Sinusitis without runny nose. Can there be sinusitis without a runny nose, fever and nasal congestion Treatment of chronic runny nose

Sinusitis is a pathological process characterized by the presence inflammatory process on the mucous membrane of the sinuses. The main symptom of sinusitis is fever. It is this that very often causes the formation of complications in various colds and also contributes to the transition of the disease to chronic form. For this reason, it is necessary to closely monitor the patient’s health status, and especially the indicators temperature regime.

Why does it rise when sick?

There are many reasons for the increase in temperature during sinusitis. Often it occurs for the first time or serves as a complication of the disease. Let's look at each factor in more detail.

The ascent occurs for the first time

As a rule, the presented illness occurs due to already present inflammatory processes on the mucous membrane of the nasal cavity. The main reasons for the rise in temperature in this case may be:

• the presence of polyps in the nose (the symptoms of polyps in the sinuses are described here);
• congenital or acquired defects of the nasal septum;
• changes in the nasal mucosa.

The onset of inflammation in the sinuses is accompanied by an increase in temperature. For sinusitis occurring in acute form, they can take values ​​from 38 degrees.

In addition to fever, the patient has the following symptoms:

• headache;
• weakness;
• malaise;
• change in the nature of nasal discharge.

Very often, with sinusitis, the patient cannot breathe normally. Taking into account the number of damaged sinuses, nasal breathing is distinguished between unilateral and bilateral. Follow the link to find signs of right-sided sinusitis.

If sinusitis occurs in an acute form, then the elevated temperature lasts for a long time. As a rule, this is 2-5 days. If timely treatment is not started, the disease can develop into a chronic form or provoke a number of serious complications.

The development of acute sinusitis may be preceded by a high rise in temperature immediately after a nasal injury. It is injury to the nasal bone that often serves as a fundamental factor for the development of post-traumatic sinusitis. In this case temperature indicators take on high values ​​and gradually increase. Sometimes the body copes with this on its own; it all depends on individual characteristics.

In addition, the rise in temperature that arose as a result of the removal or treatment of molars located in the upper row may draw attention. Diseases of the hard tissues of teeth and periodontium often cause the formation of sinusitis. When medical procedures are used, the most common infections can penetrate the mucous membrane, and this leads to an inflammatory process in the maxillary sinus.

The video talks about acute sinusitis:

Increase when the disease becomes chronic

When sinusitis has become chronic, an increase in temperature to significant limits occurs very rarely. Prolonged and sluggish inflammation is characterized by general malaise. As a result, the patient experiences a feeling of weakness, fatigue and drowsiness. Often chronic sinusitis provokes coughing attacks at night. This process is characterized by mucus flowing down back wall throats.

The chronic form is characterized by erratic discharge. They may occur intermittently and appear clear or yellow in color. Swelling of the eyelids that occurs in the morning may indicate the presence of chronic inflammation. As a rule, its formation is affected by a violation of the outflow of fluid.

If there is an exacerbation of a chronic process, then temperature readings may reach high levels. As for the disease itself, its symptoms resemble acute sinusitis. Here you can read how to treat advanced sinusitis.

Body heat is a symptom of complications

When a rise in temperature during sinusitis is observed after it has normalized, this indicates that serious complications are developing in the nasal cavity.

When the patient’s immunity is weakened, the inflammatory process can affect other than the mucous membrane maxillary sinus also nearby anatomical structures.

The most common causes of complications include the following factors:

• orbital damage;
• osteomyelitis upper jaw;
• damage to the trigeminal nerve;
• abscess of the maxillary sinus.

When such diseases develop, the increase in body temperature takes on indicators that correspond to their symptoms. When the tissues of the orbit are inflamed, in addition to fever, pain occurs, increased secretion tears and blurred vision.

When the hard tissues of the upper jaw become inflamed, the patient experiences toothache, which is on the rise. Usually, pain syndrome increases during meals. Also, such people experience bad smell from mouth.

With neuritis, the patient experiences pain in the affected area. Pain syndrome can affect the upper jaw and orbit. The nature of the pain is diffuse, and in some cases there is paresis of certain facial muscles.

With an abscess of the maxillary sinus, intense, dull and bursting pain occurs in the cheekbones. The patient is also worried about pain in the head, difficulty breathing through the nose and a strong unpleasant odor from the oral cavity.

Find out whether you can warm your nose with sinusitis with salt.

Read about the treatment of catarrhal sinusitis: http://prolor.ru/n/bolezni-n/gajmorit/kataralnyj-gajmorit.html.

How many days does it last

Knowing the duration of the elevated temperature is very important. After all, it is possible to understand the activity of the inflammatory process. If treatment is inadequate and untimely, then increased performance Temperatures associated with sinusitis will persist for a long time. At this time, the patient experiences a fever, which indicates the active reproduction of pathogenic microorganisms.

The video talks about the temperature of sinusitis:

If the doctor prescribes antibacterial drugs, the temperature begins to decline. This indicates that the pathogenic microorganisms that caused sinusitis are gradually destroyed. Temperatures of 37 degrees can remain for another week. With a prolonged increase in temperature after sinusitis, it indicates that the disease is entering a chronic stage. The reason for this is that the sinuses cannot be completely cleared of pathological secretions.

The issue of fever in pediatrics is acute. When the disease is caused by bacteria, the temperature rises here, and its indicators reach high levels. But unlike adults, children tolerate fever much easier. When sinusitis is caused by a viral infection, sometimes parents may not notice the onset of sinusitis, mistaking the increase in temperature for a common cold.

In this case, only the attending physician can give an assessment.

The video shows the temperature after a sinus puncture:

How high does it rise?

What temperature can it be? If acute purulent sinusitis occurs, then a rise in temperature is observed to 38-39 degrees. These numbers depend on how severe the disease is and what response the immune system gives to the infection.

If there is an exacerbation of chronic sinusitis, then the temperature readings are low and do not last long. As a rule, they take the following values ​​- 37-47.5 degrees. To summarize, it should be noted that an increase in temperature is the result of a purulent process in the sinuses. In young patients, this disease occurs much more rapidly than in adults. For them, this symptom is considered a completely normal indicator.

If you notice the first manifestations of a cold, or rather a rise in temperature, then you need to urgently go to the doctor and remember how long it lasts. Perhaps the resulting fever indicates the presence of inflammation, which will lead to sinusitis.

Can there be a disease without body heat?

Is there sinusitis without fever? Is there a temperature with sinusitis? And indeed, there are situations when the development of sinusitis occurs without a rise in temperature. This is very common in children. As a rule, this is typical for a situation where the inflammatory process occurs in a weak form. Pain in the head and nasal congestion may indicate the presence of the disease.

In the video - about sinusitis without fever, if you just have a headache:

Sinusitis without a runny nose and nasal congestion is very difficult to detect at an early stage. As a result, the disease enters the chronic stage and causes a number of complications.

The symptoms and treatment of sinusitis in adults are described here. Here you will find information about the symptoms and treatment of sinusitis in a child. Fever is a very common symptom of a cold, as well as a disease such as sinusitis. It may indicate that inflammation is actively developing in the sinus. If the temperature readings persist for a long time, then this all indicates the presence of chronicity. To treat the disease, nasal sprays for sinusitis, antibiotics and other drugs are used.

Can you have sinusitis without fever?

Answers:

Yulia Mordvinova

Sinusitis can occur as a complication after a viral illness or cold. Regardless of whether you have had it or not, sinusitis can recur. Basically, there is a feeling of stuffiness, headaches, pain in the maxillary sinuses, swelling of the eyes, a feeling that it is impossible to blow your nose completely even after you have instilled vasoconstrictor drops. The temperature is slightly increased at first - 37.2, 37.3. Be sure to drip vasoconstrictors (naphthyzin, sanorin, otrivin, etc.), saline solutions rinse your nose 15 minutes after vasoconstrictors (Saline, Aqualor, Aquamaris), Isofra spray in the nose, Sinu Forte spray helps a lot, drink Sinupret drops. An ENT specialist can tell you whether it is sinusitis after examination and x-ray of the sinuses.

Lyubov Kozyritskaya

Yes maybe. I had no fever 2 times. it all depends on the body.

Darling *

Maybe contact an ENT specialist, you need to take a picture.

Can you have sinusitis without a runny nose, nasal congestion and fever?

Inflammation of the sinuses, which is medically known as sinusitis, is considered common. The disease affects both children and adults. It can be recognized by its characteristic symptoms, the main one being a runny nose. However, there are cases where sinusitis occurs without a runny nose, which complicates the diagnostic process.

Many people are interested in whether it is possible to have sinusitis without a runny nose and how, in this case, to find out about the inflammatory process occurring in the body. In fact, such cases in medical practice well known.

Is there sinusitis without a runny nose: symptoms of the disease

The presence of purulent mucus in the nasal sinuses is a clear sign of an inflammatory process occurring in them. The absence of this sign is an obstacle to early diagnosis. Still, there are some specific symptoms of sinusitis without a runny nose, which make it possible to detect the inflammatory process and begin its treatment earlier.

