Launching September 2027

Sinusitis (Sinus Infection)

Sinusitis At A Glance

  • Sinusitis is inflammation or swelling of the tissue lining the air-filled sinuses around the nose, cheeks, eyes, and forehead.
  • Symptoms commonly include nasal congestion, thick drainage, facial pressure or pain, headache, reduced smell or taste, cough, fatigue, and sometimes fever.
  • Most acute sinus infections develop after a viral respiratory infection, although bacteria, allergies, nasal polyps, or structural problems can also contribute.
  • Most cases are diagnosed from symptoms and a physical examination without laboratory testing or imaging.
  • Viral sinusitis usually improves without antibiotics, while antibiotics may be used when a bacterial infection is suspected.
  • Treatment may include rest, fluids, saline nasal rinses, nasal steroid sprays, pain relievers, allergy treatment, and other medications when appropriate.

Table of Contents

Table of Contents

What Is Sinusitis?

Sinusitis, also called a sinus infection or rhinosinusitis, is inflammation or swelling of the tissue lining the sinuses. The sinuses are air-filled spaces located behind your forehead, cheeks, eyes, and nose. When these spaces become inflamed or blocked, mucus cannot drain properly, allowing germs to grow and causing symptoms.

Most cases of sinusitis develop after a viral upper respiratory infection (such as the common cold), but some cases are caused by bacteria or, less commonly, fungi. Sinusitis may be acute (lasting less than 4 weeks), subacute (4–12 weeks), chronic (lasting more than 12 weeks), or recurrent (multiple episodes each year).

Most people recover with home care, but some individuals require prescription medications or additional treatment.

Learn More

Sinusitis – NIH MedlinePlus
https://medlineplus.gov/sinusitis.html

Provides easy-to-understand information about sinus infections, symptoms, diagnosis, treatment, and prevention.

Sinus Infection (Sinusitis) – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/sinus-infection/

Provides information about causes, treatment, and when antibiotics are appropriate.

How Common Is Sinusitis?

Sinusitis is one of the most common reasons people visit healthcare providers. Millions of adults are diagnosed with sinus infections each year in the United States.

Most sinus infections are caused by viruses, meaning antibiotics are usually not needed. Bacterial sinus infections are less common but may require antibiotic treatment when symptoms are severe, prolonged, or worsening.

Learn More

Sinus Infection – CDC
https://www.cdc.gov/sinus-infection/

Provides information about how common sinus infections are and appropriate treatment recommendations.

What Symptoms Might You Notice?

Symptoms vary depending on the cause and severity of the infection.

Common symptoms may include:

  • Nasal congestion or stuffy nose
  • Thick yellow or green nasal drainage
  • Facial pain or pressure
  • Headache
  • Pressure around the eyes, cheeks, forehead, or nose
  • Decreased sense of smell or taste
  • Cough
  • Sore throat
  • Ear pressure or fullness
  • Fever
  • Bad breath
  • Tooth pain (especially upper teeth)
  • Fatigue

How Is Sinusitis Diagnosed?

Your healthcare provider will review your symptoms, medical history, and perform a physical examination, including an examination of your nose, throat, and ears.

Most sinus infections are diagnosed based on symptoms and do not require additional testing. Imaging studies or specialist evaluation may be recommended for chronic, recurrent, or severe sinusitis.

Learn More

Sinusitis – NIH MedlinePlus
https://medlineplus.gov/sinusitis.html

Explains how sinus infections are diagnosed and when further evaluation may be needed.

Sinusitis (Sinus Infection) infographic – click to enlarge

What Causes Sinusitis?

Sinusitis develops when swelling blocks normal sinus drainage.

Common causes include:

  • Viral infections (most common)
  • Bacterial infections
  • Allergies
  • Nasal polyps
  • Deviated nasal septum
  • Environmental irritants such as cigarette smoke
  • Dental infections (occasionally)

Learn More

Sinusitis – NIH MedlinePlus
https://medlineplus.gov/sinusitis.html

Learn about the common causes and risk factors for sinus infections.

What Can Make Sinusitis Worse?

Several factors can worsen sinus symptoms or increase the risk of developing sinus infections.

Common factors include:

  • Allergies
  • Smoking or secondhand smoke
  • Air pollution
  • Untreated colds
  • Nasal polyps
  • Deviated nasal septum
  • Asthma
  • Weakened immune system

Learn More

Sinus Infection – CDC
https://www.cdc.gov/sinus-infection/

Provides information about risk factors and preventing sinus infections.

Prevention

Many sinus infections can be prevented by reducing exposure to viruses and managing conditions that increase your risk.

