Alabama Nasal & Sinus Center

Alabama Nasal & Sinus Center

Sinusitis Guidelines 4

Hey guys, did you miss me?  Well, ready or not, here we go with the final installment of Sinusitis Guidelines.  Also known as ansers to hot boiling questions (regarding sinusitis).  

1.  If I have acute bacterial rhinosinusitis (ABRS), do I have to take an antibiotic?

No, both watchful waiting and antibiotic therapy are proven ways to treat ABRS. Most people get better naturally, and antibiotics only slightly increase symptom relief (about 10 to 15 people must use antibiotics to get 1 more person better after 7 to 15 days).

2.  Is there any downside to using antibiotic?
Antibiotics have side effects that include rash, upset stomach, nausea, vomiting, allergic reactions, and they cause resistant germs.

3.  What is "watchful waiting" for ABRS?
Watchful waiting means delaying antibiotic treatment of ABRS for up to 7 d after diagnosis to see if you get better on your own.

4.  How is watchful waiting done?
Your doctor can give you an antibiotic prescription, but you should fill the prescription and take the antibiotic only if you do not get better after 7 days or if you get worse at any time. If you do use the antibiotic, contact your doctor's office and let the staff know.

5.  If I use an antibiotic, for how many days should I take it?
Antibiotics are usually given for 10 days to treat ABRS, but shorter courses may be equally effective. Ask your doctor about a 5- to 7-day course of antibiotics since side effects are less common.

Well, I hope you are thoroughly satisfied in your quest for knowledge of "Sinus". But, of course, often a little knowledge only raises more questions. It does for those of us who work with sinus patients every day. There are numerous avenues of research that need to be expolored. The role of immunodeficiency, cystic fibrosis, or allergy in chronic rhinosinusitis are beyond the scope of this forum, but these topics are covered in the guidelines. In addition, the role of nasal polyps as a factor in treatment and outcomes in patients with chronic rhinosinusitis is discussed at length. These and many other issues can be discussed in person if you are interested. Dr. Sillers and I would love the opportunity to help you with your sinus problems. Call (205)980-2091 to schedule an appointment today.

Sinusitis Guidelines 3