Discolored nasal discharge and poor response to over the counter decongestants may also suggest sinusitis. Headache, in the front and middle of the head. Some experience overall body aches, fatigue, fever, bad breath, post nasal drip. Although it is often possible to make a diagnosis of sinusitis on clinical grounds alone, radiological confirmation allows a more definitive diagnosis and is an objective monitor of the course of infection. Standard sinus films, CT, and MRI are helpful diagnostic aids.
Treatment depends on the level of complication.
In uncomplicated sinusitis, outpatient management is usually successful. Patient is treated with decongestants, Nasal sprays, oral antibiotics. Antibiotic treatment should be continued for 2 weeks, with longer courses sometimes required to prevent relapses. Failure of sinusitis to resolve after an adequate course of oral antibiotics may necessitate hospitalization for IV antibiotics and possible surgical drainage and culture for atypical pathogens. They appear radiologically as smoothly expanded sinus filled with soft tissue density.