Materiały źródłowe

• #1 Acute Sinusitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK547701/

  Acute rhinosinusitis is an inflammation of the sinuses. Because sinus passages are contiguous with the nasal passages, rhinosinusitis is often a more appropriate term. Acute rhinosinusitis is a common diagnosis, accounting for approximately 30 million primary care visits and $11 billion in healthcare expenditure annually. It is also a common reason for antibiotic prescriptions in the United States and throughout the world. […] Three cardinal symptoms that are most sensitive and specific for acute rhinosinusitis are purulent nasal drainage accompanied by either nasal obstruction or facial pain/pressure/fullness. […] When cardinal symptoms persist beyond ten days or if they worsen after an initial period of improvement (double worsening), one may diagnose ABRS. Other symptoms associated with acute rhinosinusitis include cough, fatigue, hyposmia, anosmia, maxillary dental pain, and ear fullness or pressure.

• #2 Acute Sinusitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK547701/

  Acute rhinosinusitis is an inflammation of the sinuses. Because sinus passages are contiguous with the nasal passages, rhinosinusitis is often a more appropriate term. Acute rhinosinusitis is a common diagnosis, accounting for approximately 30 million primary care visits and $11 billion in healthcare expenditure annually. It is also a common reason for antibiotic prescriptions in the United States and throughout the world. […] Three cardinal symptoms that are most sensitive and specific for acute rhinosinusitis are purulent nasal drainage accompanied by either nasal obstruction or facial pain/pressure/fullness. […] When cardinal symptoms persist beyond ten days or if they worsen after an initial period of improvement (double worsening), one may diagnose ABRS. Other symptoms associated with acute rhinosinusitis include cough, fatigue, hyposmia, anosmia, maxillary dental pain, and ear fullness or pressure.

• #3 Acute sinusitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/acute-sinusitis/symptoms-causes/syc-20351671

  Acute sinusitis causes the spaces inside the nose, known as sinuses, to become inflamed and swollen. Acute sinusitis makes it hard for the sinuses to drain. Mucus builds up. […] Acute sinusitis can make it hard to breathe through the nose. The area around the eyes and the face might feel swollen. There might be throbbing face pain or a headache. […] Acute sinusitis symptoms often include: Thick, yellow or greenish mucus from the nose, known as a runny nose, or down the back of the throat, known as postnasal drip. Blocked or stuffy nose, known as congestion. This makes it hard to breathe through the nose. Pain, tenderness, swelling and pressure around the eyes, cheeks, nose or forehead that gets worse when bending over. […] Other signs and symptoms include: Ear pressure. Headache. Aching in the teeth. Changed sense of smell. Cough. Bad breath. Tiredness. Fever.

• #4 Acute Sinusitis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/15285-acute-sinusitis

  Acute sinusitis is an infection in your sinuses that typically lasts seven to 10 days. Symptoms include stuffy (congested) nose, facial pain and fatigue. Acute sinusitis often goes away with home care, but you may need medication for acute sinusitis that lasts longer than 10 days. […] Acute sinusitis symptoms may last a week to 10 days and often go away without medical treatment. Home care and over-the-counter (OTC) decongestants help ease acute sinusitis symptoms. […] Acute sinusitis symptoms include: Cloudy or colored drainage from your nose. Stuffy, congested or blocked nose. Pain, pressure or a sense of fullness around your face, head or around your eyes. Loss of smell and taste. Bad breath. Fever. Ear pain. Headache. Fatigue. Toothache. […] The good news is acute sinusitis often goes away within a week or so and without treatment. The not-so-good news is you may get frustrated waiting for acute sinusitis to run its course. Acute sinusitis isn’t life threatening, but it can affect your sleep or keep you from doing things you enjoy. If that’s your situation, talk to your healthcare provider about things you can do to help yourself. […] Yes, it can. Often, acute sinusitis goes away within seven to 10 days.

• #5 Sinus Infection (Sinusitis): Symptoms, Causes, Duration, and Treatment

  https://www.webmd.com/allergies/sinusitis-and-sinus-infection

  Acute sinusitis is typically caused by the common cold, a viral infection. You should feel better within 10 days, though symptoms could stick around as long as 4 weeks. You’ll experience the following symptoms: […] Pain, pressure, swelling, and tenderness around your nasal passages that feels worse when you bend over. […] You may also get a headache, have pressure in your ear, a cough, and other unpleasant symptoms. […] In order to receive a diagnosis of chronic sinusitis, your symptoms must last at least 12 weeks, or 3 months. Unfortunately, you may experience symptoms for much longer. Some research has found that symptoms can linger for more than a decade. They may improve over time, but they don’t always go away completely. […] When sinusitis causes a headache, you’ll feel a nonstop dull pain around the area of the affected sinuses. That means behind your eyes, in your cheekbones, in your forehead, or around the bridge of your nose. The pain from the headache gets worse if you move your head suddenly or if you bend over. Sudden temperature changes also can increase the pain. Other symptoms include: […] Bad news: that headache is likely to stick around until your sinus infection clears.

