Treatment for sinusitis is often a decongestant or antihistamine, though if allergies are behind the discomfort, those are treated, too. One quick way to tell the difference? If you have green or yellowish discharge, the case is more than likely bacterial in nature. "Sinusitis may be either viral or bacterial, though it often starts as a viral process," notes Dr. In the absence of infection, blockage of the opening of the eustachian tube in the nose due to tissue swelling can also lead to ear pain. This tube can serve as a route of infection into the middle ear, causing ear pain. The inflammation-induced tissue swelling in the sinuses that occurs with sinusitis frequently extends into the nose and often involves the eustachian tube. This occurs when mucus accumulates in the sinuses and cannot drain properly. Headache often accompanies sinusitis due to increased sinus pressure. Common causes include a recent head cold and nasal allergies, according to MedlinePlus 5. When tissue lining the sinuses (hollows in the bones around the nose and head) becomes inflamed, it's called sinusitis.
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