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If mucus is not spitted (Usually people SWALLOW mucus.) This SWALLOWED mucus gets mix with Pita (bile). As mud spoils the things on which it is thrown. It wraps the food intakes disturbing the Agni (digestion fire). …. Sometime Acidity too leads to sinus, just like there is rain after volcano causing slippery mud. Usually Chronic acidity leads to sinus due to indigestion natural process of treating extra Kapha (mucus) gets disturbed leading to sinus.


Sinusitis refers to an inflammation of the mucus membrane lining the paranasal sinuses. Chronic sinusitis is a common condition in which the cavities around nasal passages (sinuses) become inflamed and swollen. Chronic sinusitis lasts 12 weeks or longer despite treatment attempts.

Also known as chronic rhino-sinusitis, this condition interferes with drainage and causes mucus to build up. If you have chronic sinusitis, it may be difficult to breathe through your nose. The area around your eyes and face may feel swollen, and you may have throbbing facial pain or a headache.

Chronic sinusitis may be caused by an infection, but it can also be caused by growths in the sinuses (nasal polyps) or by a deviated nasal septum. Chronic sinusitis most commonly affects young and middle-aged adults, but it also can affect children.


Chronic sinusitis and acute sinusitis have similar signs and symptoms, but acute sinusitis is a temporary infection of the sinuses often associated with a cold. At least two of the following signs and symptoms must be present for a diagnosis of chronic sinusitis:

Sneezing again and again.
Inflammation in eyes
Drainage of a thick, yellow or greenish discharge from the nose or down the back of the throat
Nasal obstruction or congestion, causing difficulty breathing through your nose
Pain, tenderness and swelling around your eyes, cheeks, nose or forehead
Reduced sense of smell and taste
Headache usually felt in forehead and just below the eyes.
Low-grade fever.
Lack of appetite.
Difficulty in breathing.
Heaviness in the Head
Other signs and symptoms can include:

Ear pain
Aching in your upper jaw and teeth
Cough, which may be worse at night
Sore throat
Bad breath (halitosis)
Fatigue or irritability
The signs and symptoms of chronic sinusitis are similar to acute sinusitis, except they last longer and often cause more significant fatigue. Fever isn’t a common sign of chronic sinusitis, as it may be with acute sinusitis.

Root Causes

According to Ayurvedic theory

Increase of kapha in the body
Nasal polyps or tumors. These tissue growths may block the nasal passages or sinuses.
Trauma to the face. A fractured or broken facial bone may cause obstruction of the sinus passages.
Respiratory tract infections. Infections in your respiratory tract — most commonly, colds — can inflame and thicken your sinus membranes, blocking mucus drainage and creating conditions ripe for growth of bacteria. These infections can be viral, bacterial or fungal in nature.
Allergies such as hay fever. Inflammation that occurs with allergies may block your sinuses.
Immune system cells. With certain health conditions, immune cells called eosinophils can cause sinus inflammation.
Hyper Acidity As per Ayurvedic theory indigestion due to acidity leads to sinus, just like there is rain after volcano causing slippery mud. Usually Chronic acidity leads to sinus due to indigestion natural process of treating extra Kapha (mucus) gets disturbed leading to sinus.
Risk factors

You’re at increased risk of getting chronic or recurrent sinusitis if you have:

A nasal passage abnormality, such as a deviated nasal septum or nasal polyps
Aspirin sensitivity that causes respiratory symptoms
A medical condition, such as cystic fibrosis or chronic obstructive pulmonary disease (COPD)
An immune system disorder, such as HIV/AIDS or cystic fibrosis
Hay fever or another allergic condition that affects your sinuses
Asthma — about 1 in 5 people with chronic sinusitis have asthma
Regular exposure to pollutants such as cigarette smoke

Chronic sinusitis complications include:

· Digestion system: it has a main effect on digestion system if mucus is not spitted. Usually people SWALLOW mucus. This SWALLOWED mucus gets mix with Pita (bile). As mud spoils the things on which it is thrown. It wraps the food intakes disturbing the Agni (digestion fire). In common language we can say Ball gladder has to work more to produce sufficient bile. So one should spit when mucus fall from head to neck.
Asthma flare-ups. Chronic sinusitis can trigger an asthma attack.
Meningitis, an infection that causes inflammation of the membranes and fluid surrounding your brain and spinal cord.
Vision problems. If infection spreads to your eye socket, it can cause reduced vision or even blindness that can be forever.
Aneurysms or blood clots. Infection can cause problems in the veins surrounding the sinuses, interfering with blood supply to your brain and putting you at risk of a stroke.
Tests and diagnosis

Usually no tests are required to diagnose it. It has common symptoms either running of nose or falling of mucus in throat, or problem in inhaling. But following test may be taken for the satisfaction of mind.

To look for the cause of your symptoms, your doctor will feel for tenderness in your nose or throat. To make it easier to see inside your nasal passages, he or she may:

Use a tool to hold your nose open
Apply medication that constricts blood vessels in your nasal passages
Shine a light into your nasal passages to look for inflammation or fluid
This visual inspection will also help rule out physical conditions that trigger sinusitis, such as nasal polyps or other abnormalities.