• #6 Acute sinusitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/acute-sinusitis/symptoms-causes/syc-20351671

  Acute sinusitis causes the spaces inside the nose, known as sinuses, to become inflamed and swollen. Acute sinusitis makes it hard for the sinuses to drain. Mucus builds up. […] Acute sinusitis can make it hard to breathe through the nose. The area around the eyes and the face might feel swollen. There might be throbbing face pain or a headache. […] Acute sinusitis symptoms often include: Thick, yellow or greenish mucus from the nose, known as a runny nose, or down the back of the throat, known as postnasal drip. Blocked or stuffy nose, known as congestion. This makes it hard to breathe through the nose. Pain, tenderness, swelling and pressure around the eyes, cheeks, nose or forehead that gets worse when bending over. […] Other signs and symptoms include: Ear pressure. Headache. Aching in the teeth. Changed sense of smell. Cough. Bad breath. Tiredness. Fever.

• #7 Sinus Infection (Sinusitis): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17701-sinusitis

  Acute sinusitis symptoms (nasal congestion, drainage, facial pain/pressure and decreased sense of smell) last less than four weeks. Its usually caused by viruses like the common cold. […] Common symptoms of a sinus infection include: Postnasal drip (mucus dripping down your throat). Runny nose with thick yellow or green mucus. Stuffy nose. Facial pressure (particularly around your nose, eyes and forehead). This might get worse when you move your head around or bend over. Pressure or pain in your teeth. Ear pressure or pain. Fever. Bad breath (halitosis) or a bad taste in your mouth. Cough. Headache. Tiredness. […] Sinusitis usually only lasts a week to 10 days. You can usually treat it with over-the-counter medicines and at-home treatments. If you have chronic sinusitis or if it keeps coming back, there may be underlying causes that you’ll need to treat.

• #8 Acute Sinusitis: Symptoms and Treatment

  https://patient.info/ears-nose-throat-mouth/acute-sinusitis

  Acute sinusitis is a sinus infection which usually goes away on its own without treatment. […] Symptoms that commonly occur include: Pain and tenderness over the infected sinus. The pain is often throbbing and worse when you bend your head forwards. Chewing may be painful. […] A high temperature (fever). […] Other symptoms that may occur include: Headache. Bad breath. Toothache. Cough. A feeling of pressure or fullness in the ears. Tiredness. […] In children, symptoms may also include: Irritability. Ear discomfort. Snoring. Mouth breathing. Feeding difficulty. Nasal speech. […] See a doctor if symptoms become severe or do not ease within 10 days (however, as mentioned, it can take 2-3 weeks for symptoms to go completely). […] Like with colds, the immune system usually clears the infection and symptoms generally go within 2-3 weeks.

• #9 Acute sinusitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/acute-sinusitis/symptoms-causes/syc-20351671

  Acute sinusitis is most often caused by the common cold. Signs and symptoms may include a blocked and stuffy (congested) nose, which may block your sinuses and prevent drainage of mucus. […] Acute sinusitis is an infection caused by a virus. The common cold is most often the cause. Sometimes, sinuses that are blocked for a time might get a bacterial infection. […] Acute sinusitis can be a flare-up of a long-term problem known as chronic sinusitis. Chronic sinusitis lasts longer than 12 weeks.

• #10 Sinus Infection | Sinusitis | Sinus infection Symptoms | MedlinePlus

  https://medlineplus.gov/sinusitis.html

  Sinusitis means your sinuses are inflamed. The cause can be an infection or another problem. Your sinuses are hollow air spaces within the bones surrounding the nose. They produce mucus, which drains into the nose. If your nose is swollen, this can block the sinuses and cause pain. […] Acute sinusitis often starts as a cold, which then turns into a bacterial infection. Allergies, nasal problems, and certain diseases can also cause acute and chronic sinusitis. […] Symptoms of sinusitis can include fever, weakness, fatigue, cough, and congestion. There may also be mucus drainage in the back of the throat, called postnasal drip. Your health care professional diagnoses sinusitis based on your symptoms and an examination of your nose and face. You may also need imaging tests. Treatments include antibiotics, decongestants, and pain relievers. Using heat pads on the inflamed area, saline nasal sprays, and vaporizers can also help.

• #11 Sinusitis: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000647.htm

  The symptoms of acute sinusitis in adults very often follow a cold that does not get better or that gets worse after 7 to 10 days. Symptoms include: […] Symptoms of chronic sinusitis are the same as those of acute sinusitis. However, the symptoms tend to be milder and last longer than 12 weeks. […] Acute sinusitis should be treated for 5 to 10 days. Chronic sinusitis should be treated for 3 to 4 weeks.

• #12 Sinusitis Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/report/sinusitis

  Acute sinusitis – InDepth; Sinus infection – InDepth; Sinusitis – acute – InDepth; Sinusitis – chronic – InDepth; Rhinosinusitis – InDepth. […] Symptoms of sinusitis include thick nasal discharge, facial pain or pressure, fever, and reduced sense of smell. […] Acute sinusitis can be caused by viral, bacterial, or fungal infections. […] In most cases, acute sinusitis is caused by an upper respiratory tract viral infection, such as the common cold, and usually resolves on its own. […] General symptoms of acute sinusitis (both viral and bacterial) include: Nasal congestion or discharge, Headache, Facial pain, pressure, or feeling of fullness, Cough or scratchy throat, Fever, Diminished or absent sense of smell, Other symptoms, such as ear pain or pressure, dental pain, bad breath, and fatigue.

