Types

Sinusitis (No Antibiotics)

Choose a preferred language

Face showing inflamed sinuses.

Sinusitis is swelling (inflammation) of the tissue that lines the sinuses. The sinuses are air-filled spaces in the bones of the face. They connect to the inside of the nose. Sinusitis can occur during a cold. It can also be due to allergies to pollens and other particles in the air. It can cause symptoms, such as sinus congestion, headache, sore throat, face swelling, and a feeling of fullness. It may also cause a low-grade fever. Your doctor has determined that your sinusitis is not caused by bacteria. No antibiotics are needed.


Home care

  • Drink plenty of water, hot tea, and other liquids, as directed by your doctor. This may help thin nasal mucus. It also may help your sinuses drain fluids.

  • Heat may help soothe painful parts of your face. Use a towel soaked in hot water. Or stand in the shower and direct the warm spray on your face. Using a vaporizer along with a menthol rub at night may also help soothe symptoms.

  • Try a steroid nasal spray. It may help with your symptoms.

  • Try a decongestant nasal spray, such as oxymetazoline or phenylephrine. Don't use it for more than 3 days in a row. Using it for more than 3 days can make your congestion worse.

  • If advised by your doctor, over-the-counter antihistamines may help if allergies are the cause of your sinusitis.

  • If needed, take an over-the-counter pain medicine, such as acetaminophen, ibuprofen, or naproxen. Read and follow all instructions on the label.

  • Use nasal rinses or irrigation with saltwater, as directed by your doctor.

  • Don't smoke. This can make symptoms worse.


Follow-up care

Follow up with your doctor if you are not better in 1 week.


When to get medical care

Contact your doctor if you have:

  • Green or yellow fluid draining from your nose or into your throat.

  • Facial pain or a headache that gets worse.

  • A stiff neck.

  • Swelling of your forehead or eyelids.

  • Vision problems, such as blurred or double vision.

  • A fever of  100.4ºF ( 38ºC) or higher, or as advised by your doctor.

  • Symptoms that don't go away in 10 days or get worse after starting to get better.


Call 911

Call 911 if:

  • You have a seizure.

  • You have trouble breathing.

  • You have confusion or abnormal drowsiness.

  • You feel dizzy or faint.

  • Your fingernails, skin, or lips look blue, purple, or gray.

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
Related Articles
Read article
Ear, Nose, and Throat
Impacted Earwax

Impacted earwax is a buildup of the natural wax in the ear. Impacted earwax is very common. It can cause symptoms such as hearing loss.

Read article
Ear, Nose, and Throat
Understanding Your Sinuses

Your sinuses are air-filled spaces between the bones in your head. The sinuses make mucus that drains into the nose. This helps keep the nose moist and free of dust and germs.

Read article
Ear, Nose, and Throat
Salivary Gland Stones

Salivary gland stones can form as a result of poor salivary flow. Learn how to care for this condition at home.

Read article
Ear, Nose, and Throat
The Inner Ear: Understanding the Balance System

Read on to learn the inner ear's role in helping to balance the body.