These problems can include severe allergic reactions, antibiotic-resistant infections and C. diffinfection. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Here are general directions: Be careful to sanitize your neti pot after every use. Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis. The Best Antibiotic for a Sinus Infection 20th ed. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Centers for Disease Control. To fight the virus, add antibacterial foods like garlic, ginger, and onions to your meals. Unfortunately, it's hard to know if a sinus infection is bacterial, viral, or has other causes based on symptoms alone. Recommendations for prevention and control of influenza in children, 2017-2018. Antibiotics are not needed for many sinus infections. MedicineNet Thank you, {{form.email}}, for signing up. Years ago, doctors would prescribe antibiotics to treat a bad cold or ear infection to be on the safe side. This drug is usually used to stop the growth of bacteria and is administered orally. Centers for Disease Control and Prevention. US emergency department visits for outpatient adverse drug events, 2013-2014. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Generally speaking, sinus infections will not go away on their own, and treatment is necessary in order to clear the infection. Causes Sinus infections happen when fluid builds up in the air-filled pockets in the face (sinuses). The increase in antibiotic-resistant strains has led to the use of IV antibiotics, such as vancomycin or daptomycin, with the potential for more side effects. Thank you for taking the time to confirm your preferences. If a sinus infection is left untreated, it can . "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Here's what the research says about using essential oils to treat sinus congestion. When to Use and Avoid Antibiotics and Other Treatments to Try. Accessed Jan. 28, 2020. mucus dripping down the throat from the nose, tenderness under the eyes or on the bridge of the nose, mild to severe pain in the forehead or temples, bad breath or unpleasant taste in the mouth. Just like Cefaclor, this drug is usually recommended to stop the growth of bacteria. Water straight from the sink may have contaminants, like bacteria or parasites, which could make your condition worse. Wyler B, et al. The longer the symptoms last, the more likely you need an antibiotic. Do you smoke or are you around smoke or other pollutants? If you or your child is experiencing side effects from a prescribed antibiotic, make sure to tell your healthcare provider to be certain its nothing to worry about. Insert the spout of the pot into your top nostril. Your body should be able to cure itself of a mild or moderate sinusitis and. A subacute sinus infection lasts for four to 12 weeks. Acute sinusitis: Do over-the-counter treatments help? We comply with the HONcode standard for trustworthy health information. Answer From James T C Li, M.D., Ph.D. There are many antibiotics that your doctor or physician may prescribe to help treat your sinus infection. You may opt-out of email communications at any time by clicking on They help us to know which pages are the most and least popular and see how visitors move around the site. Your doctor is unlikely to prescribe antibiotics unless you have chronic sinusitis or if your sinus infection is bacterial. If the patient has more severe infections, doses may be doubled. Apparently I had a sinus infection which I think he assumed was bacterial since I had covid 2 weeks ago and he thinks it would've gotten better by now. Add raw honey for an extra boost. Cephalosporins and Fluoroquinolones are the best examples of commonly used broad range antibiotics for sinusitis. In addition - I often suggest trying saline nose drops or nasal sprays (or a Neti pot), warm compresses and an EarDoc to gently breakup thick mucus in the sinuses and get things moving a bit - plus, it can feel good on the face. In this case, you will need to take antibiotics. Breathe in steam from a bowl of hot water or shower. The most common reason for the visit among children was an adverse reaction to antibiotics. But more sore throats and ear infections are caused by viruses, and an antibiotic will do nothing to help the patient. Sherry Christiansen is a medical writer with a healthcare background. Sinusitis occurs when your nasal passages become inflamed. Read our. 2012;86(9):817-822. Self-care techniques are usually all you need to ease symptoms. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If youre not finding relief from home remedies, ask your pharmacist to recommend an OTC treatment. Always follow your pharmacists advice and the guidelines on the package when taking OTC medications. Fluid builds up, which can cause congestion and runny nose. Symptoms lasting more than 10 days without getting better. All rights reserved. But complications of colds can occur, including: Some of these complications may require treatment with antibiotics. Most sinus infections usually get better on their own without antibiotics. Most sinusitis in the ambulatory setting is due to a viral infection that will resolve on its own. Note that decongestants can help relieve nasal and sinus congestion but they are contraindicated (shouldn't be taken) if you have certain medical conditions, such as glaucoma or hypertension/high blood pressure. Patients with any specific questions about this recommendation or their individual situation should consult their physician. Expose your sinuses to steam. Mucinex (guaifenesin) Antibiotics prescribed for sinusitis include Augmentin (amoxicillin-clavulanate) and cephalosporin. During the day and before bed, use natural saline nasal sprays. Avoid close contact with people who have colds or other upper respiratory infections. John Carew, MD, is board-certified in otolaryngology and is an adjunct assistant professor at New York University Medical Center. Accessed Jan. 28, 2020. Make sure you only use food-grade essential oils. Have you been around anyone with a staph infection? These antibiotics are effective in treating sinus infection, however, these drugs do carry side effects. The sinuses are the air-filled pockets in the bones of the face that form the top part of the respiratory tract. Your doctor may recommend treatments to help relieve sinusitis symptoms, including: OTC pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin. There's no treatment for viral sinus infections, but you can manage symptoms with over-the-counter medications. Recurrent sinus infections are defined as four or more sinus infections in a given year. The review found that, in addition to patient-related adverse effects (e.g., skin rash, abdominal pain, vomiting), antibiotic use poses the risk of increased resistance to antibiotics among community-acquired pathogens. Sinusitisis usually caused by a virus and often persists even after other upper respiratory symptoms are gone. Antibiotics can help eliminate bacterial sinus infections. Only used distilled water. Vancomycin and some other antibiotics used for antibiotic-resistant staph infections have to be given through a vein (intravenously). Physicians frequently recommend ten to 14 days of amoxicillin or amoxicillin-clavulanate treatment when a person has bacterial sinusitis. How to treat a sinus infection without antibiotics? If switching is needed, hopefully, the Augmentin will already have given kids the edge in the bacterial battle. This has led to the development of antibiotic-resistant infections. Annually, it accounts for 15% to 20% of adult antibiotic prescriptions and costs more than $20 million in patient visits. Sinusitis is one of the most common diagnoses in primary care. Some of these may even be familiar to you. When you see your doctor, expect a thorough examination of your sinuses. This is a synthetic oral antibiotic that prevents bacteria from multiplying. A weak immune system or taking drugs that weaken the immune system, Mucus dripping down the throat (post-nasal drip). This is an antibacterial medication used to treat infections that occur more frequently on people with a weakened immune system. Some of them may choose to have no treatment and wait for their congestion to subside, while others may contact their physicians to prescribe their best medication for sinus infection. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Usually, treatment with antibacterials doesnt shorten the course of bronchitis, so theyre not usually advised to be prescribed. DOI: 2. The big difference is how long those symptoms linger. Other conditions can cause symptoms similar to a sinus infection, including: Your doctor will determine if you have a sinus infection by asking about symptoms and examining you. In: Harrison's Principles of Internal Medicine. In: Ferri's Clinical Advisor 2019. Holland TL, et al. Probiotics for antibiotic-associated diarrhea: Do we have a verdict? How can I best manage these conditions together? Structural problems within the sinuses. This drug is usually taken twice a day for more effective results. Available for Android and iOS devices. The overuse of antibiotics is when they are prescribed for reasons other than when they are needed. Side effects can range from mild reactions, like a rash, to more serious health problems. What is the best antibiotic to treat a sinus infection? You can help prevent sinus infections by doing your best to stay healthy and keep others healthy, including: To receive email updates about this page, enter your email address: We take your privacy seriously. Before you consider antibiotics, a sinus infection can be treated without leaving at home. There's a chance antihistamines could make congestion worse by causing mucus to dry and thicken in the sinuses. swabbing the inside of your nose (not routinely done), symptoms that have lasted for more than 10 days, symptoms that arent eased by OTC medication, several sinus infections over the past year. The area around your eyes and face might feel swollen, and you might have throbbing facial pain or a headache. 