• #13 10 Things to Know About Sinusitis – Keck Medicine of USC

  https://www.keckmedicine.org/blog/10-things-to-know-about-sinusitis/

  You have pain and pressure in your face, and its hard to breathe out of your nose. You might have a sinus infection, also called sinusitis, which affects 1-8 adults every year. […] Symptoms of sinusitis can include: Nasal drainage, Postnasal drainage (when mucus drips down the back of your throat), Nasal obstruction, Facial pain and tenderness, which is especially worse when you bend over, Upper tooth pain, Headache, Cough, Bad breath, Fever, Lethargy, Loss of smell or taste, Ear pressure. […] You may be able to tell if you have a sinus infection, depending on how your symptoms progress. Most cases begin as a common cold, and symptoms usually go away in 7 to 10 days. In some cases, a bacterial infection develops. […] An acute sinus infection is the type that follows a cold and lasts for less than four weeks. It is often caused by a bacterial infection. […] You might not need antibiotics; however, for acute sinusitis due to a bacterial infection, antibiotics can help decrease the length of symptoms and lessen their severity.

• #14 Symptoms and disease progression – PARI

  https://www.pari.com/int/field-of-application/sinusitis/symptoms-and-disease-progression/

  An acute sinus infection not infrequently comes in two waves: First, patients get a cold with exhaustion and fever. Then there is a brief period where symptoms improve but where they can also get worse. Usually the disease is more or less resolved after two weeks. Within six weeks it has resolved in about 90% of patients. However, up to 10 percent are affected by a chronic form of sinusitis.

• #15 Acute Sinusitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/0715/p97-s1.html

  Patients with sinusitis may have pain or pressure in their forehead or cheeks, or around their eyes. They may also have thick, cloudy mucus coming from their nose, aching teeth, or a stuffy nose. They may have a fever. Patients with sinusitis often report having a cold that was getting better, but then they started feeling worse again. This is known as double sickening. […] Call your doctor if your symptoms last more than seven to 10 days or if your symptoms are getting worse. Also call if you have a fever greater than 101.5F, a very bad headache that isn’t helped with over-the-counter pain medicines, or changes in vision or swelling around your eyes, or if your symptoms continue after you have finished taking all of the antibiotics your doctor prescribed.

• #16 Acute Sinusitis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/15285-acute-sinusitis

  Acute sinusitis is an infection in your sinuses that typically lasts seven to 10 days. Symptoms include stuffy (congested) nose, facial pain and fatigue. Acute sinusitis often goes away with home care, but you may need medication for acute sinusitis that lasts longer than 10 days. […] Acute sinusitis symptoms may last a week to 10 days and often go away without medical treatment. Home care and over-the-counter (OTC) decongestants help ease acute sinusitis symptoms. […] Acute sinusitis symptoms include: Cloudy or colored drainage from your nose. Stuffy, congested or blocked nose. Pain, pressure or a sense of fullness around your face, head or around your eyes. Loss of smell and taste. Bad breath. Fever. Ear pain. Headache. Fatigue. Toothache. […] The good news is acute sinusitis often goes away within a week or so and without treatment. The not-so-good news is you may get frustrated waiting for acute sinusitis to run its course. Acute sinusitis isn’t life threatening, but it can affect your sleep or keep you from doing things you enjoy. If that’s your situation, talk to your healthcare provider about things you can do to help yourself. […] Yes, it can. Often, acute sinusitis goes away within seven to 10 days.

• #17 Acute Sinusitis: Symptoms and Treatment

  https://patient.info/ears-nose-throat-mouth/acute-sinusitis

  Acute sinusitis is a sinus infection which usually goes away on its own without treatment. […] Symptoms that commonly occur include: Pain and tenderness over the infected sinus. The pain is often throbbing and worse when you bend your head forwards. Chewing may be painful. […] A high temperature (fever). […] Other symptoms that may occur include: Headache. Bad breath. Toothache. Cough. A feeling of pressure or fullness in the ears. Tiredness. […] In children, symptoms may also include: Irritability. Ear discomfort. Snoring. Mouth breathing. Feeding difficulty. Nasal speech. […] See a doctor if symptoms become severe or do not ease within 10 days (however, as mentioned, it can take 2-3 weeks for symptoms to go completely). […] Like with colds, the immune system usually clears the infection and symptoms generally go within 2-3 weeks.

• #18 Acute Sinusitis – Harvard Health

  https://www.health.harvard.edu/a_to_z/acute-sinusitis-a-to-z

  Common symptoms of acute sinusitis include nasal congestion, thick green nasal discharge, fever, headache, tiredness and facial pain. Some symptoms depend on which sinus is inflamed. For example: […] The prognosis for acute sinusitis is very good. Most cases will go away within one to two weeks, often without antibiotics. […] By definition, acute sinus infections resolve within three weeks. Infections that last longer than three weeks are considered chronic sinusitis.