Helpful prevention tips include:

  • Wash your hands frequently.
  • Avoid close contact with people who are sick.
  • Stay up to date on recommended vaccinations, including influenza and COVID-19 vaccines.
  • Manage allergies.
  • Avoid smoking and secondhand smoke.
  • Use a humidifier if the air is dry.
  • Stay well hydrated.
  • Treat colds promptly and follow your healthcare provider’s recommendations.

Learn More

Sinus Infection – CDC
https://www.cdc.gov/sinus-infection/

Provides practical recommendations for preventing sinus infections and reducing your risk.

Learn More About Sinusitis

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

Most sinus infections do not require laboratory testing.

Laboratory tests may occasionally include:

  • Complete Blood Count (CBC): May help evaluate infection or inflammation.
  • Nasal Culture: Rarely performed but may identify bacteria in severe or chronic infections.
  • Allergy Testing: May be recommended if allergies contribute to recurring sinus infections.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about laboratory testing when evaluating sinus infections.

Diagnostics

Most people with acute sinusitis do not need imaging.

Additional testing may be recommended for chronic, severe, or recurrent sinus infections.

Common diagnostic tests include:

  • Nasal Endoscopy: A small flexible camera is used to examine the nasal passages and sinuses.
  • CT Scan of the Sinuses: Provides detailed images of the sinuses and is commonly used before surgery or when chronic sinusitis is suspected.
  • Allergy Testing: Helps identify environmental allergies contributing to chronic sinus inflammation.

Learn More

American Academy of Otolaryngology–Head and Neck Surgery
https://www.enthealth.org/

Provides patient education about sinusitis, nasal endoscopy, and chronic sinus disease.

Treatment & Management

Treatment Options

Treatment depends on the cause of the sinus infection and how long symptoms have been present.

Treatment options may include:

  • Rest
  • Increased fluid intake
  • Saline nasal irrigation
  • Nasal corticosteroid sprays
  • Decongestants (when appropriate)
  • Pain relievers
  • Antibiotics (only when bacterial sinusitis is suspected or confirmed)
  • Treatment of allergies if present

Learn More

Sinus Infection – CDC
https://www.cdc.gov/sinus-infection/

Provides information about treatment recommendations and appropriate antibiotic use.

Lifestyle Changes

Healthy habits can help improve symptoms and reduce the risk of future sinus infections.

Helpful lifestyle changes include:

  • Drink plenty of fluids.
  • Get adequate rest.
  • Use saline nasal spray or saline rinses.
  • Use a humidifier if the air is dry.
  • Avoid cigarette smoke and vaping.
  • Manage allergies if present.
  • Wash your hands frequently.
  • Stay up to date on recommended vaccinations.

Learn More

ENT Health – Sinusitis
https://www.enthealth.org/

Provides practical recommendations for managing sinus infections and improving sinus health.

Medications

Medications

Treatment depends on the cause of your sinusitis.

Common medications may include:

  • Acetaminophen: Helps relieve pain and reduce fever.
  • Ibuprofen or Naproxen: Help reduce pain and inflammation when appropriate.
  • Saline Nasal Spray or Saline Irrigation: Helps clear mucus and improve sinus drainage.
  • Intranasal Corticosteroid Sprays (such as fluticasone): Help reduce inflammation, especially in people with allergies or chronic sinusitis.
  • Decongestants: May provide short-term symptom relief but should only be used as directed.
  • Antibiotics: Only recommended when a bacterial sinus infection is suspected or confirmed.

Learn More

Sinus Infection – CDC
https://www.cdc.gov/sinus-infection/

Provides information about medications, symptom relief, and appropriate antibiotic use.

Procedures

Most people with sinusitis do not require surgery or invasive procedures. Treatment usually focuses on relieving symptoms, reducing inflammation, and treating bacterial infections when appropriate. However, additional procedures may be recommended if sinus infections are chronic, recurrent, or caused by structural problems.

Common procedures may include:

  • Nasal Endoscopy: A thin, flexible camera is inserted into the nose to examine the nasal passages and sinus openings.
  • Functional Endoscopic Sinus Surgery (FESS): A minimally invasive surgery that removes blockages and improves sinus drainage for people with chronic or recurrent sinusitis that has not improved with medical treatment.
  • Balloon Sinuplasty: A small balloon is inserted into blocked sinus passages and inflated to widen the openings and improve drainage. This procedure is appropriate for selected patients.
  • Nasal Polyp Removal (Polypectomy): May be recommended if nasal polyps are causing repeated sinus infections or persistent blockage.

Learn More

ENT Health – Sinusitis
https://www.enthealth.org/

Learn about sinus procedures, surgery, and treatment options for chronic sinusitis.

What Should You Expect Long-Term?

Most cases of acute sinusitis improve within 7–10 days, although symptoms may last up to several weeks. Viral sinus infections usually resolve without antibiotics.