The main symptoms of the disease are the following processes:

• slight increase in body temperature;
• prolonged nasal congestion;
• pain in the head and jaw, it intensifies during chewing and talking;
• the intensity of the headache varies depending on the position of the person’s body when he lies down, the pain discomfort are intensifying.

Without a runny nose, sinusitis can also occur in children, although their symptoms of sinus inflammation may be slightly different than in adults. If you notice them, you should immediately consult a doctor, especially health care if the baby himself begins to complain of feeling unwell.

With the development of the inflammatory process in the nasal sinuses in children, the following signs are characteristic:

• impaired nasal breathing;
• fatigue and constant fatigue;
• pain in the gums and ears;
• feeling of bad breath.

Sometimes sinusitis occurs without a runny nose or fever; this can happen with a mild form of the inflammatory process or at an early stage of its development. Nasal congestion and pain in the face and head will help recognize the disease. You can also try tilting your head forward; as the disease develops, pain will occur in the forehead and sinuses.

Sinusitis without a runny nose and nasal congestion is almost never detected at an early stage of its development. This leads to an advanced form of the disease and the occurrence of many complications.

Diagnosis and treatment of sinusitis without a runny nose

Regardless of whether there is a runny nose with sinusitis or not, complex therapy is required. The inflammatory process must be cured, otherwise the infection can penetrate the brain or blood vessels.

Diagnosis of the disease in the absence of symptoms is carried out using methods such as:

1. X-ray. If this ENT disease develops, foci of inflammation will be visible in the image as dark spots.

2. Diaphanoscopy. An otolaryngologist uses a special tube with a light at the end to illuminate the nasal sinuses and examine them for the presence of foci of inflammation.

3. CT scan. Using the method, you can not only detect the source of inflammation, but also determine the stage of its progression.

Treatment of sinusitis without a runny nose can be conservative and surgical. Specialists resort to surgery as a last resort, when other methods have failed to get rid of the disease.

If the body temperature is elevated, the patient must be given antipyretic and painkillers. The patient must remain in bed throughout the entire treatment period. The absence of mucus in the nose does not mean that it is not in the paranasal sinuses themselves, just that its outflow is impaired. To enhance the outflow of accumulated mucus and open the nasal passages as much as possible, it is necessary to use special nasal drops or sprays.

For sinusitis, physiotherapeutic procedures provide noticeable results. Specialists can prescribe the use of blue color, Sollux, dynamic current, but the most effective is the UHF procedure.

If you ask specialists whether sinusitis without a runny nose occurs as a result of a deviated nasal septum or dental caries, they will answer that these are also common causes of the disease. In such cases, in order to cure sinusitis, the root cause must first be eliminated. To prevent the development of sinusitis, it is important to promptly treat all diseases of the nasopharynx.

Can a temperature of 37-37.2 be present with sinusitis?

Answers:

ketrin

yes it's possible

Oleg Kupa

What complaints does a patient with sinusitis have?
Unpleasant sensations appear in the nose and paranasal area, which gradually increase. The pain is less pronounced in the morning and increases in the evening. Gradually, the pain “loses” a certain place and the patient begins to have a headache. If the process is unilateral, then pain is noted on one side.
Difficulty in nasal breathing. The patient has a stuffy nose. The voice takes on a nasal tone. As a rule, both halves of the nose are blocked. Difficulty in nasal breathing is constant or with slight relief. Alternate congestion of the right and left halves of the nose is possible.
Runny nose. In most cases, the patient experiences mucous (transparent) or purulent (yellow, green) discharge from the nose. This symptom may not exist if the nose is very stuffy, since the outflow from the sinus is difficult (this was mentioned above).
Increase in body temperature to 38 and above. As a rule, this symptom is observed in acute sinusitis. In a chronic process, body temperature rarely rises.
Malaise. This is expressed by fatigue, weakness, patients refuse food, and their sleep is disturbed.

Konstantin Petrushin

Very good It seems that the situation is becoming chronic. This temperature is very possible.

A T

It could be any. If it’s definitely sinusitis. If you don’t know what it is, then run to the ENT specialist, get a picture of the sinus, and have a puncture. (it’s not as painful as it is unpleasant, but it goes away quickly!) Don’t be sick!!!

jasmine

Maybe. There is an inflammatory process going on.

Anyuta

maybe. usually this happens

Please tell me, can a temperature of 39 be present with sinusitis?

Answers:

VIPded

This is an inflammatory disease, which means it can. It’s better not to guess, but urgently consult a doctor for examination and diagnosis. An acute situation will be resolved by drug treatment, but regarding the elimination of harmful side effects for this treatment and restoration of health (i.e., removal of a chronic diagnosis), please contact me, I will help you with practical advice. All the best.

Victoria

Yes. For very severe sinusitis.

Glukos

of course still how)

Leonty Isakov

Sinusitis is inflammation. And at the same time there may be a temperature...

Redhead

Of course, this is inflammation!!!

Dmitry Chumachenko

why not is it inflammation?

no

maybe the cold is a terrible thing... everything next to the brain is serious

Lyudmila Vinogradova

Yes, in acute period. But most likely you have ARVI,

Kuzovlev Andrey Sergeevich

Acute or chronic?

Sergey Bykov

Maybe, although not typical. You need to see an ENT doctor. There may be serious complications.

Alexander Yakovlev

I am convinced from my own experience that with sinusitis, especially with inflammatory processes, the temperature can be not only 39. Get a piercing from a doctor and you will always forget what it is. Exacerbation occurs in spring and autumn (mostly)

Philip

Yes. And even higher, this is inflammation, and it is characterized by fever. A person suffering from sinusitis should not, under any circumstances, go outside during illness, to a balcony (even a glassed-in one), etc., so as not to worsen the disease, and if it intensifies, the temperature will rise even more and you will have to call an ambulance so that the patient did not overheat.

Tashulya

Of course it can, yes! Who told you that you have sinusitis? If these are just your assumptions, you need to urgently see a doctor to confirm or deny! In general, sinusitis causes a terrible headache. This pain is very difficult to tame, if anything, please contact me and I’ll tell you inexpensive recipes. but only after consultation Laura, good luck to you!

Peacemaker

Maybe this is an inflammatory process. purulent inflammation mucous membrane of the maxillary sinus. We have one like this. Apparently a lot of pus had collected.

Can the nose be clogged or not with sinusitis? There were fears of sinusitis, but the nose was either clogged or not clogged...

Answers:

Kajakas

Sinusitis is an inflammation of the mucous membrane of the maxillary sinus. Sinusitis can be acute or chronic. Depending on the form of the disease, the symptoms vary somewhat.

The onset of sinusitis is necessarily associated with nasal discharge. If your runny nose does not go away for more than four weeks, be sure to go to an ENT doctor. This may be the first symptom of sinusitis. Do not think that if the mucus flowing from the nose is transparent, then it is definitely not sinusitis. The discharge can be either purulent or completely transparent. Either one maxillary sinus or both sinuses can become inflamed. If only one sinus is inflamed, then the discharge may be on this side. Swelling of the sinus mucosa leads to difficulty breathing. The nose is constantly stuffy, and the voice becomes nasal over time.

Microorganisms that multiply in the maxillary sinuses release toxins into the blood, causing a deterioration in the general condition. Your body temperature may rise sharply. Temperatures can reach up to thirty-nine degrees. You will feel weak and lethargic. In the acute form of sinusitis, pressing on the cheeks in the sinus area causes acute pain, but even without physical impact, the sinuses hurt, sharper pain may occur when the head is tilted forward.

The acute form of sinusitis is very often accompanied by inflammatory processes in the ethmoid sinuses. At acute course In addition to the main symptoms of sinusitis, the disease is accompanied by a complete lack of appetite. If the sinuses are inflamed on both sides, then a symptom of sinusitis is a decreased sense of smell. You may suffer from dry mouth and discomfort in the ears.

The acute form of sinusitis usually lasts no longer than two weeks. If no measures are taken to treat sinusitis, it will become chronic.

Marina Orekhova

detection

Chronic does not always cause pain. If it's clogged in the morning and you're blowing out mucus, this is it.

Lollipop

No one will really tell you anything, there can only be assumptions. To exclude sinusitis, or dandy, it is necessary to take an x-ray of the skull in a direct projection. It’s better to still go to an appointment with an ENT doctor.

Olga Solotskaya

Of course, it might be worth contacting an ENT specialist and treating it with medication so as not to pierce it.

Mila Krokova

Anything is possible. You need to rinse your nose at home or at an ENT specialist. Plus, Cinnabsin is great for helping to relieve congestion and relieve inflammation. When I have a runny nose, I always take these pills. With their help, my sister cured her sinusitis.

Often during colds people complain of nasal congestion, discharge and a slight increase in temperature. All these signs indicate rhinitis. But no matter how harmless the disease may seem, there are many complications hidden behind it. You shouldn’t think that everything will go away on its own and let everything take its course. When the first symptoms appear, you should immediately consult a doctor.