• #19 Sinus Infection: Symptoms, Causes, and Treatment

  https://www.healthline.com/health/cold-flu/sinus-infection-symptoms

  Sinusitis can cause facial pressure, sinus headache, and other symptoms. Treatment may depend on the cause. […] Symptoms of acute infections last at least 10 days without improving or worsen within 10 days after seeming to improve. […] Acute sinusitis usually goes away within 1 to 2 weeks with proper treatment. […] Sinus infections often start to improve on their own after about 10 days. If your symptoms last longer without improving or are worsening, a doctor may need to treat the underlying cause of the infection. […] A sinus infection may improve on its own. But in some cases, it may get worse.

• #20 Sinus infection: 11 symptoms and treatments

  https://www.medicalnewstoday.com/articles/322108

  Sinus infections often develop after a cold. […] Sinus infections may last 10 days or more. […] Chronic sinusitis causes swelling and irritation in the sinuses and usually develops after a person has had acute sinusitis. […] Ongoing sinus symptoms even if they get better and then come back may indicate chronic sinusitis. […] The outlook for most cases of sinusitis is good. Sinus infections often clear up on their own within a week or two. […] With proper medical care, most people with sinusitis recover well. However, if the infection does not get better after three months, a doctor might refer someone to an ear, nose, and throat specialist who can identify and treat the underlying cause of chronic sinusitis.

• #21 Acute Sinusitis: Practice Essentials, Background, Anatomy

  https://emedicine.medscape.com/article/232670-overview

  Clinical findings in acute sinusitis may include the following: […] Symptoms of acute bacterial rhinosinusitis include the following: […] The diagnosis of acute bacterial sinusitis should be entertained under either of the following circumstances: […] The following signs may be noted on physical examination: […] Acute sinusitis is a clinical diagnosis. […] The primary goals of management of acute sinusitis are to eradicate the infection, decrease the severity and duration of symptoms, and prevent complications. […] Approximately 40% of acute sinusitis cases resolve spontaneously without antibiotics. […] The spontaneous cure for viral sinusitis is 98%. […] In the absence of response within 48 hours or worsening of symptoms, reevaluate the patient. […] Untreated or inadequately treated rhinosinusitis may lead to complications such as meningitis, cavernous sinus thrombophlebitis, orbital cellulitis or abscess, and brain abscess.

• #22 Recovering from a sinus infection: Signs it is getting better

  https://www.medicalnewstoday.com/articles/signs-of-sinus-infection-getting-better

  As a sinus infection gets better, people will start noticing an improvement in symptoms. This may include a decrease in congestion, facial pressure, and postnasal drip. […] People may notice that the following symptoms begin to ease: runny nose, congestion, postnasal drip, which is mucus dripping down the back of the throat, greenish or yellow nasal discharge, feeling of pressure or tenderness in the face, especially around the bridge of the nose and under the eyes, headaches at the front of the head, teeth pain, bad breath, cough, fever, fatigue. […] Toward the end of a sinus infection, symptoms will improve and start going away. People may notice symptoms easing, such as less congestion, less postnatal drip, or easing pressure in the face. […] People may be able to tell they are recovering from a sinus infection if symptoms like congestion, facial pressure, and postnasal drip start easing and going away.

• #23 Acute Sinusitis: Causes, Symptoms & Diagnosis

  https://www.healthline.com/health/acute-sinusitis

  A stuffed nose and pressure on our cheekbones, near the eyes, or over the forehead may mean that you have acute sinusitis. […] Symptoms of acute sinusitis include: nasal congestion, thick yellow or green mucus discharge from the nose, sore throat, a cough, usually worse at night, drainage of mucus in the back of your throat, headache, pain, pressure, or tenderness behind your eyes, nose, cheeks, or forehead, earache, toothache, bad breath, reduced sense of smell, reduced sense of taste, fever, fatigue. […] Most cases of acute sinusitis clear up with home treatment, within a week or 10 days. Other people may experience symptoms for a few weeks. […] But sometimes acute sinusitis doesn’t clear up and becomes subacute or chronic sinusitis. Subacute sinusitis lasts 4-8 weeks total. However, chronic sinusitis can last more than 8 weeks. […] Overall, complications from acute sinusitis are rare but they do develop.

• #24 Acute sinusitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/acute-sinusitis/symptoms-causes/syc-20351671

  Acute sinusitis is most often caused by the common cold. Signs and symptoms may include a blocked and stuffy (congested) nose, which may block your sinuses and prevent drainage of mucus. […] Acute sinusitis is an infection caused by a virus. The common cold is most often the cause. Sometimes, sinuses that are blocked for a time might get a bacterial infection. […] Acute sinusitis can be a flare-up of a long-term problem known as chronic sinusitis. Chronic sinusitis lasts longer than 12 weeks.

