What’s The Difference Between Sinusitis and Allergies?

  • Allergies & hayfever
  • Sinusitis
sick woman on the couch and blowing her nose

Your head’s pounding. Your face feels puffy. Your nose is stuffy. You might be wondering­: Are your allergies playing up, or is something wrong with your sinuses?

Both sinusitis and allergies can cause a glut of unpleasant symptoms, and it can be hard to tell these conditions apart. Although sinusitis and allergies have a similar symptom profile, they are caused by different things and may need to be managed differently.

This guide will equip you to understand the differences and help you navigate your path to relief.

What is Sinusitis?

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sinusitis inflammation

Your sinuses are hollow spaces inside your head, lined with mucus-producing membranes. The fluid made by your sinuses drains out via the nasal passages, which helps protect you from germs.

Sinusitis happens when these membranes become inflamed or swollen, often due to infections or blockages.

There are different types of sinusitis:

• Acute sinusitis:This is a short-term infection lasting up to 3 weeks, often triggered by a common cold virus or untreated allergies.

• Chronic sinusitis:When symptoms linger for more than 3 weeks, it might be chronic sinusitis. It can last for months, or even years, if not treated.

The usual suspects causing sinusitis include:

• Viral or bacterial infections:These can happen as a result of a cold or untreated allergies.

• Allergies:When allergens irritate your nasal passages, they can lead to inflammation and contribute to sinusitis.

• Structural issues:A crooked nasal wall between nostrils (deviated septum) or narrow sinus passages can make sinus drainage difficult. This can increase the risk of infection.

 

What are Allergies?

man sneezing

Allergies occur when your immune system overreacts to seemingly harmless substances like:

Pollen

Dust mites

Pet dander (such as pet fur and skin flakes)

Mould spores

 

This reaction triggers the release of chemicals, including histamine, which leads to inflammation in your nose, eyes, and sometimes sinuses

Symptoms of an allergic reaction can mimic symptoms of sinusitis, making it tricky to work out what could be going on. To make matters more complicated, untreated allergies may result in a case of sinusitis.

Allergy and Sinusitis Symptoms

Both sinusitis and allergies can leave you feeling under the weather, and perhaps a bit confused. The table below shows that many of the symptoms are shared, but some are not.

Symptom Allergies Sinusitis
Stuffy nose (congestion) X X
Headache X* X
Trouble breathing through the nose X  
Trouble breathing through the nose   X
Itchy, watery eyes X  
Frequent sneezing X  
Facial pain or tenderness   X
Loss of sense of smell or taste X* X
Headache X X
Postnasal drip (feeling like mucus is dripping down the throat) X X
Cough or sore throat X* X
Fatigue or poor sleep X* X
Toothache or jaw pain   X
Bad breath   X
*These symptoms are less common or may be because of untreated allergies

 

Here are some other clues to look out for:

Fever and discharge: Sinusitis can come with fever and/or thick, green or yellow coloured mucus (usually absent in allergies). It’s vital that you see a doctor if you have these symptoms.
Symptom duration: Allergies tend to be seasonal or triggered by specific allergens, while sinusitis symptoms typically last for weeks (for acute sinusitis) and don’t fluctuate as much.

If your symptoms seem worse after exposure to a known allergen, then allergies are more likely the culprit. However, allergies can also increase your risk of sinusitis, so it’s always best to consult your doctor for a proper diagnosis.

How are allergies and sinusitis diagnosed?

Doctor checking patient's heartbeat by stethoscope at hospital

To work out the root cause of your symptoms, your doctor might use a combination of approaches:

Physical examination: Your doctor will check your nose, ears, and throat for signs of inflammation or infection.

Medical history review: Discussing your symptoms, allergies, and any recent illnesses can provide valuable clues.

Imaging studies: In some cases, a sinus CT scan might be needed to visualise your sinuses and check for blockages.

Allergy testing: Skin prick tests or blood tests can identify specific allergens you might be reacting to.

 

How else can I relieve sinusitis and allergy symptoms?

The good news is there are effective treatments for both sinusitis and allergies. Here’s a quick rundown:

Sinusitis:

• Antibiotics:Only used if your doctor thinks there is a bacterial infection.

• Corticosteroids nasal sprays or pain relieving medicines:To reduce inflammation and manage pain.

• Nasal irrigation and rinses:These help clear mucus buildup (think saline nasal sprays like FLO Nasal Mist or FLO Saline Plus Nasal Spray, or saline washes like FLO Sinus Care or FLO CRS).

• Selfcare tips:Take care of yourself by resting, drinking plenty of fluids, inhaling steam or applying a warm washcloth to your forehead.

 

Allergies:

• Antihistamines:These medications block the action of histamine, reducing allergy symptoms like congestion and runny nose. A locally acting product like EZE – ALLERGY Nasal Spray can provide fast-acting symptom relief.

• Corticosteroid nasal sprays:Reduce inflammation in the nasal passages.

• Allergy immunotherapy (desensitisation):This long-term treatment helps your body build tolerance to allergens over time.

• Saline sprays or washes: non-medicated products such as FLO Saline PlusFLO Nasal Mist and FLO Sinus Care can wash away allergens and provide relief from symptoms.

• Lifestyle modifications:Minimising exposure to allergens and maintaining a clean environment can help improve symptoms.

 

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Note: This information is intended to improve your general knowledge of allergies and sinusitis. It does not replace professional medical advice. If you’re struggling with persistent sinus issues or allergy symptoms, visit your doctor for a diagnosis and a suitable treatment plan.

Always read the label and follow the directions for use.

 

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