The disease sinusitis refers to the inflammatory process that occurs in the maxillary sinuses of the nasal cavity. It occurs as a result of an advanced runny nose and the addition of a bacterial infection. The disease is diagnosed in every second patient, regardless of the patient’s age and gender.

It is worth noting that sinusitis refers to one of the forms of sinusitis and can be accompanied by other manifestations such as frontal sinusitis, ethmoiditis and sphenoiditis. It can occur on one side or both at once. If not treated in a timely manner, the process quickly becomes chronic.
Often the treatment process includes puncturing the sinuses, rinsing the nose and taking antibacterial drugs.

Sinusitis can be recognized immediately, but it has many similar symptoms with other diseases. Therefore, patients, without consulting a doctor, confuse the disease and delay treatment.

Reasons for the development of sinusitis

In fifty percent of cases, sinusitis is the result of a bacterial infection. It enters the blood and lymph through nasal cavity and spreads throughout the body, ending up in the sinuses.

The causes of sinusitis are as follows.

• In weakened immune function.
• In the improper treatment of colds and flu.
• In the penetration of viruses, bacteria or fungi.
• Having bad habits.
• Having chronic diseases.
• In carious formations and gum diseases.
• In the curvature of the nasal septum.
• Injuring the mucous membrane of the maxillary sinuses.
• Staying in gas-filled rooms for a long time.
• In hypothermia.
• Penetration of chemicals into the respiratory tract.
• In violation of the secretory glands.
• In the abnormal structure of the nasopharynx.
• In mechanical damage to the nasal septum.
• In allergic manifestations.
• Enlarged adenoids, proliferation of polyps, or the presence of tumor-like formations.

The constant use of drops for the treatment of rhinitis is the main reason for the accumulation of large amounts of mucus in the maxillary sinuses. As a result, sinusitis occurs. Their use may lead to bleeding from the nasal passages. This can be explained by the fact that drugs are strong irritants, as a result of which the vessels cannot withstand the load and burst.

Therefore, before asking the question of how you can get sinusitis, you need to understand the reasons for its manifestation. Any factor can lead to the development of the disease.

Symptoms of sinusitis

Many patients ask how to recognize sinusitis in advance. This is quite difficult to do, since the signs and symptoms of sinusitis are similar to many diseases. The whole process starts with the acute form. The first signs of sinusitis begin to appear with a painful feeling that occurs in the nose area. In the morning hours it is not so pronounced. But in the evening the pain increases and can be unbearable. Particularly painful sensations appear when the head is tilted forward.

After a few days, the symptoms of sinusitis increase and appear in the following form.

• Increase in body temperature to 38-39 degrees.
• Nasal congestion.
• Mucus discharge from the nasal passages. In the first days they may have a transparent tint, but after two or three days the contents become yellowish.
• Sleep disorders.
• Difficulty breathing.
• Strong pressure in the bridge of the nose, forehead and eye sockets.
• The occurrence of pain in the head.
• The appearance of a feverish state.
• Attacks of dry cough, which most often occur at night and in the morning.

Signs of sinusitis also manifest themselves in general intoxication of the body in the following form.

• General weakness, lethargy, malaise.
• Nausea, vomiting, diarrhea.
• Increased fatigue.
• Loss of performance.
• Loss of appetite.

If sinusitis occurs, symptoms may appear in other ways. They are observed as the disease progresses and are characterized as follows.

• Partial or complete loss of olfactory function.
• Manifestation of swelling in the nose, eyes and cheeks.
• Changing the timbre of the voice.
• Increased tear production.
• The appearance of an unpleasant odor from the mouth and nasal passages.
• An unpleasant aftertaste after eating food.
• Increased sweating.

Symptoms in adults may not be as severe. But if pain begins to appear in facial area and your ability to work has decreased, then it’s time to seek help.

Possible complications of sinusitis

If a patient has sinusitis, the symptoms must be recognized as quickly as possible, since the disease quickly develops into complications.
Adverse consequences include the following.

• The occurrence of swelling of the maxillary sinuses.
• Inflammation of the mucous membrane.
• Impaired nasal breathing.
• Strong discharge from the nasal cavity.
• Accumulation of purulent contents in the maxillary sinuses.

After healing process The following complications may also occur.

• Transition from an acute type of disease to a chronic one.
• Development of inflammatory processes in the bronchopulmonary system, tonsils and pharynx.
• Manifestations of otitis.

If the emerging sinusitis was missed and the disease completely started, then complications can affect the following organs.

• Renal system.
• Cardiovascular system.
• Joint system.
• Visual system.
• Meninges.

If complications go beyond the bronchopulmonary system, then not only internal organs are affected, but sepsis also occurs. This condition is life-threatening and can lead to death.

As soon as the patient shows the first symptoms, you need to seek help from a doctor. He will conduct an examination and listen to the patient's complaints. If there is a suspicion of sinusitis, then an examination is carried out. It includes.

1. Carrying out rhinoscopy.
2. Carrying out an X-ray examination.
3. Taking a smear from the paranasal sinuses to determine the pathogen.
4. Donating blood for general analysis to determine the inflammatory process.
5. Carrying out computed tomography or magnetic tomography.
6. Carrying out diaphanoscopy.

After which the patient is given an accurate diagnosis and treatment is prescribed.

The process of treating sinusitis

Many patients think about how to treat sinusitis at home. For mild to moderate severity, the patient is left at home. If a severe course is observed, the patient is hospitalized in a hospital.

The treatment process includes.

1. Taking antibiotics wide range actions. Doctors often prescribe antibacterial drugs that are part of the penicillin group. If treatment is ineffective, then they resort to macrolides or tetracyclines. The long-term treatment course is determined by a specialist based on the severity of the disease. The average duration is from five to ten days.
2. Rinsing the nasal passages with antiseptic solutions. If the patient is in a hospital, then a special drug is used for such purposes. One tube pours the medicinal solution into the nasal passage, and the other sucks out all the contents.
   At home, use a rubber bulb, saline or furatsilin solution. The procedure is recommended to be carried out up to six times a day.
3. Use of vasoconstrictor drugs. These manipulations should be carried out immediately before washing the nasal passages. Vasoconstrictor drops help reduce tissue swelling and relieve congestion. The duration of use should not exceed five days.
4. Taking antihistamines. Such remedies can relieve swelling and eliminate the symptoms of allergic sinusitis.
5. Use of a drug that thins sputum. Rinofluimucil spray is prescribed for the nose. It should be used for seven to ten days. And for internal use Sinupret Forte is prescribed. This drug has a herbal composition, therefore it is approved for use by children over two years of age, adults and women during pregnancy.
6. Use of cough medicines. If the patient has a dry and painful cough, then doctors prescribe Sinekod or Gerbion. At wet cough Abromhexal, Ambrobene, Ascoril are prescribed. For internal use, ACC tablets or powder are prescribed.

As additional treatment The following physiotherapy procedures are prescribed.

• Magnetotherapy.
• Ultrasonic waves.
• Electrophoresis.

You can do inhalations at home. If you have a nebulizer, then medicinal solutions can be prepared from saline solution, Lazolvan, ACC or decoctions of chamomile and sage. If there is no such device, then you can do steam inhalations. At the same time, it is worth monitoring the temperature. If it is above 37.5 degrees, then such procedures should not be carried out. You can add infusions of medicinal herbs, potatoes, essential oils or soda with iodine.

During the treatment process it is necessary:

1. Maintain bed rest for three to five days. This measure will avoid complications that often arise during treatment on the legs.
2. Take plenty of fluids. This measure will avoid dehydration at elevated temperatures and remove harmful substances.
3. Ventilate the room at least three times a day.
4. Humidify the air.
5. Watch your diet. Food should be healthy and fortified. If the patient refuses to eat, then you should not force it. But you can make chicken broth. It will increase appetite and allow the body to gain strength.

If drug therapy does not produce appropriate results, then the patient is prescribed surgery. It consists of performing a puncture. The patient is given a puncture in the inflamed sinus, the purulent contents are pumped out and infused medicinal product. All manipulations are carried out under the influence of local anesthetic. The procedure is quite unpleasant, but during the manipulations the patient does not feel anything. After completing the procedure, discomfort in the nasal area may occur within two hours.

If sinusitis occurs, symptoms and treatment should be recognized as soon as possible. This will avoid unpleasant consequences and surgical intervention. On initial stages the disease can still be cured with drug therapy, rinsing the nasal passages and physiotherapy.

The inflammatory process affects one or both maxillary sinuses.

Sinusitis can develop at any age, including in children. The incidence of sinusitis increases significantly in the cold season and can occur in various forms. When the disease develops, the inflammatory process covers both or one maxillary sinus. In this article you will learn about what the symptoms of sinusitis may be and how to treat it.

Causes

Experts believe that the main reason for the formation of pathology is the presence of bacterial or viral agents in the maxillary sinuses. During the autumn-winter period, the immune system is weakened and the body is susceptible to the penetration of bacteria that can provoke illness.