• #25 Recurrent Acute Sinusitis Treatment | Denver Sinus Experts

  https://www.advancedentdenver.com/sinus/recurrent-acute-sinusitis/

  If youve found yourself visiting a doctor multiple times a year for cold-like symptoms, it might be more than the flu. Recurrent acute rhinosinusitis (RARS) is the condition of relapsing episodes of short sinus infections. […] Typical acute sinusitis is a short-term inflammation of the sinuses that often includes a sinus infection. Acute sinusitis is most often caused by colds, or sometimes bacterial infections. It usually lasts for about 10 days, but can stick around for up to a month. […] Recurrent acute rhinosinusitis is diagnosed when you have four or more episodes of acute sinusitis per year, without symptoms in between. This is different from chronic sinusitis because chronic sinusitis symptoms dont go away for long periods of time. With recurrent sinusitis, youll have symptom-free periods in between multiple battles with sinus infections.

• #26 Recurrent Acute Sinusitis Treatment | Denver Sinus Experts

  https://www.advancedentdenver.com/sinus/recurrent-acute-sinusitis/

  Recurrent acute sinusitis is marked by multiple episodes (four or more) of sinusitis per year, each lasting for around 3-4 weeks. Symptoms include: Sinus pressure, Facial pain, Headache, Severe congestion, Need for antibiotic treatment, Decreased smell and taste, Discolored nasal drainage. […] Recurrent acute sinusitis is rarely life-threatening, but affects your everyday life. Whether its missing work, dealing with uncomfortable symptoms, or paying multiple medical bills, RARS can be incredibly disruptive and it wont go away on its own. […] Recurrent sinusitis can also eventually lead to chronic sinusitis, which is much worse and more difficult to treat. […] If youve experienced more than three sinus infections in a year, you should consider seeking medical treatment.

• #27 Acute Sinusitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK547701/

  Severe symptoms are more indicative of a bacterial cause. These include high fevers (over 39 C or 102 F) accompanied by purulent nasal discharge or facial pain for three to four consecutive days at the beginning of the illness. Viral illnesses typically resolve after three to five days. […] Acute bacterial rhinosinusitis is most commonly viral. The large majority of cases will either resolve spontaneously or can be effectively treated with antibiotics.

• #28 Acute Rhinosinusitis in Adults | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0501/p1057.html

  Rhinosinusitis is one of the most common conditions for which patients seek medical care. […] Acute rhinosinusitis is further specified as bacterial or viral. Most cases of acute rhinosinusitis are caused by viral infections associated with the common cold. […] The signs and symptoms of acute bacterial rhinosinusitis and prolonged viral upper respiratory infection are similar, which can lead to overdiagnosis of acute bacterial rhinosinusitis. The presence of purulent nasal drainage is not the sole criterion to distinguish between viral and bacterial infection; the pattern and duration of illness are also key. In most patients, viral rhinosinusitis improves in seven to 10 days. Diagnosis of acute bacterial rhinosinusitis requires that symptoms persist for longer than 10 days or worsen after five to seven days.

• #29 Acute Rhinosinusitis in Adults | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0501/p1057.html

  If symptoms worsen or fail to improve with treatment, physicians should reevaluate the patient to confirm the diagnosis of acute bacterial rhinosinusitis, exclude other causes of illness, and detect complications. Complications of acute bacterial rhinosinusitis are estimated to occur in one in 1,000 cases.

• #30

  https://www.gleneagles.com.sg/conditions-diseases/sinusitis/symptoms-causes

  Acute sinusitis, also known as acute rhinosinusitis, can last up to 4 weeks. […] The symptoms of sinusitis include: […] Nasal obstruction […] Sinus congestion […] Nasal discharge […] Postnasal drip […] Facial pain […] In addition, you may experience a reduced sense of smell and taste, tiredness, fever or a sense of general malaise. […] You should consult an ENT specialist if you have the following symptoms: […] Persistent sinusitis (e.g. for more than 1 month) […] Recurrent sinus infections (e.g. more than 4 times per year) […] If you experience any of the following symptoms, you should consult an ENT specialist immediately, as they may suggest severe complications of sinusitis: […] Sinus infection can spread to the eyes. […] As the infection progresses, the eye itself becomes swollen and painful.

• #31

  https://www.gleneagles.com.sg/conditions-diseases/sinusitis/symptoms-causes

  Infection of the sinuses may spread to the meninges (membranes surrounding your brain). […] Classic symptoms of a meningeal infection include high fever, headache and neck stiffness, and altered neurological function. […] The bacterial infection from the sinuses may spread to the surrounding bone, especially the bone of the forehead.

• #32

  https://www.succarent.com/blog/what-are-the-signs-of-complicated-sinusitis

  Headaches are commonly associated with sinus infections; however, if your headaches become progressively worse or change in nature (such as developing into migraines), it could be an indication of complications arising from your sinuses. […] In some instances, complicated sinusitis can lead to inflammation around the eyes, causing them to appear swollen and red. This symptom should not be ignored, as it may signify an extension of the infection into the eye area, which requires immediate medical attention. […] If you notice any sudden changes in your vision, such as blurred vision or double vision, it could be a sign of serious complications related to sinusitis. In rare cases, the infection can spread to the eye sockets and affect visual function. Seek prompt medical evaluation if you experience any visual disturbances.

• #33

  https://www.gleneagles.com.sg/conditions-diseases/sinusitis/symptoms-causes

  Infection of the sinuses may spread to the meninges (membranes surrounding your brain). […] Classic symptoms of a meningeal infection include high fever, headache and neck stiffness, and altered neurological function. […] The bacterial infection from the sinuses may spread to the surrounding bone, especially the bone of the forehead.

