Rhinosinusitis and sinusitis

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Rhinosinusitis and sinusitis

Pollen allergies, dust allergies and other allergies, into which the allergen is inhaled, often speak with liquid, watery eyes, but also with facial pain and pressure pain. Most nasal mucosa is inflamed (rhinitis), often sinus mucosa (sinusitis). If both the nasal mucosa and the paranasal sinuses are affected – which is usually the case – doctors talk about rhinosinusitis.

Particularly in cases where allergic rhinosinusitis is caused by allergens, such as household dust mites, which are present in the air throughout the year, complaints can become a heavy burden. Because in many cases they cause other symptoms such as lack of concentration and fatigue after. Because the mucous membrane is very irritated, other stimuli (eg, odors) are often perceived by the diseased as a burden. Among them, quality of life sometimes suffers greatly. In addition, allergy makes so-called floor changes, can extend to the lower respiratory tract and lead to allergic asthma. For these reasons, allergic rhinosinusitis or sinusitis needs to be treated quickly.

Avoid allergens

With any allergy, activating agents must be avoided. In pollen, the allergy is called z. B., as much as possible or as short as possible outdoors, when the allergic pollen is in high concentration in the air. The windows of the apartment should be fitted with pollen shields to allow only a few pollen to penetrate the apartment. The car should have a pollen filter that will keep the load low when driving. In case of a household dust allergy, it is important to clean the floors and surfaces at least every two days in order not to accumulate household dust. Mattresses, bedspreads and pillows should be fitted with dust mites to reduce allergen exposure during the night. House dust cannot be completely ejected from the apartment, which is why complaints can persist throughout the year, despite everything.

Drug treatment

Medications can help people with allergic rhinosinusitis. Which are taken in detail, the doctor must decide based on the symptoms. The following are available:

  • Glucocorticoid nasal sprays: They have a decongestant and anti-inflammatory effect and block the nose. As a rule, they must be used regularly as long as there is an allergen load.
  • antihistamines: These are agents that limit histamine release. Histamine is a messenger that releases in allergic reactions and ensures that the body fights allergens because. As with airway mucosa and fluid. Antihistamines are available both in tablet form and for topical treatment of symptoms, e.g., in the form of a nasal spray.
  • cromonesThese drugs also inhibit histamine release and are available in the form of nasal sprays or eye drops.

In addition, complaints can be alleviated with home remedies, e.g., B. by rinsing the nose with saline. The rhinosinusitis medical guideline also recommends inhaling fumes containing saline. Inhalation also helps degenerate the mucosa.

Source: allergicus 2/2019


Rhinosinusitis and sinusitis