Sinusitis is an inflammation, or swelling, of the mucous membranes that line the sinus cavities. This can block sinus drainage and cause increased mucus production. Symptoms can include postnasal drip, pressure and a lot of constant pain in the area of the sinuses, around your eyes, behind your cheekbones and around your jaw. This pressure may effect your sense of balance, your vision, and can become worse when you go up in altitude, such as flying in an airplane. When the weather changes there can be a change in the barometric pressure. This can make sinus pressure worse and may be the reason that your sinus pressure gets worse when the weather is damp or really humid.
The most common cause of sinusitis is an infection, especially when the mucus is green. Sinus infections can be difficult to treat since they respond slowly. When a bacterial infection is the cause you may need to take an antibiotic for at least 3 weeks. Bacteria can become resistant to a particular antibiotic, especially when that antibiotic is used repeatedly. When this happens you will need to be treated with a different antibiotic to clear the bacteria. Even after the antibiotic clears the infection, it is possible for the inflammation to linger. However, inflammation of the sinuses could also be due to an allergy or ongoing exposure to an irritant, such as pollution or smoke.
Drainage from the nose and sinuses that drips down the back of the throat is known as postnasal drip. This can fester sinusitis. An antihistamine like Clarinex® (loratadine) and Astelin® (azelastine) can dry up the postnasal drip. However, it may make the mucus thicker and more difficult to drain. A decongestant like Sudafed® (pseudoephedrine) can relieve your blocked sinuses and thin the postnasal drip so it drains better. Check with your doctor to see if a combination antihistamine-decongestant would help you more.
If your symptoms continue, your doctor may recommend a prescription nasal steroid spray. This can decrease nasal and sinus inflammation and mucus production. This generally provides a more lasting decrease in sinus pressure and improves sinus drainage. A nasal steroid spray does not provide immediate relief of symptoms. It may require several weeks of routine use to become effective. Rhinocort® (budesonide) is often helpful, but it may not be the most helpful for you. Check with your doctor to see if trying a different nasal steroid spray will give you more relief from your symptoms.
To get the most out of a nasal steroid spray use it after doing a nasal wash. A nasal wash helps remove mucus and bacteria from the nose and sinuses. This can temporarily reduce the postnasal drip and help your sinuses to drain better. Please read our Nasal Wash MedFact at http://www.nationaljewish.org/medfacts/nasal.html for more information about this technique. Share this information with your doctor to see if you would benefit from this daily treatment.
I am in exactly the same situation. For my sinuses, no allergy doctor could help (tried Allegra, Zytric, Claritin and many more). Nothing seems to work except their side effects.
What help me is just menthol tea and non-medicated menthol sprays, as well as, Halls.
Also, I changes the shower head to one that provides a better massaging for my face (and sinisus). I direct the water stream from the shower head into my nasal passages and this helped me a little. Make sure it is a gentle stream.
I do not claim this resolved the problem; it just made it more bearable. I keep having a shower in the middle of the night. It is bothering me to use this but it helps. I hope this helps but I am also still suffering from sinus pressures and not able to sleep more than 2 hours continuous sleep time...
Cheers