May cause anxiety after nasal drops

Chat Log: Sinus Inflammation

Status: 01/22/2019 10:30 p.m. | archive
Dr. Sylvia Brockhaus answered questions about sinus infections in the Visite Chat.

Chronic runny nose, headache and difficult breathing - all of this often has its origin inside the nose. If the mucus that is formed in the sinuses cannot drain off, for example because of a cold, there is a risk of infection. It usually heals on its own after a few weeks.

But what to do if the sinus infection comes back or even becomes chronic? What is the point of inhalation, what does a nasal douche help and when can an operation be useful?

The ENT specialist Dr. Sylvia Brockhaus from the Falkenried ENT practice in Hamburg answered questions about sinus infections in the Visite Chat. The protocol for reading.

Doris B .: Does regular use of a nasal douche help with chronic sinusitis?

Dr. Sylvia Brockhaus: We do not recommend using a nasal douche permanently, but if the mucus is thick it can lead to the secretion being better transported away.

Lischen: It occurs in chronic inflammation of the NNH besides operations also other treatment methods?

Brockhaus: Basic therapy is the use of topical, cortisone-containing nasal sprays, and there are also anti-inflammatory herbal expectorants that can help reduce swelling. Cortisone in tablet form is also used from time to time.

Ulla: I keep growing polyps, even after the last operation in 2015. I take cortisone spray every day. In the case of infections with extremely severe headaches, a cortisone tablet prescription again lastly. How can I perhaps better prevent further operations - or what do I have to consider so that there are no complications? I have strong fears, for example of one Meningitis. Is that justified?

Brockhaus: That basically sounds like a good supply. In chronic polypous sinusitis, serious complications such as meningitis or eye socket infections are very rare and are recognized early.

Schnucki34: I have a slight deviation of the septum, snot always runs through the mouth and causes nausea. The MRI shows slight signs of ethmoid sinusitis without fluoride and foam formation. The ENT recommends straightening the septum. I am blind and I am afraid that I will lose my sense of smell and taste during the operation. Breathing is actually fine. I am female and 40 years old. Surgery - yes or no?

Brockhaus: That doesn't sound like a necessary operation to me. When you can get air, the nasal septum can't be so crooked that it needs to be straightened.

Angelika: I was diagnosed with pillow-shaped changes in the mucous membrane, a large conchae bullosa and a nasal septal deviation with a spur. Now I'm supposed to have an operation, but on an outpatient basis. Does this make sense? Should I consult another doctor?

Brockhaus: The therapy is always based on the symptoms. Changes in the sinuses alone do not require surgery. A second opinion is always useful.

Susanne: You can with one incipient cold Avoid sinus infections with inhalation? If so, what should you inhale with (sea salt, eucalyptus)?

Brockhaus: In the case of inhalation, the main focus is on the liquefaction of tough mucus. Saline inhalations are usually sufficient, but not without accompanying therapy with decongestant nasal sprays or expectorants.

Angelika: I am now 69 and have suffered from chronic sinusitis for life without evidence of polyps or allergies. The sinusitis manifests itself mainly through Constant headache, Ventilation problems in the ear and swollen mucous membranes. My doctor recommends inhaling as long-term therapy, Sinupret and a daily dose of mometasone furoate in the nose in the evening. Is there a reason why you didn't recommend inhalation and Sinupret?

Brockhaus: Sinupret is mainly indicated for acute inflammation and not as a long-term therapy. The same goes for inhalation. I would recommend the Mometason in the morning and in the evening.

Oliver: I am a swimmer and regularly have a stuffy nose. Cortisone spray helps well. I don't have polyps. It is often viral. Could it be that chlorinated water irritates the mucous membranes in such a way that they become more vulnerable? Is there a solution without having to give up the sport?

Brockhaus: Every stimulus can change the nasal mucous membranes and - as in the case of allergies, for example - enlarge the nasal concha. If cortisone spray helps sporadically, this can be continued. If there is too much cortisone spray or if the nose remains blocked, there are minor interventions that can reduce the nasal concha in the long term. Then the infection rate usually drops.

Ruth: I have a chronic sinus infection and am supposed to have an operation for polyps. Could a week-long cough be related?

Brockhaus: The mucus that the polyps make can run down the throat and into the lungs. This can cause an urge to cough.

Anke: I've been forced to clear the throat since I had a sinus infection last summer. I always have the feeling that there is phlegm in my throat. I also have trouble breathing on the right. The CT shows a thickening of the sinuses. The ventilation routes are free. Will only an operation help me?

Brockhaus: Especially if the symptoms persist after an infection, you should first try the cortisone-containing nasal sprays - at least six to eight weeks. This often saves the operation.

Anita: What are the side effects of long-term use of cortisone nasal spray?

Brockhaus: They can cause local side effects such as dryness of the mucous membranes.

Tanja S .: Can a chronic sinus infection be detected by an MRI or an ultrasound examination or does a CT have to be performed? Because of the high radiation exposure in a teenager.

Brockhaus: Because the bony structures are also important for assessing the situation, CT is now the better imaging method. There are also X-ray procedures for adolescent patients, such as the digital volume tomogram (DVT), which are radiation-poor. Sonography is more useful for diagnosing acute inflammation; an MRI can provide an initial indication of the severity of the disease.

Nasobem: I've had chronic sinus infection since I was around 20. An operation is not considered necessary, lasing the mucous membrane brought only brief relief. What can I be treated with?

Brockhaus: It is always important to state exactly which complaints you have. Is it a recurring adrenal gland infection or is it essentially a nasal obstruction? The therapy essentially depends on this.

Luette: How many operations on the paranasal sinuses can a person tolerate - or when does it become dangerous? I've already had four operations behind me - with no improvement. Polyps keep coming back.

Brockhaus: The first operation is actually the one that also changes the bony nasal framework. After that, it is often just a matter of removing the polyps. In theory, you can do this as often as you like. If the nasal obstruction due to polyps is in the foreground, this is sometimes also successful on an outpatient basis under local anesthesia.

Neab: I, a male, born in 1935, almost never caught a cold, and every time I eat, I have an almost permanent leak in my nose, which not only bothers me extremely. Do you have a good tip?

Brockhaus: This is called "vasomotor rhinitis" and is more or less a symptom of old age that is difficult to influence.

Hesidor: What was the name of the decongestant you mentioned?

Brockhaus: The active ingredient is called cineole. This is available in several medicines, the pharmacy will certainly be happy to provide information.

Tom: Why are no more maxillary sinus punctures performed?

Brockhaus: Because the puncture left a lot of scars that made the sinuses even more vulnerable.

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Visit | 01/22/2019 | 8:15 pm