After sinusitis. Restore your immunity so that sinusitis does not recur

What is sinusitis

Sinusitis is a disease in which the paranasal sinuses become inflamed. Often the cause of its occurrence is an incompletely cured cold or severe runny nose that the patient previously suffered from. In addition, it is important to know that carious teeth, especially the upper jaw, also serve as an excellent start for the development of such an unpleasant disease.

Symptoms of inflammation of the maxillary sinuses are as follows:

increase in body temperature;
unpleasant discharge from the nasal passages;
decreased performance;
lack of sense of smell due to congestion;
headache, pain in the bridge of the nose and temporal region.

Memory deterioration during illness is also one of the symptoms, in the presence of which the patient should immediately visit an otolaryngologist. Incorrectly selected or completely delayed treatment is fraught with the development of ordinary sinusitis into a chronic disease and other complications (pneumonia, meningitis, etc.).

Ways and methods of treating sinusitis

Many ways to eliminate this unpleasant disease have been identified. The main one, of course, is pharmacotherapy. Important: only a specialist can prescribe medications. Under no circumstances should you self-medicate!

Most infections can be treated by taking antibacterial medications. For this reason, antibiotics are often prescribed in the treatment of sinusitis. The method of obtaining a particular medicine affects its effect on microorganisms. The spectrum of antimicrobial action of the drug also depends on it.

Unlike antiseptics, the activity of antibiotics remains regardless of the method of administration. The doctor may recommend external use, in the form of injections, rectal or vaginal suppositories, and also orally.

Are medications always effective?

The answer is no. Moreover, the lack of a positive result when taking antibiotics may be due to various reasons.

Antibiotics are powerless when sinusitis is caused by a fungal infection (a significant number of chronic sinusitis). If pharmacotherapy in the form of antifungal drugs does not help, it is possible to solve the problem in alternative ways.
Treatment of allergic sinusitis begins with taking antihistamines and decongestants. The use of antibiotics for a disease of this origin is unjustified and ineffective.
A mild form of the disease caused by a viral infection does not require antibiotics. It is acceptable to limit yourself to rinsing the nasal passages, inhalations and immunotherapy.

Often, medication treatment is effective in acute forms of the disease, which are caused by a bacterial infection. Improvement in well-being occurs within 3-4 days after taking the drugs. The length of treatment is influenced by factors such as the type of medication used and the severity of the infection. There are cases when complete restoration of the mucous membrane of the maxillary sinuses occurs after weeks and even months of taking medications.

If sinusitis has become chronic, after 4 days of taking it, antibiotics will not help much. It will take significantly more time - about 4 weeks. Moreover, even with quite competent treatment, symptoms of the disease do occur.

Important: do not interrupt treatment in case of short-term improvement. For a complete recovery, you must take the entire course of medications prescribed by a specialist.

Sinusitis does not go away after antibiotics, what is the reason?

If sinusitis does not go away after taking antibiotics and drug therapy does not bring the desired result, it means that an error was made in the treatment regimen. There may be several reasons for this. Let's figure out in what cases antibiotic therapy does not bring results. But first you need to understand what sinusitis is.

What is sinusitis

Symptoms of inflammation of the maxillary sinuses are as follows:

increase in body temperature,
unpleasant discharge from the nasal passages,
decreased performance,
lack of sense of smell due to congestion,
headache, pain in the bridge of the nose and temporal region.

Are medications always effective?

The answer is no. Moreover, the lack of a positive result when taking antibiotics may be due to various reasons.

Antibiotics are powerless when sinusitis is caused by a fungal infection (a significant number of chronic sinusitis). If pharmacotherapy in the form of antifungal drugs does not help, it is possible to solve the problem in alternative ways.
Treatment of allergic sinusitis begins with taking antihistamines and decongestants. The use of antibiotics for a disease of this origin is unjustified and ineffective.
A mild form of the disease caused by a viral infection does not require antibiotics. It is acceptable to limit yourself to rinsing the nasal passages, inhalations and immunotherapy.

Often, medication treatment is effective in acute forms of the disease, which are caused by a bacterial infection. Improvement in well-being occurs within 3-4 days after taking the drugs.

The length of treatment is influenced by factors such as the type of medication used and the severity of the infection.

