Sinusitis is inflammation of the paranasal sinuses, which may be due to infection, allergy or autoimmune issues. Most cases are due to a viral infection and resolve over the course of 10 days. Classification by -
- Duration - sinusitis can be;
- Acute (going on less than four weeks) - Acute sinusitis is very common.
- Sub acute (4–8 weeks) or
- Chronic (going on for 8 weeks or more)
- Location - by the sinus cavity which it affects;
- Maxillary- can cause pain or pressure in the maxillary (cheek) area (e.g., toothache, headache)
- Frontal - can cause pain or pressure in the frontal sinus cavity (located above eyes), headache
- Ethmoid - can cause pain or pressure pain between/behind the eyes and headaches
- Sphenoid' - can cause pain or pressure behind the eyes, but often refers to the vertex, or top of the head)
Headache/facial pain or pressure of a dull, constant, or aching sort over the affected sinuses is the common symptom with both acute and chronic stages of sinusitis. This pain is typically localized to the involved sinus and may worsen when the affected person bends over or when lying down. Pain often starts on one side of the head and progresses to both sides. Other symptoms include
- Bad breath or loss of smell
- Cough, often worse at night
- Fatigue and generally not feeling well
- Headache -- pressure-like pain, pain behind the eyes, toothache, or facial tenderness
- Nasal congestion and discharge
- Sore throat and postnasal drip
The close proximity of the brain to the sinuses makes the most dangerous complication of sinusitis, particularly involving the frontal and sphenoid sinuses, infection of the brain by the invasion of anaerobic bacteria through the bones or blood vessels. Abscesses, meningitis, and other life-threatening conditions may result. In extreme cases, the patient may experience mild personality changes, headache, altered consciousness, visual problems, and, finally, seizures, coma, and possibly death
X-ray of Para nasal sinuses, Complete blood count
According to charaka, the clinical features of dusta pratishyaya are sneezing, dryness of nose, nasal obstruction, rhinorrhoea, foul smell from nose & mouth, rhinitis, furunculosis, edema of nasal mucosa, tumors of nose, blood stained muco-purulent discharge, ulcers, diseases of head, ear & eye, baldness, graying of hairs, thirst, tiredness, cough, fever, bleeding disorder, hoarse voice and dehydration.
Nidhana & Samprapthi
Suppressing of natural urges, indigestion, exposing to dust, talking loudly, indulging on more sex, night arousal, anger, apathya in season, head exposing to sun stroke, weeping, day sleep, intake of cold items, exposure to snow or moist, head/nose injury, resting the head at abnormal posture during sleep, worm infestation or infection causes the vitiation vatadi dosha either individually or together accumulates in the shiras then propagates to the nose and causes pratishyaya. Dusta pratishyaya is an upadrava of pratishyaya.
Treatment Principle includes Nidhana Parivarchana, Amapachana, Snehana, Swedhana, Vamana, Virechana, Theeksha Dhoomapana, kavala graha, Nasya, Vamana, Asthapana vasti.
Noticeable relief from the above mentioned signs and symptoms.