The nasal corticosteroid sprays may also be used to decrease the swelling especially those with swollen structures or allergies. These prescriptions medication include fluticasone or Flonase, mometasone or Nasonex and triamcinolone or Nasacort AQ.

With the 4 pairs of sinuses connected to the nasal cavity by small openings which are called ostia. These nasal sinuses are small mucuslined pockets within the facial bones surrounding the nose. Normally, these sinuses make mucus that drains from the sinuses into the nose while air passes freely through it.
The three possible conditions
First, the small openings or ostia from the sinuses to the nose are blocked. Second, the small hairs called cilia in the sinuses that help move the normally produced mucus out are not working. And lastly, too much mucus is produced, often simply a result of inflammation. Any combination of the three would cause sinusitis.
Sinusitis typically follows an upper respiratory infection or allergic reaction, which can cause inflammation and swelling that, would close off the sinus ostia. This encourages mucus accumulation in the sinuses, and makes the sinus a great place for bacteria and fungus to live and grow rapidly. Persons with weakened immune system are at great risk, since their risk of any infection is very high.
While the most frequent cause of sinusitis is upper respiratory tract infections or the common colds in lay mans term, allergy rhinitis, history of asthma and other factors which includes frequent swimming or diving.
Basically, those factors can block the sinus ostia and are the result of problems that affect the nasal area only.
The treatment
It can be in two ways, first, the relief of the symptoms and the cure of the infection. Symptoms can be relieved with the use of saline spray, a lavage or with a humidifier.

While nasal decongestants can also be helpful with the use of topical spray nasal decongestants beyond 3 to 5 days which can actually worsen the situation.
Antibiotic treatment aims at curing the disease. Common antibiotics include Ampicillin, Amoxacillin, Cefuroxime and Cefproxil. Others may be used depending on the type of bacteria.
While surgery is recommended to clean and drain the sinus especially in persons with recurrent episodes of sinusitis despite the religious medical treatment he underwent.

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