There are cases when complete restoration of the mucous membrane of the maxillary sinuses occurs after weeks and even months of taking medications.

Important: do not interrupt treatment in case of short-term improvement. For a complete recovery, you must take the entire course of medications prescribed by a specialist.

What medications to take

An otolaryngologist must make a conclusion about the need to take medications. This also applies to those cases when the patient is not experiencing sinusitis for the first time. Based on the information obtained during examination of the patient, the specialist will prescribe competent pharmacotherapy.

For a more detailed approach, a smear analysis should be performed. It would not hurt to carry out a rapid assessment of the pathogen using Gram staining. This way you can identify the nature of sinusitis and, if necessary, select the most effective antibiotic. This is a drug to which the causative agent of the disease will be sensitive.

If within 3 days after taking the antibiotic there is no visible improvement in the patient’s condition, it means that the nature of the disease is determined incorrectly (not bacterial, but allergic or fungal). In addition, the reason may be the resistance of this type of pathogen to the drug taken. In this case, you should replace the medications.

If the disease is bacterial in nature, the following groups of drugs can be used:

Penicillins are easily tolerated, side effects are minimal. Effectiveness decreases with severe inflammation.
Macrolides - can be used in case of intolerance to penicillins.
Cephalosporins are justified when other drugs do not help.
Fluoroquinolones are a synthetic drug to which many bacteria remain sensitive (contraindicated in the treatment of the disease in children).
Local therapy - antibiotic drops. Taking such medications at the initial stage will alleviate the course of the disease and avoid more serious therapy.

When prescribing pharmacotherapy, a specialist will also take into account the individual characteristics of the patient and possible allergic reactions to one or another component of treatment.

Remember that self-medication for such a serious problem is very dangerous. The consequences of improper therapy can be worse than sinusitis itself. At the slightest suspicion of inflammation, you should contact an ENT specialist.

Source: https://za-rozhdenie.ru/lor/gajmorit/gajmorit-pochemu-ne-pomogayut-antibiotiki

What medications to take

If within 3 days after taking the antibiotic there is no visible improvement in the patient’s condition, it means that the nature of the disease is determined incorrectly (not bacterial, but allergic or fungal). In addition, the reason may be the resistance of this type of pathogen to the drug taken. In this case, you should replace the medications.

If the disease is bacterial in nature, the following groups of drugs can be used:

Penicillins are easily tolerated, side effects are minimal. Effectiveness decreases with severe inflammation.
Macrolides - can be used in case of intolerance to penicillins.
Cephalosporins are justified when other drugs do not help.
Fluoroquinolones are a synthetic drug to which many bacteria remain sensitive (contraindicated in the treatment of the disease in children).
Local therapy - antibiotic drops. Taking such medications at the initial stage will alleviate the course of the disease and avoid more serious therapy.

When is antibiotic therapy not advisable for sinusitis?

First, you need to determine the true cause of sinusitis and its causative agent. Because with some provoking factors that cause sinusitis, antibiotic therapy may not only be ineffective, but can also aggravate inflammation and delay the recovery process.

If sinusitis occurs as a result of allergic manifestations, then in this case the use of antibiotics is not justified.
In case of chronic rhinosinusitis, sinusitis associated with fungal infection, taking broad-spectrum antibiotics only aggravates the process.
For viral infections, when rinsing, inhalation and immunotherapy can help with mild sinusitis, you should also not take antibiotics.

Sinusitis does not go away after antibiotics, what should I do?

Sinusitis can be quite successfully treated with antibiotics. But sometimes patients complain that even after therapy they do not feel relief. Why is this happening?

Sinusitis is an inflammation of the maxillary paranasal sinus. Very often this is a complication of rhinitis or adenoiditis. Sinusitis is usually caused by bacteria, although viruses can sometimes cause it.

The main symptoms of the disease are:

Heaviness and discomfort in the nose area.
Pain, swelling in this area when tilting the head.
Runny nose.
Fever.

Treatment for sinusitis is usually antibacterial. If there is no time to wait for culture results, a broad-spectrum antibiotic is prescribed. This may be a drug from the following groups:

penicillin;
macrolides;
fluoroquinolones;
cephalosporins.

