Chronic Sinusitis

What is sinusitis?

Sinusitis (commonly called a sinus infection) occurs when the tissue lining the sinuses becomes inflamed or swollen. This inflammation can block normal drainage, leading to a buildup of mucus and pressure in the sinuses.

What are the symptoms of sinusitis?

Common symptoms include:

• Nasal congestion (stuffy nose)
• Thick nasal discharge (yellow or green)
• Facial pain or pressure
• Headache
• Post-nasal drip
• Reduced sense of smell
• Fatigue

Some patients may also experience fever, especially with acute infections.

What causes sinusitis?

Sinusitis can be caused by several factors, including:

• Viral infections (most common cause)
• Bacterial infections
• Allergies
• Nasal polyps
• Deviated septum
• Chronic inflammation

In Newport News and Hampton Roads, VA, seasonal allergies and humidity can increase the risk of sinus inflammation.

What is the difference between acute and chronic sinusitis?

• Acute sinusitis:
• Lasts less than 4 weeks
• Often follows a cold or viral infection
• Chronic sinusitis:
• Lasts 12 weeks or longer
• Often related to ongoing inflammation, allergies, or structural issues

Chronic sinusitis may require more advanced evaluation and treatment.

How do I know if I have a sinus infection or just a cold?

This is a very common question.

• Cold:
• Improves within 7–10 days
• Symptoms gradually get better
• Sinus infection:
• Symptoms last longer than 10 days
• May worsen after initially improving
• Includes facial pressure and thick nasal discharge

If symptoms persist or worsen, sinusitis is more likely.

Can allergies lead to sinusitis?

Yes. Allergies can cause inflammation and congestion in the nasal passages, which can block sinus drainage. When mucus becomes trapped, it increases the risk of developing a sinus infection.

How is sinusitis diagnosed?

Diagnosis typically includes:

• A detailed review of your symptoms
• Physical examination of your nose and sinuses
• In some cases, nasal endoscopy or imaging

This helps determine the severity and underlying cause.

What are the treatment options for sinusitis?

Treatment depends on the cause and duration of symptoms.

Common treatments include:

• Supportive care

• • Saline nasal rinses
  • Hydration
  • Rest

• Medications

• • Nasal steroid sprays
  • Decongestants
  • Antihistamines (if allergies are involved)

• Antibiotics

• • Used only when a bacterial infection is suspected

• Chronic sinusitis treatment

• • Long-term medications
  • Allergy management
  • Minimally invasive sinus procedures if needed

Your provider will tailor treatment based on your specific condition.

When should I see an ENT specialist for sinusitis?

You should consider evaluation if:

• Symptoms last longer than 10–14 days
• You have frequent sinus infections
• Symptoms are severe or worsening
• Over-the-counter treatments are not helping
• You have chronic sinus symptoms

Is sinusitis common in Newport News and Hampton Roads?

Yes. Local factors that contribute include:

• Seasonal pollen exposure
• High humidity (which can increase mold and allergens)
• Environmental irritants

These can lead to frequent or persistent sinus issues.

Can sinusitis affect daily life?

Absolutely. Sinusitis can cause:

• Persistent fatigue
• Difficulty concentrating
• Poor sleep
• Ongoing discomfort

Proper treatment can significantly improve quality of life.

Is sinusitis curable?

Acute sinusitis usually resolves with proper care.

Chronic sinusitis can be effectively managed with the right treatment plan, often leading to long-term relief.

Ready to Find Relief in Newport News or Hampton Roads?

If you’re dealing with ongoing sinus pressure, congestion, or infections, it’s important to identify the cause. Schedule an evaluation today with Dr. Timothy Queen and his expert team to create a personalized treatment plan and get lasting relief.

References

• Mayo Clinic. Sinusitis (Sinus Infection): Symptoms & Causes
• Centers for Disease Control and Prevention (CDC). Sinus Infection Overview
• Cleveland Clinic. Sinusitis
• American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS). Sinus Conditions