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How can I prevent sinusitis? Although you cannot prevent all sinus disorders-any more than you can avoid all colds or bacterial infections-you can do certain things to reduce the number and severity of the attacks and possibly prevent acute sinusitis from becoming chronic. You may get some relief from your symptoms with a humidifier, particularly if room air in your home is heated by a dry forced-air system. Air conditioners help to provide an even temperature. Electrostatic filters attached to heating and air conditioning equipment are helpful in removing allergens from the air. If you are prone to getting sinus disorders, especially if you have allergies, you should avoid cigarette smoke and other air pollutants. If your allergies inflame your nasal passages, you are more likely to have a strong reaction to all irritants.
If you suspect that your sinus inflammation may be related to dust, mold, pollen, or food-or any of the hundreds of allergens that can trigger an upper respiratory reaction-you should consult your doctor. Your doctor can use various tests to determine whether you have an allergy and its cause. This will help you and your doctor take appropriate steps to reduce or limit your allergy symptoms.
Drinking alcohol also causes nasal and sinus membranes to swell.
If you are prone to sinusitis, it may be uncomfortable for you to swim in pools treated with chlorine, since it irritates the lining of the nose and sinuses.
Divers often get sinus congestion and infection when water is forced into the sinuses from the nasal passages.
You may find that air travel poses a problem if you are suffering from acute or chronic sinusitis. As air pressure in a plane is reduced, pressure can build up in your head blocking your sinuses or eustachian tubes in your ears. Therefore, you might feel discomfort in your sinus or middle ear during the plane's ascent or descent. Some doctors recommend using decongestant nose drops or inhalers before your flight to avoid this problem.
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How is sinusitis diagnosed?
Because your nose can get stuffy when you have a condition like the common cold, you may confuse simple nasal congestion with sinusitis. A cold, however, usually lasts about 7 to 14 days and disappears without treatment. Acute sinusitis often lasts longer and typically causes more symptoms than just a cold. Your doctor can diagnose sinusitis by listening to your symptoms, doing a physical examination, and taking X-rays, and if necessary, an MRI or CT scan (magnetic resonance imaging and computed tomography).
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What causes chronic sinusitis?
If you have asthma, an allergic disease, you may have frequent episodes of chronic sinusitis. If you are allergic to airborne allergens, such as dust, mold, and pollen, which trigger allergic rhinitis, you may develop chronic sinusitis. In addition, people who are allergic to fungi can develop a condition called "allergic fungal sinusitis."
If you are subject to getting chronic sinusitis, damp weather, especially in northern temperate climates, or pollutants in the air and in buildings also can affect you.
Like acute sinusitis, you might develop chronic sinusitis if you have an immune deficiency disease or an abnormality in the way mucus moves through and from your respiratory system (e.g., immune deficiency, HIV infection, and cystic fibrosis). In addition, if you have severe asthma, nasal polyps (small growths in the nose), or a severe asthmatic response to aspirin and aspirin-like medicines such as ibuprofen, you might have chronic sinusitis often.
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What are some causes of acute sinusitis? Most cases of acute sinusitis start with a common cold, which is caused by a virus. These viral colds do not cause symptoms of sinusitis, but they do inflame the sinuses. Both the cold and the sinus inflammation usually go away without treatment in 2 weeks. The inflammation, however, might explain why having a cold increases your likelihood of developing acute sinusitis. For example, your nose reacts to an invasion by viruses that cause infections such as the common cold or flu by producing mucus and sending white blood cells to the lining of the nose, which congest and swell the nasal passages. When this swelling involves the adjacent mucous membranes of your sinuses, air and mucus are trapped behind the narrowed openings of the sinuses. When your sinus openings become too narrow, mucus cannot drain properly. This increase in mucus sets up prime conditions for bacteria to multiply.
Most healthy people harbor bacteria, such as Streptococcus pneumoniae and Haemophilus influenzae, in their upper respiratory tracts with no problems until the body's defenses are weakened or drainage from the sinuses is blocked by a cold or other viral infection. Thus, bacteria that may have been living harmlessly in your nose or throat can multiply and invade your sinuses, causing an acute sinus infection.
Sometimes, fungal infections can cause acute sinusitis. Although fungi are abundant in the environment, they usually are harmless to healthy people, indicating that the human body has a natural resistance to them. Fungi, such as Aspergillus, can cause serious illness in people whose immune systems are not functioning properly. Some people with fungal sinusitis have an allergic-type reaction to the fungi.
Chronic inflammation of the nasal passages also can lead to sinusitis. If you have allergic rhinitis or hay fever, you can develop episodes of acute sinusitis. Vasomotor rhinitis, caused by humidity, cold air, alcohol, perfumes, and other environmental conditions, also may be complicated by sinus infections.
Acute sinusitis is much more common in some people than in the general population. For example, sinusitis occurs more often in people who have reduced immune function (such as those with immune deficiency diseases or HIV infection) and with abnormality of mucus secretion or mucus movement (such as those with cystic fibrosis).
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What are the symptoms of sinusitis?
