How can I tell sinusitis from nasal allergies?

Doctor's Answers 1

Patients with nasal allergies generally present with nasal issues such as:

  • sneezing
  • runny nose with thin clear mucus
  • nasal obstruction

The commonest allergens are dust mite allergies and often these patients wake up with these symptoms.

They often blow their noses too. They are sometimes associated with itchy eyes, eczema and asthma. Often the symptoms get better by late morning. They generally get these symptoms on a very regular basis(often daily) with symptoms improving after a few hours when they are no longer irritated by the allergens.

This is quite different from sinusitis. Sinusitis means the infection of the sinuses in the face. They generally get episodes of nasal obstruction, facial pressure, thick coloured mucous which last for a couple of weeks to a month.

Once the infection has settled, the nasal symptoms will settle. If it persists for more than 3 months then this is considered chronic sinusitis. If you are unsure of whether you have allergies or chronic sinusitis; your ENT surgeon will be able to help you by performing a nasoendoscopy where a tiny flexible scope is introduced into your nose to visualise internal nasal cavity.

Similar Questions

How do I get rid of a persistent blocked nose?

If you have been diagnosed with acute sinusitis (bacterial infection of the sinuses) and bronchitis (inflammation of the lungs), you will need to be treated with a course of oral antibiotics, nasal wash with salt solutions and nasal steroid sprays. It may take up to 2-3 weeks for an acute sinusitis to resolve completely. I would suggest visiting an ENT Specialist for an assessment. It is quite likely that a nasoendoscopy will be required. This involves passing a small scope through the nose under local anaesthesia to look for signs of sinusitis.

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Answered By

Dr Eng Cern Gan

ENT Doctor

What are the next steps that I should take for a persistent cough of 6 weeks after bronchitis?

It can be quite common for a cough to persist for a while, after recovering from bronchitis. As for the next steps to take, you may want to check out these 2 similar questions that were previously answered by our colleagues here: How do I get rid of a persistent cough? What could be the cause of a persistent dry cough? What could be the cause of chronic cough at night and in early morning? How can I stop the cough? In most instances, your cough will gradually get better over time, with some of the symptomatic medication that your GPs would have prescribed.

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