The symptoms of sinusitis include the nose draining a thick, yellow or green discharge. Sometimes this discharge drains downward into the rear of the throat. Nasal congestion, headache, tenderness, sore throat, ear pain, fever, irritability, throbbing face pain, and coughs that get worse during the night are additional symptoms of sinusitis. Your eyes and your face may also feel or appear swollen.
Sinusitis is frequently caused by a common cold. Other causes include a bacterial or fungal infection. For some people, allergies lead to sinusitis. If your sinusitis is caused by a bacterial infection, your doctor may prescribe antibiotics to treat the infection.
There are several things that cause sinusitis in children. They include:
- A viral or bacterial infection that spreads to the sinuses from the nose
- Anatomical irregularities of the nose and or sinuses
- Nasal allergy
- Environmental irritants like dust, air pollutants, or tobacco smoke
Sinusitis may subside without specific treatment; however, it may require antibiotics and other medications for cure. In very rare cases, acute sinus infection may spread to the eyes or the brain, and urgent treatment is necessary.
Sinusitis is an inflammation of one or more of the four sets of sinuses, air-filled cavities in the facial bones. It's usually caused by an infection. When irritated, the mucous membrane lining the sinus may swell and block the small drainage channels that permit mucus to flow into the nose. In children, this buildup in pressure often results in a runny nose, cough, and nasal congestion.
Acute sinusitis is a common disorder that often occurs after a cold or other viral illness. Chronic sinusitis refers to persistent episodes that are generally milder than acute cases, but last for weeks or months.
Pediatric sinusitis can be a challenging problem to diagnose and to treat. Children with sinusitis frequently have symptoms like:
- Behavioral changes
- Eye swelling
- Thick nasal or post-nasal drainage
What makes diagnosing sinusitis in children so tricky is that these symptoms are very similar to those of a viral respiratory infection. However, if the symptoms last more than seven to 10 days, it is likely your child is suffering from a sinus infection.
Most children respond well to medical treatment for sinusitis, which may include antibiotics, nasal saline, and nasal steroids. If your child has symptoms lasting for longer than 12 weeks, or has more than four to six sinus infections per year, your child may need to see a sinus specialist. It is also important to identify and address other factors which may contribute to the development of sinusitis, such as:
- Stomach reflux
- Problems with the immune system
- Cystic fibrosis
Children who do not respond to the medical treatment may be candidates for surgical treatment, which may include an adenoidectomy or sinus surgery.
Depending on the patient's situation, sinusitis can be resolved either medically or surgically. Medical therapy includes sinonasal irrigation, antibiotics, and nasal steroids. These treatments are often combined with other therapies to improve or eliminate sinonasal symptoms. In some patients, however, the sinusitis persists, despite the medications, and the chronic inflammation could cause severe nasal polyps to develop. Surgery is often necessary to relieve the symptoms.Helpful? 1 person found this helpful.
Knowledge of the anatomy of the sinuses is helpful in understanding sinus blockages. Within the nasal walls are three turbinate bones, which look like rolled up scrolls. They are covered in a mucous membrane that contains vascular channels. These channels can swell under certain conditions, like allergy or inflammation, causing a blockage. Under the middle turbinate is a space called the middle meatus. Within the middle meatus is the osteomeatal complex, which is the pathway for the drainage of the cheek (maxillary), forehead (frontal) and anterior ethmoid sinuses. If this key pathway is inflamed or swollen, it can cause the sinuses to become blocked.