ENT
Sinusitis & Nasal Allergy Management
Blocked or runny nose, facial pressure and sneezing can have different causes, including sinus and allergy-related problems. An ENT consultation can help clarify the pattern of symptoms.
Recognising different patterns
Sinus symptoms can follow an infection, while allergic rhinitis may cause sneezing, an itchy or runny nose and watery eyes around a trigger. Symptoms overlap. Note when they occur, how long they last, what you have tried and whether sleep or daily activities are affected.
Assessment and treatment
A clinician can examine your nose and discuss medicines, the use of nasal sprays or further assessment when appropriate. Antibiotics are not needed for every episode. Ask how to use treatment correctly, when to review it and which changes require earlier advice.
Distinguishing symptom patterns
Describe congestion, discharge, facial pressure, sneezing and itching, including whether symptoms vary by season, place or exposure. Mention reduced smell and how sleep or daily activities are affected. Bring a list of sprays, allergy medicines and other treatments, with how long you have used them.
Sinusitis and nasal allergy are different problems that can overlap. Ask which explanation fits the history and examination, and whether another cause needs to be considered. Persistent symptoms should not automatically lead to repeated antibiotics or a procedure without reassessment.
Using a plan correctly and reviewing it
If a nasal treatment is proposed, ask for a demonstration of its use and how it fits with any existing medicines. Clarify the intended duration, expected benefit and what to do if it irritates the nose or seems unhelpful. Do not combine several sprays without checking their purpose.
Discuss when further investigation or specialist treatment would be considered. Seek prompt medical assessment for severe or worsening symptoms, especially changes around the eye or vision, rather than treating these as ordinary congestion. At review, explain what changed with treatment and what symptoms remain.
Frequently asked questions
Is a blocked nose always an allergy?
No. Colds, sinusitis and other conditions can cause congestion. Timing and associated symptoms help guide assessment.
What are common signs of allergic rhinitis?
Sneezing, an itchy or runny nose and watery eyes can occur. Symptoms vary and can overlap with other conditions.
Do I need antibiotics for sinus symptoms?
Not always. A clinician can assess the cause and whether antibiotics are appropriate.
When should I seek advice?
Seek assessment when symptoms persist, worsen, affect sleep or daily life, or do not respond to initial care.
Sources and further reading
These sources provide general health information. Recommendations and services may differ by location; discuss your care with your clinician.