Current Treatments for COVID-19 Smell Loss

Aishu Gollamudi, Thomas S. Higgins, MD • May 19, 2025

COVID-19 (SARS-CoV-2) infection is known to cause varying degrees of loss of smell. Reduced or loss of sense of smell is referred to as hyposmia or anosmia respectively and is one of the early symptoms of COVID-19. In many cases, the hyposmia or anosmia improves within several weeks. However, there have been cases of extended COVID-19 symptoms in which certain symptoms persist past the acute infection for months to years, including fatigue, brain fog, and loss of smell. Today, we will explore why exactly hyposmia happens with long COVID-19 and some different treatments to recover one’s sense of smell.


Why does COVID-19 cause loss of smell?


COVID-19 infection causes loss of smell when the viral particles invade the supporting cells (sustentacular cells) neurons in the nose that detect smell and decrease their ability to sense odors (Zazhytska et al., 2022). Loss of smell that persists for a long time can be very distressing for people and so here are some ways to treat this detailed below.


Olfactory Training


Olfactory training is used frequently after an infection and has been shown to effectively improve overall smell. It involves a repeated, daily exposure of a combination of essential oils. Often, four essential oils, including rose, lemon, clove, and eucalyptus are sniffed for approximately 3 months (Pires et al., 2022). Within this multicenter clinical trial, olfactory training was given to a sample of 80 patients who ranged from 18-60 years old and were less than 3 months out from the onset of COVID-19 infection. The researchers quantified the sense of smell using the University of Pennsylvania Smell Identification Test (UPSIT) graded out of 40 points, with an increase of UPSIT score by 4 points being considered a significant improvement of smell (Pires et al., 2022). The group of individuals were separated into two subgroup which were given either a combination of 4 essential oils or 8 essential oils. Both groups had significant improvement in their sense of smell based on the subjective opinions of the patients themselves as well as based on the increase of 1.5 ± 3.9 in UPSIT score after treatment. There was no significant difference between the group that received 8 essential oils and the group that received 4 essential oils to sniff.


Olfactory training seems to improve the connections between the areas of the brain responsible for the perception of smell and the olfactory bulb to better the overall sense of smell. Overall, olfactory training is a therapy that may help individuals recover their sense of smell caused by COVID-19 infection.


Stellate Ganglion Block


The COVID-19 virus has been known to affect the nervous system as a part of its infectious process. In particular, it affects the autonomic nervous system which plays a role in regulating inflammation and other bodily processes. Therefore, the virus has the ability to cause persistent issues post infection, resulting in long COVID-19 symptoms such as decreased sense of smell. The virus alters the activity the sympathetic nerves of the autonomic nervous system and so these nerves serve as a potential target for therapy to alleviate symptoms caused by long COVID-19. An example of such treatment would be a stellate ganglion block which involves numbing a bundle of sympathetic nerves making up the stellate ganglion and blocks their connections.


The stellate ganglion block procedure involves the ultrasound-guided injection of a local anesthetic, such as ropivacaine or bupivacaine, to the stellate ganglion located anterior to the neck of the first rib (Kalava et al., 2023). A patient can receive a unilateral stellate ganglion block or a bilateral stellate ganglion block. A stellate ganglion block causes Horner’s syndrome where patients will have drooping eyelid, pupil constriction and lack of sweating. Patients usually receive a right-sided stellate ganglion block first and are allowed some time to recover from the Horner’s syndrome that is caused by the administration of the first block. Then, they can receive a left-sided stellate ganglion block.


The stellate ganglion block may improve long COVID-19 related symptoms, including cough, fatigue joint pain, and reduced sense of smell and taste (Pearson et al., 2023). A study of 41 patients demonstrated that 86% experienced a reduction of their long COVID-19 symptoms after the administration of the block. Treatment with solely the stellate ganglion block improved sense of smell and taste in 56% of the 41 patients. With the addition of a trigeminal nerve block alongside the stellate ganglion block, more individuals experienced a positive effect on their sense of smell and taste.


Another study demonstrated that of a group of 6 patients, 5 of them had improvements in their sense of smell and taste post bilateral stellate ganglion block administration (Kalava et al., 2023). Patients who are struggling with a myriad of persistent symptoms post COVID-19 infection can discuss this option with their physician to see if it is a potential treatment that may help with their particular symptoms. However, it should be noted that these studies lacked randomization or placebo control, and thus the evidence is weak for its effectiveness.


