Sinusitis (sinus infection) is classified as an acute, subacute, or chronic condition. In acute sinusitis, the infection is resolved after treatment. In subacute sinusitis, there is a persistent, yellow to green nasal discharge despite treatment. In chronic sinusitis, episodes of prolonged inflammation continue longer than 3 months despite treatment.

Sinusitis occurs when the mucous lining in your sinus cavities becomes inflamed and infected with viruses, bacteria, or allergen. This can occur after a cold or tooth abscess.

1. If you have a tooth abscess, see your dentist and finish all your antibiotics.
2. Donot blow your nose too frequently or too hard. It may cause your eardrum to perforate (tear). Blow through both nostrils at the same time to equalize pressure.
3. To prevent spreading germs to others, cover your mouth when you cough:
   1. Use tissues when you blow your nose. Dispose of them and then wash your hands.
   2. If no tissue is available, do the “elbow sneeze” into the bend of your arm (away from your open hands).
4. Always wash your hands after coughing or using tissues.

1. Avoid smoking and secondhand smoke.
2. Use steam inhalation to liquefy secretions.
3. Use a room humidifier. Keep your humidifier clean—it can grow bacteria.

Activity: There are no activity restrictions; however, diving, swimming, and flying may increase the occurrence of symptoms or make them worse. Make sure to get plenty of rest each day.

Diet: Eat a healthy diet. Drink at least eight to 10 glasses of liquid every day.

Medications: Take all of your prescribed antibiotics (if indicated), even if you feel better.

Over-the-counter medications:

1. Pain relievers: Ibuprofen (Advil) or acetaminophen (Tylenol) as needed for facial pain.
2. Antihistamines: Some antihistamines may cause drowsiness. Use with caution. You may consider using an antihistamine during the day that does not cause drowsiness.
3. Decongestants: Decongestants may increase blood pressure and may also interact with other medications. Please consult with your provider before using these medications.
4. Nasal sprays: Nasal saline spray is safe to use in the nose several times a day. Nasal decongestant sprays may be used for a short period of time. Do not use longer than 3 days to prevent causing rebound side effects from this medication. Consult with your provider if you are using a nasal decongestant spray.

You Have Been Prescribed: _____________________________________________________________________________

You Need to Take: ________________________________________________________________________________

You Need to Call the Office If:

1. Your eyelids begin to swell or droop, or you experience decreased vision.
2. You have stiffness in your neck or increased fever.
3. You have asthma, and you are getting worse.
4. You begin vomiting and are unable to keep down your antibiotic.
5. You are a diabetic and your blood sugars are elevated, or you notice ketones in your urine.
6. Other: _______________________________________________________________________________________

Phone: _________________________________