Most sinus infections usually get better on their own without antibiotics. When antibiotics aren't needed, they won't help you, and their side effects could still cause harm. Side effects can range from mild reactions, like a rash, to more serious health problems.
What happens if sinusitis is left untreated? You don't necessarily need to treat sinusitis — it often goes away on its own. Very rarely, untreated sinus infections can lead to life-threatening infections. This happens if bacteria or fungi spread to your brain, eyes or nearby bone.
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.
Sinusitis is swelling of the sinuses, usually caused by an infection. It's common and usually clears up on its own within 2 to 3 weeks. But medicines can help if it's taking a long time to go away.
Schedule an appointment with your doctor if:
See a doctor immediately if you have the following signs or symptoms, which could indicate a serious infection: Fever. Swelling or redness around your eyes. Severe headache.
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.
See a doctor if you have: Severe symptoms, such as severe headache or facial pain. Symptoms that get worse after improving. Symptoms lasting more than 10 days without getting better.
Antibiotics and sinus infections
This may give you the idea that you need antibiotics, but most clear up without them. Antibiotics have no effect on viruses and aren't recommended within the first week of developing a cold. About 70% of sinus infections go away within two weeks without antibiotics.
As your body works hard to fight off the sinus infection, you'll feel more tired than usual. Fatigue can be also be caused by head pain, a lack of adequate sleep, and difficulty breathing due to sinusitis.
Sinus infections can be viral or bacterial. “Either way, it's best to stay home,” Wigmore says. Viral sinus infections are often contagious. If you have had symptoms longer than one week, or if you have severe facial pain, teeth/jaw pain, or fever, you may have a bacterial infection and should consult your doctor.
And if you can't open your eyes or you feel dizzy, these are major warning signs that your sinusitis is at a dangerous level. If not properly treated, you may incur infections in your ears, throat and even your brain (called meningitis.)
The bacteria confine themselves in stubborn “biofilms,” making it difficult for your immune system or antibiotics to find and attack them. An overlap of additional factors such as smoking, environmental pollutants, and deviated septum, further complicate the picture of 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. A sinus infection can spread to the eyes, causing redness, swelling, and reduced vision. In very severe cases, it can even cause blindness.
If your symptoms aren't improving after one week, it's important to see your doctor. If a bacterial infection is suspected, you'll probably need to take an antibiotic to clear up the infection and prevent further complications.
Acute sinusitis usually starts with cold-like symptoms such as a runny, stuffy nose and facial pain. It may start suddenly and last 2 to 4 weeks. Subacute sinusitis usually lasts 4 to 12 weeks. Chronic sinusitis symptoms last 12 weeks or longer.
You might have symptoms, such as face pain and fever. You might have yellow or greenish discharge from your nose. Your healthcare provider might or might not use an antibiotic to help treat you. Other treatments may help make you feel better.
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.
Other disease processes can mimic sinusitis including the common cold, allergies, migraine headache, chronic daily headache, myofascial pain, temporomandibular joint or jaw pain, rhinitis medicamentosa, and even sleep apnea. Therefore an accurate diagnosis requires a thorough history and physical examination.