What could be the reason for the situation when sinusitis does not go away after antibiotics? Most often this happens due to the wrong medicine.

What to do if sinusitis does not go away after antibiotics: 5 alternative methods

It was already noted above that the symptoms of sinusitis are caused by three types of microorganisms. Viruses only provoke acute sinusitis and die quite quickly on their own, or with minimal help. One week of therapy is enough. Another thing is bacterial sinusitis.

Bacteria do not have a completed life cycle; they can reproduce themselves indefinitely, causing symptoms of acute or chronic sinusitis. There are many types of bacteria. The only way to deal with them is to treat them with antibiotics.

This is an equally extensive group of substances of various origins: natural, synthetic or semi-synthetic.

Antibiotics have an exclusively targeted effect. Yes, some of them can also destroy viruses (tetracyclines), and there are also broad-spectrum antibiotics that can suppress the activity of various bacteria. But most antibiotics do not act on viruses and have a clear scope of action: they act on some bacteria and are useless against others.

Why antibiotics don’t help: an error at the diagnostic stage?

Main mistakes:

The cause of sinusitis is allergies. Which, by the way, does not prevent the development of bacteria in the affected area. It is even possible that antibiotic treatment was prescribed correctly and successfully destroyed the pests, but it does not eliminate the allergic reaction (swelling, runny nose, headaches). The patient has the complete impression that the sinusitis has not gone away. Or sinusitis initially had an exclusively allergic nature. In this case, the mucous membranes are not affected by bacteria. All typical symptoms of sinusitis appear due to exposure of the mucous membranes to allergens (plant pollen, paint smell, etc.). In this case, you should under no circumstances take antibiotics on your own; this can lead to complications and the disease becoming chronic. In mild cases of allergic sinusitis, it is enough to eliminate the effect of the allergen; antihistamines and vasoconstrictors are required.
Antibiotics do not act on a class of pathogens such as fungi. They are the most common cause of chronic sinusitis; if sinusitis does not go away after taking antibiotics, it may be because the paranasal sinuses are occupied by fungi. Antifungal drugs are prescribed.
Wrong tactics for treating viral sinusitis. Taking antibiotics for this form of the disease does not make sense and can even cause harm - bacteria that are already present in the body develop resistance to the drug. In the future, to get rid of symptoms caused not by viruses, but by bacteria, antibiotic therapy will be pointless.
The reception period is too short. As a rule, while taking antibiotics, the patient feels better already on the 3rd - 4th day. There is a temptation to either stop the drug or reduce the dose. This issue should only be resolved together with your doctor. Sometimes complete relief of symptoms occurs only after several weeks or even months. This is especially important for exacerbations that occur against the background of chronic sinusitis. Remember, chronic sinusitis cannot be cured in less than 4 weeks.

Error in diagnosis after treatment

Sometimes the patient confuses the symptoms of sinusitis with the symptoms of other diseases and mistakenly believes that the disease is still present despite a course of antibiotic therapy. For example, he may have headaches.

With sinusitis, intracranial and intraocular pressure actually increases; many patients suffering from sinusitis are often bothered by migraines. Throbbing, deep pain, weaker in the morning and worse in the evening. But such pain can also be caused by neurological reasons.

Pain due to sinusitis has its own characteristics: the unpleasant sensations intensify along with tilting the head either backwards or forwards. When you have a migraine, it doesn’t matter which way you tilt your head - any tilt increases the pain. In addition to headaches with sinusitis, there will be sensations in the area under the eyes. When pressed, you feel accumulated liquid and a tight swelling. This liquid does not migrate.

That is, it is possible that sinusitis was successfully cured, but the symptoms reminiscent of it have other causes. Of course, this is not the reason if after taking antibiotics there are not only headaches, but also other symptoms of sinusitis: the sinuses are inflamed, the runny nose has gone away, but the pictures show pus in the sinuses.

Wrong selection of antibiotics

When contacting an experienced specialist who keeps up with the times, mistakes are unlikely. The use of antibiotics for sinusitis has been studied quite well; you just need to correctly identify the causative agent. But often this is done by eye. Laboratory determination of the causative agent of sinusitis has its own difficulties.

They may prescribe a swab of discharge from the throat and nose.