• #34 Sinusitis Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/report/sinusitis

  Acute bacterial sinusitis, in contrast to viral sinusitis, usually takes one of the following three paths: Persistent. Symptoms that last more than 10 days and do not improve. Severe. Symptoms, with a high fever (at least 102°F [38.8°C]) and thick, green nasal discharge or facial pain that lasts for at least 3 to 4 days starting from the beginning of the illness. Worsening. Symptoms following a typical viral upper respiratory infection. […] In children, the most common signs and symptoms of acute bacterial sinusitis are daytime cough (which may worsen at night), nasal discharge, and fever. […] Symptoms of sinusitis last 12 weeks or longer. […] Symptoms indicating a medical emergency include: Increasing severity of symptoms, Eyes that are red, bulging, or painful (if the sinus infection occurs around the eyes), Swelling and drooping eyelid, Loss of eye movement (possible infection in the eye socket), Vision changes, Fixed or dilated pupil, Symptoms spreading to both sides of face (may indicate blood clot), Development of severe headache, altered vision, Mild personality or mental changes (may indicate spread of infection to brain), Soft swelling over the bone (may indicate bone infection).

• #35

  https://www.gleneagles.com.sg/conditions-diseases/sinusitis/symptoms-causes

  Infection of the sinuses may spread to the meninges (membranes surrounding your brain). […] Classic symptoms of a meningeal infection include high fever, headache and neck stiffness, and altered neurological function. […] The bacterial infection from the sinuses may spread to the surrounding bone, especially the bone of the forehead.

• #36 Ear Nose and Throat – When to Worry About Your Lingering Sinus Infection

  https://www.entlubbock.com/blog/lingering-sinus-infection/

  If after 10 days, your symptoms have not improved, see your primary care doctor. You may have an acute sinus infection. If it lasts four weeks, you potentially have a sub-acute sinus infection that needs more aggressive treatment. […] Lingering sinus infections should be treated before they escalate into a more serious issue. If a sinus infection is untreated, it may begin to impact the surrounding areas: the eyes and brain. […] Because the sinuses are located close to the eye and brain, the most serious complications of an untreated sinus infection affect these important structures. […] If you have a lingering sinus infection after antibiotics, an ENT doctor often elects to be more aggressive in treatment than a primary care physician. They may prescribe longer courses of antibiotics, stronger medications, or recommend a procedure to open the sinuses. […] If youre dealing with a lingering sinus infection, dont let it progress to a more serious issue. Call your ENT so they can discover whats at the root of your problem and find a treatment to bring you relief.

• #37 Acute sinusitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/acute-sinusitis/symptoms-causes/syc-20351671

  Acute sinusitis is most often caused by the common cold. Signs and symptoms may include a blocked and stuffy (congested) nose, which may block your sinuses and prevent drainage of mucus. […] Acute sinusitis is an infection caused by a virus. The common cold is most often the cause. Sometimes, sinuses that are blocked for a time might get a bacterial infection. […] Acute sinusitis can be a flare-up of a long-term problem known as chronic sinusitis. Chronic sinusitis lasts longer than 12 weeks.

• #38 Sinusitis – Ear, Nose, and Throat Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/ear-nose-and-throat-disorders/nose-and-sinus-disorders/sinusitis

  Some of the most common symptoms of sinusitis are pain, tenderness, nasal congestion, and headache. […] Acute and chronic sinusitis cause similar symptoms, including Yellow or green pus discharged from the nose, Headache, Pressure and pain in the face, Congestion and blockage in the nose, Tenderness (pain when touched) and swelling over the affected sinus, Reduced ability to smell (hyposmia), Bad breath (halitosis), A productive cough (especially at night). […] A person also may feel generally ill (malaise). Fever and chills also can occur, but their presence may suggest that the infection has spread beyond the sinuses. Often the pain is more severe in acute sinusitis. Sometimes headache and facial pain increase when lying down or bending forward.

• #39 Acute Sinusitis: Symptoms and Treatment

  https://patient.info/ears-nose-throat-mouth/acute-sinusitis

  Acute sinusitis often clears up without treatment. However, there are several things you can do to treat the symptoms in the meantime. […] Acute sinusitis may be contagious if the infection is due to a virus, but not if the cause is bacterial. […] Chronic sinusitis can sometimes develop from an acute sinusitis. This is the most common complication. Chronic sinusitis causes similar symptoms to acute sinusitis but lasts longer.

