Sinusitis

Sinusitis in brief

• Ear / nose / throat disorders - sinusitis : Ars. bry. calc. hep. KALI-BI. lyc. nat-m. nux-v. phos. puls. sil
• Sinusitis in Heat patients need Kali-i or Kali-s but cold patients need Hep or Kali-bi

Banerji protocols

First line	Sang C200, BD, If needed one dose every 3 hours In acute pain with / Without fever Sang C200 + Bell C3 every 30 min
Second line	If first line fail: Kali-bi C30 2-3 doses daily For nasal obstruction Lyc C30 every 1-2 hours
Third line	Nasal obstruction + Rhinitis + Sneezing + Sinusitis: Calc C1000 one dose weekly Sang C200, BD In Acute Allergic Rhinitis : Ars C6 one dose every an hour

First class remedies

	Prominant
Acute Sinus Headache: Bell	Headache is most marked: Pain /Heaviness in the forehead due to sinus congestion Binding the head tightly with cloth or applying pressure amel. Prominently for frontal sinusitis, also indicated for maxillary sinusitis	Sore throat and cough in cases of sinusitis. Cough is short and dry which gets worse at night. Best remedy for acute sinusitis.
Mucopurulent PND: Kali-bi, Hydr	Kali-bi: Adhesive / Mucopurulent PND Very thick, sticky, ropy mostly yellowish or greenish discharges (Kali-bi ₳ Teucr) Stringy (Hydr ₳ Kali-bi) Dripping of mucus from back of nose into the throat Chronic sinusitis of all sinuses, esp Maxillary / Frontal Bad smell from nose due to nasal discharge accumulation Nasal congestion + Nasal root fullness (Kali-bi ₳ Stict) Decreased sense of smell	Kali-bi: Frontal Headache Severe / Neuralgic pain / Fullness in Nasal root + Amel with pressure History of recurrent cold may be found.
	Hydr: Prominent PND The discharge is thick, mostly yellow. Sinus headache Burning pain in the nose, sore throat, burning sensation in throat	Hydr: Constant Nasal blowing Adhesive / Thick / Yellow / Purulent discharge (Catarrhal common cold) Nasal Coldness Severe headaches due to sinusitis Forehead pain (Dull pain / Pressure)
Chronic Colds Sinusitis: SIL	Throbbing pain in forehead especially over the right eye. There is relief in headache by pressing the head firmly or wrapping up warmly. Other symptoms: Nasal blockage + Thick pus-like discharge. The nasal discharge forms hard crusts; any attempt to loosen these crusts results in bleeding. There is loss of smell and taste	Chronic sinusitis, esp frontal Polysinusitis: (The only remedy) First catarrhal nasal involvement and then frontal sinusitis Foamy nasal discharge Nasal congestion + inflammation of the gabella Pain above the eyes Itchy nose tip Perforated nasal septum Morning sneezing
Thick colored nasal discharges: Puls	A characteristic feature: Discharge agg in a closed room and amel in open air. The discharge may be very foul-smelling. Nostrils may be blocked Loss of smell and taste. Frontal sinusitis and maxillary sinusitis. Pain and heaviness in frontal sinusitis. Tearing pain in Maxillary sinusitis (in cheeks) that may extend to ears.	Nasal root Pressive pain (Puls ₳ Sang) Congestive Sinusitis / Unilateral throbbing headache of right Nose / Temporal Feeling of injury of nasal bones Headache Agg by heat / Closed room Amel with Cold / Open window Agg by Lying down with Low head Agg by Bending over Head Agg by Eating fatty foods
Rhinitis: NM	Nasal allergy it is the root cause leading to sinus Infections. Symptoms are watery discharge from nose, sneezing, pain in head.
Nasal Polyp: Lem-m	A nasal polyp  in a nasal cavity blocks the normal drainage of discharge. The collected discharge thus acts as a pool for infection-causing agents, leading to sinusitis.