Really accurate information will be provided by material obtained directly from the maxillary sinuses during a puncture, which many patients are afraid of and deliberately refuse this procedure, which forces them to select antibiotics symptomatically, and this does not always give results.

Until now, Amoxicillin from the penicillin group is considered the most popular antibiotic. Its conditional effectiveness was confirmed by an experiment conducted with the participation of 166 patients. 85 people received an antibiotic, 81 patients received a placebo.

And after 10 days, both groups showed the same results: 80% of participants in each group experienced a noticeable improvement or complete recovery.

Unprotected Amoxicillin was used in the experiment. Such a drug, as it turned out, is powerless against modern bacteria that can produce special enzymes - penicillinases, which destroy the beta-lactam ring of the antibiotic.

Flemoxin, which is most popular today for the treatment of sinusitis, is an example of unprotected Amoxicillin, that is, it will be useless against bacteria that have learned to produce penicillinases. It is worth noting that 64% of staphylococcus strains and up to 43% of Haemophilus influenzae are resistant today.

Today, they are more actively focusing on antibiotics protected by clavulanic acid, for example, the drug Flemoklav, which is very similar to Flemoxin.

Today, these two drugs are used equally, the first is used to treat uncomplicated forms, the second - for diseases of moderate and severe severity.

Individual antibiotic resistance

If antibiotics do not help with sinusitis, it is possible that there is individual resistance to antibiotics in principle. That is, it is not microorganisms that are accustomed to this type of medicine, but the person himself. Any person can have such resilience, but it is especially worth considering for those who:

There are cases in the anamnesis when antibiotics had to be taken longer than prescribed, or complications such as thrush and dysbiosis are common. That is, you can notice that a person is regularly attacked by microorganisms and it is more difficult to cope with them than in standard cases.
There are chronic infectious diseases: cystitis, tonsillitis, pharyngitis, pyelonephritis and others. These diseases periodically worsen, the doctor prescribes medicine, often mild antibiotics, the person takes a course... the more often and more different antibiotics enter the body, the more accustomed the internal microflora of such a person is to them, which means that the “settlements” of bacteria may be more stable and to a new antibiotic.
Weakened immunity. Such a person regularly suffers from infectious diseases. It has been confirmed: if a person’s personal immunity is reduced, treatment with antibiotics will take longer! The fact is that antibiotics in this case have to “work for two.” Increasing the dose is usually unacceptable due to the toxicity of the drugs, so the course of treatment becomes longer.

Inadequate therapy

Since an antibiotic is selected empirically for sinusitis, there is a risk of prescribing a medicine to which the pathogen is resistant. This will be the main reason for the persistence of all unpleasant symptoms even against the background of antibacterial therapy.

This situation is usually easily recognized by a doctor, because by the end of the third day the patient shows no improvement - neither clinical nor laboratory. Correction of therapy allows you to quickly solve this problem.

In any case, it is advisable to send nasal discharge for bacterial culture before starting treatment. If it turns out to be ineffective, a new drug can be selected taking into account the obtained antibiogram.

Weak sensitivity to antibiotics

The situation is somewhat different if the pathogen is poorly sensitive to the drug. In this case, the patient will notice a decrease in unpleasant symptoms and an improvement in well-being.

However, nasal congestion, heaviness, and pain may bother him, even if several weeks or months have passed. Untreated sinusitis, as a rule, becomes chronic.

The only option in this situation is to perform bacterial culture and treat inflammation in the sinus, taking into account the sensitivity of the microbe.

Less common are situations where sinusitis does not go away after antibiotics due to anatomical features. If there is no normal outflow of pathological fluid from the nasal cavity and sinuses, inflammation in it will be maintained even with adequate therapy. Even if weeks pass, there will be no obvious clinical improvement.

What can be done in a situation where sinusitis does not go away? In this case, it is advisable to solve the issue surgically.

When to use antibiotics

In some cases, treating sinusitis without antibiotics is an unjustified risk. This applies mainly to the bacterial form of the disease, the causative agents of which are streptococci, staphylococci, Haemophilus influenzae, etc.

