Chronic Sinusitis: Symptoms, Diagnosis & Treatment
A clear guide to chronic sinusitis, covering warning signs, diagnosis and treatment options for lasting relief.
Treatment usually begins with
Specialist Assessment
Nasal Endoscopy
Medical Management
Surgical Options
Most cases are managed with medication, with surgery considered for symptoms that persist despite treatment.
You may need this evaluated if...
A chronic sinusitis evaluation is recommended when these signs appear:
- Nasal congestion or blockage lasting more than 12 weeks
- Thick nasal discharge or post-nasal drip
- Facial pain or pressure
- Reduced sense of smell
Chronic sinusitis is very manageable, and most people find significant relief with the right treatment.
What is Chronic Sinusitis?
Chronic sinusitis is long-lasting inflammation of the sinuses, causing congestion, facial pressure and discharge that persists for 12 weeks or more.
Very Common
One of the most frequent reasons people see an ENT specialist.
Multiple Contributing Factors
Allergies, nasal polyps and structural issues can all play a role.
Often Under-Treated
Many people live with symptoms for years before seeking treatment.
Highly Treatable
Medication and, when needed, surgery provide lasting relief for most patients.
Common Symptoms
- Nasal congestion or blockage
- Thick, discolored nasal discharge
- Facial pain or pressure, especially around the eyes and cheeks
- Reduced sense of smell or taste
- Cough that worsens at night
What Increases Your Risk
A combination of medical, lifestyle and environmental factors can increase the likelihood of this condition.
How It Is Diagnosed
A structured assessment confirms the diagnosis and helps guide the right treatment plan.
Clinical History
A review of your symptoms and their duration guides the initial assessment.
Nasal Endoscopy
A thin scope examines the inside of the nose and sinus openings.
CT Scan
Imaging provides a detailed view of the sinuses to confirm the extent of inflammation.
Allergy Testing
Testing identifies allergic triggers that may be contributing to symptoms.
Treatment Approaches
Medical Care
- Nasal saline irrigation
- Nasal or oral corticosteroids to reduce inflammation
- Antibiotics for confirmed bacterial infection
- Allergy management where relevant
Surgical Care
Functional endoscopic sinus surgery opens blocked sinus passages and is considered when medication doesn't provide lasting relief.
Treatment decisions are based on symptoms, test results, timing and overall health, not a single test.
Know When to Act
Recognising these signs early and acting promptly is important for the best outcome.
Book an Assessment
Schedule a consultation for a routine evaluation or ongoing symptoms.
- Nasal congestion or facial pressure lasting weeks
- Symptoms not improving with over-the-counter treatment
Seek Urgent Care
Call for emergency care immediately if you notice any of the following.
- Severe facial swelling or vision changes
- High fever with severe headache
Not Sure What You Need?
Speak to a Care Guide and we'll help you choose the right ENT specialist.
Talk to Care GuideA care guide can match your condition to the right ENT specialist.
Share your concern or existing reports. We will help you choose the right hospital, doctor and appointment.
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