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Signs & Symptoms

Because the symptoms of sinusitis can mimic those of allergies or a cold, you may not realize the important of seeing a doctor. If you suspect you have sinusitis, review these signs and symptoms. If you suffer from three or more, you should see your doctor.

Symptom Sinusitis Allergy Cold
Facial Pressure, Pain Yes Sometimes Sometimes
Duration of Illness Over 10-14 days Varies Under 10 days
Nasal Discharge Thick, yellow-green Clear, thin, watery Thick, whitish or thin
Fever Sometimes No Sometimes
Headache Sometimes Sometimes Sometimes
Pain in Upper Teeth Sometimes No No
Bad Breath Sometimes No No
Coughing Sometimes Sometimes Yes
Nasal Congestion Yes Sometimes Yes
Sneezing No Sometimes Yes

How common is sinusitis?

Rhinosinusitis affects 31 to 35 million Americans, accounting for more than 25 million office visits and billions of dollars in fees. The incidence rate in the United States is 14.7 percent, with an 18 percent increase over the past 11 years. It is the third most common diagnosis for antibiotics, with 21 million prescriptions in 1997. Sinusitis also accounts for 250,000 surgeries per year. Having sinusitis can mean paying for expensive surgeries, hospital visits, antibiotics, office visits, as well as the inconvenience associated with restricted activity days of the patients.

Sinusitis vs Rhinitis

Because sinusitis always includes some involvement of the nose (rhinitis) and the treatments are very different, it is critical to differentiate rhinitis from sinusitis.

The most common signs and symptoms differentiating rhinitis from sinusitis are summarized below. Sinusitis involves inflammation of the sinuses, most of which drain primarily down the throat causing postnasal drip, while rhinitis generally involves the more forward structures in the nose, leading to a runny nose and nose blowing. Thus, postnasal drip, the need to clear the throat and a throat cough are usually found in sinusitis, and less so in rhinitis. The sense of smell is located high in the nose just below the brain. While extreme nasal congestion in rhinitis may reduce the sense of smell, usually for relatively brief periods, sinusitis nearly always reduces the sense of smell and oftentimes, the loss of smell function persists until the inflammatory condition is totally clear. Headaches can be caused by the pressure and fullness within an impacted or inflamed sinus cavity much more readily than in rhinitis.

Below is a list of the symptoms that occur with rhinitis, and with sinusitis. Some symptoms may occur with both conditions, but are more noticeable with one. An example would be a headache, which can occur with rhinitis but is severe with sinusitis.

  Rhinitis Sinusitis
Congestion x  
Sneezing x  
Itching x  
Runny nose, clear x  
Runny nose, purulent   x
Postnasal Drip x  
Headache   x
Facial Pressure   x
Loss of smell   x
Cough   x
Throat clearing x x
Fever   x

 

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