Indications for antibiotic therapy:

the presence of clear signs of a bacterial infection, including purulent discharge with an unpleasant odor from the nose, accompanied by an increase in body temperature to febrile levels (above 38 ° C);
no improvement in condition over several days of treatment or worsening;
condition after the puncture (in order to prevent the development of complications).

According to patients, treatment of sinusitis without antibiotics is quite possible in the chronic course of the disease in the absence of obvious manifestations. Drops, rinses and folk remedies help alleviate the symptoms of the disease and help speed up recovery.

In the acute form of the disease, refusal of antibiotic therapy often leads to the development of complications and the transition of sinusitis to a chronic form.

Is it possible to cure sinusitis without antibiotics at home? Treatment of the disease requires a qualified approach. You should not change the appointment of the otolaryngologist on your own and refuse to take prescribed antibacterial drugs. It is impossible to treat the disease in children and pregnant women at home without consulting a doctor, as this can lead to the development of serious complications.

We offer you to watch a video on the topic of the article.

Viral sinusitis

Sinusitis goes away quickly after antibiotics if it is caused by bacteria. But sometimes the causative agents are viruses. This doesn't happen very often. And if you start antibacterial therapy from the first days of illness, there will be no effect. What to do if conventional treatment does not help?

If the causative agent of sinusitis is in doubt, it is necessary to perform a general blood test. By changing the leukocyte formula, the cause of the disease can be assumed more accurately.

Viral sinusitis usually requires only symptomatic therapy - anti-edematous and anti-inflammatory. It rarely lasts more than 7–10 days.

Sometimes the reason for feeling unwell after treatment is an allergic reaction.

The use of antibiotics often triggers an allergic reaction. During treatment, the patient may develop swelling of the nasal mucosa and sinuses. Clinically, this will be manifested by a runny nose and a feeling of heaviness when tilting the head, that is, the symptoms will be similar to those of sinusitis.

The allergic origin of the manifestations can be suspected if they do not disappear for a long time, and there are no fever or inflammatory changes in the blood.

Antiallergic treatment usually leads to rapid recovery.

There are many causes of prolonged sinusitis. But only a specialist can understand them. If symptoms do not disappear within a week or two, you cannot do without his help.

Treatment of sinusitis

The main goal of treating sinusitis is to reduce swelling of the nasal mucosa and improve the outflow of contents from the maxillary sinuses. As a result, the inflammatory process decreases and pain disappears. How to cure sinusitis without antibiotics in an adult?

Nasal rinsing

In order to clear the maxillary sinuses of mucus, rinsing is used. The procedure can be performed either in a physiotherapy office or at home.

In order to rinse the nose at home, use ready-made saline solutions Aqua Maris, Humer, Aqualor, isotonic sodium chloride (saline). You can also prepare your own saline solution. To do this, dissolve 0.5–1 teaspoon of table or sea salt in 200 ml of warm boiled water. The product must be thoroughly stirred, and after the crystals have dissolved, strain.

Dolphin is considered one of the most effective nasal rinses. It has an antiseptic effect and also has the following properties:

activates mucus production;
normalizes the function of the ciliated epithelium;
increases local immunity;
helps restore the nasal mucosa.

The medicine is available in the form of an antiseptic solution (in bags) complete with a dispenser bottle. Before use, the product is diluted in warm water and placed in a bottle, which is closed with a dispenser cap. A single dose should be divided into two nostrils.

Before the procedure, it is necessary to clean the nasal passages. For this purpose, a mucus suction bulb (aspirator) can be used.

In most cases, therapy for both acute and chronic forms of sinusitis cannot be accomplished without the use of vasoconstrictor drugs. They help reduce swelling of the mucous membrane and restore nasal breathing. The most commonly used products are based on oxymetazoline (Nazivin, Afrin, Noxprey, Nazol) and xylometazoline (Galazolin, Snoop, Xymelin, Otrivin, Tizin).

Nasal drops are used 2-3 times a day for 5-7 days. It is not recommended to use such drugs for longer, as this can become addictive and worsen the swelling.

