Family Health How to Treat a Sinus Infection (Sinusitis) at Home By Ear Nose and Throat, April 17, 2016 Having a sinus infection is not fun, with all that pain and pressure in your face. Most of the time, though, it’s not a serious condition. Also called sinusitis, this infection lasts a couple weeks, and you can treat it at home. What Is a Sinus Infection? Sinusitis is when the membranes inside your sinuses (cavities in your skull) get inflamed and swollen. This causes many symptoms similar to a common cold, but with a few differences: Green or yellow mucus Pain and pressure in your face, usually behind the eyes and around your nose Runny nose Mild fever Chest discomfort At-Home Treatment for Sinusitis Antibiotics are best used when they are truly needed. While either bacteria or a virus may cause sinusitis, the antibiotic will only help the bacterial form. Most of the time, your symptoms will clear up on their own with over-the-counter medications. Steam and warm compresses A large amount of pressure in your sinuses is one of the worst symptoms of a sinus infection. You can help relieve this by putting warm compresses on your face or breathing in steam from a hot cup of tea or a shower. If it’s too painful, take acetaminophen or ibuprofen. Wash out the mucus Drink lots of fluids to keep the mucus thin. You can also try a Neti pot or nasal irrigation to wash out the mucus and help reduce some swelling in your nose. When you blow your nose, do it gently, keeping both nostrils open. This helps prevent damage to your sinuses that can cause you more problems. Dry up the mucus Try over-the-counter medications designed to thin out the mucus, such as guaifenesin, or a decongestant. You can also try nasal sprays for a stuffy nose. These include decongestant types or steroid sprays. Just be sure to follow the directions on the label for any medication, and don’t use longer than recommended. Medical Treatment for Sinus Infections If your symptoms persist, you may need to schedule a visit with your doctor, urgent care center, or pharmacy. If you’ve gone a week or more with no improvement in your symptoms, additional treatment may be needed. Sinusitis medication If the infection is caused by bacteria, a course of antibiotics may clear it up. Your doctor can also prescribe stronger decongestants or nasal sprays to help you find relief. Surgery for chronic sinusitis Chronic sinusitis, which is an infection that lasts for 12 weeks or more, requires more intense treatment. You may need multiple rounds of antibiotics or, in rare cases, surgery. Sinus surgery helps open up the nasal cavities so that the sinuses can drain better. The goal is to help prevent recurring, severe sinus infections in the future. Most people don’t need the surgery, but it may be recommended if you have repeated infections, have followed multiple courses of treatment with no improvement, or if you have a polyp in your nose that blocks your sinuses from draining. When you feel symptoms of a sinus infection coming on, it’s best to begin with at-home treatment right away. Keep up with compresses, and avoid food or drinks that can make inflammation worse, including alcohol. To learn more about treatment options for sinus infections and other sino-nasal disorders, please visit the UPMC Sino-Nasal and Allergy Center website.