Nicotine Patches


The COVID-19 virus infects different parts of the body in various ways. One of those ways involves its spike protein, which has been discovered to bind to several receptors including the nicotinic acetylcholine receptors (nAChRs). The nAChrRs are integral for cholinergic neural regulation which is implicated in the modulation of many different functions including learning, memory, attention. Importantly, it modulates the piriform cortex and the olfactory bulb which plays a major role in regulating sense of smell in people.


Since, the spike protein of SARS-CoV-2 viral particles binds to the nAChr receptors it can cause neural deficits along with reduced sense of smell. But these receptors can be used as a target for a therapy to displace the spike protein and reduce those side effects caused by the SARS-CoV-2 viral particles. Nicotine is an agonist ligand that has a significantly higher affinity for the nAChr receptors in comparison to acetylcholine indicating it might have the capacity to displace the viral particles and disrupt its mechanism of causing side effects such as loss of smell. It was noted in previous studies that individuals who consumed nicotine had significantly lower proportion of severe, fatal cases of COVID-19 infections further demonstrating the potential of using nicotine as a treatment for long COVID-19 (Miyara et al., 2020).


Nicotine patches are theorized based on this knowledge as a treatment for persistent symptoms post infection. In a case study, four patients who were administration of nicotine patches had improvement in hyposmia as well as other symptoms including fatigue, weakness, shortness of breath, and exercise intolerance (Leitzke, 2023). It was noted that it took a duration of approximately 2 weeks of using nicotine patches to fully restore sense of smell. This study is very small and also lacks randomization or placebo control, so it is difficult to know if this therapy works.


The nicotine is thought to displace the SARS-CoV-2 viral particles from the AChr receptors potentially resulting in a SARS-CoV-2 infection. Since the patient has already encountered the virus before, they could be able to neutralize the infection quickly due to the antibodies they have formed from the first time of infection. Therefore, nicotine patches may also alleviate reduced sense of smell in individuals suffering from hyposmia post COVID-19 infection.


Administration of Theophylline


Theophylline is a phosphodiesterase inhibitor that prevents the degradation of secondary messengers involved in the olfactory signaling pathway and is thought to promote the sense of smell through this mechanism. Since the loss of smell could also be due to the hyperinflammatory state caused by SARS-CoV-2, it is possible theophylline may help recover sense of smell by acting as an anti-inflammatory.


There are ongoing investigations on theophylline in the benefit of recovering sense of smell post viral infection. One study demonstrated that administration of theophylline improved reduced or loss of smell (Henkin et al., 2012). Theophylline can be administered in two different ways either orally or intranasally. In this pilot study, 6 patients with hyposmia were given 200 to 800 mg/d of oral theophylline anhydrous from 2 months to 12 months. With the oral theophylline, there was maximal improvement from 4 to12 months of daily treatment. With the intranasal spray, a group of 8 patients with hyposmia were given 20 μg/d of intranasal theophylline methylpropyl paraben and had maximal improvement by 4 weeks of administration of the spray. Both intranasal spray and oral medications improved sense of smell in both groups of patients in the study but there was more of a profound recovery with the intranasal theophylline spray. Also, patients developed less resistance to theophylline when using the intranasal spray in comparison to the oral theophylline.


This small study demonstrated that theophylline intranasal spray may help patients suffering from hyposmia or anosmia recover their sense of smell potentially. The oral medication was not optimal as it has higher chances of resistance and is not nearly as effective as the intranasal spray.


Combination Therapy


With the rise prolonged loss of smell post COVID-19 viral infection, new therapies have been investigated to see if they could help with alleviating those symptoms. A combination therapy including a regimen of dexamethasone as the corticosteroid, mesoglycan as the glycosaminoglycan based antithrombotic agent, IV multivitamin complex along with an oral IV multivitamin complex, acetazolamide as the diuretic, and omeprazole (Vento et al., 2024).

