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You wake up yet again with a dull ache in your forehead and pressure around your eyes that just won’t go away. Breathing feels harder than it should, and you’ve lost count of how many tissues you’ve used this week. You may chalk it up to just another sinus infection, but if your symptoms persist, you might be suffering from a chronic condition.

Dr. Robert Guida, our double board-certified facial plastic and reconstructive surgeon, specializes in treating chronic sinus issues. With over 30 years of experience, he has helped countless patients in New York City find relief from stubborn sinus problems. Understanding when your sinus infection has transitioned from acute to chronic is crucial for getting the right treatment. Below, we outline key signs that your sinus infection might be becoming chronic.

Persistent nasal congestion and difficulty breathing

Chronic sinus infections cause prolonged inflammation in your sinus cavities, which leads to swelling and blockage. This persistent congestion can make it feel like you’re constantly trying to breathe through a straw. Over-the-counter medications and nasal sprays might offer some relief, but they often fail to address the root cause. You may also notice that physical activities or temperature changes exacerbate your symptoms, further impacting your daily life.

Facial pain and pressure that won’t go away

Facial discomfort, particularly around your eyes, nose, and forehead, is a hallmark of sinus infections. However, when this pain lingers for more than 12 weeks, it could be a sign of a chronic condition. The persistent inflammation can lead to a constant feeling of pressure or fullness in your face, often described as a dull ache or tightness. This discomfort may intensify when you bend over, lie down, or engage in activities that increase blood flow to your head.

Recurring sinus infections

Do you battle sinus infections several times a year? Frequent recurrences are a red flag for chronic sinusitis. While acute infections typically resolve with rest and antibiotics, chronic sinus infections can become a cycle of symptoms that return shortly after treatment ends. This repetitive nature suggests that the underlying issue—such as anatomical abnormalities, allergies, or untreated inflammation—has not been resolved.

Reduced or lost sense of smell and taste

When you have a sinus infection, it’s common for your sense of smell and taste to diminish. However, if these symptoms persist for weeks or months, it may indicate chronic sinusitis. Swelling and inflammation in your nasal passages can block the olfactory receptors responsible for detecting smells, leading to a prolonged loss of these senses. This can make meals less enjoyable and affect your ability to detect odors like smoke or spoiled food.

Thick nasal discharge

Clear mucus is a normal part of sinus function, but chronic sinus infections often result in thick, discolored discharge. If you’ve noticed yellow or green mucus that doesn’t subside after a typical course of antibiotics, it could point to a more serious, ongoing issue. This discharge may also drain down the back of your throat, causing postnasal drip. Postnasal drip can lead to a chronic cough, sore throat, or even bad breath, further compounding the discomfort.

Fatigue and lack of energy

Chronic sinus infections can drain your energy levels, leaving you feeling perpetually fatigued. The body’s immune response to ongoing inflammation takes a toll, making it hard to stay alert and active. This fatigue is often compounded by poor sleep quality, as sinus congestion can make it difficult to breathe comfortably at night. Over time, the constant state of low energy can interfere with your ability to concentrate, work, and enjoy daily activities.

Persistent headache or ear pain

Headaches and earaches often accompany sinus infections, but they shouldn’t persist for weeks. Chronic sinus inflammation can cause referred pain to the head and ears, making these symptoms more frequent and harder to manage. Sinus-related headaches typically feel like a deep, throbbing ache behind the forehead or around the temples. Ear pain or a sense of fullness in the ears can also occur due to pressure imbalances caused by a blocked sinus.

Swelling around the eyes

One of the more concerning signs of chronic sinusitis is swelling or puffiness around the eyes. This occurs when inflammation spreads to the tissues near the eyes, creating discomfort and sometimes even affecting vision. In severe cases, this swelling can indicate complications like orbital cellulitis or abscesses, requiring immediate medical attention. If you notice redness, severe swelling, or changes in your vision, it’s crucial to seek professional care promptly.

When to seek professional help

If you experience any of these symptoms, your sinus infection may be chronic. Chronic sinusitis impacts your physical health and can also affect your quality of life, making everyday activities more challenging. Seeking specialized care is essential to finding lasting relief.

Dr. Guida brings decades of expertise in treating complex sinus conditions. As a double board-certified facial plastic and reconstructive surgeon, he combines advanced diagnostic tools with personalized treatment plans to address chronic sinusitis effectively. Whether you require minimally invasive procedures or more comprehensive interventions, Dr. Guida’s patient-centered approach ensures you receive the care you need. Schedule a consultation today to take the first step toward breathing easier and reclaiming your quality of life.

Contact Us 212-871-0900