People with chronic sinusitis or recurrent sinus infections may require ongoing treatment, allergy management, or referral to an ear, nose, and throat (ENT) specialist.

With appropriate treatment, most people recover completely and return to normal activities.

What Can You Do At Home?

Home care is an important part of recovering from sinusitis.

Helpful tips include:

  • Drink plenty of fluids.
  • Get adequate rest.
  • Use saline nasal spray or saline rinses.
  • Use a cool-mist humidifier if the air is dry.
  • Apply a warm compress to your face to help relieve pressure.
  • Avoid cigarette smoke and vaping.
  • Manage seasonal or environmental allergies.
  • Take medications exactly as directed.
  • Keep follow-up appointments if symptoms continue.

Learn More

Sinusitis – NIH MedlinePlus
https://medlineplus.gov/sinusitis.html

Provides practical recommendations for managing sinus infections at home and promoting recovery.

Frequently Asked Questions

Do antibiotics treat all sinus infections?

No. Most sinus infections are caused by viruses and do not require antibiotics. Antibiotics are only recommended when a bacterial infection is suspected or confirmed.

How long does a sinus infection last?

Acute viral sinusitis usually improves within 7–10 days, while bacterial infections may last longer. Chronic sinusitis lasts

12 weeks or longer

.

Can allergies cause sinus infections?

Yes. Allergies can cause swelling inside the nose, making it more difficult for mucus to drain and increasing the risk of sinus infections.

Are saline nasal rinses helpful?

Yes. Saline rinses can help remove mucus, improve sinus drainage, and reduce nasal congestion.

When should I see an ENT specialist?

You may benefit from an ENT evaluation if you have frequent sinus infections, symptoms lasting longer than 12 weeks, nasal polyps, or persistent symptoms despite treatment.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • Is my sinus infection likely viral or bacterial?
  • Do I need antibiotics?
  • Would a nasal steroid spray help?
  • Should I use saline nasal rinses?
  • Could allergies be contributing to my symptoms?
  • Do I need to see an ENT specialist?
  • When should I schedule a follow-up appointment?

Specialist Referrals

Most sinus infections are treated by a primary care provider. Depending on your symptoms or medical history, your provider may recommend seeing a specialist.

You may be referred to:

  • Otolaryngologist (ENT Specialist): Evaluates chronic, recurrent, or severe sinus infections and performs sinus procedures when needed.
  • Allergist/Immunologist: Evaluates environmental allergies or immune disorders contributing to recurrent sinusitis.
  • Infectious Disease Specialist: May evaluate severe or unusual sinus infections in selected situations.

Learn More

American Academy of Otolaryngology–Head and Neck Surgery (ENT Health)
https://www.enthealth.org/

Provides patient education about sinus disease, specialist care, and treatment options.

Is Sinusitis Curable?

Most cases of acute sinusitis are temporary and resolve completely with supportive care or, when appropriate, antibiotics.

People with chronic sinusitis may require ongoing treatment to control inflammation, allergies, or structural problems affecting sinus drainage. Even chronic sinusitis can often be successfully managed with medications, lifestyle changes, or surgery when necessary.

Emergency Symptoms / When To Seek Immediate Help

Although uncommon, sinus infections can occasionally cause serious complications.

Call 911 or seek emergency medical care immediately if you experience:

  • Difficulty breathing
  • Swelling around one or both eyes
  • Vision changes or double vision
  • Severe headache with confusion
  • High fever with severe facial swelling
  • Seizures
  • Loss of consciousness

Seek prompt medical evaluation if you notice:

  • Symptoms lasting longer than 10 days without improvement
  • Symptoms that improve and then suddenly worsen
  • Persistent fever
  • Severe facial pain
  • Thick nasal drainage that continues despite treatment

Learn More

Sinusitis – NIH MedlinePlus
https://medlineplus.gov/sinusitis.html

Learn about sinus infection complications and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Sinusitis – NIH MedlinePlus
https://medlineplus.gov/sinusitis.html

Easy-to-understand information about sinus infections, symptoms, diagnosis, treatment, and prevention.

Sinus Infection – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/sinus-infection/

Comprehensive information about sinus infections, appropriate antibiotic use, and symptom management.

ENT Health – American Academy of Otolaryngology–Head and Neck Surgery
https://www.enthealth.org/

Reliable patient education about chronic sinusitis, nasal polyps, sinus surgery, and long-term management.

American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/

Evidence-based information about allergies, sinus conditions, and allergy management.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, last longer than expected, or do not improve with treatment. Call 911 immediately if you experience difficulty breathing, vision changes, swelling around the eyes, severe confusion, seizures, loss of consciousness, or another medical emergency.

Get personalized care for Sinusitis

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.