If you have chronic pain or congestion in your sinuses, you may suffer from sinusitis. Sinusitis affects over 35 million people each year and is one of the most common medical conditions in the United States. The condition can be acute, which means it comes on suddenly. Some people also suffer from chronic sinusitis.
Sinusitis is inflammation of the sinuses. The sinuses are the air spaces around the bones of your nose. Although they are hollow, they produce mucus. Normally the mucus drains into the nose. But when sinusitis develops the sinuses become swollen and mucus may become trapped and unable to drain into the nasal passage, which leads to infection. A large number of cases of sinusitis are caused by a cold or allergies.
The most common symptoms of sinusitis include pain or pressure over the nose or face. Nasal congestion, bad breath and yellow mucus production may also be signs of sinusitis. In some cases, a fever and fatigue may also develop. Symptoms of acute sinusitis generally last up to about four weeks. If symptoms persist longer than four weeks, the condition is referred to as chronic sinusitis.
Treatment for sinusitis can include both drug treatment and non-drug treatments. Flushing the sinuses with saline rinses or sprays may help reduce congestion and decrease symptoms. It can also help flush allergens, such as pollen out of the nose.
Steroid nasal sprays may also be recommended by an allergist in order to decrease inflammation in the sinuses. Decongestants may also help reduce pain and pressure in the sinuses. Depending on the severity of symptoms and length of time they have been present, antibiotics may be advised to treat the infection.
Whether sinusitis is acute or chronic, symptoms can be painful. Contact one of New York City’s best allergists today to schedule an appointment and determine what sinusitis treatment would be best for your situation.
When you visit an allergist, it is common for the doctor to look inside your mouth and nose. This may be done to determine if there is any redness or signs of swelling. But in some cases, the doctor needs to look more thoroughly. A rhinoscopy is a medical procedure, which uses special equipment in order for the doctor to view the structures of your upper airway.
In order to make an accurate diagnosis, your allergy doctor may need to get a good look at the inside of your nasal passages, sinuses and throat. A rhinoscopy allows the doctor to see these structures.
In addition, a rhinoscopy may be done to obtain fluid or tissue samples. Tissue samples may be needed to rule out certain medical conditions or determine the best type of treatment. A rhinoscopy can also be performed to drain mucus from the sinuses or administer antibiotics directly into the sinus cavity. Your allergy doctor may do a rhinoscopy if you have chronic sinusitis, nasal polyps, or structural abnormalities.
Your allergy doctor will likely spray a numbing medication into the back of your throat and nose to decrease discomfort from the scope. A thin tube called an endoscope is inserted through the nose so the doctor can inspect your nasal passages, throat, larynx and sinuses. If fluid or tissues samples need to be taken, a special device will be inserted into the scope to obtain samples. The procedure is generally quick and usually is completed in about 15 minutes.
A rhinoscopy is considered a very safe procedure. If you have a bleeding disorder, your allergy doctor may decide not to do the procedure. The risks are usually very minimal. Minor nasal discomfort, slight bleeding from the nose and coughing may occur.
A rhinoscopy is one tool to help your doctor make an accurate diagnosis and develop an effective treatment plan. The procedure should always be performed by someone with the knowledge and expertise to perform it safely.
Dr. Boyan Hadjiev is a fellowship trained and board certified allergist and experienced at performing rhinoscopy. Call today to schedule an appointment.
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