Nasal endoscopy is used to clearly see the nasal passages and the sinus cavities.
Imaging techniques like MRIs and CT scans also help to see the inner parts of nasal area and sinuses. If acute sinusitis does not respond to the conventional treatment, nasal and sinus cultures will be recommended.
Allergy testing is also done in sinusitis when triggered by allergies.
Nasal passages are cleared using nasal sprays. Corticosteroids are used to control inflammation of the nasal cavities. Fluticasone, mometasone, budesonide, triamcinolone, and beclomethasone are also recommended as anti-inflammatory agents.
Over-the-counter medications are used to relieve congestion. Pain is controlled by over-the-counter pain medications as well such as acetaminophen or ibuprofen.
Antibiotics are prescribed in case of persistent bacterial infections that cause acute sinusitis. Antifungal medications are suggested for fungal infections that result in acute sinusitis.
The dose of antifungals are based on severity of infection.
In some cases, allergies cause acute sinusitis, and this is controlled by immunotherapy.
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