The location of your sinus pain depends on which sinus is affected. Headache when you wake up in the morning is typical of a sinus problem. Pain when your forehead over the frontal sinuses is touched may indicate that your frontal sinuses are inflammed. Infection in the maxillary sinuses can cause your upper jaw and teeth to ache and your cheeks to become tender to the touch. Since the ethmoid sinuses are near the tear ducts in the corner of the eyes, inflammation of these cavities often causes swelling of the eyelids and tissues around your eyes, and pain between your eyes. Ethmoid inflammation also can cause tenderness when the sides of your nose are touched, a loss of smell, and a stuffy nose. Although the sphenoid sinuses are less frequently affected, infection in this area can cause earaches, neck pain, and deep aching at the top of your head. Most people with sinusitis, however, have pain or tenderness in several locations, and their symptoms usually do not clearly indicate which sinuses are inflamed.
Other symptoms of sinusitis can include
Fever Weakness Tiredness A cough that may be more severe at night Runny nose (rhinitis) or nasal congestion In addition, the drainage of mucus from the sphenoids or other sinuses down the back of your throat (postnasal drip) can cause you to have a sore throat. Mucus drainage also can irritate the membranes lining your larynx (upper windpipe). Not everyone with these symptoms, however, has sinusitis.
On rare occasions, acute sinusitis can result in brain infection and other serious complications.
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Sinusitis
What is sinusitis?
You're coughing and sneezing and tired and achy. You think that you might be getting a cold. Later, when the medicines you've been taking to relieve the symptoms of the common cold are not working and you've now got a terrible headache, you finally drag yourself to the doctor. After listening to your history of symptoms, examining your face and forehead, and perhaps doing a sinus X-ray, the doctor says you have sinusitis. Sinusitis simply means your sinuses are infected or inflamed, but this gives little indication of the misery and pain this condition can cause. Health care experts usually divide sinusitis cases into
Acute, which lasts for 3 weeks or less Chronic, which usually lasts for 3 to 8 weeks but can continue for months or even years Recurrent, which is several acute attacks within a year
What are sinuses?
Sinuses are hollow air spaces in the human body. When people say, "I'm having a sinus attack," they usually are referring to symptoms in one or more of four pairs of cavities, or sinuses, known as paranasal sinuses. These cavities, located within the skull or bones of the head surrounding the nose, include the: Frontal sinuses over the eyes in the brow area Maxillary sinuses inside each cheekbone Ethmoid sinuses just behind the bridge of the nose and between the eyes Sphenoid sinuses behind the ethmoids in the upper region of the nose and behind the eyes Each sinus has an opening into the nose for the free exchange of air and mucus, and each is joined with the nasal passages by a continuous mucous membrane lining. Therefore, anything that causes a swelling in the nose-an infection, an allergic reaction, or an immune reaction-also can affect the sinuses. Air trapped within a blocked sinus, along with pus or other secretions, may cause pressure on the sinus wall. The result is the sometimes intense pain of a sinus attack. Similarly, when air is prevented from entering a paranasal sinus by a swollen membrane at the opening, a vacuum can be created that also causes pain.
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What can I do to avoid more stones? Try to drink 8 to 12 full glasses of water every day. Drinking lots of water helps to flush away the substances that form stones in the kidneys. You can also drink ginger ale, lemon-lime sodas, and fruit juices, although water is best. Limit your coffee, tea, and cola to one or two cups a day because the caffeine may cause you to lose fluid too quickly.
Your doctor may ask you to eat more of some foods and to cut back on other foods. For example, if you have a uric acid stone, your doctor may ask you to eat less meat, because meat breaks down to make uric acid. Your doctor may give you medicines to prevent calcium and uric acid stones.
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Are all kidney stones the same? There are four major types of kidney stones. The most common type of stone contains calcium, which is a normal part of a healthy diet. Calcium not needed by the bones and muscles must be disposed by the kidneys. In most people, the kidneys flush out the extra calcium with the rest of the urine. People who have calcium stones keep the calcium in their kidneys where it joins with other waste products to form a stone. A struvite stone may form after an infection in the urinary system. These stones contain magnesium and the waste product ammonia. A uric acid stone may form when there is too much acid in the urine. If you tend to form uric acid stones, you may need to cut back on the amount of meat (protein) you eat. The fourth type of kidney stone is called a cystine stone and is very rare. Cystine is one of the building blocks that make up muscles, nerves, and other parts of the body. The disease that causes cystine stones usually runs in families.
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Signs of a kidney stone that needs a doctor's care include:
Extreme pain in your back or side that will not go away. Blood in your urine. Fever and chills. Vomiting. Urine that smells bad or looks cloudy. A burning feeling when you urinate. What is a kidney stone? A kidney stone is a solid piece of material that forms in the kidney out of substances in the urine. A stone may stay in the kidney or break loose and travel down the urinary tract. A small stone may pass all of the way out of the body without causing much pain, but a larger stone may get stuck in a ureter, the bladder, or the urethra, blocking the flow of urine and causing great pain.
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Important Facts about Kidney Stones If you have a kidney stone, you may already know how painful it can be. Most kidney stones pass out of the body without help from a doctor, but sometimes a stone will not just go away or may even get larger. Your doctor can help. Pain in the shaded areas in the illustration on the right may be caused by kidney stones. The pain can either be on the left side or right side, depending upon the location of the kidney stone.