Find Relief for Chronic Sinusitis

At Atkins Expert Sinus Care, we offer comprehensive diagnosis and treatment plans for chronic sinusitis in San Antonio, TX and the surrounding communities. Our specialists offer in-office diagnosis and treatment to improve patient outcomes. If you’re tired of managing chronic sinusitis on your own, we can help.

Chronic Sinusitis

What Is Chronic Sinusitis?

Chronic sinusitis is a long-lasting inflammation of the sinuses, typically persisting for 12 weeks or more, despite attempts at treatment. It affects millions of people each year and is one of the most common reasons patients seek help from an ear, nose, and throat (ENT) specialist. Unlike acute sinus infections, chronic sinusitis doesn’t always resolve with antibiotics alone and may require a more comprehensive approach.

Common Symptoms Of Chronic Sinusitis

If you’ve been experiencing persistent nasal congestion or sinus pressure that won’t go away, you might be dealing with chronic sinusitis. Here are the most common signs and symptoms:

Persistent Symptoms May Include:

  • Facial congestion or fullness, especially around the eyes, forehead, and cheeks
  • Thick or discolored nasal discharge or postnasal drip
  • Facial pain or headaches, especially when bending over or lying down
  • Reduced or complete loss of smell (anosmia)
  • Chronic fatigue or a general feeling of being unwell
  • Cough, often worse at night, triggered by post nasal drainage
  • Bad breath (halitosis) that doesn’t improve with oral hygiene
  • Tooth pain, especially in the upper back teeth due to maxillary sinus pressure

How Is Chronic Sinusitis Diagnosed?

A proper diagnosis is key to effective treatment. Your ENT may use a combination of tools to confirm chronic sinusitis and rule out other causes.

Diagnostic Methods May Include:

  • Physical exam – Assessing nasal passages and sinuses
  • CT scan of the sinuses – Provides detailed images of the sinus cavities
  • Nasal endoscopy – A small camera is used to view inside your nasal passages
  • Allergy testing – To identify allergic triggers that may worsen symptoms
  • Sinus cultures – To detect bacterial, viral, or fungal infections
  • Immune system evaluation – Especially if infections are frequent or persistent
Chronic Sinusitis

Treatment Options

The primary goal of treatment is to relieve your symptoms, restore sinus drainage, and prevent recurrence.

Treatment May Include:

  • Nasal corticosteroids – To reduce inflammation
  • Saline rinses – To clear nasal passages
  • Antibiotics or antifungals – If an infection is identified
  • Allergy management – Including medications or immunotherapy
  • Surgery – Such as balloon sinuplasty or endoscopic sinus surgery to open blocked sinus pathways
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Chronic Sinusitis

What Causes Chronic Sinusitis?

Several factors can contribute to ongoing sinus inflammation and blockage.

Common Causes and Risk Factors:

  • Allergies – Including seasonal pollen, dust mites, mold, and pet dander
  • Structural issues – Such as a deviated septum or nasal polyps that block drainage
  • Recurring infections – Viral, bacterial, or fungal
  • Dental infections – Can spread to the sinuses, particularly the upper molars
  • Underlying medical conditions – Including asthma and ciliary disorders
  • Smoking – Active or secondhand smoke irritates nasal passages and slows healing

We Can Help You Breathe Easier in San Antonio, TX

Our patients don’t have to live with constant nasal pressure, congestion, and fatigue caused by chronic sinusitis. With the right diagnosis and treatment for chronic sinusitis, lasting relief is within reach. The ENT specialists at Atkins Expert Sinus Care can diagnose and recommend the appropriate treatment, allowing you to breathe comfortably once again. We have access to treatment options typically only available in hospitals and surgery centers. So, when you choose us, you’re receiving the best care available.

Chronic Sinusitis FAQ

What Are the Different Types of Chronic Sinusitis?

