Chronic sinusitis is common but often under-treated. Many people live with ongoing nasal congestion for months without realizing effective treatment is available. This guide explains what causes it and when to see a specialist.
What Is Chronic Sinusitis?
Sinusitis refers to inflammation of the sinuses - the air-filled spaces around your nose and eyes. It is considered chronic when symptoms last 12 weeks or longer, despite treatment attempts. This is different from acute sinusitis, which typically resolves within a few weeks.
🤧 Nasal Congestion
Persistent blockage or stuffiness lasting weeks.
💧 Thick Nasal Discharge
Discolored discharge from the nose or down the throat.
😖 Facial Pain or Pressure
Pressure around the eyes, cheeks or forehead.
👃 Reduced Sense of Smell
A diminished or altered sense of smell.
What Causes Chronic Sinusitis?
Chronic sinusitis can be caused by a combination of factors, including nasal allergies, structural issues like a deviated septum, nasal polyps, or persistent infection. Identifying the underlying cause helps determine the right treatment approach.
Remember: chronic sinusitis has many possible causes. An ENT specialist can identify the specific factors contributing to your symptoms through examination and, if needed, imaging or endoscopic evaluation.
Treatment Options: Medication First, Surgery When Needed
Most cases of chronic sinusitis are initially managed with medication - nasal steroid sprays, saline rinses, and sometimes antibiotics if infection is present. Surgery (typically endoscopic sinus surgery) is generally considered when symptoms persist despite adequate medical treatment, or when a structural issue like a severely deviated septum is a contributing factor.
When to See an ENT Specialist
- Sinus symptoms lasting more than a few weeks without improvement
- Recurring sinus infections throughout the year
- Facial pain or pressure that persists
- Nasal congestion affecting your sleep or daily activities
- Symptoms not responding to over-the-counter treatments
United Hospitals' ENT team, Jayanagar, evaluates and treats chronic sinusitis, from medical management through surgical options when needed. If you have persistent sinus symptoms, our team is here to help - call (+91) 80 4566 6666, or explore our full
ENT Specialist Care page.
Cashless Insurance Support Available
United Hospitals facilitates cashless treatment with major insurance providers - speak to our billing desk to check your policy's coverage.
Frequently Asked Questions
How long does sinusitis need to last to be considered chronic?+
Sinusitis is generally considered chronic when symptoms persist for 12 weeks or longer, despite treatment attempts.
Do I need surgery for chronic sinusitis?+
Not necessarily. Most cases are managed with medication first. Surgery is typically considered when symptoms persist despite adequate medical treatment or when a structural issue is contributing.
Can allergies cause chronic sinusitis?+
Yes, nasal allergies are a common contributing factor to chronic sinusitis. Managing underlying allergies is often part of the treatment approach.
How is chronic sinusitis diagnosed?+
Diagnosis typically involves a discussion of symptoms, a physical examination, and sometimes endoscopic examination or imaging to assess the sinuses.
United Hospitals - ENT, Head & Neck, Jayanagar
(+91) 80 4566 6666 
(+91) 7022316664 
Emergency: (+91) 80 4566 6616 
