SINUS PAIN AND CONGESTION

 

Symptoms | When to call | Homecare Advice

 

HOME CARE ADVICE FOR MILD SINUS PAIN AND CONGESTION

  1. Reassurance: Sinus congestion is normally part of a cold. Usually home treatment can prevent a true sinus infection.
  2. For a Runny Nose With Profuse Discharge: Blow the Nose.
    • Nasal mucus and discharge helps to wash viruses and bacteria out of the nose and sinuses.
    • Apply petroleum jelly to the nasal openings to protect them from irritation (cleanse the skin first).
  3. For a Blocked Nose - Use Nasal Washes:
    • Use warm water or saline nose drops to loosen up the dried mucus, followed by blowing each nostril separately (pinch one nostril shut while blowing your nose then repeat while pinching the other nostril). Instill 2-3 drops of warm water or saline in each nostril. Blow your nose again and repeat nose drops and blowing until discharge is clear. Repeat this process at least four times a day or whenever you can't breathe through the nose.
    • Saline nose drops - add ½ tsp of table salt to 1 cup (8 oz) of warm water.
    • Other option: warm shower.
  4. Hydration: Drink plenty of liquids (6-8 glasses of water daily). If the air in your home is dry, use a cool mist humidifier
  5. Cold Medicines: Most "cold" medicines are not helpful. They can't remove dried mucus from the nose. Antihistamines are only helpful if you also have nasal allergies. Antibiotics are not helpful unless you develop an ear or sinus infection.
  6. Decongestant Nose Drops: If you think you need a medicine for stuffy nose, try a nasal decongestant. Use only if the sinus is still blocked after nasal washes.
    • Decongestant nose drops (e.g. phenylephrine/Neo-Synephrine) are available over the counter.
    • Do not take this medication if you have high blood pressure, heart disease or prostate enlargement.
    • Do not use this medication for more than 3 days (Reason: rebound nasal congestion)
    • Read and follow the package instructions carefully
  7. Pain and Fever Relief: For pain and fever relief, take acetaminophen every 4-6 hours (e.g. Tylenol; adult dosage 650 mg) OR ibuprofen every 6-8 hours (e.g. Advil, Motrin; adult dosage 400 mg).
    • Do not take ibuprofen if you have stomach problems, kidney disease, are pregnant, or have been told by your doctor to avoid this type of anti-inflammatory drug.
    • Do not take ibuprofen for more than 7 days without consulting your doctor.
    • Do not take acetaminophen if you have liver disease.
    • Read the package instructions thoroughly on all medications that you take.
  8. Expected Course:
    • With treatment, sinus congestion from a cold virus usually resolves in 5 to 7 days.
    • The main complication is bacterial sinusitis. It occurs if bacteria multiply within the blocked-off sinus. This leads to a fever and increased pain. Antibiotic treatment is indicated.
  9. Call Your Doctor If:
    • Fever or yellow/green discharge lasts more than 3 days
    • Sinus pain persists longer than 1 day after starting treatment
    • Sinus congestion and fullness persist longer than 1 week
    • You become worse or develop any of the "Call Your Doctor" symptoms.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Adult SelfCareNavigator. Copyright © 2000-2004 David Thompson, M.D. FACEP

Reviewed 8/2004

Revised 7/2002

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