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Writer's pictureDr Shital Mehta Trivedi

Sinusitis - A common allergy

Due to the increase in environmental pollution, rhinitis is a common disease in the present era.


Definition

Sinusitis means congestion and pain in one or more cavities in the bones around the nose

called sinuses. Each sinus has an opening into the nose for the free exchange of air and mucus.

Normally, healthy sinuses are filled with air. When it becomes blocked and filled with fluid, bacteria and viruses can grow and cause an infection.


As nose is in direct contact with external environment, it is exposed to many

microorganisms and pollutants. Due to increase in environmental pollution and today's busy lifestyles, rhinitis is a common disease in the present era. Improper management at this

stage leads to sinusitis, which may later become chronic.


The features of the disease ‘Dushta Pratishyaya’ are similar to that of chronic sinusitis in

modern science. Both these diseases are characterized by nasal blockage, nasal discharge, headache, heaviness in the head, etc.

​Causes of Sinusitis


Poor digestion

Frequent cold and flu attacks

​Poor nutrition

Viral or bacterial infections

Toxins accumulating in tissues which blocks circulation.

Allergic rhinitis/Asthma

Physical and mental stress

Damp weather along with nasal polyps

Low immunity

Excess humidity

Pungent smells of perfumes, petrol, polishes and paints

Continuous exposure to cold air

Excessive mucus secretions

Alcohol and smoking

Classification
  • Acute sinusitis: A sudden onset of cold-like symptoms such as the runny, stuffy nose and facial

pain that do not go away after 10 to 14 days. Acute sinusitis typically lasts 4 weeks or less.

  • Subacute sinusitis: An inflammation lasting 4 to 8 weeks.

  • Chronic sinusitis: A condition characterized by sinus inflammation symptoms lasting 8 weeks or longer.

  • Recurrent sinusitis: Several attacks within a year.


Signs and symptoms

Acute sinusitis

Chronic sinusitis

​Headache

Facial congestion/fullness

Pain between the eyes, cheeks, upper jaws and teeth

nasal obstruction/blockage

​Puffiness of face

Pus in the nasal cavity

​Nasal stuffiness/running nose

​Fever

Ear ache

Nasal discharge / discoloured postnasal drainage

Loss of smell

​Headaches

Cough/congestion

Bad breath

Fever

Fatigue

​Bad breath

Dental pain

Treatment modalities

​Biopurification methods

​Yogasanas, Pranayama and tips

​Vaman- medicated emesis

Surya Bhastrika: In this inhale and exhale only from right nostril

Swedan- Steam can be very helpful for decongestion.

Surya kapalbhati: Close the left nostril and breathe out with right nostril without putting

effort to breathe in.

Snehan- oleation therapy

Suryabedhana Pranayama : Breath in with right and exhale with left nostril. This is called as

suryabhedana which removes cold and coughing.

​Abhyanga- Massage on face

Valuka Swedan

Nasya- it is the chief procedure among all

​Lepan - application of certain herbs on sinus and forehead areas relieves sinusitis.

Dhoompaan- medicated herbal smoking

Do’s and don’t’s
  • Drink lukewarm ginger water 3 times a day

  • Avoid dairy products like cheese, butter, milk, etc

  • Take light but spicy food having chilly, mustard, ginger, garlic, etc.

  • Avoid daytime sleep after a meal

  • Avoid cold drinks, ice cream, or chocolates

  • Avoid spending much time sleeping in AC rooms and do not sleep directly under the fan.

  • If traveling in the cold season, give protection to your ears by plugging them with cotton.

  • Massage with sesame oil on both sides of the nose.

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