Folk remedies

Traditional medicine is widely used in the treatment of sinusitis. To treat the disease, special ointments are used that can be easily prepared at home. There are several of the most effective remedies for sinusitis:

Laundry soap, onion juice, honey and aloe juice . All components are mixed in equal quantities (laundry soap is pre-ground on a fine grater). The mixture is placed in a water bath and stirred until it becomes homogeneous. It is then applied to a cotton swab, which is placed in the nostril. In this case, you need to sit, leaning forward a little. Within 5–10 minutes, the contents of the maxillary sinuses will begin to come out.
Alcohol, honey, vegetable oil and laundry soap . All ingredients are mixed in equal quantities, after which the product is heated in a water bath until the components dissolve. After cooling, the ointment is applied to a cotton swab and placed one by one in the nasal passages for about 15 minutes. During this time, the contents of the nasal sinuses are liquefied and expelled. The procedure is carried out once a day for three days.
Onion, honey and aloe juice . A medium-sized onion is baked in the oven until it becomes soft. Then it is crushed into a paste and mixed with honey and aloe juice. The method of application is the same as for previous products.

In order to quickly clear the contents of the nasal sinuses, use Vishnevsky ointment. It is applied to a gauze turunda, which is placed in the nostril on the affected side. The procedure must be performed while sitting. After 5-10 minutes, the contents of the sinuses will become liquid and begin to come out. This remedy is used once a day for three days.

Treatment of sinusitis without antibiotics is possible with the help of horse chestnut. The fruit must be soaked in salted water for a day. Then you need to cut a cone out of it, fasten it to a pin and insert it into the nostril for 10–15 minutes. During this period, the contents of the sinuses will be expelled.

Products based on cyclamen

Cyclamen-based products are often used to treat sinusitis. The root of this plant contains saponins. These are surfactants that draw fluid from the body. Once in the nasal cavity, they actively irritate the nerve endings, stimulating the production of mucus. As a result, the maxillary sinuses are cleared, the inflammatory process is reduced, and the symptoms of the disease disappear.

The most effective cyclamen-based medicines can be purchased at a pharmacy or prepared independently:

drops : cyclamen root is crushed using a grater and then the juice is squeezed out. It is diluted with water in a ratio of 1:1 and placed in the refrigerator. To treat sinusitis, 2 drops of juice are dripped into each nostril once a day. Duration of use – one week;
ointment : aloe juice, onion juice and Vishnevsky ointment are mixed with cyclamen juice. The finished product is applied to a cotton swab and placed in the nostrils for 15 minutes. The procedure is carried out once a day before bedtime;
infusion : 1 g of cyclamen root is poured into one glass of boiling water and infused for an hour. Then filter the product and drip 2 drops into each nostril once a day.

Ready-made cyclamen-based products, such as Sinuforte or Sinus-Lift, can be purchased at the pharmacy. Use them according to the instructions. The average duration of the treatment course is 7 days.

Antihistamines

If the cause of sinusitis is an allergy, timely use of antihistamines can eliminate swelling, stop inflammation and clear the maxillary sinuses of contents.

To treat the disease, antiallergic drugs of the 1st, 2nd or 3rd generation are used. The simplest remedies include Diazolin, Suprastin or Diphenhydramine. They help improve the condition and reduce allergy symptoms. These drugs effectively relieve itching, but they must be taken at least three times a day. They also have a side effect such as drowsiness.

In order to rinse the nose at home, use ready-made saline solutions Aqua Maris, Humer, Aqualor, isotonic sodium chloride (saline). You can also prepare your own saline solution.

More often, in the treatment of sinusitis that develops against the background of allergies, antihistamines based on loratadine, desloratadine or cetirizine are used. They are used once a day in the evening. These drugs have minimal side effects, they help quickly get rid of swelling and restore nasal breathing.

Sinusitis does not go away after antibiotics, what should I do?

Sinusitis can be quite successfully treated with antibiotics. But sometimes patients complain that even after therapy they do not feel relief. Why is this happening?

The main symptoms of the disease are:

Heaviness and discomfort in the nose area.
Pain, swelling in this area when tilting the head.
Runny nose.
Fever.

Inadequate therapy

Weak sensitivity to antibiotics

The situation is somewhat different if the pathogen is poorly sensitive to the drug. In this case, the patient will notice a decrease in unpleasant symptoms and an improvement in well-being.

However, nasal congestion, heaviness, and pain may bother him, even if several weeks or months have passed. Untreated sinusitis, as a rule, becomes chronic.

