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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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Ragweed Season is HERE

Ragweed Season

Ragweed Plants Packed with Pollen

Summer fun can turn to fall misery for millions of people who suffer from seasonal allergic rhinitis (hay fever). Sneezing, stuffy or runny nose, itchy eyes, nose and throat, or worsening of asthma symptoms are common in people with undiagnosed or poorly managed hay fever.

The primary culprit of fall allergies is ragweed pollen. A ragweed plant only lives one season, but it packs a powerful punch. A single plant can produce up to 1 billion pollen grains. These grains are very light weight and float easily through the air.

Fall allergy symptoms used to start in mid-August and run through September. In many parts of the country these symptoms now begin in early August and extend through October. Some studies suggest that rising temperatures and higher carbon dioxide levels contribute to longer growth time of allergen-producing plants. In 2023, OAAC reported high ragweed counts beginning in the third week of August. In fact, on August 28, 2023, we had our first ragweed allergy alert day.

Allergies occur when the body’s immune system treats the allergen, in this case ragweed, as a foreign invader. This starts a chemical reaction which produces and sends histamine throughout the blood stream. These chemicals cause allergy symptoms to develop.

Controlling symptoms
Proper diagnosis is the first step in managing your symptoms. An allergist will give a physical exam, ask about your health history and perform allergy testing to determine exactly what you are and are not allergic to.

Although there is no cure, ragweed allergy can be managed to improve the quality of your life.

The best control is to avoid contact with the pollen. This can be difficult, but resources are available. The National Allergy BureauTM (NAB) tracks pollen counts regionally to help you plan when you should avoid spending a lot of time outdoors. Remember to follow the OAAC on social media for the OKC area. Our counts are collected from the top of our main office building Monday-Friday by our certified pollen counters.

Talk to your doctor about medications that may provide temporary relief from symptoms. Your allergist/immunologist may also recommend immunotherapy (allergy shots) or sublingual immunotherapy (SLIT) allergy tablets, treatment. This long-term treatment approach can significantly reduce the frequency and severity of symptoms caused by allergic rhinitis.

Did you know?

  • The tall goldenrod species of ragweed gets blamed for most of the pollen, but a primary cause of allergy symptoms is the tooth-leaved ragweed that lives low in the grass.
    • Ragweed can be found in almost all states in the United States as well as in Canada.
    • An accurate diagnosis is essential for managing symptoms. Allergy testing performed by an allergist can determine what you are and not allergic to.To the point
    Although often associated with hay fever, ragweed can also cause skin conditions such as allergic contact dermatitis and hives.

Source: AAAAI.org

The post Ragweed Season is HERE appeared first on Oklahoma Allergy and Asthma Clinic.

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