2023 Dotdash Media, Inc. All rights reserved. Antibiotics for the common cold and acute purulent rhinitis. Most of the time, antibiotics are not indicated for use in treating the common cold or flu. We avoid using tertiary references. One good way is to expose your sinuses to steam. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Overuse and overprescription of antibiotics when they arent effective leads to the development of antibiotic-resistant infections. For serious staph infections, vancomycin may be required. Do you have any ongoing medical conditions, including a weakened immune system? Sinus pain around the bridge of the nose or under the eyes, Headaches around the forehead or temples that, Coughing (at night after lying down or in the morning). When antibiotics arent needed, they wont help you, and their side effects could still cause harm. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. You should also seek medical care if you have had multiple sinus infections in the past year. AIDSinfo Shigella spreads when infected fecal matter enters another person's mouth or nose, directly or indirectly. Your symptoms, including any that seem unrelated to the reason for your appointment, Key personal information, including whether you have allergies or asthma, and family medical history, All medications, vitamins or other supplements you take, including the doses. There are many side effects of antibiotics. A Cochrane review compiled data from 59 studies that involved the use of a variety of antibiotics to manage simple maxillary sinus infection in primary care settings. 2017; doi:10.1542/peds.2017-2550. Sinusitis update. Kids can get many colds, maybe even half a dozen or more a year. Centers for Disease Control and Prevention. Antibiotics wont help a sinus infection caused by a virus or an airborne irritation, like secondhand smoke. Were here to help you understand the differences between each one! Common symptoms of a sinus infection include: Before prescribing an antibiotic, your healthcare provider may suggest an over-the-counter (OTC) treatment for a sinus infection. 2013;9(1):e1003057. For example, growths on the lining of the nose or sinuses, known as nasal polyps. KidsHealth from Nemours. information submitted for this request. Ensure your healthcare provider knows about all other drugs and supplements youre taking. Smith SM, Fahey T, Smucny J, Becker LA. Other prescription medicines for sinus infection include Cefaclor, Sulfamethoxazole, Azithromycin, Clarithromycin, and Loracarbef. By Jennifer Welsh Can I take doxycycline hyclate for strep throat. 2013;2013(6):CD000247. Besides medication, there are several natural decongestants that can unclog stuffy nasal passages and help you breathe easier. information submitted for this request. Since their introduction to the world of medicine, they have helped treat countless people, especially those with infectious diseases. A healthcare provider will prescribe antibiotics if your infection has spread to your lungs, causing pneumonia. And it accounted for less than 1% of cases until 2020. Click here for an email preview. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. https://nccih.nih.gov/health/euroelder. Because of the common overprescribing of antibiotics for the type of sinus infections that do not warrant such treatment, many people have developed whats commonly referred to as antibiotic resistance. Below are some ways to help relieve sinus pain and pressure: Ask your doctor or pharmacist about over-the-counter medicines that can help you feel better. 2016;316(20):21152125. For example, all penicillin-class antibiotics (ampicillin, amoxicillin) block the formation of the external cell wall of the bacteria. Antibiotics may be prescribed when symptoms of a sinus infection warrant such treatment. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Make a donation. Levaquin (levofloxacin): Although this drug is sometimes prescribed as a first line of therapy for sinusitis, it has serious side effects and should only be used as a last resort. Get plenty of rest if you have a cold to reduce your risk for complications, like sinusitis. The infection is treated with a combination of drugs, including the antibiotic azithromycin . Ask your provider what signs and symptoms you should watch for that might mean your infection is getting worse. Some over-the-counter medicines are not recommended for children of certain ages. She has worked in the hospital setting and collaborated on Alzheimer's research. Keeping your wounds or cuts clean and covered. Kellie Atkinson's daughter Olivia was just three . congestion. This site complies with the HONcode standard for trustworthy health information: verify here. The Choosing Wisely campaign was created as an initiative of the American Board of Internal Medicine (ABIM) Foundation to improve health care quality. You should only be taken according to what your doctor or physician has prescribed. What happens when antibiotics are overused? 4 steps to food safety. What are the best antibiotics for pneumonia? Do I need antibiotics for an upper respiratory infection? For example, today, most staph infections can't be cured with penicillin. Could you describe them to me? Saline nasal rinses are often used to help flush out thickened mucus and allergens from the nasal passages and to relieve dryness. PLoS Pathog. You can also fill a bowl with boiling water and lean over it for 10 minutes. Most upper respiratory infections are viral infections, which do not respond to antibiotics and typically go away on their own in a week or so. JAMA. A sinus infection has similar symptoms to a common cold. This list is not all-inclusive. A Cochrane report analyzing the available research into the use of antibiotics to treat colds, published in 2013, found that antibiotics do not work for the common cold, and side effects of antibiotics used for the common cold are common. These self-help steps can help relieve sinusitis symptoms: No alternative therapies have been proved to ease the symptoms of acute sinusitis. Mayo Clinic. But on the other hand, while 85% of sinus infections improve or clear on their own, there's the 15% that do not. Due to recent FDA warnings about joint pain and other issues with fluoroquinolones, such as ciprofloxacin (Cipro) or levofloxacin (Levaquin), this class of drug should be avoided when possible for less serious infections. Eat healthy foods colorful fruits and veggies that boost your immune system. Over-the-counter (OTC) pain relievers and decongestants may help relieve facial pain and sinus congestion associated with acute sinusitis. However, severe, progressive or persistent symptoms might require antibiotics. What's the most likely cause of my symptoms? Sinus infections that have other causes, such as allergies or viruses, won't benefit from antibiotics. Accessed Jan. 28, 2020. Any given adult will get a cold at least a couple of times a yearusually in the fall and winter. Information about medical problems you've had, Information about the medical problems of your parents or siblings, All medications, herbs, vitamins and other supplements you take, Questions you want to ask your health care provider. Amoxicillin with clavulanate should be prescribed for patients at high risk of being infected by an organism resistant to amoxicillin. There are a few cases in which antibiotics might be useful: There are a few other reasons you might be prescribed antibiotics for an upper respiratory infection. A sinus infection can be treated with antibiotics when it is caused by bacteria. Incline your head over the sink at a 45-degree angle. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Take a probiotic and eat fermented foods like yogurt and kefir. Acute sinusitis: Do over-the-counter treatments help? It also discusses over-the-counter treatments and home remedies. To alleviate sinus or upper respiratory infections, use eucalyptus oil externally on the temples or chest, or inhaled via a diffuser when the oil is added to boiling water. Are there any activity restrictions that I need to follow? AAP Committee on Infectious Diseases. Select one or more newsletters to continue. If you stop taking them early, your symptoms may recur. Effectiveness of steam inhalation and nasal irrigation for chronic or recurrent sinus symptoms in primary care: A pragmatic randomized controlled trial. Antibiotic resistance develops In an individual's body, and then the contagious infection that is spread to other people In the community is also resistant. Your doctor might wait and watch to see if your acute sinusitis worsens before prescribing antibiotics. Cefdinir and cephalexin are preferred antibiotics for treating children who have UTIs. https://www.uptodate.com/contents/search. You