The maxillary sinuses are located in the thickness of the bones of the upper jaw closer to the nasal passage and have a volume of about 30 cm³. They secrete a secretion that moisturizes the nasal passages, protecting them from dust, allergens and pollution.

The causes of sinusitis can be different. For example:

• congenital disorders of the anatomy of the nasal cavity (deviated septum, enlarged nasal turbinates);
• allergic diseases;
• prolonged stay in a room where the air is too dry and heated to a high temperature;
• being in a draft;
• previous influenza or acute respiratory viral infection;
• weakening of the immune system;
• mechanical damage to the nasal septum (any physical impact, injury, etc.);
• growth of polyps and adenoids;
• dangerous diseases such as tuberculosis, fungal infection mucous membranes, radiation sickness, tumors, etc.

The incidence of sinusitis is very high. Among diseases of the ENT organs they occupy first place. According to statistics, about 10 million people get sick in Russia every year.

Types of sinusitis

Sinusitis can be catarrhal or purulent. In catarrhal sinusitis, the discharge from the maxillary sinus is aseptic in nature, while in purulent sinusitis it contains microflora.

In the photo you can see: unilateral and bilateral sinusitis

Depending on what caused the onset of sinusitis, there are several types:

• Varieties according to the degree of coverage distinguish between unilateral and bilateral sinusitis;
• depending on the presence of inflammation in one maxillary sinus or both;
• according to the nature of the disease: acute, subacute and chronic sinusitis;
• Depending on the cause, sinusitis can be: viral, bacterial, fungal, traumatic.

Most often, both sinuses become inflamed, so bilateral sinusitis is most common. However, there are cases when the left or right sinus becomes inflamed, depending on this they distinguish between left-sided and right-sided.

Any type of sinusitis is dangerous to human health. Since it can become chronic or cause more serious illness. If characteristic symptoms of sinusitis occur, it is necessary to begin treatment to avoid serious consequences.

Symptoms of sinusitis in adults

Often adults exhibit the following symptoms of sinusitis:

• Weakness;
• Constant nasal congestion;
• Cough;
• Chills;
• Chronic courses of tonsillitis, rhinitis, pharyngitis;
• Fever;
• Pain syndromes that radiate to the forehead, teeth, nose. Pain sensations depend on which side the maxillary sinus is inflamed and filled with pus. The head may hurt on the right side or on the left.

One of the symptoms of sinusitis is inflammation of the mucous membrane. The photo above shows how the air circulation in the sinuses is blocked due to the swollen mucous membrane.

Signs of acute sinusitis

Acute sinusitis indicates that the infection develops quickly (over several days) and spreads throughout the body in a short time. Characteristic clinical symptoms of mild acute sinusitis are:

• difficulty breathing through the nose;
• mucous discharge, in rare cases mucopurulent;
• impaired sense of smell;
• slight pain in the forehead or projection of the maxillary sinuses.

Acute sinusitis of moderate and severe course is characterized by:

• general intoxication;
• fever of 38ᵒC and above;
• intense headache;
• severe pain in the projection of the sinuses;
• swelling of the eyelids and soft tissues of the face.

In moderate and severe cases of the disease, there is a risk of developing intracranial complications.

Symptoms of the chronic form

Chronic sinusitis in remission occurs with mild symptoms. Patients are usually concerned about:

• slight weakness, fatigue;
• intermittent headache without clear localization;
• nasal congestion, as a result of which the sense of smell is impaired;
• pain and sore throat when swallowing, caused by irritant effect mucus draining from the inflamed sinus along the back wall of the throat;
• Often, especially in the morning, patients' eyelids swell and conjunctivitis appears.
• some swelling in the area of ​​​​the projection of the sinus onto the face.

When chronic sinusitis enters the acute stage, the patient’s well-being worsens:

• they note severe weakness,
• slight increase in temperature (usually no more than 37.5–37.7 C);
• The discharge changes its color most often a week after the exacerbation of the disease, it becomes yellow and sinusitis turns into a purulent form.
• The headache becomes more intense, especially when tilting the head forward, and a feeling of heaviness appears in the head.

Due to blockage of the mucous glands in chronic sinusitis, true cysts and small pseudocysts of the maxillary sinus often form.

Allergic sinusitis

It is characterized by a paroxysmal course with unexpected nasal congestion, itching, frequent sneezing and copious discharge. Quite often the disease occurs as a bilateral lesion. The following symptoms are characteristic of allergic sinusitis:

• headache;
• copious nasal discharge;
• chills, as well general deterioration well-being;
• voltage and painful sensations in the sinus area;
• purulent mucous discharge from the nose is noted;
• Photophobia may occur;
• itching in the nose.

Viral

The disease is asymptomatic in most cases (or rather, mixed with the symptoms of the main viral infection), although in some cases the following are noted:

• Headache;
• Putrid odor from the mouth;
• Cough with mucous discharge;
• Fever;
• Toothache (upper jaw);
• Decreased sense of taste or smell.

Bacterial

Bacterial sinusitis usually begins after a cold or runny nose. Feeling worse, weakness occurs, and temperature rises. Pus or light yellow mucus with an unpleasant odor is discharged from the nasal passage on the affected side. There is a feeling of nasal congestion and heaviness inside it. These symptoms are especially aggravated when tilting or turning the head.

Fungal

Usually occurs as a result of colonization of the mucous membrane by bacteria such as pneumococcus, streptococcus, staphylococcus against the background of weak body resistance. Depending on the type of inflammatory agent, the color of nasal discharge can vary from yellow to dark green. The main symptoms that accompany it:

• the appearance of white-yellow, white cheesy, jelly-like or even brown and black nasal discharge;
• sometimes - bloody streaks in the discharge;
• cyanosis of the nasal mucosa;
• swelling of the nose;
• severe difficulty in nasal breathing;
• nasal congestion becomes permanent;
• recurrent headaches;
• pain in the teeth, in the upper jaw;
• loss of smell.

The appearance of temperature during sinusitis

A prerequisite for the development of sinusitis is the addition of bacterial flora (most often it is Haemophilus influenzae and pneumococcus), so with sinusitis there is almost always a temperature.

A high temperature during sinusitis is an indicator of the characteristics of its form, and not just a sign of the disease itself.

Temperature usually indicates the presence of an inflammatory process. To eliminate the source of infection, it is necessary to destroy the environment favorable for the proliferation of pathogenic organisms. Thus, a mandatory stage of restorative therapy is the removal of purulent mucus, which is carried out mainly by rinsing.

Basically, the temperature will depend on the stage of the disease, its etiology and the body's resistance.

1. With acute purulent sinusitis, in most people the temperature rises by several degrees. That is, the rise figures depend on the severity of the disease and the body’s immune response.
2. With an exacerbation of chronic sinusitis, the temperature, if it rises, is not very high. It can stay at 37-37.5 degrees.

You should try to normalize the temperature when it has reached 38-38.5 degrees, which can already harm the body. If the fever is lower, the body should be given the opportunity to devote its strength to fighting the infection, which begins to die during such a temperature.

In any case, remember that antipyretic drugs, like any other, for sinusitis should be prescribed exclusively by a doctor. Only well-chosen treatment will achieve eradication of the pathogen and complete recovery.

Exacerbation

The fact that this is sinusitis cannot be immediately understood, since the disease tends to be hidden behind various other diseases. Characteristic symptoms most often make themselves felt when the disease worsens. The main complaints of patients with exacerbation of inflammation are:

• Pain in the sinus area, which intensifies when chewing, tilting the head sharply, or sneezing.
• Discharge from the nose mixed with pus.
• Severe nasal congestion, which can cause headaches and fatigue.
• A slight swelling of the skin over the jaw, which is accompanied by pain when pressed.
• Increase in body temperature to 38 degrees.
• Change in voice timbre, nasality.

Diagnostics

Sinusitis is diagnosed and treated by ENT doctors; the diagnosis is made based on complaints and examination, as well as x-rays of the paranasal sinuses. Diagnosis of sinusitis begins with a general examination, including:

1. studying the patient's medical history (previous colds, results of recent laboratory research etc.);
2. examination of the nasal cavity;
3. a physical examination in which the doctor palpates the area around the nose and above and below the eyes to determine the presence and intensity of tenderness.
4. general blood test, which includes counting all types of blood cells (erythrocytes, leukocytes, platelets), determining their parameters (cell sizes, etc.), leukocyte formula, measuring hemoglobin levels, determining the ratio of cell mass to plasma
5. X-ray of the paranasal sinuses. To clarify the diagnosis, as a rule, an X-ray examination is prescribed. With sinusitis, the image shows a darkening in the area of ​​the maxillary sinuses - the accumulation of mucus in the cavities does not allow x-rays to pass through.
6. CT scan of the sinuses. The situation is more complicated in the chronic form of the disease: computed tomography of the paranasal sinuses is needed to identify foreign body, polypous process, cysts and other changes. The examination of the sinuses is carried out within 5 minutes and is absolutely painless. This method involves the use of X-rays on the area being examined.