 

The researchers carried out a 12-month observational pilot study with a group of 87 people that were experiencing hyposmia post COVID-19 infection. The patients’ sense of smell was quantified with the use of a visual analog scale score (VAS) on a scale between 0 (complete loss of smell) and 10 (complete recovery of sense of smell). The group of 87 people had an average VAS score of 2.21 prior to start of treatment. Patients showed significant improvement in sense of smell for individuals after continuously taking it with the average VAS score improving to a 6.48 at 6 months and 6.99 at 12 months of daily treatment. It was noted that, people who started the therapy within 90 days after infection had the best improvement of function in comparison to when started later (Vento et al., 2024). The overall trend was noted that the sooner the therapy was started post infection the better the results of the treatment for recovering sense of smell. However, this regimen still yielded significant improvement in smell even in individuals with chronic loss of smell.


Platelet-Rich Plasma (PRP) Treatment


Platelet-rich plasma (PRP) is plasma derived from one’s own blood and conditioning it to have a high concentration of platelets. PRP is rich in growth factors that promotes regeneration and has anti-inflammatory effects (Maniaci et al., 2024). In the studies evaluated in the comprehensive review, researchers compared the pre-treatment and post-treatment outcomes using both objective and self-reported tests. These tests included Threshold, Discrimination, and Identification (TDI) score, Sniffin’ Sticks test (SST), and self-reported questionnaires (Maniaci et al., 2024). The review investigated 2 prospective, 1 pilot, 2 randomized controlled, and 1 multicenter controlled studies investigating the effects of PRP injection on hearing loss due to long COVID.


Before the PRP injection, anesthesia was administered using a 10% xylocaine spray. The PRP injections were then performed in the office or peri-operatively and were injected into the middle turbinate or nasal septum. The PRP injections ranged from 1-2 mL of PRP. Some individuals received one injection, and others received up to three injections. Overall, across the studies, it was noted that there was a significantly higher improvement of sense of smell post treatment in comparison to control groups. The researchers hypothesized that PRP may stimulate recovery of the olfactory neurons while also regenerating the nasal mucosa contributing to the improvement of sense of smell. So, PRP injections may potentially help individuals recover their sense of smell post COVID-19 infection.


Hyposmia can be extremely stressful to deal with especially when the issue is persisting for so long. So, here are some treatments detailed above that can be explored alongside a medical professional to help determine what could best ameliorate those symptoms and make profound progress in recovering sense of smell.



 

References

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  • Kalava, A., Benyahia, S. A., Tico Calzada, R., & Staat, C. M. (2023). Efficacy of Stellate Ganglion Block in Treating Long-Term COVID-19-Related Olfactory and Gustatory Dysfunction: A Case Series. Cureus. https://doi.org/10.7759/cureus.40929


  • Leitzke, M. (2023). Is the post-COVID-19 syndrome a severe impairment of acetylcholine-orchestrated neuromodulation that responds to nicotine administration? Bioelectronic Medicine, 9(1), 2. https://doi.org/10.1186/s42234-023-00104-7


  • Maniaci, A., Lavalle, S., Masiello, E., Lechien, J. R., Vaira, L., Boscolo-Rizzo, P., Musa, M., Gagliano, C., & Zeppieri, M. (2024). Platelet-Rich Plasma (PRP) in the Treatment of Long COVID Olfactory Disorders: A Comprehensive Review. Biomedicines, 12(4), 808. https://doi.org/10.3390/biomedicines12040808


  • Miyara, M., Tubach, F., Pourcher, V., Morélot-Panzini, C., Pernet, J., Haroche, J., Lebbah, S., Morawiec, E., Gorochov, G., Caumes, E., Hausfater, P., Combes, A., Similowski, T., & Amoura, Z. (2020). Low rate of daily smokers in patients with symptomatic COVID-19. https://doi.org/10.1101/2020.06.10.20127514


  • Pearson, L., Maina, A., Compratt, T., Harden, S., Aaroe, A., Copas, W., & Thompson, L. (2023). Stellate Ganglion Block Relieves Long COVID-19 Symptoms in 86% of Patients: A Retrospective Cohort Study. Cureus. https://doi.org/10.7759/cureus.45161


