Sinusitis is the medical term for sinusitis. Every 7th person in Germany has sinusitis once a year – often as the remnant of a cold. More about symptoms, causes, and therapy of sinusitis.

Definition

Sinusitis is the technical term for sinusitis. Sinusitis can be acute or chronic. Depending on the inflamed sinus there are:

  • Sinusitis frontalis: inflammation of the frontal sinuses (right and left above the root of the nose above the eyebrows)
  • Maxillary sinusitis: inflammation of the maxillary sinuses (right and left of the nose)
  • Ethomid sinusitis: inflammation of the ethmoid labyrinth (between the nose and the inner corner of the eye)
  • Sphenoidal sinusitis: Inflammation of the sphenoid sinus (right and left behind the ethmoidal cells).

Complications arise when sinusitis spreads to neighboring structures, such as the meninges, the brain, and the ears and eye sockets. Then there are sometimes dangerous suppurations with meningitis, seizures, visual impairment, and middle ear infections.

Symptoms

Typical symptoms of acute sinusitis are a headache and a feeling of pressure on the face – depending on the affected cavity in the forehead, jaw and nose area and around the eyes. The feeling of pressure often increases during bending, sneezing and coughing as well as during shaking. Sometimes the sense of smell and nasal breathing are limited.

In some patients, the nose feels “closed” – as if blocked. Sometimes the nasal secretion also runs down the throat permanently. Fever and fatigue, as well as flu symptoms, are also possible. The symptoms can be unilateral or bilateral.

Usually, sinusitis heals after a few weeks (maximum of eight weeks). If they continue to exist or are more likely to have sinusitis (more than four times a year), physicians speak of chronic sinusitis.

symptoms-of-chronic-sinusitis

 

Symptoms Of Chronic Sinusitis

Chronic sinusitis often results from unhealed acute sinusitis. The symptoms are much weaker than with acute sinusitis. Chronic sinusitis is characterized by a long-lasting odor loss and permanent, dull pressure on the face. Inflammatory polyps often grow in the paranasal sinuses. Endoscopically, often only a slight swelling of the nasal mucosa and a thin, clear secretion in chronic sinusitis are recognizable.

Causes

Sinusitis is often preceded by a cold. It is increasingly produced nasal mucus and the mucous membranes swell. Sometimes the small passages between nose and paranasal sinuses swell. If they are completely blocked, the paranasal sinuses are no longer ventilated, the secretion can not drain and jams back. This warm, moist environment is an ideal breeding ground for germs such as viruses, bacteria, and fungi.

Viral sinusitis is often the result of bacterial colonization with influenza, parainfluenza or rhinoviruses. In bacterial sinusitis Haemophilus influenzae, pneumococci, staphylococci, and streptococci are often the trigger. Even fungi can cause sinusitis.

Non-Infectious Causes Of Sinusitis

Ventilation disorders of the paranasal sinuses and thus a disturbed discharge of secretion may also have non-infectious causes. These are, for example, anatomical features such as nasal polyps (benign mucosal growths), a curved nasal septum (so-called septal deviation), large nasal concha, cystic fibrosis or even tumors.

Sinusitis can also occur as part of allergic disease (such as hay fever or house dust allergy). Furthermore, there is the so-called dentogenic, so dental-related, sinusitis. This pathogens, for example, after dental procedures, tooth root inflammation or sinus fistulas reach the paranasal sinuses.

A special form of the sinusitis is the Samter syndrome (also analgesic intolerance syndrome). Sinusitis occurs simultaneously with intolerance to acetylsalicylic acid (aspirin, ASA), bronchial asthma and nasal polyps.

Investigation

As a rule, the doctor already diagnoses sinusitis based on the typical symptoms. As a backup, he taps and presses certain areas of the face and inspects the mouth, throat, and throat. Occasionally blood and secretion examinations, allergy tests and imaging procedures (such as nasal reflection, X-ray and computed tomography) are used.

