The last day of operation for Hertfordshire and West Essex ICB was 31 March 2026. The information on this website has not been updated since 31 March 2026. The legacy policies, prescribing recommendations and pathways can be accessed on this website. Find out more

RAG rating
n/a
Document type
Clinical pathways
Place
Hertfordshire and West Essex ICB
Output type
Clinical Pathways
Pathway
Chronic and Acute Sinusitis

Chronic and Acute Sinusitis

Pathway Publish Date: December 2025
Next Review Date: December 2027 

Sinusitis is swelling of the sinuses, usually caused by an infection. It's common and usually clears up on its own within 4 weeks. But medicines can help if it's taking a long time to go away.

Sinusitis is common after a cold or flu.


The main symptoms of sinusitis include:

  • pain, swelling and tenderness around your cheeks, eyes or forehead
  • a blocked or runny nose
  • a reduced sense of smell
  • green or yellow mucus from your nose
  • a high temperature

Other symptoms include:

  • a headache
  • toothache
  • bad breath
  • a cough
  • a feeling of pressure in the ears

You may also snore at night and sound nasal when you speak.


How you can treat sinusitis yourself

You can often treat mild sinusitis without seeing a GP by:

  • getting plenty of rest
  • drinking plenty of fluids
  • taking painkillers, such as paracetamol or ibuprofen (do not give aspirin to children under 16)
  • avoiding things that trigger your allergies
  • not smoking
  • cleaning your nose with a salt water solution

Please see pathway for more information. 

Back