When to See a Doctor for Chronic Sinus Infections

If you’ve had stuffy nose, facial pressure, and fatigue for weeks or months, it may be more than a cold — possibly a chronic sinus infection that needs medical care. Unlike an acute sinus infection that clears in 10 days to a few weeks, chronic sinusitis lasts 12 weeks or more and often recurs. At Manhattan Primary Care, our physicians can diagnose the problem early and help you find lasting relief.

What is a Sinus Infection

A chronic sinus infection occurs when your sinus cavities become inflamed and swollen for an extended period. This inflammation can block normal mucus drainage, leading to pain, pressure, and potential bacterial or fungal growth.

Common Causes

• Bacterial sinus infection (often following a viral illness)
• Viral infections such as colds or flu
• Fungal infections
• Allergies (seasonal or environmental), we offer allergy testing to identify and manage triggers
• Structural issues like a deviated septum or nasal polyps

Risk Factors

• Frequent colds or respiratory infections
• Uncontrolled allergies or asthma
• Weakened immune system
• Smoking or exposure to irritants

Key Symptoms of Chronic Sinusitis

Recognizing sinus infection symptoms early can help you decide when to seek care.

Common symptoms include:

• Persistent sinus pressure or pain in the face, forehead, or around the eyes
• Thick, discolored nasal discharge
• Nasal congestion or obstruction
• Postnasal drip (mucus running down the throat)
• Reduced or lost sense of smell and taste
• Ear pain or fullness
• Fatigue and brain fog

If these sinusitis symptoms persist beyond 12 weeks, it’s time to consult a sinus infection doctor at Manhattan Primary Care or a qualified ENT specialist.

When to See a Doctor

Seek medical care promptly if you experience:

• Symptoms lasting more than 12 weeks
• Recurring infections several times a year
• Severe facial pain or swelling
• High fever (over 102°F / 38.9°C)
• Vision changes or double vision
• Confusion, neck stiffness, or swelling around the eyes

These may be signs of a serious infection requiring urgent evaluation by a sinusitis doctor. Our preventive care services can also help reduce your risk of future sinus problems.

Diagnosis

A sinus infection doctor will typically:

• Review your sinus problems and medical history
• Perform a physical exam (checking nasal passages)
• Order imaging (CT scan) for chronic or complicated cases
• Take cultures to identify bacteria or fungi — available through our lab services

Treatment Options for Chronic Sinusitis

Chronic sinusitis treatment depends on the cause, severity, and your overall health.

Medications

• Antibiotics (for bacterial infections)
• Nasal corticosteroid sprays to reduce inflammation
• Oral or injected steroids for severe swelling
• Antihistamines or allergy medications

Procedures

• Functional Endoscopic Sinus Surgery (FESS) to remove blockages
• Balloon sinuplasty to open sinus passages

For ongoing or complex cases, our chronic disease management program can provide long-term support.

Self-Care & Prevention

You can support sinus relief and help prevent recurrence by:

• Using saline nasal irrigation daily
• Staying well-hydrated
• Running a humidifier in dry environments
• Avoiding cigarette smoke and irritants
• Managing allergies proactively

If sinus problems are disrupting your rest, our sleep disorder treatment services can help you breathe better at night.

Chronic vs Acute Sinus Infections

It’s also important to distinguish sinus infection vs cold, as colds typically improve in a week, while sinus infections can linger or worsen.

Possible Complications if Left Untreated

Untreated chronic sinus infections can lead to:

• Spread of infection to the eyes or brain
• Meningitis
• Vision problems
• Chronic breathing issues

Conclusion

If you suspect a chronic sinus infection, don’t wait. Early diagnosis and proper treatment from a qualified sinus infection doctor at Manhattan Primary Care can prevent complications and restore your quality of life.

Frequently Asked Questions

Can a sinus infection make you dizzy?

Yes, pressure and inflammation from a sinus infection can affect the inner ear, leading to dizziness or unsteadiness.

Are there foods that can make sinus problems worse?

Certain dairy products, alcohol, and foods high in refined sugar may worsen inflammation in sensitive individuals.

Can weather changes trigger sinus infections?

Rapid temperature or humidity shifts can irritate sinus passages, making them more vulnerable to infection.

Is it safe to fly with a sinus infection?

Flying can worsen sinus pressure and discomfort. It’s best to consult a doctor before traveling if symptoms are severe.

Do pets contribute to chronic sinus issues?

Pet dander can trigger allergies in some people, leading to chronic sinus inflammation.

Sources

1. Health Line – What to Know About Sinus Infection
2. Health Grades – When to See a Doctor for a Sinus Infection
3. Houston Methodist – How to Get Relief From Chronic Sinus Infections
4. ENT Lubbock – When to Worry About Your Lingering Sinus Infection

Disclaimer

This blog is for informational & educational purposes only and does not intend to substitute any professional medical advice or consultation. For any health-related concerns, please consult with your physician, or call 911.