Treatment

Usually, the doctor will recommend decongestant nasal drops with drugs such as naphazoline, oxymetazoline, tramazoline, and xylometazoline. However, these should not be applied too long and absolutely according to the regulations. Sometimes, the medical treatment of sinusitis also includes non-steroidal anti-inflammatory drugs such as ibuprofen and piroxicam or glucocorticoids (cortisone preparations).

In purulent sinusitis, antibiotics (especially tetracyclines and cephalosporins) are the drugs of choice.

Short and microwave radiation can help cure sinusitis.

In some cases, such as anatomical features, nasal polyps, or nasal septum curvatures, surgery can help.

Home Remedies For Sinusitis

Home remedies for sinusitis support drug therapy and help to relieve the symptoms. The most important home remedy is an adequate supply of fluid. At least 2 liters should be consumed daily. So you liquefy tough secretions, which diluted can drain more easily. You can support the secretion drainage with humid room air as well as steam baths with herbal additives. Anis, chamomile flowers, myrtol, primrose root, thyme herb, and eucalyptus oil are particularly suitable.

No Steam Baths And Essential Oils In Infants And Toddlers

Caution: Infants and toddlers should not use steam baths due to the risk of scalding and, above all, should not use any menthol-containing substances or strong-smelling essential oils. Red light and warmth are better in this age group. Warm linseed or cherry stone pillows on the forehead are often perceived as beneficial.

Other Home Remedies For Adults

  • inhale salt or sea salt with Emser or absorb the saline liquid with the nostril or rinse your nose
  • heat rising footbaths with salt water (start with about 34 degrees warm water and increase to 41 degrees)
  • eat a teaspoon of fresh horseradish three times a day or drink horseradish juice
  • Place horseradish and lemon toppings on forehead or quark toppings on forehead and cheeks
  • Warm potato wraps on forehead and nose several times a day
  • Fix the garlic and lemon slices under the soles of the feet with warm wool socks
  • Herbal teas distributed throughout the day (such as anise, fennel, and thyme)
  • put a bowl of shredded onion on the bedside table
  • Eat chicken soup for attacks of influenza-like infections.

Homeopathy In Sinusitis

For sinusitis the following homeopathic remedies are recommended:

  • Cinnabaris: with oppressive pain at the root of the nose, radiation to the eye, severe pressure pain when stopping
  • Hepar sulfuris: in cold and touch-sensitive patients, complaints worsen by drafts
  • Hydrastis Canadensis: large amount of secretions, headache over the left eye, complaints worsen in the warm room
  • Potassium biochromicum: with thick yellow-green secretions, pressure at the root of the nose, mucus flow in the throat
  • Luffa operculata: in frontal headache, dry and sensitive nasal mucous membranes and crusts in the nose
  • Mercurius solubilis: with purulent nasal secretions, bad breath, and covered tongue, complaints worsen by warmth of the bed.

Prevention

To prevent sinusitis, you should avoid colds, sleep well, strengthen your immune system, not smoke, maintain a balanced and fresh diet, move a lot and strive for normal weight.

Watch out for proper whining. It works like this:

  • Under no circumstances trumpet with pressure in the handkerchief. So you squeeze the nasal mucus back into the sinuses. Better careful and with little pressure.
  • Give in to sneezing and do not suppress it

Even if it does not belong: preferably “pull up nose”, the secretion is transported into the throat and swallowed.

 

 

Back pain again and again – and nothing helps? Then the symptoms could have a gynecological cause. The visit to the gynecologist brings clarity.

