitting smoking or not being around a smoke-filled environment is essential.

Of course, it is sometimes difficult to eliminate the cause as in the case of an underlying condition. Symptoms can be controlled by reducing pain and inflammation with over the counter or prescription medication. There are natural remedies such as neti pots which may also offer some relief.

See Your Doctor

Sinusitis can lead to serious conditions such as meningitis, loss of smell, loss of vision and other infections. If symptoms progress to a high fever, a severe headache or unusual swelling around the eyes, medical attention should be sought immediately.

Medications to Treat Chronic Recurrent Sinusitis

Over-the-Counter Medications:

  • Amoxil
  • Omnicef
  • Afrin
  • Nasonex
  • Advil
  • Flonase

Compounded Medications:
We can make inhalation capsules or nasal spray solutions or nasal irrigations of the following:

  • Tobramycin
  • Vancomycin
  • Levofloxacin
  • Betamethasone
  • Budesonide
  • Amphotericin B
  • Mometasone
  • Terbinafine
  • "It is rare to find health professionals who are so willing to educate the patient on what they need to know."

    Clair C. | West Hollywood, CA