About Chronic Sinus Infections


What is a Sinus Infection?

A sinus infection, also known as sinusitis, is an inflammation or swelling of the tissues lining the sinuses. Sinuses are air-filled cavities located in the bones of the face and skull that are connected to the nasal passages. When the sinuses become inflamed due to a viral, bacterial or fungal infection, the lining produces mucus and can cause symptoms such as facial pain, headache, congestion, and fever.

What Are Some Symptoms of Sinus Infection?

The signs and symptoms of a sinus infection may vary from person to person and depend on the severity and duration of the infection. Some common signs and symptoms include:

➢ Facial pain or pressure
➢ Headache
➢ Nasal congestion or stuffiness
➢ Runny nose or postnasal drip
➢ Cough
➢ Sore throat
➢ Fatigue
➢ Fever
➢ Toothache
➢ Loss of smell or taste

What Are Some Common Causes?

Sinus infections, also known as sinusitis, can be caused by a variety of factors, including:

▪ Viral infections - The common cold and flu can cause inflammation and swelling of the sinuses.
▪ Bacterial infections - Bacteria such as Streptococcus pneumoniae and Haemophilus influenzae can also cause sinus infections.
▪ Fungal infections - Fungal infections such as Aspergillus and Mucormycosis can cause sinusitis, particularly in people with weakened immune systems.
▪ Allergies - Allergies to environmental factors such as pollen, dust, and pet dander can cause inflammation of the sinuses.
▪ Deviated septum - A crooked or deviated septum can cause blockage of the sinuses and increase the risk.
▪ Nasal polyps - Nasal polyps are noncancerous growths in the lining of the nose or sinuses that can block the sinuses.
▪ Dental infections - Infections in the teeth or gums can spread to the sinuses.

What are Complications of Chronic Sinus Disease?

Chronic sinus infection, also known as chronic sinusitis, can cause a range of complications if left untreated. These complications may include:

❖ Nasal polyps: Chronic inflammation of the sinus lining can cause the growth of small, noncancerous growths called nasal polyps in the nasal cavity or sinuses.
❖ Osteomyelitis: Infection can spread to the bones of the face and skull, causing a serious condition called osteomyelitis.
❖ Vision problems: Infection can spread to the eye socket and cause swelling and redness, which can lead to vision problems.
❖ Meningitis: In rare cases, infection can spread to the brain and cause meningitis, a serious and potentially life-threatening condition.
❖ Chronic Fatigue: Chronic sinusitis can also cause fatigue, as your body is constantly fighting off the infection.
❖ Asthma: Chronic sinusitis is often associated with asthma, as the inflammation in the sinuses can trigger an asthma attack.
❖ Respiratory Infections: Chronic sinusitis can also increase the risk of developing other respiratory infections such as pneumonia.

What Are Some Foods to Avoid?

There is no specific diet that is recommended for people with sinus infections, but some foods may worsen symptoms and should be avoided. These include:

Dairy products - Dairy products such as milk, cheese, and yogurt are known to cause increased mucus production in some people. This may be problematic for individuals with sinus disease, as excess mucus can contribute to congestion and inflammation, leading to sinusitis.
In particular, some people may be sensitive to a protein in milk called casein or to the sugar lactose. When these substances are ingested, they can trigger an inflammatory response in the body, leading to increased mucus production.
If you have sinus disease and suspect that dairy products may be contributing to your symptoms, you may want to try eliminating or reducing your intake of dairy for a period of time to see if your symptoms improve. Alternatively, you can try switching to non-dairy alternatives such as almond milk or K2 milk.

Sugary and processed foods - Consuming too much sugar can lead to a variety of health problems, including several different types of diseases. Some of the potential problems with consuming too much sugar include:

a) Type 2 diabetes: Consuming too much sugar over time can lead to insulin resistance, which is a major risk factor for developing type 2 diabetes.
b) Obesity: Eating too much sugar can contribute to weight gain and obesity, which are associated with a number of health problems including sinus disease, heart disease, stroke, and certain types of cancer.
c) Cardiovascular disease: High sugar intake has been linked to an increased risk of heart disease and stroke.
d) Tooth decay: Consuming sugary foods and drinks can lead to tooth decay, as the bacteria in the mouth feed on sugar and produce acid that can erode tooth enamel.
e) Inflammation: High sugar intake can cause inflammation in the body, which can contribute to a variety of health problems including sinus disease arthritis, asthma, and certain types of cancer.

Fried and fatty foods - Fried foods are typically high in unhealthy fats and calories, which can contribute to weight gain and obesity. These conditions are associated with an increased risk of developing respiratory problems such as sinusitis and asthma. In addition, consuming a diet high in fried foods can contribute to inflammation in the body. Inflammation can affect the sinuses, leading to congestion, pressure, and pain.

