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Types

Sinusitis (No Antibiotics)

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Face showing inflamed sinuses.

Sinusitis is swelling (inflammation) of the tissue that lines the sinuses. The sinuses are air-filled spaces in the bones of the face. They connect to the inside of the nose. Sinusitis can occur during a cold. It can also be due to allergies to pollens and other particles in the air. It can cause symptoms, such as sinus congestion, headache, sore throat, face swelling, and a feeling of fullness. It may also cause a low-grade fever. Your doctor has determined that your sinusitis is not caused by bacteria. No antibiotics are needed.


Home care

  • Drink plenty of water, hot tea, and other liquids, as directed by your doctor. This may help thin nasal mucus. It also may help your sinuses drain fluids.

  • Heat may help soothe painful parts of your face. Use a towel soaked in hot water. Or stand in the shower and direct the warm spray on your face. Using a vaporizer along with a menthol rub at night may also help soothe symptoms.

  • Try a steroid nasal spray. It may help with your symptoms.

  • Try a decongestant nasal spray, such as oxymetazoline or phenylephrine. Don't use it for more than 3 days in a row. Using it for more than 3 days can make your congestion worse.

  • If advised by your doctor, over-the-counter antihistamines may help if allergies are the cause of your sinusitis.

  • If needed, take an over-the-counter pain medicine, such as acetaminophen, ibuprofen, or naproxen. Read and follow all instructions on the label.

  • Use nasal rinses or irrigation with saltwater, as directed by your doctor.

  • Don't smoke. This can make symptoms worse.


Follow-up care

Follow up with your doctor if you are not better in 1 week.


When to get medical care

Contact your doctor if you have:

  • Green or yellow fluid draining from your nose or into your throat.

  • Facial pain or a headache that gets worse.

  • A stiff neck.

  • Swelling of your forehead or eyelids.

  • Vision problems, such as blurred or double vision.

  • A fever of  100.4ºF ( 38ºC) or higher, or as advised by your doctor.

  • Symptoms that don't go away in 10 days or get worse after starting to get better.


Call 911

Call 911 if:

  • You have a seizure.

  • You have trouble breathing.

  • You have confusion or abnormal drowsiness.

  • You feel dizzy or faint.

  • Your fingernails, skin, or lips look blue, purple, or gray.

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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