Sinusitis (sinus infection)
Check if you have sinusitis
Symptoms of sinusitis include:
- pain, swelling and tenderness around your cheeks, eyes or forehead
- a blocked nose
- reduced sense of smell
- green or yellow mucus from your nose
- a sinus headache
- a high temperature of 38C or above
- bad breath
Signs of sinusitis in young children may also include irritability, difficulty feeding, and breathing through their mouth.
What are the sinuses?
How you can treat sinusitis yourself
You can often treat mild sinusitis without seeing a GP by:
- getting plenty of rest
- drinking plenty of fluids
- taking painkillers, such as paracetamol or ibuprofen – don’t give aspirin to children under 16
- holding a warm clean flannel over your face for a few minutes several times a day
- inhaling steam from a bowl of hot water – don’t let children do this because of the risk of scalding
- cleaning your nose with a salt water solution to ease congestion
How to clean your nose with a salt water solution
A pharmacist can help with sinusitis
A pharmacist can advise you about medicines that can help, such as:
- decongestant nasal sprays, drops or tablets to unblock your nose
- salt water nasal sprays or solutions to rinse out the inside of your nose
You can buy nasal sprays without a prescription, but they shouldn’t be used for more than a week.
Some decongestant tablets also contain paracetamol or ibuprofen. If you’re taking painkillers as well as a decongestant, be careful not to take more than the recommended dose.
See a GP if:
- your symptoms are severe
- painkillers don’t help or your symptoms get worse
- your symptoms don’t improve after a week
- you keep getting sinusitis
Treatment from a GP
Your GP may be able to recommend other medicines to help with your symptoms, such as:
- steroid nasal sprays or drops – to reduce the swelling in your sinuses
- antihistamines – if an allergy is causing your symptoms
- antibiotics – if a bacterial infection is causing your symptoms and you’re very unwell or at risk of complications (more rare)
You might need to take steroid nasal sprays or drops for a few months. They sometimes cause irritation, sore throats or nosebleeds.
Your GP may refer you to an ear, nose and throat (ENT) specialist if:
- these medicines don’t help with your sinusitis
- your sinusitis has lasted longer than 3 months (chronic sinusitis)
- you keep getting sinusitis
They may also recommend surgery in some cases.
Surgery for sinusitis
Surgery to treat chronic sinusitis is called functional endoscopic sinus surgery (FESS).
FESS is carried out under general anaesthetic (where you’re asleep).
The surgeon can widen your sinuses by either:
- removing some of the blocked skin tissue
- inflating a tiny balloon in the blocked sinuses, then removing it
You should be able to have FESS within 18 weeks of your GP appointment.