Spicy foods - Spicy food can cause temporary inflammation, which can lead to increased mucus production and congestion. This can be particularly problematic for individuals with sinus disease, as excess mucus can contribute to congestion and inflammation, leading to sinusitis.
Spicy foods contain a compound called capsaicin, which can irritate the mucous membranes in the nose and sinuses, leading to inflammation and congestion. This can make sinus symptoms worse and may contribute to the development of sinus infections.
However, it is important to note that not all people with sinus disease are sensitive to spicy foods, and eliminating them may not necessarily improve symptoms.
If you find that spicy foods exacerbate your sinus symptoms, you may want to try reducing your intake or avoiding them altogether. Alternatively, you can try using milder spices or herbs to add flavor to your meals without causing inflammation and congestion in the sinuses.

Alcohol and caffeine - These substances can dehydrate the body and worsen dehydration-related sinus symptoms.

Are There Supplements That May Help?

While supplements are not a substitute for medical treatment, some may help alleviate symptoms of sinus infections. Here are some supplements that may help:

✓ Vitamin C: Vitamin C can help boost the immune system and reduce inflammation, thereby reducing the duration and severity of sinus infections.
✓ Probiotics: Probiotics can help improve gut health, which is linked to immune function. This may help reduce the risk of sinus infections and promote faster recovery.
✓ Zinc: Zinc can help boost the immune system and reduce inflammation, reducing the duration and severity of sinus infections.
✓ Bromelain: Bromelain is an enzyme found in pineapple that may help reduce inflammation and promote healing in the sinuses.
✓ Vitamin D: Vitamin D can help boost the immune system and reduce inflammation, potentially reducing the risk and severity of sinus infections.

How About Neti Pots?

A neti pot is a device used to flush out the sinuses with a saline solution, which can help to relieve nasal congestion and improve sinus drainage. It can be helpful in relieving symptoms of sinus infections, such as congestion, headache, and facial pressure.
Using a neti pot can help to flush out mucus and bacteria from the nasal passages, which can reduce inflammation and improve sinus function. However, it is important to use the neti pot properly to avoid the risk of infection.
It is recommended to use sterile water, pre-boiled and cooled, or distilled water with a neti pot to prevent the risk of infection. Tap water can contain harmful bacteria, such as Naegleria fowleri, which can cause brain infections. It is also important to use the neti pot according to the instructions and avoid sharing it with others to prevent the spread of infection.

Can Povidone-Iodine Irrigation Help?

Chronic rhinosinusitis is a persistent inflammatory condition of the sinonasal mucosa despite adequate medical therapy and for which surgery is sometimes recommended. Povidone-iodine (PVP-I) may be beneficial for preventing infection and treating a range of pathogens, including bacteria, protozoa, fungi and viruses. Specifically, a dilute solution of 0.08% povidone-iodine (PVP-I) sinonasal rinse has been used as an ancillary therapy in recalcitrant sinus disease and is an inexpensive solution with the potential to reduce disease severity. Additionally, PVP-I irrigation significantly reduces signs of infection alongside notable symptom improvement, without affecting thyroid function, mucociliary clearance or olfaction.
One study found that there may be up to a 17% reduction in serum inflammatory markers, measured post-PVP-I rinsing. Several other studies found povidone-iodine irrigation to be significantly more effective at preventing surgical site infection than the comparison interventions of saline, water or no irrigation. Although PVP-I is available over the counter, it should still be used under the supervision of a medical professional. The main risks associated with povidone-iodine irrigation were primarily related to thyroid function. That being said, iodine supplementation or use of iodine-containing products should not be used or should be used with caution under certain conditions, including: iodine sensitivity, hypothyroidism, burns, thyroid disease, or kidney disease. PVP-I has been demonstrated to be systemically risk free at concentrations up to 5% daily for 5 months.


References:

The efficacy and risks of using povidone-iodine irrigation to prevent surgical site infection: an evidence-based review - PMC (nih.gov)
Povidone-Iodine Use in Sinonasal and Oral Cavities: A Review of Safety in the COVID-19 Era - PubMed (nih.gov)



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Disclaimer: These statements have not been evaluated by the Food and Drug Administration. The contents of this website are based upon the views of Dr. Walker and his experience. This product is not intended as medical advice nor to diagnose, treat, cure or prevent any disease. The information is likewise not to replace the advice of a qualified health care provider. The information provided herein is intended as a sharing of general knowledge only and is not intended to be, nor is it, medical advice or a substitute for medical advice. That being said, please consult your healthcare provider before using supplements or providing supplements to children under the age of 18. If you have or suspect you have, a specific medical condition or disease, please consult your healthcare provider.

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