  • Pires, Í. de A. T., Steffens, S. T., Mocelin, A. G., Shibukawa, D. E., Leahy, L., Saito, F. L., Amadeu, N. T., Lopes, N. M. D., Garcia, E. C. D., Albanese, M. L., De Mari, L. F., Ferreira, I. M., Veiga, C. A., Jebahi, Y., Coifman, H., Fornazieri, M. A., & Hamerschmidt, R. (2022). Intensive Olfactory Training in Post-COVID-19 Patients: A Multicenter Randomized Clinical Trial. American Journal of Rhinology & Allergy, 36(6), 780–787. https://doi.org/10.1177/19458924221113124


  • Vento, M. G., Marinelli, C., Ferrari, L., & Pedrazzi, G. (2024). Recovery of Smell and Taste in Patients With Persistent COVID-19-Related Hyposmia and Dysgeusia by Targeting Also Inflammation and Endothelial Dysfunction. Cureus. https://doi.org/10.7759/cureus.54925


  • Zazhytska, M., Kodra, A., Hoagland, D. A., Frere, J., Fullard, J. F., Shayya, H., McArthur, N. G., Moeller, R., Uhl, S., Omer, A. D., Gottesman, M. E., Firestein, S., Gong, Q., Canoll, P. D., Goldman, J. E., Roussos, P., tenOever, B. R., Jonathan B. Overdevest, & Lomvardas, S. (2022). Non-cell-autonomous disruption of nuclear architecture as a potential cause of COVID-19-induced anosmia. Cell, 185(6), 1052-1064.e12. https://doi.org/10.1016/j.cell.2022.01.024

 

