SINUSITIS

Sinusitis is a bacterial infection in the sinuses draining into the nose.  Upper respiratory infections and allergies can cause congestion of the sinuses by blocking the openings, preventing fluid from draining.  This fluid is then a good place for bacteria to multiply.

In an older child, sinusitis can cause pain and pressure in the forehead, behind the eyes or over the cheekbone, depending on which sinus is infected.  There also may be a yellow nasal discharge, sore throat, fever, postnasal drip, cough or bad breath.  Younger children often do not show the classic symptoms, but just have a “cold that won’t go away.”

Sinus infections take 1-2 weeks to develop; therefore congestion that is present for only a few days to a week is not a sinus infection and is probably a simple upper respiratory infection (cold).  Colds are caused by viruses and do not respond to antibiotic treatment; they must “run their course” of a few days to a few weeks.

Sinus infections are treated with antibiotics, often a longer course than is needed for a simple ear infection.  If your child acts sicker or has redness or swelling on the cheek, eyelid or forehead while taking the antibiotic, call the office; we may need to reevaluate him/her. Acetaminophen or ibuprofen help relieve fever and pain, and we may recommend nasal washes (with saline) and occasional decongestant nose drops.  Antihistamines may also be given if there are underlying allergies.

Sinusitis is not contagious;   therefore a child may return to school once feeling better.



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