Symptoms and treatment of bilateral sinusitis

1 What you need to know about the disease

Bilateral sinusitis is a disease that is preceded by prolonged rhinitis or sinusitis. Initially, viruses and bacteria get on the nasal mucosa and begin to actively multiply, disrupting the normal functioning of these tissues. If a person during this period neglects treatment of sinusitis or rhinitis, then serious complications can arise. The maxillary sinuses, which are located on the sides of the nose, become inflamed. The main reason for this reaction is blocking the stroke to remove the mucus outside.

Also the causes of bilateral sinusitis can be:

• deformed or congenital defects of the septum;
• cystic fibrosis;
• long-term smoking;
• frequent and prolonged hypothermia;
• toothache in the mouth;
• enlarged adenoids or polyps.

With bilateral sinusitis, the symptoms will appear much brighter than with one-sided. In children, the manifestations are even more intense than in adults. The most common complaints doctors call:

• increased pressure or tension in the sinuses;
• redness of the skin in the nose, swelling;
• strong toothache, the specific location of which is very difficult to determine;
• headache, which is located in the region of the nose bridge;
• nasal congestion, nasal breathing disorder;
• flowing mucus, which can have purulent inclusions with an unpleasant odor;
• loss or loss of smell.

At children to these all displays still the raised body temperature, depression of appetite, capriciousness and lethargy is added.

When the first symptoms appear, you should immediately consult a doctor for treatment of bilateral sinusitis.

Two-sided sinusitis in a child and an adult can have several forms - acute and chronic.

Acute bilateral sinusitis is characterized by clogging of the anastomosis, which connects the nasal passages and the sinus. All symptomatic manifestations of the disease have a pronounced picture, but most people do not immediately react to the development of the disease, since they are more likely to attribute such manifestations to SARS or ARI.To answer the question of what caused the bright symptoms, you need to seek medical advice.

The chronic form also affects the two sinuses, but the cause is an incomplete acute form. Also chronic form can cause permanent infectious diseases, which are treated at home, without qualified medical advice.

Two-sided sinusitis is divided into three types:

1. Catarrhal is the initial stage of the disease. The main reasons for the development of inflammatory processes are viruses. Patients feel puffiness, severe nasal congestion.
2. Serous - is a consequence of catarrhal. In the nose begins increased production of secretions, which clearly indicates the rapid growth of bacteria. Initially, the discharge will have a light color, the nose will begin to breathe, but after a short period of time the patient's condition worsens, and purulent, fetid discharge can begin.
3. Purulent. This species has already bright symptoms. Allocations become viscous, they are difficult to blow out, they always have an unpleasant and sharp odor. This type requires urgent treatment, since often the probability of complications is high.

2 Diagnostic methods

How to treat bilateral sinusitis, only the ENT doctor knows. In order to properly assign treatment, the doctor will certainly conduct a series of diagnostic studies. These include:

• visual inspection by a specialist;
• ultrasound;
• for suspected complications, CT may be suggested;
• X-ray;
• thermography.

It is the new and modern equipment that allows specialists to correctly and quickly establish a diagnosis, see the localization of inflammatory processes, possible complications and prescribe the necessary treatment.

3 Drug therapy

Since bilateral sinusitis occurs with pronounced symptoms and can quickly turn into a chronic form, doctors offer treatment in a hospital.

When there is sinusitis, treatment includes such procedures and means:

1. Painkillers that effectively relieve pain, allowing you to eat, sleep properly, lie down.
2. Regular washing of the nose with saline solutions. To do this, you need to use a clyster, while each stroke should be washed separately, and the mucus go out by gravity.
3. For vasectomy, vasoconstrictor drops are used. Only after washing the nasal passages can you apply drops, otherwise they will not have any effect.
4. Antibiotics. Here you can use both tablets, powders, and injections. In a hospital, intramuscular injections are used, which help stop the reproduction of bacteria and quick recovery.

4 Physiotherapeutic procedures

Treat bilateral sinusitis more effectively using electrical medical devices. The most common methods are:

1. Irradiation with a quartz lamp. This allows you to kill the pathogenic microflora.
2. Heating. This facilitates the release of pus outward, helps to reduce pain syndrome.
3. Laser Therapy.
4. Warming with dynamic current.

All these procedures can be performed not only in a hospital environment, but also at home. The main thing is the prescription of the doctor.

5 Surgical intervention

This method is more often used in adults than in children. If the drug treatment does not give results on day 3, doctors perform an operation intervention. There are several types of this treatment:

1. Piercing of the cavity walls. With the complete cessation of the discharge of purulent discharge, the physicians pierce and insert the drainage tubes. Through them, the pus is discharged to the outside and the lavage is carried out with medicinal means of the cavity. Many experts believe that such a method is guaranteed to have the best effect, since the drug will be delivered directly to the site of infection.
2. Removal of adenoids. In the case when the cause of the disease become enlarged adenoids, they are removed. The operation is painless, under local anesthesia.
3. Holes in the nasal concha. Such an effect is performed under general anesthesia and mainly in chronic forms of the disease. Such holes allow you to pus out.

In the case when the disease is diagnosed on time and the treatment is performed correctly, there are almost no complications. But when the patient is engaged in self-medication or violates the prescriptions of the treating doctor, there is always a high probability of severe consequences. The most frequent among them is considered to be:

• angina;
• phlegmon soft tissues orbit;
• meningitis;
• orbital abscess.

Sinusitis is a disease that requires proper treatment and consultation with a specialist. Only an understanding of the essence of the disease itself, possible consequences, treatment rules will help to avoid the development of complications and return a person to a healthy life without sinusitis.