By Tom Higgins June 30, 2025
Ever wake up with pressure behind your eyes and struggle to breathe? Wondering if it will ever stop? Chronic nasal issues can make everyday tasks hard. Many people wait months for symptoms to go away. Others use over-the-counter meds for quick fixes. The truth is, persistent problems often signal the need for specialized care. Knowing when to see a sinus specialist can change your life. These health issues can mess with your sleep, work, and life quality. This guide will help you spot warning signs for expert treatment. We'll show you when your symptoms need more than primary care. This empowers you to make smart health choices. Key Takeaways Persistent symptoms lasting more than 12 weeks may require specialized evaluation Recurring infections or severe headaches often indicate the need for expert care A sinus specialist offers advanced diagnostic tools and treatment options Early intervention can prevent complications and improve long-term outcomes Specialized care addresses root causes rather than just managing symptoms Professional evaluation helps distinguish between different types of nasal conditions Understanding When Your Sinus Problems Need Expert Care Figuring out when to see a specialist for sinus issues can be tricky. Sometimes, you might just have a cold or minor sinus infection that goes away on its own. But, knowing when it's time to get help can prevent a lot of pain. It's all about patterns and persistence . If your sinus troubles last more than a couple of weeks, or if they keep coming back, it's time to see a doctor. This is true even if you've tried over-the-counter meds. Many people think of chronic sinus issues as just allergies or something they have to live with. But, this thinking can lead to more suffering and health problems. Your quality of life is important, and constant nasal congestion shouldn't be normal. Think about how your sinus problems affect your daily life. Do you always need tissues? Do you have trouble breathing? Do you avoid social events because of your sinuses? If so, it's a sign you need expert help. Spotting these patterns early can stop problems from getting worse. Many people wait too long to see a specialist, letting their sinus issues get more serious. How often you get sinus problems matters a lot. If it happens more than four times a year, or if each episode lasts longer, you need to see a doctor. Remember : You don't have to deal with chronic sinus problems alone. A specialist can find the cause of your nasal congestion and offer treatments that general meds can't. Getting help early can lead to better results and faster relief. What Does a Sinus Specialist Do That Your Regular Doctor Cannot? Sinus specialists have special skills and tools that change how we tackle tough nasal problems. While your family doctor is great for general care, sinus issues need more advanced knowledge and tools. These go beyond what's usual in regular medicine. The big difference is in the training and technology sinus specialists use every day. They offer solutions that work when other treatments don't. ENT Doctor Specialized Training and Expertise An ent doctor has extra years of training after medical school. This is all about ear, nose, and throat issues. They learn a lot about sinus anatomy, surgery, and treatment plans. Most ent doctors spend five years in a residency program for otolaryngology. They do many procedures and get a lot of experience with rare conditions. Thanks to their deep knowledge, sinus specialists can spot early warning signs. They know how sinus health ties into the rest of the body. This lets them tackle the real causes, not just symptoms. The specialized training we receive allows us to see patterns and connections that aren't immediately obvious to general practitioners. Advanced Diagnostic Equipment and Procedures Sinus specialists use tools that give detailed views of your sinuses. These tools help find problems that regular exams miss. Key diagnostic advantages include: Nasal endoscopy for direct visualization of sinus passages High-resolution CT scans that reveal structural abnormalities Specialized allergy testing for comprehensive treatment planning Advanced imaging techniques that map sinus drainage patterns These advanced tests let specialists make detailed plans for your treatment. They can spot issues like nasal polyps or blockages that need special care. With their training and tools, sinus specialists can offer treatments not found in regular care. This includes surgery and allergy programs that can really improve your life. Common Sinus Conditions That Require Specialist Care Many patients need advanced care for their sinus conditions. These complex issues often involve several factors. They require specialized diagnostic skills and treatment approaches. Primary care doctors handle many health issues well. But, some sinus problems need the expertise of ENT specialists. These include structural abnormalities, persistent infections, or complex causes. Chronic Sinusitis and Recurring Infections Chronic sinusitis is a tough condition to treat. It involves inflammation lasting 12 weeks or more, despite standard treatments. Unlike acute sinusitis, chronic sinusitis causes ongoing symptoms that affect daily life. Patients often face recurring infections every few months. This creates a cycle of temporary relief followed by symptoms again. The underlying causes often include bacterial biofilms, fungal elements, or immune system responses that general practitioners may struggle to identify and treat effectively. Chronic sinusitis needs a thorough evaluation to find the root causes. Our specialists use advanced tools to identify specific bacteria, assess immune function, and evaluate structural factors contributing to persistent inflammation. Nasal Polyps and Structural Abnormalities Nasal polyps are soft, painless growths in the nasal passages and sinuses. They can block airflow and trap mucus, leading to recurring infections and breathing difficulties. Polyps often indicate underlying inflammation that requires specialized management. Structural abnormalities in the nasal passages create ongoing problems. These issues often develop over time or result from previous injuries. We evaluate each patient's unique anatomy to develop targeted treatment