all about pansinusitis

Pansinusitis is considered chronic when recurrence or when its manifestations beyond six weeks. If sinusitis does not respond to conventional treatment or if not treated, it evolves into chronic pansinusitis. In general, chronicity is installed after several attacks of acute sinusitis.
Pansinusitis can be explained by several factors: allergies to hair of animals, the mites, pollen, fungi or other substances that can cause inflammation of the nasal mucosa.
Other possible factors:
»Smoking (active or passive)
»Weakened immune system
»Anatomic anomaly: a deviated nasal septum
»Nasal polyps
"Inhaling cocaine
»Facial trauma that causes an obstruction of one or more sinuses

 Signs and symptoms
»Facial pain (above the eyebrows, teeth, around the eyes and behind them)
»Painful sensation of pressure in the sinus
»Nasal congestion
»Yellow or green nasal discharge, purulent if a bacterial infection. If secretions are clear, it is a cold (in this case antibiotics are not useful)
»Grade fever and malaise
»Diminution or loss of sense of smell 

In case of chronic pansinusitis symptoms are the same, but it takes a long time (over 6 weeks).
 Causes and risk factors 
Acute sinusitis is often the result of a viral infection of the upper respiratory tract, but allergens (substances that cause allergies) or pollutants may also be causes of acute sinusitis.
Bacteria responsible for acute pansinusitis is Streptococcus pneumonia, Haemophilus influenzae, and Moraxella catarrhalis. These microorganisms, along with Staphylococcus aureus and anaerobic bacteria responsible for chronic sinusitis.
Fungi leads to the appearance of chronic pansinusitis especially in patients with diseases affecting the immune system (AIDS, leukemia, diabetes).
 Risk Factors
- An infection of the upper respiratory tract (the main factor)
- Smoking (active or passive)
- Wet or polluted living environment
- Age. Although sinusitis sometimes occurs in infants and young children, it is more common among adults. Sinuses are formed progressively until age 12.
- Personal history of sinusitis
- Respiratory allergies (allergic rhinitis, allergic asthma)
- Congenital nasal or sinus - that causes blockage of the latter
- Nasal polyps
- Abscess
- Diseases affecting the immune system (leukemia, AIDS, diabetes)
- Cystic fibrosis

Measures to prevent acute or pansinusitis
 Some measures can reduce the risk of contracting an infection of the upper respiratory tract, or suffer from chronic pansinusitis: 

-Hay fever can be prevented by simple measures: wash hands carefully, avoiding contact with sick people. 
-Allergies can be prevented by avoiding exposure to possible allergens (pets, pollen, fungi) and conventional pollutants. 
-Immune system through a balanced lifestyle, in terms of stress levels, physical activity, diet. 
-Quitting smoking and avoiding exposure to cigarette smoke, which irritates the sinuses 
-Avoid using decongestants in the form of nasal sprays for more than 3 days. These topical decongestants are not without risks, because the nasal mucosa may be affected after a very long applications of these products. This rebound phenomena was observed after long use - recurrence of symptoms at end of treatment to be removed. Rebound is less severe when oral decongestants.
Measures to prevent complications  Consulting physician for accurate diagnosis and taking action to treat sinusitis generally allow preventing complications (meningitis, osteomyelitis, etc.). 
These signs indicative of complications:
  - Disturbances of vision (sometimes double vision)
  - Congestion of the eyes
  - Changes in consciousness 

Choosing appropriate antibiotics, adequate spectrum etiology of infection (eg, amoxicillin), reduces the risk of infectious colitis associated with taking antibiotics 



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  3. II am also suffering from Pansinusitis. I feel so tired, cant breath properly, headache, feel pain in skull, my beard color got change quickly to white a at the age of 29 & remain sluggish. I was asthma patient in childhood. A little change in weather affects me a lot even I can’t sit in AC room because of this.

  4. I had two episodes 8 years apart of waking and unable to walk straight, the recent one in feb.2016 have medical staff thinking I had a stroke, I was confused hbp etc. A CT Scan revealed pansinusitis. GP only referred me to ENT in Sept.via my intervention. After Coughing so much the GP referred me for a Chest X-ray that was clear. GP referred me to Hearing Centre, that was within normal parameters for 'my age, 45 at the time' a lot of tests all coming back normal over the 8 yr period. The CT Scan was the break through and I was referred to ENT. Symptoms were, green/yellow discharge, trickles at back of throat, intermittent loss of hearing, no sense of smell or taste, throat closing up whilst eating food, numb pain in cheek bones, eye sockets and forehead. Head pain from forehead to back of neck. Wanted to off load all this to the ENT consultant, who was in an extreme rush and said they are making this more complicated than what it really is. He Prescribed steroid nasal drops, nasal balloons and antihist. drugs. No antibiotics. So hopefully my pansinusitis will now clear up and I never have to wake up dizzy and confused again.