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Sinusitis

Sinusitis

Description

Sinusitis, a common disorder similar to rhinitis, is the inflammation of the mucous membranes of the paranasal sinuses. The inflammation commonly spreads from the nose, affecting the frontal and maxillary sinuses, the air spaces just above the eyes and on the cheekbones respectively.

Susceptibility to sinusitis varies. Forms of this disorder include acute, subacute, chronic, allergic and hyperplastic.

Treatments include staying indoors at a constant room temperature, use of a humidifier or other steam inhalation, learning to blow the nose gently, bed rest, intake of fluids, use of warm compresses, decongestants, nose drops and nose sprays. Antibiotics and analgesics are also sometimes prescribed.

Causes

Sinusitis is primarily caused by bacterial or viral infections which may be due to:

Spread of colds
Excessive nose blowing, which spreads other infections into the sinuses
Dental procedures which spread infection; this is commonly the case if abscesses are found near the upper bicuspid or molar
Entering into any contaminated water in such a way as to permit water entry into the nose

Other causes include:

Damage to nasal bones, especially the frontal or ethmoid bones
Nasal bone deformities
Foreign bodies in the nostril

Any condition which interferes with drainage and ventilation in the sinuses such as:
Chronic nasal edema
Viscous mucus
Nasal polyps

Sudden change in temperature
Immunosuppressive therapy
Use of antibiotics
Penetrating traumas
Local tumors
Vasculitis

Signs & Symptoms

If a cold is already present, increased blockage and a greenish discharge may indicate sinusitis. This discharge may later stop as the passageways between the nose and the sinuses also become blocked. The result is extreme congestion.

Severe pain in the morning, or when the head is bent down and forward
Undersurface of forehead, just above eyes, may feel tender or painful
Malaise
Low grade fever
Chills
Fatigue
Nonproductive cough
Forced mouth breathing
Blood tinged with nasal discharge
Purulent nasal discharge
Sore throat

Maxillary sinuses
Painful or tender cheeks
Pain behind the eyes
Toothache-like feeling in the upper jaw

Allergic sinusitis
Sneezing
Frontal headache
Watery discharge
Stuffy, burning, itchy nose

Hyperplastic sinusitis
Tissue edema
Thickening of mucosal cell lining
Mucosal polyps

Nutritional Supplements

Structure & Function: Immune System Support

---------------------------------
General Supplements
---------------------------------

Adult Child/Adolescent
Beta-carotene 10 - 20 mg 5 - 10 mg
Magnesium 200 - 600 mg 100 - 300 mg
Niacin 25 - 100 mg 10 - 30 mg
Vitamin C1,000 - 3,000 mg 1,000 - 3,000 mg
Zinc lozenges 10 - 40 mg 10 - 30 mg




Note: All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.

Dietary Considerations

There is no specific dietary recommendation for sinusitis; however, if sinusitis is cause by cerebral allergy, an Elimination Diet or Immune Strengthing Diet is recommended.

Herbal Approaches

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Herbs
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Bromelain
Burdock (Cocklebur fruit)
Echinacea
Elder
Fennel
Garlic plant
Goldenseal
Peppermint
Pokeroot

Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.

Discussion:

Bromelain is uniquely recommended for sinusitis by the German Commission E.

Burdock or Cocklebur fruit opens nasal passages. (Bensky, 1986)

Echinacea is particularly effective with this type of infection. It is antiviral (due to its interferon-like actions) and stimulates the immune system.

Fennel has aromatic properties, including camphor.

Garlic plant is an extremely simple but effective remedy. It is antibiotic and an expectorant.

Goldenseal is demulcent to mucous membranes in respiratory tracts in relation to infectious conditions.

References:

Bauer, R & Wagner, H: Echinacea species as potential immunostimulatory drugs. Econ Med Plant Res 1991(5):253-321.

Bensky, D., Gamble, A., with Kaptchuk, T: Chinese Herbal Medicine: Materia Medica. Seattle: Eastland Press. 1986.

Blumenthal, M (Ed.): The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. American Botanical Council. Austin, TX. 1998.

Hoffmann, D: The New Holistic Herbal. Element, 1983. Third edition 1990.

Homeopathic Remedy

1.* Kali bichromicum - 30C
2. Phosphorus ruber - 30C
3.* Kali iodatum - 30C
4. Hepar sulphuris calcarea - 30C

Advanced, by symptom:

1. Hepar sulphuris calcareum - facial tenderness.

2. Kali bichromicum - stringy, yellow-green mucus.

3. Pulsatilla nigricans - yellow mucus, weepy.

Treatment Schedule

Doses cited are to be administered on a 3X daily schedule, unless otherwise indicated. Dose usually continued for 2 weeks. Liquid preparations usually use 8-10 drops per dose. Solid preps are usually 3 pellets per dose. Children use 1/2 dose.

Legend

X = 1 to 10 dilution - weak (triturition)
C = 1 to 100 dilution - weak (potency)
M = 1 to 1 million dilution (very strong)
X or C underlined means it is most useful potency

Asterisk (*) = Primary remedy. Means most necessary remedy. There may be more than one remedy - if so, use all of them.


References

Boericke, D.E., 1988. Homeopathic Materia Medica.

Coulter, C.R., 1986. Portraits of Homeopathic Medicines.

Kent, J.T., 1989. Repertory of the Homeopathic Materia Medica.

Koehler, G., 1989. Handbook of Homeopathy.

Shingale, J.N., 1992. Bedside Prescriber.

Smith, Trevor, 1989. Homeopathic Medicine.

Ullman, Dana, 1991. The One Minute (or so) Healer.