The only option in this situation is to perform bacterial culture and treat inflammation in the sinus, taking into account the sensitivity of the microbe.

What can be done in a situation where sinusitis does not go away? In this case, it is advisable to solve the issue surgically.

Viral sinusitis

If the causative agent of sinusitis is in doubt, it is necessary to perform a general blood test. By changing the leukocyte formula, the cause of the disease can be assumed more accurately.

Viral sinusitis usually requires only symptomatic therapy - anti-edematous and anti-inflammatory. It rarely lasts more than 7–10 days.

Sometimes the reason for feeling unwell after treatment is an allergic reaction.

The allergic origin of the manifestations can be suspected if they do not disappear for a long time, and there are no fever or inflammatory changes in the blood.

Antiallergic treatment usually leads to rapid recovery.

There are many causes of prolonged sinusitis. But only a specialist can understand them. If symptoms do not disappear within a week or two, you cannot do without his help.

Which antibiotics are most effective?

The best antibiotic for sinusitis is the one to which the inflammatory causative agent is sensitive according to smear analysis. If within 72 hours after taking an antibiotic there is no visible relief, it means that either the pathogen has developed resistance to this drug, or the cause of sinusitis is not bacterial, but fungal or allergic.

If sinusitis is caused by common streptococcus, staphylococcus, or Haemophilus influenzae, then the following groups of antibiotics are used:

Penicillins are the most preferred because they have fewer side effects and are easily tolerated, but in cases of severe inflammation caused by penicillin-resistant infections, they may be ineffective. Among them are Amoxicillin - (Amosin, Flemoxin solutab), Ampicillin, amoxicillin with clavulanic acid (trade names Augmentin, Amoxiclav, Flemoklav solutab, Ecoclave, etc.)
Macrolides - their use is justified in cases of intolerance to penicillin-type drugs. Trade names of the drugs are Zitrolide, Sumamed, Macropen, Clarithromycin.
Cephalosporins - this group of antibiotics is prescribed for severe inflammation and when other antimicrobial agents are ineffective. These include Ceftriaxone, Cefotaxime, Cefuroxime, etc.
Fluoroquinolones - most bacteria have not yet developed resistance to these synthetic drugs, so they are also used to treat sinusitis (contraindicated in children). Antibiotics of this series are Ofloxacin, Lomefloxacin, Ciprofloxacin (1 generation), Levofloxacin (2 generations), Moxifloxacin (3 generations).
Local treatment - nasal drops with an antibiotic. The use of topical local antimicrobial sprays or drops at the onset of the disease can help avoid oral or intramuscular systemic use of broad-spectrum antibacterial drugs with their inherent adverse effects on the entire body. Such drops include Isofra and Polydex.

When choosing an antibiotic, you should be guided by the individual characteristics of the patient, concomitant diseases, and possible allergic reactions to it. And most importantly, the selection is best done taking into account smear microscopy data and rapid assessment of the pathogen for Gram staining, otherwise treatment of sinusitis with antibacterial agents may not be effective, wasting time and money.

Author:

Selezneva Valentina Anatolyevna physician-therapist

What causes sinusitis?

Inflammation in the sinus area is called sinusitis. It often develops as a complication after an untreated cold, sore throat, or flu. Mucus begins to accumulate in the maxillary sinuses and has no outlet. The reason may be:

neglected teeth of the upper jaw;
allergic reaction;
abnormal structure of the nasopharynx;
severe hypothermia of the body;
mechanical damage to the nasopharynx;
infection with pathogenic viruses or bacteria;
prolonged exposure to dry hot air;
prolonged exposure to drafts;
weak immunity;
the presence of polyps, adenoids;
severe diseases (tuberculosis, fungi, tumors, radiation sickness).

In some cases, prolonged use of drops for the treatment of rhinitis provokes the accumulation of mucus in the maxillary sinuses and the development of sinusitis.

Is it possible to cure sinusitis without punctures and antibiotics?

Also, most of us know that the classic treatment for sinusitis is punctures and antibiotics. That is why the only associations that arise when mentioning sinusitis are: “pain”, “hurt” and “long”... However, what will you say if you find out that there is a method of treating sinusitis without punctures and antibiotics, without health complications?

