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Sinusitis (Rhinosinusitis or Sinus Infection)

Sinusitis (Rhinosinusitis or Sinus Infection)

Sinusitis is a term meaning inflammation of the sinuses. Patients with environmental allergies can be at greater risk for sinusitis as they already have some inflammation present in their nasal passages. This baseline inflammation occurs due to a reaction to the environmental allergens around them.

When sinusitis has a duration of 4 weeks or less it is considered "acute" sinusitis. Sometimes relapses of symptoms or inflammation can occur, deeming the condition "recurrent." When symptoms last longer than 12 weeks, the condition is defined as “chronic” sinusitis.

Acute sinusitis is often due to a viral infection and usually resolves in 7-10 days with supportive symptom management (saline sinus rinses, decongestants, nasal sprays) and the body’s natural ability to fight off illness. If symptoms last longer than 10 days, there is more concern for a bacterial infection and an antibiotic may be prescribed. Interestingly, many cases of bacterial sinusitis may resolve without the use of antibiotics and complications rarely develop.

If your medical provider prescribes antibiotics and symptoms aren’t improving, follow up is indicated. Other serious symptoms that would require follow up include: fevers >102 F that persist longer than 3-4 days, swelling or redness around the eyelids, vision changes, facial drooping or facial muscle weakness, confusion, headache, or inability to move the head/neck.

Chronic sinusitis can develop after an upper respiratory infection, an acute sinusitis that fails to resolve, or slowly over months/years until it becomes a problem. Signs in adults can include: facial pain/pressure, decreased sense of smell, discolored anterior or posterior nasal mucous, nasal stuffiness or congestion. A persistent cough may also occur (especially in children).

Treatment for chronic sinusitis generally includes nasal washes, nasal steroid and possibly oral steroids and/or an extended course of antibiotics. In some cases, sinus surgery may also be needed.

Because chronic sinusitis is a complex disorder of inflammation in the sinuses, it can take a while to treat. If the chronic sinusitis does not improve, evaluation by an Ear, Nose and Throat specialist may be needed to evaluate for nasal polyps, blocked drainage pathways or other problems that predispose to chronic sinusitis.

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Asthma and COPD: Differences and Similarities

You can't breathe when you exert yourself, and you suffer from episodes of coughing. There are two likely causes for this: you could have asthma, or you could have Chronic Obstructive Pulmonary Disease (COPD), such as emphysema or chronic bronchitis.

Because asthma and COPD have a number of similarities, it can be difficult to distinguish between them. However, after taking into account your symptoms, medical history, a physical examination and results of medical tests, your doctor can determine if either of these chronic diseases are at the root of your poor health.

Symptoms
Both asthma and COPD may cause shortness of breath and cough. A daily morning cough that produces phlegm is particularly characteristic of chronic bronchitis, a type of COPD. Episodes of wheezing and chest tightness (especially at night) is more common with asthma.

In addition, patients with asthma are more likely to have allergies such as allergic rhinitis (hay fever) or atopic dermatitis (eczema).

History of Smoking
COPD is almost always associated with a long history of smoking, while asthma occurs in non-smokers as well as smokers. Smoking can also make asthma worse; and smokers are particularly likely to suffer from a combination of both asthma and COPD.

Differing Treatments
Although it may take some time and effort, it is important to distinguish between asthma and COPD. The treatment for the two conditions is different, and you will greatly benefit from an accurate diagnosis and appropriate treatment plan. Whether you have asthma, COPD, or both, make sure you see your doctor regularly.

Talk to your OAAC provider to discuss diagnosis and treatment. 

The post Asthma and COPD: Differences and Similarities appeared first on Oklahoma Allergy and Asthma Clinic.

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