Sinusitis & Asthma

    Man with Asthma(BlackDoctor.org) — Along with all the problems caused by asthma, having sinusitis — or sinus infections — can be tough to handle. It can make you feel sick and miserable. Without good treatment, it can last for months or even years. What’s worse, one condition can worsen the other. Sinusitis has been associated with more severe cases of asthma. So not only does having asthma increase the odds of getting a sinus infection, but a sinus infection can make your asthma harder to control.

    But there’s good news. There are lots of treatments available for both sinus infections and asthma. And studies show that treating one condition often helps relieve the symptoms of the other. The key is to treat both conditions aggressively.

    What is sinusitis?

    While there are many sinuses in your body, the term is often used to refer to the paranasal sinuses. These are a group of four hollow cavities in your face, near the cheeks and eyes. They’re connected to the nasal passageways and help warm up, moisten and filter the air you breathe in. Sinusitis is the swelling or infection of these sinuses.

    Just like the lining of your nose, the sinuses can become irritated and swollen by allergens, viruses, or bacterial infection. Common triggers of sinusitis include:

    • A cold or viral infection
    • Air pollution, smog
    • Airborne allergens
    • Dry or cold air
    • Ozone

    When the tissue in the sinuses gets irritated, it produces mucus. If enough mucus and trapped air builds up, you feel painful pressure in the sinuses. These are the familiar signs of a sinus headache.

    Symptoms of sinusitis vary, depending on which sinuses are affected. But some common signs are pain in these areas:

    • Forehead
    • Upper jaw and teeth
    • Area around the eyes
    • Neck, ear, and on the top of the head

    Severe sinusitis can also cause:

    • Thick yellow or green mucus
    • Bad-tasting postnasal drip
    • Sore throat
    • Fever
    • Weakness
    • Fatigue
    • Cough

    Usually, sinus infections are caused by viruses, like a cold virus. But if the sinuses have been blocked for too long, bacteria can invade, causing a secondary infection. Having multiple sinus infections can lead to chronic (long-term) sinusitis.

    What’s the connection between sinusitis and asthma?

    Many studies have shown a connection between sinus infections and asthma. One 2006 study showed that, when compared with those who only have asthma, people who have both sinusitis and asthma:

    • Tend to have more severe asthma symptoms
    • May have more severe asthma flares
    • Are more likely to have disturbed sleep

    The risks of developing sinusitis may not be the same for everyone with asthma. The same 2006 study showed that sinusitis coupled with asthma was more common in women than men. It also may be more common in whites than other racial groups. Acid reflux (GERD) and smoking may increase the risk of someone with asthma developing sinusitis, too.

    The study also suggested that the more severe a person’s asthma is, the more debilitating the sinusitis. In people with severe asthma, sinusitis seems to make the asthma symptoms harder to control.

    How are sinusitis and asthma treated?

    Treatment is important in preventing sinusitis from worsening. Again, since the conditions are linked, treating sinusitis may have the added benefit of improving your asthma symptoms.

    If you have sinusitis and asthma, your doctor might recommend that you use:

    • Steroid nasal sprays to reduce the swelling. Easing the inflammation might allow the sinuses to drain normally.
    • Decongestant or antihistamine medicines.
    • Painkillers — if necessary — to reduce discomfort.

    Always ask your doctor before using nasal spray decongestants. Sometimes, they can wind up leaving you more stuffed up. You might try spraying warm salt water into the nose, or breathing in steam.

    If a secondary bacterial infection has developed in your sinuses, you’ll need antibiotics. Your doctor will probably prescribe them for about 10-14 days. Just remember that antibiotics will only work in cases of bacterial infection. They will not help with viruses.

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