Acute Sinusitis Treatment: What Works Right Now

If your face feels stuffed, you’ve got a headache, and the pressure won’t quit, you’re probably dealing with acute sinusitis. It’s the kind that shows up fast, lasts a couple of weeks, and makes everyday life miserable. The good news? Most cases clear up with the right steps, and you don’t always need a prescription.

When to Use Home Remedies

First off, try the simple things you already have at home. A warm shower or a steam bowl (just pour hot water into a bowl, lean over, and cover your head with a towel) can loosen mucus and ease that heavy feeling. Stay hydrated—water, herbal tea, and clear broths keep the lining of your sinuses moist, which helps drain the fluid that’s causing the pain.

Over‑the‑counter (OTC) pain relievers like ibuprofen or acetaminophen tackle the headache and sore throat that often accompany sinus pressure. If you have a blocked nose, a spray with saline or a decongestant (like pseudoephedrine) can shrink swelling for a few hours. Use decongestant sprays for no more than three days, or you risk rebound congestion.

Another easy trick is to elevate your head while you sleep. An extra pillow or a slightly raised mattress angle lets gravity pull fluid out of the sinuses instead of pooling.

When Prescription Help Is Needed

Most acute sinusitis cases are caused by viruses, so antibiotics won’t help. However, if symptoms last longer than 10 days, get worse after a short improvement, or you develop a fever over 101°F, a bacterial infection might be the culprit. In those situations, a doctor may prescribe a short course of amoxicillin or a similar antibiotic.

If you’re prone to allergies, a doctor might suggest a nasal corticosteroid spray (like fluticasone) to reduce inflammation. For people with chronic nasal polyps or frequent infections, a short burst of oral steroids can bring quick relief, but that’s a decision made by a professional.

Remember to finish the full antibiotic course even if you start feeling better. Stopping early can let the bacteria bounce back and become resistant.

Finally, if you notice swelling around the eyes, severe facial pain, or a high fever, seek medical care right away. Those signs could mean a more serious sinus infection that needs urgent attention.

Bottom line: start with steam, fluids, OTC meds, and head elevation. If things don’t improve in a week or you see red‑flag symptoms, call your doctor for a check‑up and possible prescription. With the right mix of home care and professional help, you can kick acute sinusitis to the curb and get back to breathing easy.