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Sinusitis

Question
Posted by: | 2020/08/28

Q.

Difference between sinusitis inflammation and infection

My understanding of my condition is that I don't often get an active sinus infection where there is mucous draining. Mine never drains. But I have chronic sinusitis. I have chronic inflammation which causes my chronic sinusitis problem, caused by deviated septum, septal perforation and crusting. I understand that it is as a result of the pressure caused by non-drainage that causes my severe pain. As a result, I very seldom take antibiotics as I don't believe they work for this. Currently I have an active sinus infection, with purulent drainage and am now taking antibiotics. I always find once I take the antibiotics, I feel better for a day or two and then feel worse. Am I correct in this understanding?

Expert's Reply

A.

Sinusitis Expert
- 2020/09/02

Generally yes. However if you have a deviated septum and septal perforation, this will cause nasal obstruction, but not sinusitis. In addition, chronic sinusitis is not painful. So perhaps you don’t have chronic sinusitis? An ENT should scope your nose and you should get a CT scan if maximal medical treatment doesn’t resolve the symptoms.

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