Antimicrobial drugs:
Ampicillin and amoxicillin are quite effective and cover a wide range of organisms. Erythromycin or doxycycline or cotrimoxazole are equally effective and can be given to those who are sensitive to penicillin. β-lactamase-producing strains of H. influenzae and M.Catarrhalis may necessitate the use of amoxicillin/ clavulanic acid or cefuroxime axetil. ciprofloxacin is also effective, and has the advantage of single daily dose.
Nasal decongestant drops.
One per cent ephedrine or 0.1% xylo- or oxymetazoline are used as nasal drops or sprays to decongest sinus ostium and encourage drainage.
Steam inhalation.
Steam alone or medicated with menthol or Tr.Benzoin Co. provides symptomatic relief and encourages sinus drainage. Inhalation should be given 15–20 Min after nasal decongestion for better penetration.
Analgesics.
Paracetamol or any other suitable analgesic should be given for relief of pain and headache.
Hot fomentation.
Local heat to the affected sinus is often soothing and helps in the resolution of inflammation.
Surgery [2].
Homeopathic treatment is based on individualization in which a doctor selects a medicine according to your/ patients constitution rather then matching only symptoms similarity, so before taking any homeopathic medicine you have to firstly consult a homeopathic physician for your concern problem’s, there are so many remedies work in this case but some of the few therapeutic indications of homeopathic remedies in the cases of sinusitis are as follows.
Arsenicum Album
These children feel throbbing and burning pains in the sinuses. Their pains are aggravated by light, noise, movement, after midnight, and may be triggered by anxiety, exertion, and excitability. They may feel relief by lying quietly in a dark room with the head raised on pillows and exposed to cool air. Their teeth may feel long and painful. They may feel nausea and experience vomiting concurrent with their sinusitis.
Belladonna
Throbbing pains in the front part of the head that come on suddenly and tend to leave suddenly only to return are characteristic of children who need this medicine. (see Headache)
Hepar Sulphur
Rarely indicated at the beginning of a sinusitis condition, Hepar sulphur children begin sneezing and then develop sinusitis from the least exposure to cold air. Their nasal discharge is thick and yellow. The nostrils become very sore from the acrid discharge, and their nasal passages become sensitive to cold air. Concurrently, they may have a headache with a sense of a nail or a plug that is thrust into the head along with a boring or bursting pain. Their headache above the nose is worse from shaking the head, motion, riding in a car, stooping, moving the eyes, or simply from the weight of a hat, but is relieved by the firm pressure of a tight bandage. The scalp is so sensitive that simply combing the hair may be painful.
Kali Carbonicum
The distinguishing feature of children with sinusitis who need this medicine is that they have a thick, stringy nasal discharge. They have extreme pain at the root of the nose that is better by applying pressure there. The bones and scalp feel sore. Dizziness and nausea when rising from sitting and the severe pain may lead to dimmed vision. The pains are worse by cold, light, noise, walking, stooping, and in the morning (especially on waking or at 9 am) or at night. They prefer to lie down in a darkened room and feel better by warmth, warm drinks, or overeating.
Mercurius
These children feel as though their head was in a vise. The pains are worse in open air, from sleeping, and after eating and drinking. The pains also aggravated by extremes of hot and cold temperature. The scalp and the nose become very sensitive to the touch. Their teeth feel long and painful, and they may salivate excessively. The nasal discharge is usually green and too thick to run. It is offensive smelling and acrid.
Pulsatilla
The head pain is worse when lying down and in a warm room also is better in cool air for children who need this medicine. The sinusitis may after overheated. Stooping, sitting, rising from lying down, and eating can aggravate the head pain, which is often in the front part of the head and accompanied with digestive problems. Besides this, They get some relief from slow walking in the open air or by wrapping the head tightly in a bandage. This condition commonly experience when the child is in school. The nasal discharge is often thick and yellow or green.
Silicea
These children usually have a chronically stuffed nose. They have a sense as though their head would burst. Additionally, The head pain tends to worse in one eye, usually the right. It aggravated by mental exertion (students tend to get sinusitis while studying for an exam). Cold air, moving the head, light or noise can also aggravate the head pain. It relieve specifically by wrapping the head warmly and tightly or by applying heat.
Spigella
Children who develop sinusitis with a sharp pain that is worse on the left side may need this medicine. In detail, They tend to get sinusitis after exposure to cold or cold, wet weather. They feel pain from warmth or when they stoop or bend the head forward, and they feel some relief especially by cold applications or from washing with cold water [3].