Surely your first reaction will be distrust and denial... But don’t rush to conclusions!

In Europe, punctures and antibiotics have long been abandoned, and if they are used, it is only as a last resort. Instead of this painful and not always effective method of treating sinusitis, foreign experts recommend using various gentle techniques and preparations based on natural ingredients that allow you to naturally remove pus from the sinuses without resorting to surgical intervention (punctures).

What is sinusitis and how to deal with it?

Sinusitis, or inflammation of the maxillary sinuses, can be classified as a special case of a runny nose due to similar symptoms - pain in the forehead and difficulty breathing. In most cases, sinusitis occurs against the background of an infection, for example as a complication of ARVI or influenza. That is why the probability of “getting” sinusitis is especially high in the autumn-winter period, when our body is especially weak against the viruses that attack it. Also, a provocateur for the development of sinusitis can be a sore tooth, inflamed tonsils, allergies or a deviated nasal septum.

With sinusitis, patients primarily complain of nasal congestion, fever, pain in the forehead and eyes, and in chronic forms, a suffocating cough at night. These symptoms arise due to the fact that with sinusitis, mucus and pus begin to accumulate in the inflamed maxillary sinuses, which negatively affects a person’s well-being.

What to do if you have sinusitis?

Of course, any disease is easier and better to prevent than to treat, but if you are already sick, then the last thing you want to do is listen to these “folk” wisdoms. You want only one thing: to hear how to get healthy faster.

So, modern treatment of sinusitis is a comprehensive approach aimed at both eliminating the cause of sinusitis and restoring drainage and eliminating infection in the maxillary sinus.

If the root cause of sinusitis is a deviated septum or a sore tooth, you should contact an appropriate specialist as soon as possible. If this is an infection, then it is urgent to direct all efforts to fight it and restore normal drainage of the sinuses so that the inflammation subsides and pus and other secretions leave your body without hindrance. Antibiotics are used for these purposes. If antibiotics are contraindicated for you or are undesirable for some reason, then there are safer and more natural methods of treating sinusitis.

An alternative to surgical and serious medicinal treatment in relation to subsequent complications can be the use of the natural drug Sinuforte . This is how European otolaryngologists and leading Russian specialists advise treating and preventing sinusitis.

Sinuforte Sinuforte is a preparation based on cyclamen juice. The properties of this plant have been known for centuries and have been successfully used in the treatment of runny nose and cleansing of the sinuses. In the required dosage, enhanced with other natural active substances, and in a convenient spray form, cyclamen extract helps to cope with sinusitis without complications or consequences. Sinuforte not only strengthens local immunity, but also activates the process of physiological cleansing of the nasal cavity and maxillary sinuses from mucus, pus and infection. Natural mucus rejection begins 10-15 minutes after the administration of Sinuforte solution, and 3 days after the start of treatment for sinusitis, swelling of the mucous membrane will begin to subside, the pain will go away and free breathing will return. For chronic sinusitis or runny nose, it is especially important that this natural drug does not cause addiction and serious complications that are characteristic of antibiotics and conventional sprays and drops. Sinuforte can also be used as a prophylactic in the fight against runny nose, especially in autumn and winter.

With Sinuforte it is possible to cure sinusitis without punctures and antibiotics!

When can sinusitis be cured without using antibiotics?

At the initial stage of development of the disease, it is quite possible not to use antibiotics. There are many medications and treatment procedures that have a highly effective effect on the pathological process and promote recovery.

Antibiotics are not prescribed in the following cases:

if sinusitis appears due to allergies;
the disease has reached a chronic course;
childhood;
the patient is prohibited from taking antibiotics;
Sinusitis manifests itself in a fungal form.

Refusal of antibiotics does not mean self-medication. You definitely need to visit a doctor and undergo examinations. Treatment is prescribed only by a doctor.

Is it possible to cure sinusitis without antibiotics?

Maxillary sinusitis is one of the most common diseases of the upper respiratory tract.
It should not be treated leniently, since untimely and poor-quality treatment can lead to complications dangerous to health. Today, doctors have developed many medicines and procedures to treat this disease, their basis is antibiotic therapy. However, patients often ask whether sinusitis can be cured without antibiotics. The content of the article