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Rhinosinusitis (RS)

is inflammation of your nose and sinuses. It commonly begins as a virus, often as a common cold. Viruses usually last 7 to 10 days and do not need treatment. When the virus does not get better on its own, you may have bacterial RS. This means that bacteria have begun to grow inside your sinuses. Acute RS lasts less than 4 weeks. Chronic RS lasts 12 weeks or more. Recurrent RS is when you have 4 or more episodes of RS in one year.


Your signs and symptoms

may be worse when you lie on your back or try to sleep. You may have any of the following:

  • Stuffy nose and reduced sense of smell
  • Runny nose with thick yellow or green mucus
  • Pressure or pain on your face or a headache
  • Pain in your teeth or bad breath
  • Ear pain or pressure
  • Fever or cough
  • Tiredness

Seek care immediately if:

  • You have double vision or you cannot see.
  • You have a stiff neck, a fever, or a bad headache.
  • Your eyeball bulges out or you cannot move your eye.
  • Your eye and eyelid are red, swollen, and painful.
  • You cannot open your eye.
  • You are more sleepy than normal, or you notice changes in your ability to think, move, or talk.
  • You have swelling of your forehead or scalp.

Contact your healthcare provider if:

  • Your symptoms are worse or do not improve after 3 to 5 days of treatment.
  • You have questions or concerns about your condition or care.

Treatment for rhinosinusitis

may include any of the following:

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Nasal steroid sprays decrease inflammation in your nose and sinuses.
  • Decongestants reduce swelling and drain mucus in the nose and sinuses. They may help you breathe easier.
  • Antihistamines dry mucus in the nose and relieve sneezing.
  • Antibiotics treat a bacterial infection and may be needed if your symptoms do not improve or they get worse.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.


  • Rinse your sinuses. Use a sinus rinse device to rinse your nasal passages with a saline (salt water) solution. This will help thin the mucus in your nose and rinse away pollen and dirt. It will also help reduce swelling so you can breathe normally. Ask your healthcare provider how often to do this.
  • Breathe in steam. Heat a bowl of water until you see steam. Lean over the bowl and make a tent over your head with a large towel. Breathe deeply for about 20 minutes. Be careful not to get too close to the steam or burn yourself. Do this 3 times a day. You can also breathe deeply when you take a hot shower.
  • Sleep with your head elevated. Place an extra pillow under your head before you go to sleep to help your sinuses drain.
  • Drink liquids as directed. Ask your healthcare provider how much liquid to drink each day and which liquids are best for you. Liquids will thin the mucus in your nose and help it drain. Avoid drinks that contain alcohol or caffeine.
  • Do not smoke, and avoid secondhand smoke. Nicotine and other chemicals in cigarettes and cigars can make your symptoms worse. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.

Follow up with your healthcare provider as directed:

Follow up if your symptoms are worse or not better after 3 to 5 days of treatment. Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Learn more about Rhinosinusitis (Ambulatory Care)

Associated drugs

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