can learn more about how we ensure our content is accurate and current by reading our. https://www.merckmanuals.com/professional/infectious-diseases/gram-positive-cocci/staphylococcal-infections?query=staph%20infections. When you get a cold, also known as an upper respiratory tract infection, should you visit your healthcare provider and get antibiotics? If you are a Mayo Clinic patient, this could Review/update the Thank you, {{form.email}}, for signing up. Viruses cause most sinus infections, but bacteria can cause some sinus infections. Philadelphia, Pa.: Elsevier; 2015. https://www.clinicalkey.com. Centers for Disease Control and Prevention. information highlighted below and resubmit the form. What are the antibiotics used for a sinus infection? Reaffirmed July 2016. Accessed Feb. 16, 2022. This is because so many strains of staph bacteria have become resistant to other traditional antibiotics. Ask your doctor or pharmacist about the right dosage of over-the-counter medicines for your childs age and size. Please see a doctor for any symptom that is severe or concerning. A sinus infection, or sinusitis, is the inflammation of the mucous membranes of the sinuses due to a viral or bacterial infection. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Chronic sinusitis can last for 12 weeks or longer. The infection possibly resulted from "sinus rinse practices utilizing tap water," according to a news release from the Florida Department of Health in Charlotte County. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults, Antibiotics for acute maxillary sinusitis, American Board of Internal Medicine (ABIM) Foundation, Learn more about the AAFP support of the Choosing Wisely campaign. Signal detection of adverse drug reaction of amoxicillin using the Korea Adverse Event Reporting System Database. You have severe symptoms such as severe headache or facial pain, or you have other problems, such as pus forming in your sinus cavities. When antibiotics aren't needed, they won't help you, and their side effects could still cause harm. Roughly30 million adults in the United States(11% of the adult population) arediagnosed with sinusitis, according to research done by theCenters for Disease Control and Prevention. I have other health conditions. Never give aspirin to children because it can cause Reyes syndrome. Always follow their instructions to achieve the best results. Levofloxacin is an antibiotic that that may be used to treat different types of bacterial infections. The truth is, antibiotics for respiratory infections arent going to make you feel better sooner, and they might even leave you with side effects that make you feel worse. These cookies may also be used for advertising purposes by these third parties. For acute sinusitis, questions to ask your doctor include: Your doctor is likely to ask you questions, such as: Mayo Clinic does not endorse companies or products. Three Basic Types Of Inhalers And How To Use It Properly, Urinary Tract Infection and kidney infections. Make a donation. facial pain. https://www.uptodate.com/contents/search. Carefully pour the saline solution down that nostril. Despite consistent recommendations to the contrary, antibiotics are prescribed in over 80% of outpatient visits for acute sinusitis. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Pediatrics. Treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain, decongestants to remove congestion in the sinuses, and moist heat to relieve pressure can usually help clear up the infection. What are the Best Antibiotics for Sinus Infection do Doctors Prescribe For You? Also explore types, prevention, and more. Natural Medicines. Use over-the-counter (OTC) medications, Centers for Disease Control and Prevention. Hobman TC, ed. Do you have any implanted medical devices, such as an artificial joint or a cardiac pacemaker? Common antibiotics for sinus infection include: Symptoms of a sinus infection are caused by the blockage of sinuses, which are hollow air spaces in the nasal area. Home remedies can often treat sinus drainage. We include products we think are useful for our readers. AskMayoExpert. Staphylococcal infections. It occurs when yournasalcavities becomeinfected, swollen, and inflamed. Antibiotics won't help you get better if you have acute bronchitis. Is my condition likely temporary or chronic? Sinusitis. Accessed April 30, 2019. What, if anything, appears to worsen your symptoms? Common causes of chronic sinusitis are: A sinus infection occurs when the tissue in the sinuses swells up. Possible side effects from these herbal products include stomach upset, diarrhea and allergic skin reactions. I would add a 1/2 to 1 teaspoon of baking soda to . Even if your acute sinusitis is bacterial, it may clear up without treatment. You can also try drinking ginger tea. It may improve the flow of drainage from the sinuses. Allegra ( fexofenadine) Benadryl ( diphenhydramine) Claritin ( loratadine) Zyrtec ( cetirizine) Antihistamines might be helpful during a sinus infection if allergies are also playing a role. 8th ed. Stuffy nose that just isnt getting better? Consult your doctor if you or your child has: If you have a sinus infection for eight weeks or more, or have more than four sinus infections per year, you may have chronic sinusitis. The sinuses are hollow cavities in the bones of your face around your forehead and cheekbones. (3) Studies that compared antibiotics with placebo showed that, in most cases, symptoms improved within two weeks, regardless of whether the participant received an antibiotic or not. Side effects can range from minor issues, like a rash, to very serious health problems, such asantibiotic-resistant infectionsandC. diffinfection, which causes diarrhea that can lead to severe colon damage and death. The infection may have spread to your lungs or other parts of the upper respiratory system. Swelling of the epiglottis, the flap of tissue covering the windpipe, is potentially life-threatening, particularly in children ages 2 to 5 years. All rights reserved. Most cases of sinusitis clear up within 10 days. It is usually treated with penicillin. (Inputs by: Dr Aniket Mule, consultant internal medicine, Wockhardt . Check with your doctor before taking herbal or dietary supplements to be sure they're safe and that they won't interact with any medications you're taking. When your sinuses are inflamed, the area gets blocked with fluid, causing pain and in some cases, allowing bacteria to grow. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP, Endoscopic Sinus Surgery: The Procedure and Recovery Process. doi:10.1002/14651858.CD000247.pub3. Are there brochures or other printed material I can have? This content does not have an Arabic version. Saline nasal wash can be a great way to thin out the mucous in the sinuses enough to clear out the blockage. In patients who have severe allergy to penicillin-type drugs, doxycycline is a reasonable alternative. Antibiotics usually aren't needed to treat acute sinusitis, because it's usually caused by a virus and not by bacteria. An acute sinus infection comes on suddenly and produces upper respiratory tract symptoms for two to four weeks. Antibiotics for acute bronchitis. What Are the Risks of Sinus Rinses, and How Can You Avoid Them? Inhaling steam, drinking apple cider vinegar diluted in water, using cold and hot compresses, etc., help lower the symptoms. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. For example, you may be referred to a specialist in treating skin conditions (dermatologist), heart disorders (cardiologist) or infectious diseases. J Fam Pract. 2. Because viral sinus infections tend to improve in 5 to 7 days, healthcare providers will sometimes only prescribe antibiotics if your symptoms go on for longer than this. Accessed Jan. 27, 2020. Be sure to consult with your allergist or another healthcare provider before using a saline nasal rinse. Cochrane Database Syst Rev. These work by narrowing blood vessels to help reduce inflammation and swelling that cause sinus congestion. Visit Sinus Rinsing for Health or Religious Practice for information on how to safely use a sinus rinse. If you have symptoms of a sinus infection, you may need to see your healthcare provider. Mayo Clinic Q and A:Sinusitis and treatment options, Allergy and Sinus Solutions from Mayo Clinic Store, Assortment of Health Products from Mayo Clinic Store, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Septra (trimethoprim-sulfamethoxazole) Amoxil (amoxicillin) Symptoms of a Sinus Infection Symptoms of a sinus infection are caused by the blockage of sinuses, which are hollow air spaces in the nasal area. But there are some things you can do to try to speed up the recovery process. Read our, Sniffles (Nasal Congestion and Discharge), An Overview of Afrin Nasal Spray (Oxymetazoline), The Connection Between Nasal Polyps and Sinus Infections, Functional Endoscopic Sinus Surgery: Everything You Need to Know, What Thyroid Patients Need to Know About Decongestants, Causes and Treatments for Nasal or Sinus Congestion, worsen in the morning after sinus drainage has collected all night. He prescribed me an antibiotic for 5 days. Clinical approach to Staphylococcus aureus bacteremia in adults. What websites do you recommend? Cover both your head and the bowl with a thick towel. Apply warm and cold compression alternately to relieve sinus pain and pressure.