No guaranteed permanent cure for sinusitis in every person
Get an accurate diagnosis (acute vs chronic, allergic vs non-allergic, bacterial vs viral, nasal polyps, deviated septum)
Use daily saline nasal irrigation (sterile/distilled or previously boiled water)
Use intranasal corticosteroid spray daily if recommended (especially for chronic rhinosinusitis or allergies)
Treat allergies if present (environmental control and allergen-directed therapy; consider antihistamine or immunotherapy as advised)
Avoid triggers (smoke, strong odors, dust, indoor dampness, pollutants)
Correct structural issues if present (ENT evaluation for deviated septum, turbinate hypertrophy, nasal polyps)
If bacterial infection is suspected (persistent/worsening symptoms, fever, purulent drainage), follow clinician-prescribed antibiotics
Manage dental sources if suspected (sinus involvement from upper teeth; dental evaluation if needed)
Address reflux if suspected (laryngopharyngeal reflux management if advised)
Consider allergy testing and targeted treatment plan
Consider ENT procedures when medical therapy fails (e.g., functional endoscopic sinus surgery)
Maintain good nasal moisture and hygiene (humidification if dry air; avoid over-drying)
Avoid overuse of decongestant nasal sprays (e.g., oxymetazoline) to prevent rebound congestion
Seek care urgently for red flags (severe headache, swelling around eyes, vision changes, high fever, stiff neck, confusion)