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Symptoms

By Mayo Clinic staff

Acute sinusitis symptoms often include:

  • Drainage of a thick, yellow or greenish discharge from the nose or down the back of the throat
  • Nasal obstruction or congestion, causing difficulty breathing through your nose
  • Pain, tenderness, swelling and pressure around your eyes, cheeks, nose or forehead
  • Reduced sense of smell and taste
  • Cough, which may be worse at night

Other signs and symptoms can include:

  • Ear pain
  • Headache
  • Aching in your upper jaw and teeth
  • Bad breath (halitosis)
  • Fatigue
  • Fever

When to see a doctor
If you have mild symptoms of sinusitis, try self-care.

Contact your doctor if you have any of the following:

  • Symptoms that don't improve within a few days or symptoms that get worse
  • A persistent fever
  • A history of recurrent or chronic sinusitis

See a doctor immediately if you have signs or symptoms that may indicate a serious infection:

  • Pain or swelling around your eyes
  • Swollen forehead
  • Severe headache
  • Confusion
  • Double vision or other vision changes
  • Stiff neck
  • Shortness of breath
References
  1. Sinuses|Sinusitius|Rhinosinusitis. American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/conditions-and-treatments/conditions-a-to-z-search/sinuses,-sinusitis,-rhinosinusitis.aspx. Accessed March 25, 2013.
  2. Lalwani AK. Current Diagnosis & Treatment in Otolaryngology-Head & Neck Surgery. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=39. Accessed March 25, 2013.
  3. Fact sheet: 20 questions about your sinuses. American Academy of Otolaryngology-Head and Neck Surgery. http://www.entnet.org/HealthInformation/sinuses.cfm. Accessed March 31, 2013.
  4. Aring AM, et al. Acute rhinosinusitis in adults. American Family Physician. 2011;83:1057.
  5. Primary amebic meningoencephalitis (PAM): Prevention & control. Centers for Disease Control and Prevention. http://www.cdc.gov/parasites/naegleria/prevention.html. Accessed March 24, 2013.
  6. Meltzer EO, et al. Rhiosinusitis diagnosis and management for the clinician: A synopsis of recent consensus guidelines. Mayo Clinic Proceedings. 2011;86:427.
  7. Hayward G, et al. Intranasal corticosteroids in management of acute sinusitis: A systematic review and meta-analysis. Annals of Family Medicine. 2012;10:241.
  8. Leung RS, et al. The diagnosis and management of acute and chronic sinusitis. Primary Care: Clinics in Office Practice. 2008;35:11.
  9. Sinupret+. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed April 1, 2013.
  10. SinuGuard. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed April 1, 2013.
DS00170 July 2, 2013

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