Sinus infection, a cold, or allergies?

The phrase "I have sinus problems" has become so common, it is hard to know what it means.  Here are some tips to tell the difference between sinus pressure due to true sinus infection, a cold, or allergies:

SINUS INFECTION (BACTERIAL SINUSITIS):  This is a bacterial infection in the sinuses (which are areas behind the facial bones that should be filled with air).  Signs can range from a wet cough, thick mucus in the throat, discolored (green, yellow, brown or grey) mucus that persists for more than a week or progresses over that time, pain in the upper teeth or cheeks, tenderness between the eyes or a chronic headache, and nasal congestion -- especially if symptoms are on one side only.   Kids tend to cough or vomit mucus as their only symptom.

A COLD (VIRAL RESPIRATORY INFECTION):  Sometimes difficult to distinguish early on from a sinus infection, the tip offs are that multiple people in the household start with similar symptoms within a week of each other (viral infections spread easily), there is a worsening within a few days then gradual improvement, and there may be fever or muscle aches associated for one or two days.

NASAL ALLERGIES:  The biggest clue here is itching of the nose, eyes, ears, or throat.  Repeated sneezing is also more likely to be due to allergies but can happen with colds as well.  Runny nose is usually clear and watery, not discolored.  But congestion and headaches can be just as bad as with sinusitis or viral respiratory infections.

Treatment is different for each of the above, so it is important to make the distinction.  If you have persistent symptoms and need some help with figuring out the reasons, make an appointment and we'll do our best to help you!  Send us a message from our "contact us" page at southbayallergy. com.