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Sinusitis

Sinusitis is swelling of the air spaces around the nose, usually after a cold. Most cases clear within two to three weeks without antibiotics; a few need a doctor, and rarely it is an emergency.

Usually viral Most clear in 2โ€“3 weeks Eye swelling is an emergency

Reviewed September 2026 · For information, not diagnosis

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On this page Emergency signs What is sinusitis? When to see a doctor Treatment that works Chronic sinusitis The homeopathic approach What the research says Remedies discussed Find a homeopath Sources

๐Ÿšจ Emergency โ€” go to hospital now if sinusitis comes with

  • Swelling or redness around the eye, the eye bulging or hard to move, double vision or blurred vision
  • A severe headache with a stiff neck, confusion, drowsiness or sensitivity to light
  • Swelling of the forehead, or a high fever with feeling very unwell

These signs mean infection may be spreading to the eye socket or brain. Call 112 or go to an emergency department.

What is sinusitis?

The sinuses are small air-filled spaces in the bones of the face, lined with the same membrane as the nose. During a cold or an allergy flare the lining swells and the narrow drainage channels block, so mucus builds up. The result is sinusitis (or rhinosinusitis):

  • a blocked or runny nose, often with thick yellow or green mucus
  • pain, pressure or tenderness over the cheeks, forehead or between the eyes, worse bending forward
  • a reduced sense of smell, mucus dripping down the throat, cough
  • sometimes fever, tiredness or toothache in the upper jaw

Most acute sinusitis is viral. Green or yellow mucus does not by itself mean a bacterial infection or a need for antibiotics. Other contributors include allergic rhinitis, a deviated septum, nasal polyps, dental infection, smoking and swimming.

The usual course — and when to see a doctor

Symptom severity over three weeks of sinusitis In the usual viral course, symptoms peak around day three and ease steadily over two to three weeks. See a doctor if there is no improvement after about ten days, or if symptoms improve and then get worse again. Symptoms Day 0Day 7Day 10Day 14Day 21 Usual viral course Better, then worse again No better by day 10? No better by about day 10, worse after improving, or severe? See a doctor.
Most sinusitis follows the solid line. The dashed pattern, or no improvement by about day 10, suggests a bacterial infection may need treatment.

Also see a doctor if sinusitis keeps coming back, lasts more than 12 weeks, or only one side of the nose is always blocked.

Treatment that works

  • Salt-water rinses (saline sprays or a rinse bottle) clear mucus. Use sterile or boiled-and-cooled water, never straight from the tap.
  • Paracetamol or ibuprofen for pain and fever.
  • Steroid nasal sprays reduce swelling when symptoms last more than about 10 days, or keep recurring.
  • Decongestant sprays for no more than 5–7 days, to avoid rebound blockage.
  • Rest, fluids and a warm compress on the face.
  • Antibiotics only for severe symptoms, symptoms lasting beyond about 10 days, or the “better then worse” pattern. Most people do not need them, and they cause side effects and resistance.

Steam inhalation may feel soothing, but bowls of boiling water have scalded many children. If you use steam, a hot shower is safer; never leave a child with a bowl of hot water.

Chronic sinusitis

When symptoms last longer than 12 weeks, it is chronic rhinosinusitis, sometimes with nasal polyps (soft swellings that block the nose and dull the sense of smell). It is treated with daily saline rinses and a steroid spray used correctly for months, treatment of allergy, and sometimes a short course of steroid tablets. An ENT specialist may arrange a nasal endoscopy or CT scan and, if medicines fail, endoscopic sinus surgery. Stopping smoking helps.

The homeopathic approach

A homeopath notes the colour and consistency of the mucus, the site of the pain, what makes it better or worse, and the person’s general make-up, and chooses a remedy.

Using homeopathy safely with sinusitis

  • The eye and brain warning signs at the top of this page are emergencies at any stage.
  • Acute sinusitis usually improves by itself within 2–3 weeks; improvement during that time is expected with or without any remedy.
  • If you have chronic sinusitis, keep using saline and your steroid spray as prescribed.

What the research says

A few trials of homeopathic combination products for acute sinusitis have reported benefits, but they were small, mostly funded by the products’ manufacturers, and have not been confirmed by independent research. There is no good evidence for individualised homeopathy in chronic sinusitis.

More broadly, the largest independent assessment — the Australian National Health and Medical Research Council’s 2015 review of 176 studies — found no reliable evidence that homeopathy is effective for any health condition, and advised against using it for conditions that are chronic, serious or could become serious. People often do feel better after a long, unhurried homeopathic consultation; in one controlled trial in rheumatoid arthritis, the benefit came from the consultation rather than the remedy.

In practice: if you choose homeopathy, use it alongside the care described on this page, not instead of it — and tell each practitioner what the other has prescribed. More on the research →

Remedies a homeopath may discuss

These are the traditional descriptions (“keynotes”) from the homeopathic materia medica, listed so you recognise names a practitioner may mention. They are not evidence that a remedy works and not a guide to self-treatment. Homeopaths choose one remedy for the whole person rather than by diagnosis.

Kali Bichromicum
Potassium dichromate

Described for thick, stringy, yellow-green mucus with pressure at the root of the nose.

Hydrastis
Goldenseal

Described for thick yellow mucus dripping down the back of the throat.

Pulsatilla
Windflower

Described for thick, bland mucus with loss of smell, better in the open air.

Silicea
Silica

Described for long-lasting sinusitis in chilly people who catch colds easily.

Hepar Sulphuris
Calcium sulphide

Described for painful sinuses very sensitive to cold air and touch.

Mercurius Solubilis
Mercury preparation, diluted

Described for greenish discharge with sweating and bad breath.

Belladonna
Deadly nightshade, diluted

Described for sudden, throbbing sinus pain with a flushed face.

Sticta Pulmonaria
Lungwort lichen

Described for a dry, blocked feeling high in the nose.

Find a homeopath

If you would like to try homeopathy, see a registered homeopathic doctor (BHMS or MD (Hom)) who will take a full history, knows your other treatment and will tell you when you need a medical specialist. Take your prescriptions and recent test reports with you.

Search all homeopaths → Are you a homeopathic doctor? Create your profile.

Sources

  1. Sinusitis (sinus infection) — NHS
  2. Common cold — NHS
  3. Allergic rhinitis — NHS
  4. Homeopathy (includes the NHMRC 2015 findings: 57 systematic reviews, 176 studies) — US National Center for Complementary and Integrative Health
  5. Homeopathy (summarises the NHMRC 2015 review and its advice) — Better Health Channel, Victoria State Government
  6. Brien S et al. Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy. Rheumatology 2011 — PubMed 21076131

This page is general information, reviewed September 2026. It is not a diagnosis and does not replace a consultation. Do not stop or change a prescribed medicine without talking to the doctor who prescribed it. In an emergency in India call 112 (ambulance 108).