Question: I have allergies and about twice a year and I get a really bad head colds which take away my smell/taste and eventually lead to sinus infections. I will be starting allergy shots soon and do you think they will help?
Answer:
Thanks for your question. Sinus infections are caused by persistent blockage to the sinus drainage passages. Anything that causes a persistent swelling in the lining of the nose can predispose us to a sinus infection. This can be from an anatomic abnormality, (such as a deviated septum) a prolonged viral infection, (perhaps after the flu or other prolonged cold), environmental irritants (cold weather, chemicals, dust), reflux of gastric acid as high as the nose, and of course allergies. There can be more than one of these problems in each person.
Treatment for recurrent infections includes finding the cause or causes of the blockage and treating or removing them. If you have allergies, frequently we will try to remove the allergen, if possible- (get rid of a feather pillow if you have feather allergies, lessen dust in the home if you have dust allergies)- medical treatment such as antihistamines (orally or nasal sprays), nasal steroid sprays (such as Flonase or Nasonex) and saline rinses to remove the allergen from your nose faster.
Should your allergic and sinus problems persist- and you have significant allergies- we would then recommend desensitization. (allergy shots). They can definitely help reduce nasal allergies and nasal congestion and therefore sinus infections in many individuals.
I hope this clears things up.
Robert Pincus MD- Associate Professor Otolaryngology
Co-Director NY Sinus Center
NY Otolaryngology Group
Frequently Asked Questions
Sinus infections are often caused by persistent blockage in the sinus drainage passages. Allergies can lead to swelling in the lining of the nose, which contributes to this blockage. Other factors like anatomical abnormalities, prolonged viral infections, environmental irritants, and acid reflux can also cause similar blockages.
To reduce sinus infections related to allergies, it's important to identify and remove or avoid allergens when possible, such as dust or feather pillows. Medical treatments like antihistamines, nasal steroid sprays, and saline rinses can also help minimize nasal swelling and congestion to improve sinus drainage.
Yes, allergy shots, also known as desensitization, can be effective for people with significant allergies and persistent sinus problems. These shots help reduce nasal allergies and congestion, which in turn can decrease the frequency and severity of sinus infections.
Common treatments for recurrent sinus infections include identifying and addressing underlying causes such as anatomical abnormalities or allergies, using medications like antihistamines or nasal steroids, and sometimes allergy shots. Saline rinses are also recommended to help clear allergens and mucus from the nasal passages.
Yes, environmental factors such as cold weather, chemicals, and dust can cause persistent swelling in the nasal lining, which predisposes individuals to sinus infections. Managing exposure to these irritants can help reduce the risk of infection.
If sinus infections persist despite allergy treatments, it is important to consult an otolaryngologist to investigate other possible causes like anatomical issues or to consider advanced therapies such as allergy shots. A comprehensive evaluation will guide appropriate treatment.
