Sinus infections are among the most frequently treated conditions by MD Health Pathways doctors. Although they share similarities with the common cold, sinus infections are distinct. Common symptoms of a sinus infection may include:

• Thick, yellow, foul-smelling nasal discharge.
• Pressure or pain around the eyes or cheeks.
• Persistent cold-like symptoms that worsen
• Fever

While many believe that antibiotics are the primary treatment for sinus infections, this is often not the case. Guidelines from the Infectious Diseases Society of America indicate that 90 to 98 percent of sinus infections are viral, not bacterial, making antibiotics ineffective. Using antibiotics when they aren’t needed can be harmful. A doctor can determine if you have sinusitis, what type it is, and whether treatment or a specialist referral is necessary.

During a video consultation with MD Health Pathways, your doctor will ask targeted questions to diagnose your condition. Based on your symptoms’ duration and severity, along with your medical history, the provider will develop a personalized treatment plan. If an in-person exam by a specialist is required, your doctor will let you know. You should be prepared to discuss any previous treatments for sinusitis and answer questions about your symptoms, such as taking your temperature or checking for tenderness in your sinuses

Once diagnosed, your doctor will explain the pros and cons of different treatment options. Depending on the severity and cause of your sinus infection, your treatment may include:

• Home remedies to promote nasal drainage and ease symptoms (e.g., saltwater rinses)
• Over-the-counter (OTC) medications, such as:
  – Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen
  – Mucinex
  – Vaporub
  – Decongestants
  – Nasal steroids like Nasacort
  – Oral or nasal antihistamines
• If the infection is bacterial, antibiotics may be prescribed
• A referral to a specialist, if necessary