Dr Chin’s Viewpoint on Effective Treatments for Sinus Problems You Need to Know
Discover effective treatments for sinus problems and learn why that over-the-counter spray might be making your symptoms worse. Read more on our blog!
Persistent sinus issues can lead to more than just a stuffy nose. From sinus pressure and facial pain to thick mucus and tooth pain, unresolved symptoms of sinusitis often signal a deeper problem. While over-the-counter (OTC) sprays offer quick relief, some may worsen the issue with long-term use.
When Sinus Problems Go Beyond the Common Cold
Many people confuse chronic sinus symptoms with a lingering cold. However, sinusitis symptoms like nasal congestion, bad breath, and a reduced sense of smell can indicate inflammation or infection inside the nasal passages.
Acute vs. Chronic Sinusitis
- Acute sinusitis typically lasts less than four weeks and may follow a viral infection like the common cold.
- Chronic sinusitis lasts 12 weeks or longer and may involve structural issues such as a deviated septum or nasal polyps.
Why Overusing Nasal Sprays Can Backfire
Topical nasal decongestants like oxymetazoline provide fast relief but can cause rebound congestion when used longer than three days. This creates a vicious cycle—the more you use, the worse your nasal congestion becomes.
Side Effects of OTC Nasal Sprays
- Worsening stuffy nose
- Irritation in the nasal passages
- Dependency and reduced effectiveness
For safer options, nasal saline spray or a neti pot may offer effective sinus drainage without harmful side effects.
Non-Drug Remedies That Actually Help
Nasal Irrigation
Using a neti pot or saline nasal rinses can flush out thick mucus, allergens, and bacteria from the nasal passages, easing sinus pressure and improving airflow. This method is especially helpful for people with chronic sinusitis or nasal polyps, and it’s safe for daily use when sterile water is used. It also helps prevent mucus buildup that leads to infections.
Warm Compresses and Hydration
A warm compress applied to the cheeks, eyes, or forehead helps increase blood flow and promotes sinus drainage, relieving facial pain and tension. Staying well-hydrated thins out nasal discharge, improves mucus flow, and enhances the body’s ability to fight infection, especially in dry or heated indoor environments that worsen dry air exposure.
When Medication Is Necessary
If sinus infection symptoms persist for more than 10 days or worsen after initial improvement, a health care provider may prescribe nasal steroids, oral decongestants, or antibiotics for bacterial sinus infections. Long-term or severe cases may also require imaging or an endoscopic exam to check for structural issues like a deviated septum. Always consult a specialist before combining multiple over-the-counter medicines.
Prescription Medications
- Nasal steroids reduce swelling in chronic sinusitis.
- Oral decongestants or pain relievers may ease discomfort.
- Antibiotics may be prescribed for bacterial sinus infections, but only when appropriate to avoid antibiotic resistance.
When to See a Specialist
Frequent sinus infections, sinus pressure with tooth pain, or complications like a weak immune system may warrant a visit to an ENT specialist. Evaluation through nasal endoscopy can reveal underlying issues like nasal polyps or infection in the back of your throat.
- About the Author
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Dr Ronald Chin is an Australian trained Otolaryngologist Head and Neck Surgeon.
After graduating as a Fellow of the Royal Australasian College of Surgeons, Dr Chin undertook further specialised training in Head and Neck Cancer at the Royal College of Surgeons in Ireland.
He has published many research papers and is an active teacher and scholar.
As part of his subspecialty training, Dr Chin has training in Laser, Da Vinci Robotic, Flex Robotic and complex surgical techniques.
In addition to specialised Head and Neck Cancer, Dr Chin also enjoys general adult and paediatric ENT Surgery and practices sinus, snoring/sleep and general paediatric ENT Surgical procedures.
Dr Ronald Chin works as a general Otolaryngologist, offering a wide range of surgical and non-surgical treatments including ear surgery, nose surgery and throat surgery. He provides treatment for chronic conditions such as tonsillitis, sinus problems and problems with hearing.
He is also involved in the diagnosis and treatment of many conditions such as facial paralysis, head and neck cancer and sleep apnea. As well as performing surgery on children, he also provides specialist care for adults, including the treatment of throat disorders, voice loss and ear problems.
Dr Chin has also served as a Conjoint Associate Professor at the University of Sydney, a Conjoint Associate Professor at Western Sydney University and an Adjunct Associate Professor at the University of Technology Sydney.