• #40 Sinusitis – PARI

  https://www.pari.com/uk/respiratory-condition/sinusitis/symptoms-and-disease-progression/

  Typical symptoms include: Pain in the forehead and eyes […] Painful cheek bones and upper jaw […] Nasal congestion […] Headache radiating into the back of the head […] Cough and sore throat […] Lassitude […] General feeling of illness. Pressure over the forehead and cheekbones are typical signs of a sinusitis that get worse when you cough, sneeze and bend down. The symptoms can often be limited to one side of the head. Some patients find their sense of smell being impaired and they complain of mucus flowing from the nose down the back of the throat. The symptoms can also lead to impaired sleep and thus fatigue during the day. Acute sinusitis lasts less than 3 months and may come with more severe symptoms, while chronic sinusitis lasts 3 month or longer and may involve less obvious symptoms such as difficulty breathing through the nose and an uncomfortable sense of pressure. An acute sinusitis can come in two waves: First, patients get a cold with exhaustion and fever. Then there is a brief period where symptoms improve but afterwards it is entirely possible that they can get worse. Usually, the disease is more or less resolved after two weeks. Within six weeks it has resolved in about 90% of patients. However, up to 10 percent are affected by a chronic form of sinusitis, lasting for 3 months or longer. If you have a chronic sinusitis, you may experience periods with less energy, a dull sense of pressure around the affected sinuses, recurring headaches or infections, difficulty breathing through your nose and a constant flow of mucus down the back of your throat.

• #41 Sinus Infection Basics | Sinus Infection | CDC

  https://www.cdc.gov/sinus-infection/about/index.html

  Runny nose […] Stuffy nose […] Facial pain or pressure […] Headache […] Mucus dripping down the throat (post-nasal drip) […] Sore throat […] Cough […] Bad breath […] When you have a sinus infection, one or more of your sinuses becomes inflamed. Fluid builds up, which can cause congestion and runny nose. […] Severe symptoms, such as severe headache or facial pain. […] Symptoms that get worse after improving. […] Symptoms lasting more than 10 days without getting better. […] Fever longer than 3-4 days. […] Multiple sinus infections in the past year.

• #42 Acute sinusitis | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/acute-sinusitis

  Acute sinusitis can make it hard to breathe through the nose. The area around the eyes and the face might feel swollen. There might be throbbing face pain or a headache. […] Acute sinusitis symptoms often include: Thick, yellow or greenish mucus from the nose, known as a runny nose, or down the back of the throat, known as postnasal drip. Blocked or stuffy nose, known as congestion. This makes it hard to breathe through the nose. Pain, tenderness, swelling and pressure around the eyes, cheeks, nose or forehead that gets worse when bending over. […] Other signs and symptoms include: Ear pressure. Headache. Aching in the teeth. Changed sense of smell. Cough. Bad breath. Tiredness. Fever. […] Most people with acute sinusitis don’t need to see a health care provider. […] Contact your health care provider if you have any of the following: Symptoms that last more than a week. Symptoms that get worse after seeming to get better. A fever that lasts. A history of repeated or chronic sinusitis.

• #43 Acute sinusitis | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/acute-sinusitis

  See a health care provider immediately if you have symptoms that might mean a serious infection: Pain, swelling or redness around the eyes. High fever. Confusion. Double vision or other vision changes. Stiff neck. […] Most cases of acute sinusitis get better on their own. Self-care is usually all that’s needed to ease symptoms. […] The following might help ease sinusitis symptoms: Saline nasal spray. Salt water sprayed into the nose many times a day rinses the inside of the nose. Nasal corticosteroids. These nasal sprays help prevent and treat swelling. […] Antibiotics don’t treat viruses, which are the usual cause of acute sinusitis. Even if bacteria caused the acute sinusitis, called a bacterial infection, it might clear up on its own. So a health care provider might wait and see if the acute sinusitis gets worse before prescribing antibiotics. […] For sinusitis caused or made worse by allergies, allergy shots might help. This is known as immunotherapy.

• #44 Sinusitis Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/report/sinusitis

  Acute bacterial sinusitis, in contrast to viral sinusitis, usually takes one of the following three paths: Persistent. Symptoms that last more than 10 days and do not improve. Severe. Symptoms, with a high fever (at least 102°F [38.8°C]) and thick, green nasal discharge or facial pain that lasts for at least 3 to 4 days starting from the beginning of the illness. Worsening. Symptoms following a typical viral upper respiratory infection. […] In children, the most common signs and symptoms of acute bacterial sinusitis are daytime cough (which may worsen at night), nasal discharge, and fever. […] Symptoms of sinusitis last 12 weeks or longer. […] Symptoms indicating a medical emergency include: Increasing severity of symptoms, Eyes that are red, bulging, or painful (if the sinus infection occurs around the eyes), Swelling and drooping eyelid, Loss of eye movement (possible infection in the eye socket), Vision changes, Fixed or dilated pupil, Symptoms spreading to both sides of face (may indicate blood clot), Development of severe headache, altered vision, Mild personality or mental changes (may indicate spread of infection to brain), Soft swelling over the bone (may indicate bone infection).

• #45

  https://www.succarent.com/blog/what-are-the-signs-of-complicated-sinusitis

  While neck stiffness and unexplained chronic fatigue can be symptoms of various conditions, when they occur alongside other signs of complicated sinusitis, they should not be overlooked. These symptoms may indicate that the infection has spread beyond the sinuses and potentially affected other parts of the body. […] If you experience any combination of these signs or suspect that your sinusitis is becoming more severe, seek medical attention promptly. An otolaryngologist (ear, nose and throat doctor) can evaluate your condition, provide an accurate diagnosis, and recommend appropriate treatment options to manage complicated sinusitis effectively. […] Recognizing the signs of complicated sinusitis and seeking prompt medical attention is crucial to prevent further complications and ensure appropriate treatment.

