A sinus infection can cause discolored drainage, sore throat, facial pressure, and headache. When symptoms last longer than a week, it may be an acute sinus infection.
Chronic sinusitis is different. Symptoms may improve, then linger for a month or longer. If antibiotics, decongestants, or other treatments aren’t helping, a closer evaluation may be needed.
Common Symptoms
Common signs include:
- Discolored nasal drainage
- Facial pressure or pain
- Headache
- Sore throat
- Ongoing congestion or blocked drainage
What Can Make Sinus Problems Linger?
Allergies are a major contributor to chronic sinus problems, especially when poorly controlled. Many allergy medications work best when taken regularly, not only when symptoms flare. Other causes can include:
- A deviated septum, which can narrow airflow or drainage
- Nasal polyps, which can block sinus openings
- Long-term inflammation that keeps the sinuses swollen
- Dust, smoke, or workplace irritants
When the sinuses cannot drain, mucus can become trapped and symptoms may continue.
When to See a Provider
Consider making an appointment if symptoms last longer than a month, continue after treatment, or keep coming back. Also seek care if sinus pressure, drainage, or congestion affects sleep, work, or daily comfort.
Your provider can review what you have tried and decide whether medication, allergy care, imaging, or a specialist referral may help.
How Sinusitis Is Evaluated
A sinus evaluation often starts with a symptom review and exam. Your provider may look for drainage, swelling, blockage, or signs that the sinuses are not draining normally.
If symptoms are chronic or treatment is not working, a CT scan may be recommended. This can show whether blockage, inflammation, infection, or polyps are part of the problem.
Treatment Options
Many people improve with medical treatment first. This may include antibiotics when infection is likely, decongestants, nasal sprays, allergy medications, or other therapies.
If medical treatment does not work, sinus surgery may be considered. Most sinus surgery is done through the nose with small scopes and instruments to widen natural drainage pathways.
Lifestyle Tips That May Help
Small changes can reduce irritation and lower the chance of repeat problems:
- Keep allergies well controlled
- Avoid smoking and secondhand smoke
- Wear a mask when mowing or working around dust
- Take allergy medications as directed
Sinus symptoms that linger for weeks can be frustrating, but you do not have to keep pushing through them. Valley Health can help identify the cause and discuss next steps if symptoms are not improving.