OVER VIEW
Sinusitis is a condition where the sinuses get inflamed. Sinuses are the hollow spaces within the bones surrounding the nose. These sinuses produce mucous which drains to the nose. The worldwide prevalence of sinusitis is increasing than earlier.
What is Sinusitis?
Chronic sinusitis is a condition, when the sinuses gets swollen and affects the nose drainage or stuffy nose. Breathing becomes difficult and face becomes swollen or tender.
Sinusitis can be different types depending upon the nature of symptoms
• Acute Sinusitis – Acute sinusitis lasts up to 1 month. The condition usually starts with symptoms of running or stuffy nose associated with tenderness in the face
• Subacute Sinusitis – Subacute cases is considered when the sinusitis lasts for around 12 weeks. It interrupts the normal activity and is associated with heaviness in the head and nasal secretions which are green or yellow in colour.
• Chronic Sinusitis – Chronic sinusitis cases lasts more than 3 months. It can continue further. They symptoms of sinusitis become worse and hinder the day to day activities.
• Recurrent Sinusitis occurs several times with a short span during a year
• Bacterial sinusitis is very rare but can occur as a result of viral infections. It causes severe facial pain and nasal discharge associated with pus


CAUSES
The sinuses get inflamed when there is blockage to drain the mucous out of it.
• The common reasons for sinus blockage include – Common cold, Allergies, Cigarette smoking, continuous use of nasal sprays.
• Any extra growth in the nose like nasal polyp can create a blockage in the sinuses. Presence of tumours also blocks the sinuses.
• Dehydration in the body is regarded as another rare cause. The mucous secretions become thickened due to less water in the body.
• Intake of few medications like antihistamines can also dries up the mucous content.
• Immunosuppressed patients can easily catch up with sinusitis. Risks of bacterial or viral infections are high in these cases. Commonly blocked sinuses are ethmoid or maxillary sinuses.
• Any direct trauma to the nose can also be cause for sinus blockage
• Seasonal change – People who are already suffering from allergy when exposed to cold climate, ends up in catching sinus infections.

SYMPTOMS
• Tenderness in the face: Pain in the site of sinuses are the most common symptom of sinusitis. The area that are commonly affected are below the eye brows, between the eyes, either sides of the nose and near to cheek bones.
• Nasal discharge: During the sinus infections, there are more chances of getting nasal discharges which can be either watery or thick discharge.
• Nasal congestion or stuffy nose
• Sinus headaches: Severe headache or heaviness in the heads are associated with sinusitis. The headaches are more in the morning hours as there is an accumulation of fluid for the whole night
• Irritation in the throat and cough can occur which worsens in the night and hamper the sleep
• Sore throat and hoarseness in the voice – Throat pain associated with itching in the throat is experienced during sinus inflammation

AYURVEDIC VIEW
Ayurveda correlates this condition as Dushta Pratishyaya where Kapha is the main afflicted dosha. The aggravated kapha affects the Prana Vayu and blocks the normal functions.

Sinusitis can be combinely treated with panchakarma procedures, oral medications, diet and life style modifications.

Diet
• Avoid consumption of food that increases Kapha. Excess intake of sugar, cheese, creams, milk, banana, oily, fried and junk food.
• Do not take fruits in the night if you suffer from sinusitis
• Drink warm water and avoid consumption of too much fluids.
• Vegetables: Pumpkin, Carrot, Beans, Cucumber, green beans, white pumpkins, asparagus, bitter gourd, Beetroot, Curry leaves, small onions, Cabbage, Legumes, mushrooms