How to find out whether you have sinusitis or not on your own? Try tilting your head down and holding it for 3-5 seconds, usually with sinusitis it occurs strong feeling heaviness, pressing on the bridge of the nose and eye area. Raising your head, the discomfort usually subsides, disappearing completely after a while. Of course, this is an approximate diagnosis; only an ENT doctor can establish the correct diagnosis.

Treatment methods for sinusitis

In the treatment of sinusitis, the most effective is an integrated approach. Its goal is to suppress the infectious focus in the sinus and improve its drainage. Non-invasive, painless treatment methods in combination with drug treatment lead to full recovery, prevent the transition of inflammation to a purulent acute, chronic stage.

When the process worsens, comprehensive treatment should be carried out, the goals of which are to restore normal nasal breathing and destroy the causative agent of the disease. Acute sinusitis mild degree has a tendency to self-permit. No special treatment regimens are used. Treatment is symptomatic. Apply:

1. Anti-inflammatory drugs - to combat general symptoms inflammation.
2. Vasoconstrictor drugs - to improve the natural communication of the sinuses with the nasal cavity.

To reduce swelling of the mucous membrane and restore normal ventilation of the sinuses, local vasoconstrictor drugs (sanorin, galazolin, naphthyzin, otilin, nazivin) are used for a period of no more than 5 days. In case of significant hyperthermia, antipyretic drugs are prescribed; in case of severe intoxication, antibiotics are prescribed. You can avoid adverse side effects and achieve a high concentration of the drug at the site of inflammation by using topical antibiotics.

With advanced inflammation, the outlet of the maxillary sinus is blocked by thickened accumulations of mucus and pus. Depending on the severity of the inflammation, the patient may only need one puncture of the maxillary cavity, followed by cleansing of pus and washing the sinuses with medicinal solutions.

• Treatment for chronic sinusitis

The main goals of treatment are aimed at:

1. Reducing inflammation in the sinuses;
2. Restoring the patency of the nasal passages;
3. Elimination of the cause of chronic sinusitis;
4. Reducing the incidence of sinusitis.

The patient must be prescribed antibiotics, local rinsing of the sinuses with antiseptic solutions, antihistamines and vasoconstrictor nasal drops.

It is very important to get rid of the proliferation of microorganisms; for this, antibacterial drugs are used - Cefix, Cefodox, Ceftriaxone, Moxifloxacin, Ciprofloxacin, Gatifloxacin.

If a doctor prescribes antibiotics, it is important to complete the entire course. Typically, this means that you will have to take them for a period or more - even after the sinus symptoms have gone away. If you stop taking them early, symptoms may return.

Drug therapy

Bacteria that provoke the development of sinusitis are quickly suppressed by tetracycline and penicillin antibiotics. They cause the death of bacteria. Next, you will learn about tablets that help with sinusitis.

Basically, for sinusitis, doctors prescribe the best antibiotics of the tetracycline and penicillin groups, which can destroy the walls of bacterial cells, causing their death. Their advantages include:

• Wide spectrum of action;
• Stability in the stomach environment;
• A small number of side effects;
• Minimum side effects.

Effective antibiotics include:

You need to remember that if a large amount of pus has accumulated in the maxillary sinuses (purulent sinusitis occurs) and it is not removed, the effect of the antibiotic will be weakened. In addition, the effectiveness is slightly reduced if there is swelling of the sinuses.

It is important to know that all of the above remedies relieve symptoms within 1-2 days after the start of treatment. But you should not stop taking antibiotics just because the patient feels much better. This way, sinusitis can become chronic, and antibiotics will lose their ability to destroy or inhibit infectious bacteria.

It should be remembered that throughout the entire period of treatment (especially if sinusitis is contracted during the cold season), the patient should wrap his face high with a scarf to prevent hypothermia. The full course of therapy for an acute process can last up to 2 months.

Nasal drops

Only a doctor who constantly monitors the patient should decide which drops to treat sinusitis. There is no need to use drops for sinusitis and sinusitis for more than 6 days. According to doctors, they are addictive if used longer than the specified time.

There are several types of nasal drops for the treatment of sinusitis. These groups include:

1. Vasoconstrictors
2. Anti-inflammatory Drops with antibacterial action
3. Herbal nasal preparations
4. Antihistamine drops
5. Drops with sea ​​water
6. Complex drops.

• for patients with sinusitis over 12 years of age, the dosage is increased to 2 drops into the nasal passage, also three times a day;
• spray 0.1% is used for children over 6 years of age, as well as for adults - in each nasal passage up to 3 times a day.

Puncture of the maxillary sinus

In advanced cases, when traditional methods do not help, a puncture is performed. Puncture of the maxillary sinus is considered an operation, although not a particularly complicated one. Piercing the nose for sinusitis helps not only to alleviate the patient’s well-being, but also to finally recover from such an unpleasant illness

Indications for puncture for sinusitis are as follows:

• Traditional treatment methods have not produced a therapeutic effect and the patient’s condition is only getting worse.
• Nasal congestion is accompanied by severe headaches, aggravated by tilting the head forward.
• An unpleasant odor emanates from the patient's nose.

Puncture of the nasal sinuses for sinusitis is carried out using a special Kulikovsky needle. Before this, the patient is given a fairly strong painkiller. A syringe is attached to the needle and the sinus is washed with it, thus removing its contents (pus, blood or mucus).

Washing is done with several types of solutions: antiseptic and decongestant. Then a special long-term medication is injected into the sinus to further combat the disease.

Selection postoperative treatment must be carried out by the attending physician, and strictly individually.

Surgical treatment of sinusitis

In severe cases, surgery is necessary. But surgery is only recommended in cases where other treatment options have failed. These methods include:

• Correction of the nasal septum (septoplaty) is a surgical operation to eliminate the curvature of the nasal septum. The purpose of the operation is to improve nasal breathing;
• Radioturbation of the nasal concha;
• Partial or complete removal nasal mucosa (conchotomy) is an operation that involves removing the nasal turbinates. Another name for this operation is turbinectomy. Surgery is necessary when it is determined that enlarged turbinates are the cause of impaired nasal breathing, chronic rhinitis and inflammation of the paranasal sinuses (chronic sinusitis);
• Removal of nasal polyps (polypotomy). The essence of the method is that the structure of the polyp sharply loses fluid under the influence of the laser. “Evaporation” of polypous tissue occurs, i.e. its reduction.

The surgical intervention aims to create a permanent connection between the nose and the maxillary sinus. TO radical surgery are used for severe forms of sinusitis.

Nutrition for sinusitis

Products that should be in the diet for sinusitis:

• Freshly squeezed juices especially from carrots, beets, spinach and cucumber. Juices from these vegetables can be drunk either individually or in the form of a cocktail. For example, in proportions 3:1:2:1.
• Herbal teas based on chamomile, string, St. John's wort, tea rose and others. Warm drink and steam from a cup moisturize the mucous membranes, facilitate the outflow of mucus and breathing through the nose.
• Natural mineral water– maintains normal mineral-water balance in the body, improves blood composition, increases the body’s resistance.

As the severity of clinical symptoms decreases (with successful treatment of acute sinusitis), a three-component basic diet is recommended. The diet should consist of three groups food products: seeds, nuts and grains, vegetables and fruits.

Washing

The procedure for cleansing the sinuses and nasal cavity significantly reduces swelling of the mucous membrane, tones the capillary system, and also improves the immune functions of the epithelium, which in turn begins to fight the problem on its own. The main function of nasal rinsing is not only to remove stagnant mucus, but also to restore full-fledged natural process its conclusion.

1. Before you start rinsing your nose with the solution, you need to relieve congestion with vasoconstrictor agents. After 10 minutes, you can begin rinsing;
2. A popular method of rinsing is using a syringe or syringe without a needle. But it is more convenient to rinse your nose with a special device called a jala neti teapot, or using a special nasal syringe purchased at a pharmacy;
3. Tilting your head to the side, you need to insert the device into the nostril and begin to pour liquid into it. Then you need to slowly tilt your head to the other side for the solution to come out. The same action is repeated with the second nostril.

The most common are rinses medicines- salt solution and sea water, also often used:

Is it possible to warm your nose if you have sinusitis?

Sinusitis does not go away on its own or just from warming up, so under no circumstances should it be started. And even a common runny nose must be treated, since the likelihood of it developing into acute and then chronic sinusitis is quite high.

Sinusitis should not be treated with heating at the acute stage of its development. Heat leads to increased swelling, congestion will not go away, it will only increase. It is heat, acting on purulent inflamed areas, that activates the process of pus coming out. But the sinuses are blocked, and the movement of pus will be in a completely different direction: the infection will spread to the teeth, ears, eyes, and brain.

As you can see, the possibility of using warming depends on the stage of the disease and the characteristics of its course in a particular patient.

In general, if you are not sure whether it is possible to warm your nose during sinusitis at your stage, you should contact a specialist to avoid various kinds of complications. After all, prompt and correctly selected treatment will give extremely positive results.

