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  • Q&A with Australian Health Practitioners

    How is sinusitis treated?

    Related Topics
    Colds & Flu Respiratory Health Sinusitis
    • 2 answers
    • Dr David McIntosh
    • Dr Sim Choroomi
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    Dr David McIntosh

    Ear Nose and Throat (ENT) Surgeon

    David McIntosh is an Australian trained ENT surgeon with international experience. His areas of interest are paediatrics, nose and sinus disease, and providing access to … View Profile

    The biggest problem with treating people with sinusitis is that not infrequently they don't have it in the first place. Where it is a correct diagnosis, the treatments vary for the different types but may include diet modification, anti-reflux measures, antibiotics, salt water, nasal sprays, and strong tablets to settle down the immune system. Your GP is the best place to start, with an ENT review if symptoms do not improve. 

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    Dr Sim Choroomi

    Ear Nose and Throat (ENT) Surgeon

    First one must be diagnosed correctly as there are many other conditions which can give sinus like symptoms. 

    Initial treatment with antibiotics, saline nasal flushes, occasioal decongestants and perhaps a short course of prednisone, should help most acute cases. Chronic sinusitis needs confirmation with a CT scan and certainly review by an ENT specialist. 

    In refractory cases, where there is a structural issue or where polyps or recalcitrant infection is present, surgery may be indicated. 

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