HealthDiseases and Conditions

Bilateral sinusitis: symptoms and treatment

Runny nose in most people is associated with something unpleasant. But not fatal. There is even a proverb: "If you cure a cold, then it will pass in seven days. And if you do not heal, then in a week." This statement reflects the attitude of people to the common cold. However, it is not as harmless as it seems. If it does not pass for a long time or significantly hinders breathing, then one can suspect sinusitis in a person.

What it is?

Sinusitis is an inflammation of the mucous membrane lining the cavity of the maxillary, or as it is called, the maxillary sinus. Since the maxillary sinuses are a pair formation, the inflammatory process in them can be either one-sided, there and two-sided. Bilateral sinusitis occurs several times heavier than one-sided and is associated with a large number of various complications. So, for example, a neglected two-way process can be chronized in a relatively short time, and move from the cavity of the maxillary sinus to neighboring formations, in particular, the brain.

When the infection passes to the brain tissue, its cysts with purulent contents can develop, as well as all kinds of abscesses of the brain. Subsequently, there is a possibility of developing very serious diseases, such as encephalitis, meningitis or meningoencephalitis. These diseases are very difficult and can threaten not only further health, but also life.

What can be sinusitis?

First of all, if a doctor has diagnosed a person with "genyantritis", then in no case should one think that this is something frivolous and will pass by itself. This applies to both unilateral and bilateral sinusitis. Let us consider in more detail the second of them as more dangerous. Two-sided sinusitis due to the severity of its course can be divided into acute and chronic. The latter proceeds with pronounced remissions. In terms of severity of clinical symptoms and severity of the disease, catarrhal bilateral sinusitis and purulent discharge are distinguished.

Etiology of the disease or causative factors leading to its development

There are a huge number of reasons that can cause bilateral sinusitis. Among them are the following:

  • All kinds of traumas that have arisen in the region of the nose and upper jaw;
  • Penetration of the infectious agent from an external source, for example, from the nasal cavity, into the maxillary sinus;
  • Thickening of mucus in the nasal cavity and its subsequent congestion;
  • Formation of adenoid and polyposic growths;
  • The existence of a person with allergic diseases or his predisposition to allergies;
  • General weakening of all the protective forces of the human body, that is, its immunity;
  • Complications arising after the transferred infectious and severe chronic diseases;
  • Inflammatory diseases of teeth and gums, especially untreated;
  • Abuse of strong alcoholic beverages and smoking;
  • Congenital or acquired curvature of the nasal septum.

Catarrhal acute bilateral sinusitis

It is characterized by a very rapid sudden onset. In the first days, the patient feels a worsening of the general condition, manifested by such symptoms as lethargy, general weakness, loss of strength, reduced efficiency. Simultaneously, the body temperature rises, and then a rather strong chill appears. There are severe headaches, difficulty in nasal breathing, as well as discharge from the nasal cavity of a serous nature.

Purulent acute bilateral sinusitis

This disease is characterized by a sharp rise in temperature to fairly high figures, a strong deterioration in the general condition, the development of prolonged and painful coughing attacks, as well as secretions from the nasal passage, having a cloudy purulent character. In addition, there are severe headaches that can radiate into the area of the teeth.

Chronic bilateral sinusitis has a more worn out clinical picture, while the overall condition of a sick person can remain satisfactory. Naturally, people have a question about how to treat bilateral sinusitis.

Diagnostics

The diagnosis of bilateral sinusitis should begin with examination and consultation with an otorhinolaryngologist who, on the basis of the patient's complaints and the severity of the clinical picture, can prescribe a diagnosis and then confirm it with a number of instrumental methods of investigation. When diagnosed as "bilateral sinusitis," the treatment begins immediately. The list of diagnostic manipulation data includes such modern methods as magnetic resonance imaging, ultrasound diagnostics, computed tomography, and specific methods such as diaphanoscopy and thermography.

Bilateral sinusitis: treatment

The whole process of treatment of bilateral sinusitis is under regular supervision of the doctor and takes an average of two to four weeks. Undoubtedly for that. That the treatment of the disease is a rather unpleasant and long process, it is by no means possible to delay it with a march to Laura. In the complex of therapeutic manipulations, which can appoint a doctor, we can distinguish the following:

  • The regular washing of the nasal cavity with various solutions (this can be either a solution specially designed for this, or a decoction of herbs that have anti-inflammatory and antiseptic effects, for example, chamomile or calendula). The procedure itself is unpleasant, however it facilitates breathing and disinfects the cavities.
  • Admission of a full course of antibiotic therapy (an antibiotic can be administered either empirically or after determining the degree of sensitivity of a pathogenic microorganism). This is especially important if the disease provokes streptococci.
  • Vitaminotherapy (necessary to maintain the body's defenses in the norm).
  • When the temperature rises above 38.5 degrees, it is recommended to start taking Antipyretic drugs (the simplest of them is paracetamol). However, the temperature to 38 degrees does not go astray. At this time, the body's defenses fight bacteria.
  • In severe and neglected cases, when individual conservative therapy is ineffective, it is necessary to resort to a puncture of the maxillary sinus with the evacuation of its contents and washing the cavity with antiseptic solutions. After such a procedure, sinusitis, as a rule, does not return.
  • To facilitate the process of nasal breathing, you can use vasoconstrictive drops, but do not use them for more than five days.

It should be understood that systemic and only systemic will cure bilateral sinusitis. Photo of maxillary sinuses filled with pus can motivate any person to immediately begin treatment.

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