What happens if sinusitis is not treated: consequences and complications for humans

This disease should be considered a very insidious disease. Symptoms begin suddenly. The patient complains of poor general health: weakness, drowsiness, high body temperature. The main complaint is headache and purulent nasal discharge, so you definitely need to understand that sinusitis is dangerous.

Complications after sinusitis can be divided into two: large groups. The first group includes Negative consequences, which are associated with the ENT organs and the respiratory system.

Among them we can distinguish such pathological processes as:

• Transition from acute to chronic;
• Inflammatory phenomena in the pharynx and tonsils;
• Bronchitis and pneumonia;
• Spread of sinusitis to other sinuses;
• Inflammation of the middle ear (otitis).

Complications from other organs:

1. Meningitis. A very serious complication of chronic sinusitis is inflammation soft shells brain and spinal cord, i.e. meningitis. The disease can be acute (symptoms appear within a couple of hours from the onset of the disease) or be sluggish.
2. Sepsis. Sinusitis can lead to sepsis. When too much pus accumulates, it leaks out of the sinuses and spreads throughout the body. It often enters the bloodstream, which causes sepsis.
3. Osteoperiostitis. Limited inflammation of the bone and periosteum of the orbit, clinically usually diagnosed as periostitis. It can be located in any department and can be either non-purulent or purulent in nature, up to the formation of an abscess.

Always treat illnesses in a timely manner, consult a doctor and do not forget about an annual preventive examination.

Prevention

Immunologists say that it is imperative to prevent sinusitis during a runny nose, since people with this symptom are especially susceptible to developing this disease.

For this reason, experts strongly recommend that during the autumn-winter period, people with weakened immune systems consume as many vitamins as possible, and sometimes the use of special medications, mainly vitamin complexes, is allowed to prevent sinusitis in adults.

Sinusitis in adults often occurs against the background of other diseases, so to prevent it, you should be treated in time and avoid factors that provoke colds:

1. Treat teeth immediately when signs of a problem appear.
2. Brush your teeth 2 times a day.
3. Treat allergies.
4. Wash your hands after going outside and before eating.
5. Don't get too cold.
6. Carry out wet cleaning regularly.
7. Get vaccinated.

On frosty days, make sure that the indoor air is not only warm, but also humidified. It is recommended to place a vessel with water next to the battery - this will be enough to prevent the climate from being dry. After all, this can lead to drying of your nasal mucous membranes, which can trigger the onset of the disease, because in winter we suddenly go from a warm room into the cold.

If it is still not possible to avoid sinusitis, it is necessary to begin treatment immediately so that the disease does not become chronic. It is extremely difficult to cure chronic sinusitis: the disease will return again and again after any cold or the slightest hypothermia. To prevent this from happening, acute sinusitis should be completely cured.

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Sinus pain without runny nose

Due to the anatomical and physiological structure The nasal mucosa is exposed to adverse external factors.

A large number of microorganisms that enter the mucous membrane are eliminated by the human immune system, while other, resistant bacteria cause various diseases.

One of these diseases is sinusitis, which can develop in many forms, without a runny nose, congestion and with no discharge from the nasal cavity, which makes it very difficult to independently determine the presence of pathology in the body.

You can find out what “dry sinusitis” is, the reasons for its occurrence and what symptoms it is accompanied by by reading this article.

Distinctive features of a runny nose (rhinitis) from sinusitis

Rhinitis is accompanied by an inflammatory process in the nasal cavity, the pathology covers the entire area of ​​the respiratory tract. The disease affects the nasopharynx, paranasal sinuses, and nasal passages. The main symptoms of a runny nose are nasal congestion and discharge of varying consistency. Sinusitis is characterized by inflammation exclusively of the maxillary sinus (maxillary). This disease does not spread to the entire nasal cavity, since the passage connecting the paranasal sinus and the rest of the nose is clogged, as a result of which sinusitis can occur without a runny nose and nasal congestion. The early stages of the disease are practically asymptomatic.

Sinusitis is clearly visible in the picture

You can distinguish sinusitis from a common runny nose based on:

X-rays of the paranasal sinuses, where an opaque area of ​​the nasal cavity filled with pus, mucus will be visible; the nature of the headache. With sinusitis, pain is concentrated in the area of ​​the eyebrows, wings of the nose, forehead and bridge of the nose. When palpating these areas, coughing, sneezing, the pain intensifies; swelling, with sinusitis, swelling may appear in the cheek area, it gradually moves to the orbital area; difficulty breathing, if the nasal opening is blocked and discharge “comes” from it, this indicates a unilateral lesion of one from the maxillary sinuses. As a rule, with rhinitis, both nostrils are blocked. The general condition of the patient. Often, the patient’s condition sharply worsens at the moment when he was recovering from rhinitis. A sharp deterioration is associated with fever, severe weakness, headaches, loss of smell, lack of appetite; instrumental methods: ultrasound, echography, computed tomography, diaphanoscopy.

If you suspect sinusitis, you should immediately seek help from an otolaryngologist. The doctor will make an accurate diagnosis and prescribe treatment, the use of which in the early stages gives the most effective results.

Causes of sinusitis without a runny nose

When a patient exhibits the main symptoms of the pathology, but there is no runny nose or discharge, the causes may be:

The manifestation of sinusitis without a runny nose may indicate improper treatment or “undertreatment” of viral infections. infectious diseases: rubella, measles, influenza. The underlying disease is accompanied by inflammation and swelling of the mucous membrane.

The patient's nose becomes blocked, and the passages to the maxillary sinuses are narrowed as much as possible. The outflow of secretions may be disrupted, and fluid accumulates in the sinuses.

At this moment, the manifestations of the underlying disease decrease, which allows the patient to feel better, but after a certain time the main symptoms of sinusitis begin to appear

dental diseases of the oral cavity

Inflammation can provoke the spread of bacteria and microorganisms from the affected tooth to the maxillary sinuses. Diseases such as periodontitis, pulpitis, osteomyelitis, advanced caries can cause this pathology.

There is also a risk of developing the disease if implants were installed poorly, if multiple dental surgeries were performed, if filling material got into the sinus, if a traumatic tooth extraction occurred, etc.

atrophy of the nasal mucosa

This pathology can be characterized by the gradual death of nerve endings in the mucosa. The latter does not perform its functions; purulent crusts form in the nasal cavity, which has an extremely unpleasant odor.

A person may partially or completely lose the ability to smell and smell. The mucous membrane is completely degraded, which creates ideal conditions for dust particles and pathogenic microbes to enter the body.

The onset of this condition is possible with regular and prolonged infectious diseases.

Deformation, mechanical or traumatic damage to the nasal

septum can disrupt the natural outflow of secretions and clog the maxillary sinuses.

This process leads to the occurrence of sinusitis, which will occur without a runny nose, congestion or discharge.

Symptoms accompanying sinusitis without runny nose and congestion

“Dry sinusitis” is characterized by the following symptoms:

An increase in body temperature that lasts for several days. The patient may feel chills. In some cases, the temperature may remain at normal levels, this may be due to weak immunity, taking antibiotics or antipyretics. Pressure in the bridge of the nose. The sensation intensifies when the head is tilted forward. Pain in the nasal area. Gradually their localization expands and pain is felt in other parts of the face. Chewing, talking, changing head position increase the pain syndrome. Discomfort is especially pronounced in the morning; as a rule, in the evening all manifestations subside. Swelling. Swelling is typical in the cheeks, eyelids and other parts of the face. Decreased performance, concentration, appetite, general malaise, fatigue, insomnia.

This is what the symptoms of sinusitis look like without a runny nose

The occurrence of sinusitis without a runny nose, discharge and congestion from the nasal passages in children is characterized by the following symptoms:

discomfort in the nasal cavity, which intensifies in the evening; pain in the gums or ears; bad breath; loss of hearing acuity; constant fatigue.

Knowing the symptoms and possible causes of this pathology, you can independently suspect the disease in yourself or your child. At the first doubt, it is recommended to contact a specialist for installation accurate diagnosis. Correct and timely treatment, following the recommendations is the key to success!

Treatment of sinusitis without a runny nose

Sinusitis without runny nose treatment

Even in the absence of discharge from the nasal passages with sinusitis, treatment should be carried out. With a strong inflammatory process, blockage of the anastomosis is possible, which is treated with antibiotics, as it is caused by infections and bacteria. The ENT doctor prescribes medications based on penicillin.

To relieve inflammation in the sinuses, the patient is prescribed nasal sprays and drops with a vasoconstrictor effect. For allergic manifestations during the treatment of sinusitis, antihistamines are prescribed as an auxiliary action to relieve nasal swelling. If there is a high body temperature, antipyretics are prescribed. For headaches, painkillers. Recommendations on how to relieve headaches due to sinusitis are described in our article.

The common disease sinusitis is familiar to many. It is an inflammation of the sinuses. Accompanied by unpleasant phenomena: constant liquid discharge flows from the nose, often purulent. But sometimes you can find other types of the disease. It’s worth figuring out whether sinusitis can occur without a runny nose and nasal congestion.

