The treatment for a sinus infection depends on whether it is viral or bacterial. If it is viral, antibiotics won’t help, so Dr. Wang suggests remedies like nasal saline sprays or rinses (like neti pots—be sure to use distilled water), nasal steroids (such as Flonase), decongestants, and over-the-counter pain relievers. Dr. King notes that most sinus infections are viral.
Bacterial sinus infections, however, require antibiotics—and sometimes more. “For some patients, the swelling inside the nose can be so severe that in addition to antibiotics, they will also need a prescription for low-dose oral steroids,” says Dr. Barnes.
If you have recurring sinus infections that persist for multiple weeks, Dr. Barnes says your doctor may refer you to an otolaryngologist (ear-nose-throat surgeon) to discuss sinus surgery for treating recurrent infections.
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