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How to tell if you need
medical help for your
sinus discomfort

When to see a doctor for sinus and allergy symptoms

Allergies can cause itchy, watery eyes, runny nose, sinus pain and pressure.

Allergies are the body’s reaction to substances, known as allergens, that are usually harmless. At the first sign of these allergens, the body produces antibodies to counter their effects.

While this kind of reaction of the body is helpful with sickness-causing germs, it’s not so helpful with harmless allergens. When the body encounters an allergen, it produces a chemical called histamine. It is actually this histamine – not the mould or pet hair – that causes allergy symptoms, including nasal passage swelling, a runny nose, coughing, and sneezing. Sometimes, allergies can be severe, causing allergic reactions that require immediate medical attention.

Your sinuses, which are vital air-filled sacs in your skull, are normally germ-free. But if too much mucus blocks the sinus openings, as can happen with allergies, bacteria can thrive and multiply. This in turn could lead to sinusitis.

Sinusitis is inflammation of the sinuses. It can be caused by viruses, bacteria, or fungus. Acute, or short-term, sinusitis usually last less than 4 weeks, while chronic or long-term sinusitis lasts much longer.

Some symptoms of both acute and chronic sinusitis can include:

  • Headache
  • Facial pain
  • Toothache
  • Eye pain
  • Stuffy or runny nose
  • Sore throat and postnasal drip
  • Cough
  • Fever 
  • Tiredness
  • Feeling generally sick
  • Bad breath
  • Loss of sense of smell

Home treatment can be very helpful for managing sinus pain and pressure. Try applying a warm, moist washcloth to your face and forehead several times a day. Inhale steam from the shower or a bowl of hot water with a towel over the head. Drink plenty of liquids and use saline nasal spray, and use a humidifier if the environment is dry.

Contact your doctor if:

  • The symptoms last longer than 10-14 days or a cold gets worse after 7 days.
  • You have a severe headache that is not relieved by over-the-counter pain relief medications.
  • A fever lingers.
  • Symptoms remain after taking a full course of medicine prescribed by the doctor.
  • There are changes in vision during an episode of sinusitis.
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