• #46 Sinusitis (sinus infection)

  https://www.nhs.uk/conditions/sinusitis-sinus-infection/

  antihistamines if an allergy is causing your symptoms. Rarely, you may need antibiotics. This is not common as sinusitis is usually caused by a virus, not bacteria. The GP may refer you to an ear, nose and throat (ENT) specialist if you: still have sinusitis after 3 months of treatment […] keep getting sinusitis […] only have symptoms on 1 side of your face.

• #47 Acute rhinosinusitis – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-gb/14

  Majority of cases of acute rhinosinusitis in adults and children are of viral aetiology. […] Duration of symptoms more than 10 days often indicates bacterial cause. […] Condition is usually self-limiting; however, symptomatic therapy should be considered. […] Antibiotics are only recommended in select patient groups (e.g., severe disease, persistent or worsening symptoms, or immunocompromised patients) because symptoms often resolve without intervention and there is a risk of antimicrobial resistance. […] Complications are uncommon and their risk alone should not result in antimicrobial prescribing. […] Acute rhinosinusitis (also commonly known as acute sinusitis) is a symptomatic inflammation of the mucosal lining of the nasal cavity and paranasal sinuses, presenting with purulent nasal drainage accompanied by nasal obstruction, facial pain/pressure/fullness, or both for 4 weeks or less. […] Symptoms that worsen after an initial improvement (acute bacterial rhinosinusitis). […] Severe symptoms at onset (acute bacterial rhinosinusitis).

• #48 Acute sinusitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3093592/

  In otherwise healthy people, viral sinusitis is usually self-limiting and rarely produces serious after-effects. Most patients will get better without treatment in 7 to 10 days. […] When symptoms persist beyond 7 days, and when the patient experiences a second sickening, the possibility of bacterial sinusitis increases, but serious complications from bacterial sinusitis are very rare. […] The absence of purulent nasal discharge, fever, prolonged illness, and severe illness, plus only a moderate degree of sinus tenderness, all make it likely that Mr Brown is suffering from a common cold with sinus congestion. […] You inform him that he likely has viral sinusitis and that it is a self-limiting disease for which antibiotics will not provide any benefit. […] You explain to Mr Brown that his sinus symptoms are most likely due to viral infection, and that he is unlikely to benefit from antibiotic treatment. His illness will likely last 7 to 10 days, and there should not be any complications.

• #49 Symptoms and disease progression – PARI

  https://www.pari.com/int/field-of-application/sinusitis/symptoms-and-disease-progression/

  An acute sinus infection not infrequently comes in two waves: First, patients get a cold with exhaustion and fever. Then there is a brief period where symptoms improve but where they can also get worse. Usually the disease is more or less resolved after two weeks. Within six weeks it has resolved in about 90% of patients. However, up to 10 percent are affected by a chronic form of sinusitis.

• #50 Patient education: Acute sinusitis (sinus infection) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/acute-sinusitis-sinus-infection-beyond-the-basics/print

  ACUTE SINUSITIS SYMPTOMS […] Symptoms of acute sinusitis include: […] • Thick, yellow to green discharge from the nose […] • Nasal congestion or blockage […] • Facial pain, pressure, or fullness […] Other acute sinusitis symptoms can include fever (temperature greater than 100.4°F or 38°C), fatigue, cough, difficulty or inability to smell, ear pressure or fullness, headache, and bad breath. In most cases, these symptoms develop over the course of one day and begin to improve by 7 to 10 days. […] […] […] If symptoms of sinusitis last more than 10 days, or if you have symptoms that initially improve but then worsen again within the first 7 days („double worsening”), you may have bacterial sinusitis. […] […] […] You may also want to see a health care provider if you have symptoms that last more than 10 days or for symptoms that initially improve and worsen again.

• #51 Acute Rhinosinusitis in Adults | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0501/p1057.html

  If symptoms worsen or fail to improve with treatment, physicians should reevaluate the patient to confirm the diagnosis of acute bacterial rhinosinusitis, exclude other causes of illness, and detect complications. Complications of acute bacterial rhinosinusitis are estimated to occur in one in 1,000 cases.

• #52 Ear Nose and Throat – When to Worry About Your Lingering Sinus Infection

  https://www.entlubbock.com/blog/lingering-sinus-infection/

  If after 10 days, your symptoms have not improved, see your primary care doctor. You may have an acute sinus infection. If it lasts four weeks, you potentially have a sub-acute sinus infection that needs more aggressive treatment. […] Lingering sinus infections should be treated before they escalate into a more serious issue. If a sinus infection is untreated, it may begin to impact the surrounding areas: the eyes and brain. […] Because the sinuses are located close to the eye and brain, the most serious complications of an untreated sinus infection affect these important structures. […] If you have a lingering sinus infection after antibiotics, an ENT doctor often elects to be more aggressive in treatment than a primary care physician. They may prescribe longer courses of antibiotics, stronger medications, or recommend a procedure to open the sinuses. […] If youre dealing with a lingering sinus infection, dont let it progress to a more serious issue. Call your ENT so they can discover whats at the root of your problem and find a treatment to bring you relief.

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