Causes of the disease

The nasal mucosa is very vulnerable. A great variety of pathogenic microorganisms get here. The human immune system successfully copes with them, but there are also more resistant viruses, which are the cause of the disease. Reduced immunity, weakening of the body's defenses also provoke sinusitis.

Sinuses are normal and with sinusitis

During colds, viral microorganisms directly affect the mucous membrane. Upper layer the epithelium is damaged and its functions are impaired. Sinusitis occurs.

What is the difference between sinusitis and a runny nose?

Another name for a runny nose is rhinitis. This is a condition that is characterized by inflammation of the mucous membrane. What does this mean? The disease with rhinitis completely covers the entire space of the upper respiratory tract: the nasopharynx, nasal passages, and equally all the paranasal sinuses.

When you have a runny nose, people complain of a stuffy nose and discharge, which can be of different consistency. How to distinguish sinusitis? It happens that with sinusitis there is no runny nose. How does the disease progress? During sinusitis without a runny nose, the entire opening that connects the sinus to the rest of the nose becomes completely blocked. The disease does not spread, remains and matures almost asymptomatically, especially at the initial stage.

Why does sinusitis occur without a runny nose?

Infections. If influenza, rubella, acute respiratory viral infections and other viral diseases are not treated in time, complications can develop. Even incorrect treatment leads to a worsening situation. It is enough to transfer severe cold on foot. Everything happens as follows: during the main illness, the mucous membrane swells; nasal congestion appears; the passage to the maxillary sinuses narrows or is completely blocked; there are disturbances in the outflow of secretions; mucus accumulates in the sinuses.

At the same time, the symptoms of the underlying viral disease begin to disappear. The person feels better and thinks he is getting better. And the pus gradually accumulates and fills the entire sinus completely.

Dental diseases. If diseased teeth are not treated promptly, the infection will begin to spread from the tooth to the maxillary sinus. The disease is caused by: periodontitis; untreated or severely advanced caries; cysts of the upper jaw.

Toothache with sinusitis

However, the symptoms may not be immediately noticeable.

Injuries, damage. Deformation of the nasal septum leads to blockage of the sinus and impaired outflow of secretions. Sinusitis develops without a runny nose. Atrophic course of the disease.

If there is no snot with sinusitis, it means that the ciliated epithelium. In such a situation, the mucous membrane becomes thin and loses its functions. It cannot clean the inhaled air, cannot warm it, and does not produce mucus. The shell cannot fight pathogenic bacteria. This condition does not just appear; it requires long-term, protracted inflammation and persistent infectious diseases.

Symptoms

Now that it is clear whether sinusitis occurs without a runny nose, it is worth identifying the symptoms. They are different in young children and adults, so diagnosis and treatment are individual. Age must be taken into account; this will help to effectively get rid of the disease.

Symptoms in adults:

pressure is felt in the area of ​​the bridge of the nose. If you tilt your head forward, the pressure will increase; painful feeling in the area of ​​the nose itself. The pain spreads to other areas of the face and tends to intensify when chewing food. It's uncomfortable to talk. The unpleasant condition begins in the morning after a long stay in one position. By night or evening the symptom goes away slightly; Many people are wondering: can you have sinusitis without a runny nose and fever? It never goes above 37.8 degrees. headache. Worse when lying down for a long time; swollen cheeks. The swelling spreads throughout the face, affecting the cheeks and eyelids.

Symptoms of sinusitis

If the main symptoms do not manifest themselves, you can determine your condition using additional ones. At all stages of the disease you can feel:

constantly stuffy nose; insomnia, bad dream; deterioration of general condition; the appearance of lethargy, fatigue; reduced performance; deterioration or complete loss of appetite; the occurrence of photophobia.

Symptoms in a child

In children, the disease manifests itself differently. What can they complain about?

severe congestion, difficulty breathing; pain that always gets worse at night; painful sensations in the ears; hearing impairment; fatigue, absent-mindedness, weakness; bad smell from mouth.

Now we know whether sinusitis can occur without a runny nose. The symptoms are different, but they will help to recognize the disease and not let it worsen.

It is worth paying attention: sinusitis without snot, the treatment of which is not easy, is not detected in the first stages. That is why the disease quickly develops into more severe forms.

Diagnostics

It is almost impossible to determine sinusitis on your own. It is necessary to visit an experienced otolaryngologist who will help recognize the disease. The doctor will check the nasal cavities and mucous membranes. This will help identify the disease at an early stage.

Diagnosis for sinusitis

If suddenly the symptoms are not enough, additional techniques are prescribed. Modern methods help prevent sinusitis:

X-ray. Allows you to see inflamed areas in the image. They are indicated by dark spots. CT scan. A more advanced way. Allows you to notice not only areas of inflammation, but also find out the stage of the disease. Diaphanoscopy. The nasal sinuses are illuminated with a tube with a light bulb at the end. This makes it possible to conduct research for the presence of areas of inflammation.

Treatment

Many people do not pay enough attention to sinusitis and consider it frivolous. There is no need to think that everything will go away on its own. If left untreated, you may encounter more serious consequences: the spread of infection to the membranes of the brain, the appearance of meningitis, and sepsis.

Treatment is carried out in two ways:

surgical method; conservative option.

The first method is rarely used. Used in situations where conservative treatment did not help, and the disease progresses. Surgeon intervention is also required when polyps or formations are found in the paranasal sinuses or nasal cavity.

Conservative technique includes:

fever-reducing medications. Prescribed at high temperatures. Must be in bed; for severe headaches, painful sensations in the ears - painkillers; for symptoms of intoxication, antimicrobial agents are prescribed; if allergic reactions occur, antihistamines are prescribed.

Medicines for sinusitis

The cause of the disease may be a deviated nasal septum or severe caries. In this case, it is these phenomena that need to be eliminated. Medicines are needed that improve the outflow of fluid from the maxillary sinus, reduce swelling and improve well-being.

In some cases, traditional medicine can help, but they should not be taken without consulting a doctor. It is necessary to treat sinusitis comprehensively; medicinal herbs alone cannot do it.

Prevention

Sinusitis at first glance seems harmless, but it threatens with serious complications on the brain. It is better to monitor your health and prevent illness in time.

timely treatment of all colds and especially the runny nose. Even such a harmless state cannot be triggered; If children have adenoids or a deviated nasal septum, timely intervention is necessary. Birth defects should be closely monitored; A competent blowing technique is required: cover one nostril with your finger. Then the mucus will not leak into the sinus; Drops into the nose need to be instilled in a special way: tilt your head slightly back, in the direction in which nostril you want to instill the drops. Then the solution does not enter the nasopharynx, but into the nasal passage; Hypothermia must be avoided. In cold weather, wear a hat; indoor air humidification. You should try to avoid dry air; maintaining immunity, consuming vitamins, fruits, vegetables; regular visits to the dentist. It will help in the first stages to cure caries and other processes that also lead to sinusitis.

Finally, you need to take good care of yourself and not develop chronic diseases. Can sinusitis exist without snot? Certainly. Therefore, you need to carefully monitor the disease. At the first signs of illness, immediate consultation with a doctor is required. If a person monitors his health, he can avoid acute problems. The main thing is to take everything seriously.

Sinusitis is not only a complex, but also an insidious disease. It can develop in different forms and be accompanied by a different “set” of symptoms, so sometimes it is almost impossible to make a diagnosis on your own or even assume it. For example, there may be sinusitis without a runny nose, which is no less dangerous and requires similar treatment, but manifests itself atypically, which casts doubt on the fact of its existence.

Sinusitis usually begins with nasal discharge, and a runny nose is often considered the main symptom of this disease. When the inflammation is catarrhal in nature, the discharge is mucous, clear or white. If yellow or green discharge flows from the patient’s nose, this means that purulent sinusitis is developing, and bacterial microflora is actively multiplying in the paranasal sinus. But is acute sinusitis always preceded by rhinorrhea? No, this is not true, moreover, the absence of mucus or pus from the nose can be an alarming sign.

When a patient has all the main symptoms of sinusitis, the nose is stuffy, but there is no discharge from the nasal passages, the reasons may be the following:

1. The swelling of the anastomosis is too strong, or it is anatomically narrow, so the sinus is completely clogged, and mucus cannot flow out of the nose. Such a serious disruption of communication with the nasal cavity leads to the very rapid appearance of pus and, if untreated, to its release through other communication channels and even to the destruction of the thin wall of the sinus and infection of the soft tissues.
2. Some anomalies in the structure of the nose, for example, severe deformation or curvature of the nasal septum, disturbances in the structure of the nasal turbinates, as well as postoperative scars and synechiae, can lead to changes in the outflow of fluid from the sinuses and create the appearance of a lack of discharge.
3. At allergic reactions The body often develops sinusitis without snot, if the swelling and hyperemia of the mucous membrane of the nasal cavity is very pronounced, as a result of which the drainage of the sinuses is also disrupted.
4. Polyps growing in it, formed cysts that mechanically clog the maxillary sinus can also close the sinus anastomosis. There are more dangerous variants of hyperplastic processes - malignant tumors, the presence of which can provoke similar symptoms.
5. Sinusitis without a runny nose can exist at its very initial stage, when it becomes a complication of a viral disease. For example, after a severe flu, a visible recovery may occur, and after the symptoms subside, the infectious process develops again - inflammation of the maxillary sinus occurs. In the first 1-2 days there may be no runny nose, and then it immediately appears accompanied by purulent snot discharge.

