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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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Very High Tree Pollen Levels Continue

SECOND HIGHEST LEVELS of Tree Pollen Detected in the United States for 3/30/2026

March 30, 2026

VERY HIGH RANGE: ALLERGY ALERT. COMBINED TREE POLLEN COUNTS ARE AT VERY HIGH LEVELS on Monday, March 30th, 2026

The alert is due to OAK pollen counts in the VERY HIGH RANGE and HACKBERRY tree pollen counts in the HIGH RANGE.  COMBINED TREE POLLEN counts are at the VERY HIGH ALERT level.  Multiple tree pollens are present: Oak, Hackberry, Cedar, Sycamore, Mulberry, Cottonwood, Pine, Willow, Ash, Sweetgum, and Elm were all detected today.

This is an extreme exposure situation.  Severe symptoms may be expected in pollen-sensitive individuals. More seriously allergic people should be advised to stay indoors as much as possible. This is especially true if someone has pollen sensitivity or allergic bronchial asthma.  

Spring tree pollen affects thousands of people across the Oklahoma region, triggering allergic rhinitis, commonly known as “hay fever”, as multiple tree species begin pollinating as the weather warms.  These pollen grains can be carried hundreds of miles due to windy conditions.

For More Information -

The best way to combat these allergens is to stay in filtered air. OAAC’s board-certified allergists recommend avoiding allergy triggers as the best way to reduce symptoms. These triggers include:

  • Limit outdoor activities during days with high pollen counts.
  • Keep windows closed (at home or in the car) to keep pollen out.
  • Don’t wear your outdoor work clothes in the house; they may have pollen on them.
  • Take a shower after coming indoors. Otherwise, pollen in your hair may bother you all night.
  • Leave shoes outside or just inside the door so that you don’t track pollen inside your home.
  • Wash your hands often. Pollen can stick to your hands when you touch something outside or a pet if it has been outside.
  • Wear a dust mask that people like carpenters use (found in hardware stores) when you need to do outdoor tasks such as raking leaves.
  • Clean and replace furnace and air conditioner filters often. Using HEPA (high efficiency particulate air) filters is recommended, which remove at least 99 percent of pollen, as well as animal dander, dust, and other particles.

Some other options include medications like nasal sprays and antihistamines, but it needs to be the correct medicine and should be used continuously throughout the season.

Seasonal allergies (allergic rhinitis, commonly known as “hay fever”) cannot be diagnosed by history alone. A board-certified allergist can diagnose allergies and determine the specific triggers that cause them through simple tests. The allergists at OAAC evaluate and manage patients of all ages from the southwest region.  The main clinic is on the Oklahoma University Health Sciences Center campus.  For patient convenience, satellite offices are located in Edmond, Norman, and northwest Oklahoma City.

For more information about allergic rhinitis (“hay fever”), visit: https://oklahomaallergy.com/services/allergic-rhinitis/

Daily Pollen Counts for Weed, Grass and Tree pollen, as well as Mold levels can be found at: https://oklahomaallergy.com/allergy-report/

Visit the OAAC website at www.oklahomaallergy.com to view the addresses for all Oklahoma Allergy and Asthma Clinic locations.  To make an initial appointment for an allergy, asthma, or immunology problem or to request more information, please call (405) 235-0040 or visit the website.

The post Very High Tree Pollen Levels Continue appeared first on Oklahoma Allergy and Asthma Clinic.

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