Symptoms
By Mayo Clinic staffAcute 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
- 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.
- 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.
- 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.
- Aring AM, et al. Acute rhinosinusitis in adults. American Family Physician. 2011;83:1057.
- Primary amebic meningoencephalitis (PAM): Prevention & control. Centers for Disease Control and Prevention. http://www.cdc.gov/parasites/naegleria/prevention.html. Accessed March 24, 2013.
- Meltzer EO, et al. Rhiosinusitis diagnosis and management for the clinician: A synopsis of recent consensus guidelines. Mayo Clinic Proceedings. 2011;86:427.
- Hayward G, et al. Intranasal corticosteroids in management of acute sinusitis: A systematic review and meta-analysis. Annals of Family Medicine. 2012;10:241.
- Leung RS, et al. The diagnosis and management of acute and chronic sinusitis. Primary Care: Clinics in Office Practice. 2008;35:11.
- Sinupret+. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed April 1, 2013.
- SinuGuard. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed April 1, 2013.


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