Not all chronic sinusitis is the same. At Atkins Expert Sinus Care, our team of specialists can diagnose the specific type and recommend the appropriate chronic sinusitis therapy to provide you with more effective relief. Learn more about the three different types of chronic sinusitis:

  • Chronic Sinusitis With Nasal Polyps – Polyps are soft, noncancerous growths that form in the lining of your nasal passages and sinuses. When they grow large enough, they can block airflow and trap mucus, leading to ongoing congestion and pressure. Removing the polyps is necessary to alleviate the symptoms.
  • Chronic Sinusitis Without Nasal Polyps – With this type, the sinus lining becomes inflamed and swollen, but no polyps are present. Patients often experience facial pain, nasal congestion, and persistent thick nasal discharge.
  • Allergic Fungal Rhinosinusitis – Allergic fungal rhinosinusitis develops as an allergic reaction to fungus in the environment. Patients may produce thick mucus that can cause significant blockages, often requiring specialized care.
What's the Difference Between Acute and Chronic Sinusitis Infection?

Sinus infections are often categorized as either acute or chronic, depending on how long symptoms last. Knowing the different types of sinusitis helps you decide when it’s time to visit a specialist for treatment.

  • Acute Sinusitis – Acute sinusitis usually occurs suddenly alongside a cold or respiratory infection. Symptoms of facial pressure, discolored nasal discharge, headaches, and fever often resolve within four weeks with proper rest, hydration, and treatment. Acute sinusitis can sometimes lead to chronic sinusitis if left untreated.
  • Chronic Sinusitis – Chronic sinusitis lasts 12 weeks or longer, even with treatments. There’s often an underlying issue, such as allergies, polyps, or problems with the nasal structure, that requires professional attention to alleviate.
When Should I Seek Professional Treatment for Chronic Sinusitis?

If your symptoms have lasted longer than 12 weeks or you’ve had four instances of acute sinusitis within a single year, you should seek professional chronic sinusitis treatment. Patients should also be aware of the following warning signs that require prompt medical care, including:

  • High Fever
  • Severe Facial Swelling
  • Vision Changes
  • Stiff Neck
How Can Atkins Expert Sinus Care Help With Chronic Sinusitis?

At Atkins Expert Sinus Care, our providers have experience treating chronic sinus infections. Our ENT specialists take a thorough, patient-centered approach to chronic sinusitis. We start with a detailed evaluation, which may include a physical exam, nasal endoscopy, and imaging to find the underlying cause of your symptoms. From there, we will build a chronic sinusitis therapy plan tailored to your needs.

How Long Do Chronic Sinusitis Symptoms Last?

Chronic sinusitis lasts 12 weeks or longer, even with treatment. If your symptoms have persisted beyond this point, it’s a sign you should book an appointment to visit our clinic.

Can Chronic Sinusitis Be Cured?

Diagnosing and treating the underlying problem often allows us to completely alleviate the symptoms of chronic sinusitis, providing long-lasting relief.

Is Chronic Sinusitis Contagious?

Chronic sinusitis itself is not contagious. However, if a virus triggered your sinus issues, that underlying virus could be spread to others.

Will I Need Surgery for Chronic Sinusitis?

Treating chronic sinus infections does not always require surgery. However, if polyps cause your chronic sinusitis, they will need to be removed to provide relief.

Can Complications Arise From Untreated Chronic Sinusitis?

Yes. Chronic sinusitis is uncomfortable. However, patients who ignore the symptoms often develop more serious complications that can severely impact their day-to-day living. Learn more about some of the complications of untreated chronic sinus infections:

  • Quality of Life – Constant congestion, facial pressure, poor sleep, and fatigue can take a toll on your body, especially after months of trying to manage symptoms on your own.
  • Vision Problems – Because your sinuses sit close to your eyes, an infection can spread to the surrounding tissue. In rare cases, this leads to swelling, vision changes, or other serious eye issues.
  • Infections – Sinus infections can spread to bones and, in rare cases, to the brain. While rare, these infections can be dangerous and require immediate medical care.

Let’s get you back to breathing well again.

Don’t let chronic sinus and nasal infections take control of your life. Book your consultation today for lasting relief.

Meet The Team

Atkins Sinus Expert Care is committed to providing personalized care, cutting-edge equipment, and a level of experience you won't find elsewhere.

Your First Visit With Us

  • Step 1

    Book Your Visit

    Book through our online patient portal and let us know some of the symptoms you’re experiencing.

  • Step 2

    Visit Our Office

    Our team will review your symptoms at your visit and decide what diagnostic tests are needed to get to the root of your problem.

  • Step 3

    Care Plan

    Once the diagnostic tests are done, our team will review them and make a plan of care for you. At that time, they will discuss whether you are a candidate for one of our procedures.

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