plans. Many patients don't realize that structural problems contribute to their symptoms. Proper diagnosis requires specialized imaging and examination techniques that help us identify specific abnormalities affecting sinus function. Deviated Septum and Breathing Issues A deviated septum occurs when the wall between nasal passages shifts to one side. This common condition can cause severe breathing difficulties. Many people live with these symptoms unnecessarily , not realizing effective treatments are available. Breathing issues from septum problems often worsen over time. We evaluate how structural problems affect airflow and sinus drainage. This assessment helps us recommend appropriate treatment options, from conservative management to surgical correction. These conditions don't have to be permanent sources of discomfort. With proper specialist care, we can provide effective treatment options. These options offer lasting relief and dramatically improve your quality of life. Early specialist intervention often prevents complications and reduces the need for more extensive treatments later. 7 Warning Signs You Need to See a Sinus Specialist We've found seven key signs that mean you need to see a sinus specialist . These symptoms often start slowly but show your body needs more help than usual treatments can offer. Many people wait too long to see a specialist. They try many over-the-counter remedies and basic prescriptions for months. Seeing a specialist early can stop your condition from getting worse and help you find relief faster. Chronic Nasal Congestion Lasting More Than 12 Weeks Nasal congestion that lasts over three months is not just a temporary problem. It shows there's inflammation or structural issues that need expert care. Patients often try many decongestants and home remedies without success. This constant congestion can hurt your sleep, focus, and daily life . A sinus specialist can find the cause and create a treatment plan. Long-term congestion might mean problems like nasal polyps, chronic sinusitis, or structural issues that doctors can't fully diagnose or treat. Recurring Sinus Infections Every Few Months Having a sinus infection more than three times a year means there's a bigger problem. Antibiotics might help for a while, but they don't fix the real issue. We often see people stuck in this cycle. Each infection messes up their work, family life, and health. Recurring infections often come from structural issues, chronic inflammation, or immune system problems that need a specialist's help. A sinus specialist can end this cycle by finding out why infections keep coming back. They'll create a plan to stop future infections, not just treat symptoms. Severe Facial Pain and Pressure That Medication Cannot Relieve Severe facial pain and pressure that doesn't go away with pain relievers means serious sinus problems. This pain often gets worse when you bend forward or lie down. This pain can really hurt your work, sleep, and daily life . Even prescription pain meds might not help much. We know how tough this constant pain is. Severe, medicine-resistant pain often means deep sinus inflammation, structural issues, or complications that need advanced care. Complete Loss of Smell or Taste for Extended Periods Not being able to smell or taste for weeks or months is very concerning. It shows serious inflammation or structural problems in your nasal passages. Losing your sense of smell or taste affects more than just your food enjoyment. It can also make you less safe by not being able to smell gas leaks, smoke, or spoiled food . Many people also feel emotionally down because of this. We treat this symptom quickly because long-term loss can be permanent. Specialized treatment can often bring back these important senses if done soon enough. Other warning signs include thick nasal discharge, severe headaches that get worse when bending forward, unexplained upper tooth pain, and chronic fatigue from poor sleep. When you have many symptoms together, it's clear you need specialist care . How a Sinus Specialist Diagnosis Differs from Primary Care We offer detailed exams that go beyond what your family doctor can do. While your doctor might use basic tools, we use advanced tech to see inside your sinuses. Our process starts with nasal endoscopy . This lets us see into your nasal passages. It shows issues like deviated septum , polyps, or inflammation that regular doctors can't see. We also use CT scans to get detailed images of your sinuses. These scans reveal structural problems and blockages. Most primary care offices don't have this technology. The main difference is depth. We find the cause of your sinus problems, not just treat symptoms. Comprehensive allergy testing is another tool we use. Many sinus problems come from allergies that regular doctors might miss. We test for specific allergens that could be causing your symptoms. Here's how our approach compares to primary care: We take time to understand your medical history and symptoms. This helps us create treatment plans that really work for you. Our training lets us spot signs that general doctors might miss. We know how sinus conditions and lifestyle factors affect your symptoms. This leads to a precise diagnosis and effective treatment. We target the exact problem, not just manage symptoms. Advanced Treatment Options Only Specialists Can Provide When standard treatments don't work, specialized sinus care offers advanced solutions. We have innovative procedures and programs that tackle the root of your sinus issues. These specialized treatment options are only available from trained sinus specialists. They have the skills and tools for the best results. Our advanced care combines the latest technology with personalized plans. We choose each treatment based on your condition, symptoms, and lifestyle. This ensures you get the most effective treatment for lasting relief. Endoscopic Sinus Surgery for Severe Cases Endoscopic sinus surgery is a breakthrough for severe chronic sinusitis. It uses a thin, flexible tube with a camera for a minimally invasive approach. We can remove blockages and correct structural issues without harming healthy tissue. This sinus surgery offers faster recovery and less scarring than traditional methods. Most patients can return to normal activities within