Back pain again and again – for weeks Vera Müller from Wiesbaden toiled around with it. What she does not know – the cause of her complaints is a gynecological disease. “In particular, pain that surrounds the groin, the sacrum, and the anterior abdominal wall like a belt is evidence of a gynecological cause,” Dr. Klaus König from the professional association of gynecologists (BVF) in Munich. “Back pain can also occur during pregnancy, during and after the hormone change during menopause. These include changes in the position of the uterus, gynecological tumors, chronic inflammation and diseases in the area of the small pelvis, “says the expert.

ask-your-gynecologist

Back pain again and again – fibroids can be to blame

Women should be aware if they have recurrent back pain that is cyclical and increases on the days before menstruation. Possible cause may be fibroids – benign tissue growths in or on the uterus. In most cases, the gynecologist suggests a hormone treatment with tablets in such cases. Gentle is a new therapy in which fibroids are starved: In the method known as myoma embolization are injected under local anesthesia sand beads sized plastic beads into the blood vessels. There they block the pathway for nutrient delivery, and the fibroid shrinks. The therapy is performed inpatient and paid by health insurance.

Again and again back pain? Endometriosis can also be a trigger

Gynecological back pain triggers include endometriosis. Here, parts of the uterus settle, for example, on the ovaries or in the abdomen. They always lead to back pain during and before menstruation. Depending on the location of the Endometrioseherde the growths of the endometrium can be surgically removed by the gynecologist or treated with hormones. In case of mild endometriosis, it is often helpful to take a birth control pill with a high proportion of progestogen

Gentle help against the pain

What helps if women always suffer back pain? Relief in acute cases promises a combination with the painkiller Paracetamol or a warm hay flower sack, which is placed on the stomach. Relaxation exercises such as QiGong or Tai Chi also help to relieve the pain and harmonize the body.

 

Very hot tea can promote the development of esophageal cancer: anyone who regularly drinks more than 0.7 liters of tea at a temperature of at least 60 degrees, has a significantly increased risk of developing squamous cell carcinoma in the esophagus. This is the conclusion of an Iranian study led by Farhad Islami of the Tehran University of Medical Sciences in Tehran, which is featured in the International Journal of Cancer.

Evidence of such a relationship has been around for some time. In 2018, a research group at the University of Beijing found that, in addition to smokers, tea drinkers, in particular, are often affected by esophageal cancer.

too-hot-drinks-can-increase-the-risk-of-esophageal-cancer

Therefore, the International Agency for Research on Cancer (IARC) classifies “drinking very hot drinks at over 65 degrees Celsius” as “possibly carcinogenic”. The Cancer Information Service of the German Cancer Research Center (DKFZ) also warns against very hot drinks on its website in connection with esophageal cancer.

The researchers around Islami now present results on a very large database: For their investigation, they collected data from more than 50,000 women and men in the northern Iranian province of Golestan between 2004 and 2017. The participants were tracked on average for a good ten years. In addition to the exact circumstances of tea consumption, the researchers recorded socioeconomic data and dietary habits.

Trained employees visited the study participants in their apartments. To determine the preferred drinking temperature, two cups of tea were poured in each case. The employee put a thermometer into a cup. When the temperature of the tea had dropped to 75 degrees Celsius, participants were asked to drink the tea. If the tea was still too hot for them, they were asked again at 70, 65 and 60 degrees to drink it.

Altered genetic material due to inflammation

The preferred drinking temperature was noted. In previous studies, participants themselves reported how hot their tea is when they drink it – a procedure that prone to error.

During the study period, there were 317 cases of squamous cell carcinoma among the participants, one of the two most common types of esophageal cancer. After adjusting for possible other factors such as smoking or alcohol consumption, there were statistically clear relationships between the temperature of the tea and the risk of cancer. It goes without saying that the shorter the time between pouring and drinking with the respective tea drinker, the greater the risk of cancer.

As for the possible cause, the researchers write that the hot fluid can cause injury, resulting in inflammatory processes in the tissue of the esophagus. In turn, the genetic material can be changed directly or the formation of carcinogenic substances can be increased – with a tumor as a possible consequence.

Even Stephen Evans of the London School of Hygiene and Tropical Medicine, who was not involved in the study, suspected heat injuries as the cause. Also in the microwave heated jam is known to cause injury to the esophagus. “It is possible that the injury leads to cell changes and thus to cancer”.