Other remedies

			Modalities
Air-fluid level is seen in x-ray	Kali-i	Suitable for all chronic sinusitis Excessive / Hot / Burning / Watery and discharges Cold / Green / Itchy discharge Severe Pressive / Neuralgic Headache / Eye pain Nasal congestion Unilateral headache	Headache Agg in Closed / warm room Amel by walking in open air (Puls) (Kali-i ₳ Puls)
Chronic sinusitis from childhood	Lyc	Frontal sinusitis + Cold and runny nose Headache from one side to another Nasal congestion and chronic mouth breathing make him looks silly face Headache above the eyes Increased sense of smell (Nux-v) (Lyc ₳ Nux-v) Nasal dryness Ulcers of the nasal cavities (Sil, Stict, Thuj) (Lyc ₳ Thuj), (Lyc ₳ Sil	Headache lying down agg
Constant Nasal Fullness without any dischage	Stict	Chronic sinusitis Persistent feeling of Nasal Discharge / Constant Fullness (Kali-bi ₳ Stict) trying constantly to drain it by nasal blowing, but there is nothing at all. Greenish-yellow / Thick / Purulent discharge + PND Sinusitis after suppression of discharge\ Head / Nasal root tearing pain Pain Agg with Shaking / Jumping Toothache Nasal cavity ulcers (Lyc, Sil, Thuj)
Tearing pain in Bones Catarrhal sinusitis	Merc	Catarrhal frontal and maxillary sinusitis Thick discharge that does not come down and the patient feels should swallow it from the back of his throat Green / Foul-smelling / Burning / Purulent discharge Colds with sneezing and salivation Tearing pain and heat in Bones (head and teeth) Press-like headaches Toothache: Feeling of elongation Touch sensitivity of head and nose (Hep) Unilateral headache with sinusitis Nasal ulcers: Inflammation of the nasal bone	Agg with everything: Outdoors Sleeping Eating, Drinking Heat and Cold
Sensitive to odor Sinusitis Headache	Sang	Catarrhal frontal sinusitis + Colds and runny noses + Central frontal headache Sinusitis + fever (Acon, Merc) Sensitive to odor/ Olfactory hallucinations (Lyc ₳ Sang) (Graph ₳ Sang) (Phos ₳ Sang) Nasal Root pain (Pressing) (Hep ₳ Sang ) Stinging in the nostrils (Kali-i ₳ Sang) Headache extends the right eye. Headache above the right eye that extends the upper jaw Occipital headache which extends to right eye / jaw
Thick / Yellow discharges Cold agg	Hep	Nostril Pain due to burning secretions Severe Boring headache Their problem started with sneezing Headache: As if a nail is inserted to his head or his head is cracking	Nostril Sensitivity to cold air Scalp Sensitivity to touch Headache agg by Shaking / Driving / Cold air/ Moving the eyes
Sinusitis + Hard discharge (Kali-bi ₳ Teucr)	Teucr	Uncomfortable Nose, Constantly empty it (Stict ₳ Teucr) Stiff and scaly discharge from obstructed nose Nasal burning after removing discharges (Kali-bi, Stict) Sneezing + Nasal cap (Aesc ₳ Teucr) Nasal polyps (Or uterus) (Sang ₳ Teucr)

Third class remedies

Nux-v

• Allergic sinusitis with nasal obstruction
• One-sided headaches, amel with walking in open air
• Head heaviness esp over eyes
• Lacrimation right sided
• Soreness of nostrils

Calc

• Nasal root swelling + Offensive / Copious discharges
• Taking cold easily by every weather change
• Coldness Externally / Internally esp over right eye

Thuj

• Thick, Yellow / Green nasal discharges
• Nostril ulcers, bleeding with every stimulus
• Chronic post nasal discharges
• Headache agg with motion esp sudden

Bry

• First painful stages according to Radar.
• Frontal headache agg by Bending head /Stooping
• Catarrhal headache (forehead)
• Frontal headache with spread to frontal sinuses

HEAD - PAIN - catarrhal

NOSE - CATARRH - extending to - Frontal sinuses

• Post-pharyngeal secretions,

Facial pain esp cheeks

• Purulent, thick, yellow or bloody discharge

Tissue Salt remedies

• FP: Common but bad colds
• KM: Cold + Dry cold
• NS: Cold + green discharge or chronic and smelly nasal discharge
• MP: Chronic nasal discharge and nasal odor (like NS)
• Sil: Chronic infection or chronic catarrhal sinusitis, Cold agg
• NP: Ozaena
• KP: Ozaena
• NM: Allergic sinusitis: Cold + sneezing and runny nose

Related entities

• Rhinitis
• Tonsillitis
• Pharyngitis
• Bronchitis
• Otitis media
• Hay fever / Allergic sinusitis
• Common Cold
• Headache