a week. The precision of endoscopic techniques targets problem areas while preserving healthy tissue. Balloon Sinuplasty for Less Invasive Relief Balloon sinuplasty is a great option for those seeking less invasive treatments. It gently opens blocked sinus pathways with a small balloon catheter. We insert the balloon, inflate it to widen the passage, and then remove it to restore drainage. This gentle sinus surgery option doesn't require cutting or tissue removal. Recovery is faster than traditional surgery, with most patients feeling relief within days. The procedure can often be done in our office under local anesthesia, making it convenient and comfortable. Comprehensive Allergy Treatment Programs Our allergy treatment programs target the underlying triggers of chronic sinus problems. We do thorough allergy testing to find specific environmental allergens affecting your sinuses. Based on these results, we create targeted treatment plans that may include immunotherapy options. Immunotherapy builds your tolerance to specific allergens over time. This treatment reduces the frequency and severity of sinus flare-ups caused by environmental triggers. We also teach you how to minimize allergen exposure in your daily life. Customized Medication and Therapy Plans We create personalized medication regimens using treatments not available to general practitioners. These may include specialized nasal sprays , targeted antibiotics, and advanced anti-inflammatory medications. Our approach considers your medical history, symptoms, and treatment preferences. We also offer additional therapies to complement our medication plans. We guide you on advanced saline irrigation systems and breathing exercises. Our recommendations help create optimal conditions for sinus health in your home and workplace. Our comprehensive treatment approach ensures you get the best care for your condition. We work closely with you to monitor progress and adjust treatments as needed. This personalized attention helps achieve the best outcomes for your sinus health and quality of life. What to Expect During Your Sinus Specialist Consultation Your first visit to a sinus specialist is a big step toward relief. We know medical visits can be tough, but we aim to make it easy and helpful. Our goal is to make you feel comfortable and well-informed. The visit usually lasts about 45 minutes to an hour. This time lets us really get to know your situation and plan a good treatment. It's a good idea to bring your questions and any past medical records about your sinus issues. Detailed Medical History and Symptom Assessment We start by going over your medical history. This helps us understand your sinus problems better and find possible causes. We'll ask about several important things: Symptom timeline: When did your problems start, and how have they changed over time? Trigger identification: What makes your symptoms worse? Previous treatments: What treatments have you tried, and how did they work? Daily impact: How do your symptoms affect your daily life? Family history: Do any family members have similar sinus issues or allergies? We also talk about your current medications. This helps us avoid any bad interactions and understand what hasn't worked for you. Physical Examination and Advanced Testing The physical exam includes special techniques not usually done by your primary doctor. We use tools made for checking the nasal passages and nearby areas. Our exam covers: External inspection: We look for signs of swelling, tenderness, or unevenness on your face Nasal cavity examination: We use a nasal speculum and light to check for inflammation, polyps, or other issues Throat and neck assessment: We check your throat for signs of post-nasal drip and feel your neck for swollen lymph nodes Based on what we find, we might suggest more tests. Nasal endoscopy is a key tool for us. It uses a thin, flexible camera to show us what's inside your nasal passages and sinus openings. The endoscopy is usually easy and quick. We might use a mild decongestant spray to help. This test helps us find blockages, inflammation, or other issues not seen in a regular exam. We might also talk about: CT imaging: Gives us detailed pictures of your sinus anatomy and finds blockages Allergy testing: Helps us see if allergies are part of your problem Smell and taste testing: Checks if you've lost these important senses Throughout your visit, we encourage you to ask questions and share your concerns. We want you to feel informed and comfortable with every step. By the end, we'll know exactly what's going on and can talk about treatment options just for you. Our detailed approach helps us tackle the real causes of your sinus problems, not just the symptoms. Red Flag Symptoms Requiring Immediate Specialist Attention Knowing the dangerous signs of sinus problems can save your vision and life. Most sinus issues are easy to handle. But, some warning signs show serious problems that need immediate medical attention . Here are the critical symptoms that need urgent care: High fever with severe facial pain - A temperature over 101°F with intense facial pressure Eye area swelling or bulging - Swelling around your eyes, with one eye bulging forward Vision changes - Double vision, blurred sight, or sudden vision loss Severe headaches - Sudden, intense headaches that are different from usual sinus pain Neck stiffness with confusion - Stiff neck with mental confusion or light sensitivity Other emergency signs include persistent nosebleeds with severe pain and sudden complete loss of smell or taste after a head injury. These signs often mean your sinus infection has spread to other areas. Orbital cellulitis and intracranial infections are serious complications from untreated sinus problems. When infections spread, they can harm your eyes, brain, and other important structures. If you notice any of these symptoms, seek emergency medical care immediately . Don't wait for your regular appointment or try to treat these symptoms at home. Emergency treatment might include antibiotics, drainage procedures, or endoscopic sinus surgery to avoid permanent damage. Quick action can save your vision and prevent serious complications. We always suggest calling 911 or visiting your nearest emergency room for these red flag symptoms. Your health and