Thus, when unpleasant symptoms in the nasal area, in the absence of rhinorrhea, sinusitis should not be ruled out. Only a doctor will be able to accurately diagnose and select therapy, because otherwise complications of the disease can develop very quickly.

Symptoms of sinusitis without discharge

During acute sinusitis, in the absence of snot from the nose, other components of the clinical picture can be even more pronounced, because pressure from stagnant fluid quickly increases in the sinus and bacteria multiply at a high speed. The main symptoms of sinusitis without a runny nose are:

• pain in the bridge of the nose, under the eyes, inside the orbit;
• pain in the forehead, temple, often radiating to the teeth and cheekbones;
• pressure in the bridge of the nose, increasing when the head is tilted down;
• discomfort when chewing, talking, changing head position;
• increase in body temperature to 37.5-39 degrees (depending on the severity of the process). If the immune system is weak, the temperature is low-grade or absent;
• swelling of the cheeks, eyelids;
• swelling of the nose and impaired nasal breathing in combination with the absence of discharge. Sometimes they do not flow out of the nose, but flow down the back wall of the throat;
• cough or slight coughing;
• nasal voice;
• impaired sense of smell;
• photophobia;
• malaise, decreased appetite, decreased performance, insomnia.

The lack of nasal discharge often becomes the reason for delaying a visit to the doctor and difficulties in diagnosis. But the presence of at least a few of the symptoms described above should suspect sinusitis, visit a doctor, establish a diagnosis and start therapy on time.

Treatment methods

Sinusitis without a runny nose should be mandatory treat, because the non-existence of this symptom does not at all mean that the disease is not serious, but sometimes, on the contrary, confirms the severity of its course. To confirm the diagnosis, radiography of the paranasal sinuses should be performed, which last years often replaced with CT. With sinusitis, the sinus will be visualized in the image as a dark spot. Other methods for diagnosing the disease are diaphanoscopy, nasal smear for bacterial culture, general blood test, endoscopic rhinoscopy.

Usually, with acute viral sinusitis, the swelling of the sinus anastomosis is not too pronounced, so clear or white snot still occurs. Blockage of the anastomosis is possible only with a more severe inflammatory process, which is caused by bacterial infections, and therefore treatment of the pathology should be carried out with the use of antibiotics. Most often, first-line drugs are macrolides or penicillins in tablets (Augmentin, Amoxiclav, Erythromycin, Rovamycin, Azithromycin), and if the results are insufficient or severe sinusitis, the patient is admitted to a hospital and injectable cephalosporins are used last generations(Cefalexin, Cefaclor).

To relieve swelling from the paranasal sinuses, the patient is required to be prescribed vasoconstrictor sprays or drops (Nazivin, Xymelin) and frequent rinsing of the nose with saline solutions. When the outflow of pus is restored, the following local therapy regimen is recommended to liquefy mucus and pus and remove them from the nose, followed by disinfection of the cavity:

1. nasal rinsing hypertonic solution sea ​​salt (Aqualor Strong);
2. irrigation of the nasal passages with Rinofluimucil;
3. after 3 minutes - rinse the nose with an isotonic solution of sea salt (Aqualor soft shower);
4. nasal irrigation with antiseptics, local antibiotics (Miramistin, Isofra, Polydexa).

Since sinusitis without a runny nose occurs mainly due to severe swelling of the nose, it will help cope with inflammation and reduce congestion. antihistamines(Erius, Claritin), anti-inflammatory drugs (Nurofen, Nise), as well as the use of nasal glucocorticosteroids (Nasonex). Also, swelling is well eliminated after nasal rinsing sessions using the Kukushka apparatus using the Yamik sinus catheter. In the absence of high temperature and subacute course of the disease, laser therapy and UHF can cope with inflammation.

In some cases (with severe symptoms of the disease and serious intoxication), sinusitis without a runny nose may mean the need for urgent treatment surgical treatment- puncture. As a rule, such a development of events is possible if a person has chronic purulent sinusitis, and its next exacerbation occurs. A patient with severe congestion in the sinus area is punctured, drainage is installed, and the sinus is regularly washed with antiseptic (antibiotic) solutions. After 4-5 days, the drainage is removed, and the patient is discharged from the hospital.

For addition conservative therapy can also be used folk remedies from maxillary sinusitis:

• Grate the horseradish root (peeled), take 1/3 cup of this mass. Combine with the juice of 2 lemons, add 50 g of honey. Take half a teaspoon in the mornings and evenings half an hour after meals until recovery.
• Dilute a teaspoon of propolis tincture in a glass of water, rinse the nose three times a day for 5-8 days. See more recipes with propolis for sinusitis
• Combine aloe and Kalanchoe juices, drip 3 drops into the nose three times a day for 5 days.

Features of treatment in children

Well antibacterial therapy— 7-10 days, no less. A child with sinusitis is prescribed a course of antihistamines for approximately the same duration. It is effective to treat sinusitis in children by pumping out pus and mucus from the sinuses using a vacuum method (sinus catheter). It is mandatory to simultaneously treat other inflammatory pathologies of the ENT organs, and after recovery, the nose and throat are sanitized, and all diseased teeth are treated.

What not to do

The following actions can greatly harm the patient if he has inflammation of the maxillary sinuses:

• Warming the nose with eggs, salt, vodka lotions and others folk ways. This can increase swelling, which will not leave room for the outflow of pus and mucus, which will provoke serious consequences.
• Visiting a bathhouse or sauna is for the same reason.
• Instillation of questionable products into the nose that do not have an antibacterial effect. For example, introducing honey into the nose of allergy sufferers can cause even more severe sinusitis, which will be accompanied by allergic rhinitis with swelling of the nose.
• Abuse of drugs that dry out and cauterize the nasal mucosa, which can cause its atrophy.
• Consumption of fatty, heavy, unhealthy foods, which further weakens the immune system and prevents the body from fighting infection.

Disease prevention

To prevent sinusitis, you just need to prevent the influence of factors that provoke this disease. Do not overcool and allow ARVI and flu to develop (wear a mask, rinse your nose more often). You should pay attention to strengthening your immunity - eat right, exercise, take vitamins and immunomodulators (if necessary). Allergy sufferers need to regularly take courses of antihistamines and prevent contact with allergens. It is also recommended to eliminate all foci of chronic infection from the throat and nose and correct defects in the structure of the ENT organs.

In the next video, Dr. Komarovsky will tell you what sinusitis actually is and its special case sinusitis and how to avoid getting it.

In most cases, sinusitis is accompanied heavy discharge from the nose. As a result of the inflammatory process, mucus, pus or blood clots accumulate in the paranasal sinuses.

The color of the discharge depends on the stage of the disease:

• white or transparent. They appear when the disease begins and have a liquid consistency. Before recovery, the discharge may become thick;
• green. Indicate an acute form of the disease;
• yellow or yellow-green. Indicate the presence of pus in the sinuses. Often a sign of catarrhal sinusitis. The mucus is thick, viscous, with an unpleasant odor, and after drying it turns into crusts;
• bloody. Observed in severe forms of the disease, which requires immediate treatment.

An untreated runny nose often leads to the development of sinusitis, so you need to pay attention to changes in the nature of nasal discharge, and if there is pus or other signs appear, you need to consult a doctor.

Fever

Often a symptom of sinusitis in adults is fever. It indicates the beginning of the inflammatory process and that the immune system activated against pathogenic bacteria that caused the development of the disease.

In the initial stages of inflammation, slight fluctuations in body temperature are usually observed. In the acute form of the disease, it can rise to 39 °C, which requires the use of antipyretic drugs.

Local signs of inflammation

Sinusitis is most often accompanied by the following local signs of inflammation:

• unpleasant aftertaste after eating;
• swelling in the eyes, cheeks or nose (this is noticeable even in a photo of a patient with sinusitis);
• impaired sense of smell (the patient completely or partially stops responding to odors);
• increased lacrimation and sweating;
• change in voice timbre, appearance of nasality;
• unpleasant odor from the mouth or nose.

In most cases, sinusitis is accompanied by profuse nasal discharge. As a result of the inflammatory process, mucus, pus or blood clots accumulate in the paranasal sinuses.

The appearance of one or more of specified symptoms– a reason to consult a doctor.

General signs of intoxication

The inflammatory process is helped to reduce decoctions of medicinal herbs used to rinse the nasal cavity. The most effective are those based on chamomile, calendula or oregano. A small amount of raw material is poured with water, boiled, and after cooling, filtered.

Signs of sinusitis in adults can be quite varied. An ENT specialist will help determine what exactly caused the headache and nasal congestion after a face-to-face consultation and relevant tests.

Video

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