Your doctor also may use several other methods to help screen for chronic sinusitis:

Nasal endoscopy. A thin, flexible tube (endoscope) with a fiber-optic light inserted through your nose allows your doctor to visually inspect the inside of your sinuses. This also is known as rhinoscopy.
Imaging studies. Images taken using computerized tomography (CT) or magnetic resonance imaging (MRI) can show details of your sinuses and nasal area. These may identify a deep inflammation or physical obstruction that’s difficult to detect using an endoscope.
Nasal and sinus cultures. Cultures are generally unnecessary for diagnosing chronic sinusitis. However, in cases in which the condition fails to respond to treatment or is progressing, tissue cultures may help pinpoint the cause, such as identifying a bacterial or fungal pathogen.
An allergy test. If your doctor suspects that the condition may be brought on by allergies, an allergy skin test may be recommended. A skin test is safe and quick and can help pinpoint the allergen that’s responsible for your nasal flare-ups.
Treatments and drugs

The goal of treating chronic sinusitis is to:

Reduce sinus inflammation
Keep your nasal passages draining
Helps treating the underlying cause
Reduce the number of sinusitis flare-ups you have
Treatments to relieve symptoms Your doctor may recommend treatments to help relieve sinusitis symptoms. These include:

· Mostly allopathic is not so far able to treat it though the following treatments are prescribed. But all have temporary results. But Ayurveda have control on it.
Saline nasal spray, which you spray into your nose several times a day to rinse your nasal passages.
Nasal corticosteroids. These nasal sprays help prevent and treat inflammation. Examples include fluticasone (Flonase), budesonide (Rhinocort Aqua), triamcinolone (Nasacort AQ), mometasone (Nasonex) and beclomethasone (Beconase AQ).
Oral or injected corticosteroids. These medications are used to relieve inflammation from severe sinusitis, especially if you also have nasal polyps. Examples include prednisone and methylprednisolone. Oral corticosteroids can cause serious side effects when used long term, so they’re used only to treat severe asthma symptoms.
Decongestants. These medications are available in over-the-counter (OTC) and prescription liquids, tablets and nasal sprays. Examples of OTC oral decongestants include Sudafed and Actifed. An example of an OTC nasal spray is oxymetazoline (Afrin). These medications are generally taken for a few days at most; otherwise they can cause the return of more severe congestion (rebound congestion).
Over-the-counter pain relievers such as aspirin, acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others). Because of the risk of Reye’s syndrome — a potentially life-threatening illness — never give aspirin to anyone younger than age 18.
Aspirin desensitization treatment if you have reactions to aspirin that cause sinusitis. However, this treatment can have serious complications such as intestinal bleeding or severe asthma attacks.

Antibiotics are sometimes necessary for sinusitis if you have a bacterial infection. However, chronic sinusitis is usually caused by something other than bacteria, so antibiotics usually won’t help.

Antibiotics used to treat chronic sinusitis caused by a bacterial infection include amoxicillin (Amoxil, others), doxycycline (Doryx, Monodox, others) or the combination drug trimethoprim-sulfamethoxazole (Bactrim, Septra, others). If the infection doesn’t subside or if the sinusitis comes back, your doctor may try a different antibiotic.

If your doctor does prescribe antibiotics, it’s critical to take the entire course of medication. Generally, this means you’ll need to take them for 10 to 14 days or even longer — even after your symptoms get better. If you stop taking them early, your symptoms may come back.


If allergies are contributing to your sinusitis, allergy shots (immunotherapy) that help reduce the body’s reaction to specific allergens may help treat the condition.


In cases that continue to resist treatment or medication, endoscopic sinus surgery may be an option. For this procedure, the doctor uses an endoscope, a thin, flexible tube with an attached light, to explore your sinus passages. Then, depending on the source of obstruction, the doctor may use various instruments to remove tissue or shave away a polyp that’s causing nasal blockage. Enlarging a narrow sinus opening also may be an option to promote drainage.

Lifestyle and home remedies

ONE OF THE BEST THERAPY FOR IT IS NASVAAR (inhaling powder made of herbs). IT GIVES RESULTS WITH IN HOUR OF INHALING. Proper treatment with it can treat the chronic disease how for long it may be.

These self-help steps can help relieve sinusitis symptoms:

Take mulathi = 100 gm

Dalchini = 50 gm

Saunf = 50 gm

Ajwain =20 gm

Methi bij = 50 gm

Grind all thee above mixture. Take a full spoon of it. And soak it in water (better in copper pot) for at least 12 hour (may be for 20 hours). Take it empty stomach.

After meal take mulathi to lick and ingest juice of it. Dalchini can be taken. Best for it is Pan (betel leaves) with mulathi, long, saunf from panvaari shop. It ia available in India but not possible for people living out side India so they can take Sitopaladi Powder with honey.
Take following spice long (clove) =100 gm. Dalchini (cinnamon) = 150 gm, dhaniya (coriander) = 150 gm, jaifal (nutmeg)= 10 gm , kali mirch (black peper) = 100 gm, magan (long peper) = 50 gm javiri ( flower of nutmeg jaifal) =10 gm. Mix them and grind them this mixture is for your cooking. Put in food you are preparing 2 minute before blowing out the gas. And use it as your food.
Take 1-2 pcs of green chili with your food.
Take ½ spoon of turmeric powder, 1 pc of dry date and 2 pcs of Munacca (dry grapes with seeds) for few days in summer. And in winter it can be taken daily.
Put 2 drops of SHAADBINDU OIL in both nostrils after food.
Take cotton make a stick of it. Soak it in oil , wrap it with turmeric. Kindle it for a minute or two. Extinguish it. And inhale the smoke of it with a cone made of paper.