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Sinusitis

When your sinuses (air chambers in the bone behind your cheeks, eyebrows and jaw) are inflamed or infected, it leads to sinusitis. The different sinus areas are:


Frontal sinus – on the brow area
Maxillary sinuses – inside each cheekbone
Ethmoid sinuses – behind the nose bridge and between the eyes
Sphenoid sinuses – behind the ethmoids in the upper region of the nose


When the sinuses are blocked, the mucus is not sufficiently drained thereby leading to sinusitis. Sinusitis occurs when trapped air lays pressure and causes pain in the sinus regions. Typically, sinusitis follows a cold or respiratory ailment. The increased mucus and fungal production leads to inflammation in the nasal passage. Often a structural defect in the nasal cavity or weakened immune system can be the cause for a sinus attack. Allergic rhinitis can bring on an attack of sinusitis. The symptoms and pain associated with sinusitis depend on the affected sinus. Damp weather, environmental pollutants and asthma often lead to sinus attacks. This inflammation is usually the result of a viral infection, an allergy (pollen, dust, pet dander, molds, and food), or an environmental irritant such as air pollution, perfume or cigarette smoke. Persons suffering from chronic inflammation of the nasal passages have an increased risk of suffering sinusitis. Swimming, diving, nasal polyps, smoking or alcohol consumption can lead to blocked sinuses. Air travel is yet another possible trigger.


Acute sinus infection lasts for about a fortnight whereas chronic sinus infection festers longer, for months or years. Most affected persons tend to suffer from acute sinus infection. Typical symptoms of sinus infection:


  • Pain over frontal sinuses
  • Headache
  • Swelling of eyelids or tissues around the eyes
  • Earache
  • Neck pain
  • Stuffy nose
  • Facial tenderness
  • Bad breath
  • Ache in the upper teeth
  • Nasal congestion

Blood tests and cultures aid in diagnosing and detecting bacterial or fungal infections. Acute sinusitis is treated with antibiotics to control the bacterial infection. Decongestants and painkillers can provide relief to those suffering from sinus infection. On the other hand, chronic sinusitis may need to be treated with steroid nasal sprays. But prolonged use of such products are not without side-effects. Allergies and infections that contribute to the sinus infection must be appropriately treated. Children suffering from chronic sinus infection are treated with removal of adenoids. Functional endoscopic sinus surgery is performed on severe cases of chronic sinusitis where the natural openings of the sinuses are dilated to allow drainage of accumulated mucus.


Home remedies for treating sinus infections
1. Steam inhalation
2. Gentle warm compress on painful area
3. Use of electrostatic filters attached to heating and air conditioning equipment
4. Saline nasal spray
5. Rest with your head elevated to help drain your sinuses
6. Drink plenty of fluids and warm liquids in order to thin mucus

Pharyngitis

When the pharynx is inflamed, it is referred to as a sore throat or Pharyngitis. This condition is a common occurrence when there is any viral upper respiratory infection. In severe cases, Pharyngitis can also be indicative of diphtheria, gonorrhea or HIV. Pharyngitis is usually caused by micro organisms such as Streptococcus, Mycoplasma pneumoniae, Chlamydia pneumoniae, and Neisseria gonorrhoeae cause bacterial pharyngitis. This condition is contagious and is usually noticed in the winter months. Allergies, exposure to smoke and pollutants can cause sore throat and pharyngitis due to postnasal drip. If left untreated, pharyngitis can lead to rheumatic fever, scarlet fever, tonsillitis or pneumonia.


A person suffering from an upper respiratory tract infection such as pharyngitis will have sore throat and difficulty in swallowing. Accompanying fever, headache and swollen lymph nodes in the neck will also be noticed. Other symptoms of pharyngitis include cough, swollen tonsils and post nasal drip. There may be headache and earache. A physician will check the patient's eyes, throat and lymph nodes in the neck. A throat swab culture is done to diagnose the cause of infection. Bacterial infection or strep throat is treated with suitable antibiotics.


  • Adequate rest
  • Plenty of fluids
  • Warm salt water gargle
  • Avoid smoking and alcohol
  • Adequate rest
  • Plenty of fluids
  • Warm salt water gargle
  • Avoid smoking and alcohol

Cervical Lymphadenitis

Cervical Lymphadenitis is inflammation in the lymph glands of the neck. This lymph gland enlargement is usually secondary to any viral or bacterial infections. This condition is often noticed with tonsillitis, pharyngitis or even dental infection. Cervical Lymphadenitis is commonly seen in children suffering from upper respiratory infection. Infections such as diphtheria, tuberculosis or wounds caused by cat-scratch disease or impetigo can bring on Cervical Lymphadenitis.


Symptoms of Cervical Lymphadenitis include pain and tenderness in the lymph glands of the neck. There might be cough, sore throat and fever. Often patients suffering from Cervical Lymphadenitis experience irritability and earache. In some cases, scalp infections or impetigo or dermatitis is noticed. Chest x-rays and skin tests are used to diagnose the cause for the swollen lymph nodes. The infected nodes are sometimes aspirated for further analysis. Biopsy might be done in some cases.


In most cases, Cervical Lymphadenitis does not need any treatment. Once the cause for the swollen lymph glands is identified, appropriate treatment is prescribed. Penicillin or dicloxacillin is often used.

Tags: #Sinusitis #Pharyngitis #Cervical Lymphadenitis
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Collection of Pages - Last revised Date: April 19, 2024