A sinus infection that goes on for weeks without treatment can make you miserable and may develop into chronic sinusitis. If your infection is allowed to linger, it could also result in some potentially serious complications. These types of issues are rare, but they do occur.
Untreated sinusitis allows bacteria and other harmful pathogens to enter the bloodstream and travel all throughout the body, leading to the following potentially life-threatening conditions. Meningitis develops when infection targets the brain or spinal fluid. It requires immediate medical attention.
An “acute” sinus infection lasts anywhere from ten days up to eight weeks. A “chronic” infection lasts even longer. It is ongoing — it may seem like it's improving, and then it comes right back as bad as it was at first. Chronic sinus infections may drag on for months at a time.
See a doctor immediately if you have signs or symptoms that may indicate a serious infection: Pain, swelling or redness around your eyes. High fever. Confusion.
Even if the infection becomes bacterial, 70% of the time the infection will go away within two weeks without antibiotics. In the event of severe headache, toothache, or face pain or for persisting fevers greater than 102 degrees you should be seen by your health care provider.
Nasal Irrigation: Using a system such as a Neti pot, a salt and water rinse treatment, flush out your nasal passages. Nasal irrigation has been a proven sinus treatment method which has been used for centuries. Some patients even use a Neti pot daily or weekly to maintain healthy and clear sinuses.
You doctor may recommend antibiotics if: You have symptoms of a bacterial infection and you have not gotten better after 10 days, even with home treatment. Your symptoms are severe, or you have other problems, such as pus forming in your sinus cavities.
For adults — See a health care provider if:
You have symptoms for more than 10 days. You have a high fever. What's coming from your nose is yellow or green. You also have sinus pain or fever.
Viral infections are spread the same way as bacterial infections. The difference is that the viral infection will start to improve after 5 to 7 days of the initial onset of the symptoms. There is no one definitive way for a doctor to determine if you have a bacterial or viral sinus infection based on symptoms alone.
If the condition lasts longer than ten days, or there is a worsening of symptoms after five to seven days, the sinusitis is more likely caused by bacteria than a virus.
Sometimes, you may need to get a CT scan to look for more serious inflammation deep in your sinuses. It uses X-rays to produce a cross-section view of a particular part of the body. Your doctor may also take a swab from inside your sinuses if they think you may have a fungal infection or bacterial infection.
Mucinex (guaifenesin)
Unfortunately, there's no good evidence that Mucinex actually helps break up the mucus caused by a sinus infection.
Sinus infections can last many days. Viral sinus infections are usually the worst 3 to 6 days after they start, and then begin to get better by day 10.
On the other hand, repeated and forceful nose-blowing can generate pressures that are high enough to force mucus into the sinuses, which could be a factor in chronic sinusitis. If you are going to blow your nose, stick to one nostril at a time and do it gently.
Acute sinusitis lasts for less than four weeks. Chronic sinusitis can last for more than 12 weeks. The majority of sinus infection sufferers will see their symptoms start to resolve after about 10 days. While one to two infections a year is considering normal, more than four requires medical attention.
Fungal and bacterial sinus infections, on the other hand, are not contagious, but these types of infections are uncommon. If you have a sinus infection, it's best to assume that it is viral and take as many precautions as you can, like staying home from work or school.