Tissue Salts

Ferr. Phos.initial fever, congestion, throbbing pain;
Kali Mur.dull pain, thick white mucus discharge, stuffiness;
Kali Sulf.slimy, yellow discharge;
Nat. Mur.nasal obstruction, watery discharge;


Aromatherapy - Essential Oils

Basil Essence,Benzoin Essence,
Cajeput Essence,Chamomile Essence,
Eucalyptus Essence,Lavender Essence,
Myrrh Essence,Spearmint Essence,
Tea Tree Essence.



Related Health Conditions

AbscessAllergy
ColdCough
EdemaFatigue
FeverHeadache
InfectionInflammation
PainSore throat
Toothache



Abstracts

References

Adams, E.J. and L.K. Mahan. 1984. Nutritional care in food allergy and food intolerance. Food, Nutrition, and Diet Therapy. M.V. Krause and L.K. Mahan eds.

Biesel, W.R. Single Nutrient Effects on Immunological Functions. Journal Of The American Medical Association, 245. 1981.

Bland, Jeffrey. Nutraerobics. San Francisco: Harper & Row, 1983.

Bland, Jeffrey. Medical Applications of Clinical Nutrition. New Canaan, Conn.: Keats, 1983.

Chester, A. C.: Sick Building Syndrome and Sinusitis. The Lancet, January 25, 1992;339:249-250.

Chester AC: Chronic sinusitis. Am Fam Physician, 1996 Feb 15, 53:3, 877-87.

Cohen R: The antibiotic treatment of acute otitis media and sinusitis in children. Diagn Microbiol Infect Dis, 1997 Jan-Feb, 27:1-2, 35-9.

Dolan, RW & Chowdhury, K: Diagnosis and treatment of intracranial complications of paranasal sinus infections. J Oral Maxillofac Surg 1995 Sep;53(9):1080-7.

Ebe, G. & D. Davis. The Effectiveness of Zinc Lozenges on The Duration of the Flu. Antimicrobial Agents & Chemotherapy, vol4. (1983).

Freidman, G. C. et al: Allergic Fungal Sinusitis: Report of Three Cases Associated With Dematiaceous Fungi, (aspergillus. American Journal of Clinical Pathology, 1991;96(3)368-372.

Galati LT et al., Visual loss reversed after treatment of acute bacterial sinusitis. Laryngoscope, 1996 Feb, 106:2 Pt 1, 148-51.

Galen BA: Chronic recurrent sinusitis. Recognition and treatment. Lippincotts Prim Care Pract, 1997 May-Jun, 1:2, 183-98.

Hamilton, H.K. ed. 1982. Professional Guide To Diseases Intermed Communications Inc. Pub, Springfield, Massachusetts. 1323 pp.

Henriksson G et al., A 13-year report on childhood sinusitis: clinical presentations, predisposing factors and possible means of prevention. Rhinology, 1996 Sep, 34:3, 171-5.

Howe, P.S. 1981. Basic Nutrition in Health and Disease, 7th ed. W. B. Saunders Co., Philadelphia.

Jorissen M: Recent trends in the diagnosis and treatment of sinusitis. Eur Radiol, 1996, 6:2, 170-6.

Kaliner MA: Recurrent sinusitis: examining medical treatment options. Am J Rhinol, 1997 Mar-Apr, 11:2, 123-32.

Kankam CG & Sallis R: Acute sinusitis in adults. Difficult to diagnose, essential to treat. Postgrad Med, 1997 Aug, 102:2, 253-8.

Kirschmann, J.D. 1990. Nutrition Almanac: Nutrition Search. McGrew-Hill: New York.

Kunz, J.R.M. 1982. The American Medical Association Family Medical Guide. Random House Pub, New York. 832 pp.

Kupferberg SB & Bent JP: Allergic fungal sinusitis in the pediatric population. Arch Otolaryngol Head Neck Surg, 1996 Dec, 122:12, 1381-4.

Luyten C et al., Yellow nail syndrome and onychomycosis. Experience with itraconazole pulse therapy combined with vitamin E. Dermatology, 1996, 192:4, 406-8.

Margolis, S. 1984. Food allergies. Nutritional Management: The Johns Hopkins Handbook. M. Walser, A.L. Imbembo, S. Margolis and G.A. Elfert, eds. W.B. Saunders Co., Philadelphia.

Okeson JP & Falace DA: Nonodontogenic toothache. Dent Clin North Am, 1997 Apr, 41:2, 367-83.

Paul FA & Buser BR: Osteopathic manipulative treatment applications for the emergency department patient. J Am Osteopath Assoc, 1996 Jul, 96:7, 403-9.

Petersdorf, R.G. & R.D. Adams. 1983. Harrison's Principles Of Internal Medicine. 10th ed. McGraw Hill Pub Co., New York. 2212 pp.

Robbins, S.L. & R.S. Cotran. 1979. Pathologic Basis of Disease. 2nd ed. Saunders Pub Co., Philadelphia. 1598 pp.

Robinson, C.H. & M.R. Lawler. 1982. Normal and Therapeutic Nutrition. 16th ed. MacMillan Publishing Company, Inc., N Y. 849 pp.

Spector SL: Overview of comorbid associations of allergic rhinitis. J Allergy Clin Immunol, 1997 Feb, 99:2, S773-80.

Thomas, W.R. & P.G. Holt. Vitamin C and Immunity. Clinical And Experimental Immunology, 32, 1978.

Weinberg EA et al., Clinical classification as a guide to treatment of sinusitis in children. Laryngoscope, 1997 Feb, 107:2, 241-6.

Zeman, F.J. 1983. Clinical Nutrition and Dietetics. The Collamore Press; Lexington, Mass. 682 pp.

 


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