safety are too important to delay treatment. Conclusion Living with persistent sinus problems can be really tough. But now, you know when to seek help. Your sinus specialist can offer more than just basic treatments. They have advanced surgeries and allergy treatment plans. These can solve the real issues behind your pain. Listen to your body. If you have chronic congestion, keep getting infections, or face severe pain, get help. Don't ignore loss of smell or taste. Getting better starts with a simple call. Sinus specialists use the latest tools and create plans just for you. They can help with surgeries or allergy treatments. We think everyone should be able to breathe easily and live without sinus pain. Don't let symptoms hold you back. Book your appointment today and start feeling better. FAQ How do I know if I need to see a sinus specialist instead of my regular doctor? You should see a sinus specialist if you have chronic nasal congestion for over 12 weeks. Also, if you get sinus infections every few months, or if you have severe facial pain that doesn't get better with medicine. Losing your sense of smell and taste is another sign you need a specialist. What makes an ENT doctor different from my primary care physician for sinus problems? ENT doctors get special training in ear, nose, and throat issues. They know a lot about sinus problems that regular doctors don't. They use advanced tools like nasal endoscopes and CT scans. They also offer treatments like endoscopic sinus surgery and allergy programs that primary care can't provide. What conditions require specialized sinus care? We treat long-lasting sinusitis, recurring infections, nasal polyps, and breathing problems due to structural issues. These complex cases need special skills and treatments because they involve infections, immune system problems, or anatomical issues. What happens during my first consultation with a sinus specialist? At your first visit, we'll review your medical history and do a thorough physical exam. We might use a nasal endoscope to look inside your nose. We'll also talk about getting a CT scan to check your sinuses. If allergies are a problem, we'll discuss testing for them. What advanced treatments can only sinus specialists provide? We offer surgeries like endoscopic sinus surgery and balloon sinuplasty. We also have allergy treatment programs and special medications like nasal sprays and antibiotics. Our treatments are tailored to your needs and lifestyle. Are there any red flag symptoms that require immediate specialist attention? Yes, seek immediate help if you have a high fever with severe facial pain, swelling around your eyes, vision changes, sudden severe headaches, double vision, or persistent nasal bleeding. These signs can mean serious problems like orbital cellulitis or intracranial infections. How long should I wait before seeing a sinus specialist? Don't wait if you've had chronic sinusitis for over 12 weeks, get infections every few months, or have symptoms that really bother you. Seeing a specialist early can help prevent your condition from getting worse. Can a sinus specialist help with my allergies that cause sinus problems? Yes! We offer allergy treatment programs to help with chronic sinus problems. This includes testing, immunotherapy, and personalized plans to address both your sinus symptoms and their allergic causes.
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A woman with sinus infection.
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Are you wondering what to do about your sinus infection? Should you have it treated or try to let it clear up on its own? Knowing what can cause these infections and when to seek care is important. Leaving a sinus infection or sinusitis alone may not be the best — or safest — option for you. These infections can lead to other problems in some cases if they’re not treated. We’ll explore what might happen if you delay or even skip treatment for sinusitis.
A diagram of a person 's nose and throat showing nasal polyps
August 14, 2024
Nasal polyps are soft, noncancerous growths that develop on the lining of the nasal passages or sinuses. They can vary in size and may occur individually or in clusters. While they are usually painless, they can lead to various symptoms and complications. The exact cause of nasal polyps is not fully understood, but they are associated with chronic inflammation in the nasal passages. S
A woman is sitting on a couch holding her nose because she has a sinus headache.
June 7, 2024
Wondering how surgeons tackle chronic infected sinuses? From endoscopic sinus surgery to balloon sinuplasty, they have a range of techniques to alleviate symptoms and improve sinus health. Curious about the process? Let's delve into how these skilled professionals work their magic to bring relief and better breathing!
A woman suffering from a headache is sitting on a couch with her hand on her forehead.
May 10, 2024
Headaches are a common ailment that can disrupt our daily routines and cause discomfort. Whether it's a tension headache from stress or a migraine triggering intense pain, finding relief is essential. Read on to learn more about headaches and some effective strategies to help you get rid of it.
A young woman suffering from Sinus Infection
By Thomas Higgins March 18, 2024
Sinus infections (sinusitis) are common and may occur as a primary infection or due to an underlying condition. When a “sinus infection affects someone,” the common question coming from their friends and family is: "Is sinusitis contagious?” It depends on how your infection started.
A woman with red hair is blowing her nose while holding a thermometer and pills.
By Thomas Higgins February 10, 2024
When trying to find relief for nasal congestion related to sinusitis, two main types of decongestants are available: oral and nasal spray. But which one is better for you?
A woman with nasal congestion spraying decongestant medication
By Thomas Higgins January 28, 2024
Nasal congestion is a common complaint among people of all ages and can significantly impact quality of life. The symptom can stem from a several causes, including anatomic and inflammatory issues of different areas of the nose. Here, I will discuss more about nasal congestion and how it's treated.
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