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Chronic rhino sinusitis (CRS) is a group of multifactorial diseases characterized by inflammation of the mucous of the nose and para-nasal sinuses with a history of at least 12 weeks of persistent symptoms despite maximal medical therapy. The diagnosis on the basis of symptoms is common but can be unreliable. The major criteria include facial pain, nasal obstruction, hyposmia, purulence on examination, and fever. While, minor criteria include headache, fatigue, dental pain, and cough. Currently the gold standard for the diagnosis of chronic sinusitis is CT scan.
Chronic sinusitis may be caused by:
Nasal polyps. These tissue growths may block the nasal passages or sinuses.
Allergic reactions. Allergic triggers include fungal infection of the sinuses.
Deviated nasal septum. A crooked septum the wall between the nostrils may restrict or block sinus passages.
Trauma to the face. A fractured or broken facial bone may cause obstruction of the sinus passages.
Other medical conditions. The complications of cystic fibrosis, gastroesophageal reflux, or HIV and other immune system-related diseases may result in nasal blockage.
Respiratory tract infections. Infections in your respiratory tract most commonly, colds can inflame and thicken your sinus membranes, block mucus drainage and create conditions ripe for growth of bacteria. These infections can be viral, bacterial or fungal in nature.
Allergies such as hay fever. Inflammation that occurs with allergies may block your sinuses.
Immune system cells. With certain health conditions, immune cells called eosinophils can cause sinus inflammation.
Rest. This will help your body fight inflammation and speed recovery.
Drink fluids, such as water or juice. This will help dilute mucous secretions and promote drainage. Avoid beverages that contain caffeine or alcohol, as they can be dehydrating. Drinking alcohol can also worsen the swelling of the lining of the sinuses and nose.
Moisturize your sinus cavities. Drape a towel over your head as you breathe in the vapor from a bowl of medium-hot water. Keep the vapor directed toward your face. Or take a hot shower, breathing in the warm, moist air. This will help ease pain and help mucus drain.
Apply warm compresses to your face. Place warm, damp towels around your nose, cheeks and eyes to ease facial pain.
Rinse out your nasal passages. Use a specially designed squeeze bottle (Sinus Rinse, others), saline canister or neti pot to rinse your nasal passages.
Quit Smoking- To help you quit, there are many online resources and several new aids available from your doctor or health care providers.
Try to stay away from things that could irritate your lungs, like dust, strong fumes and cigarette smoke.
You can also try pranayam and yoga under guidance to improve lung function.
At least two of the following signs and symptoms must be present for a diagnosis of chronic sinusitis:
Drainage of a thick, yellow or greenish discharge from the nose or down the back of the throat
Nasal obstruction or congestion, causing difficulty breathing through your nose
Pain, tenderness and swelling around your eyes, cheeks, nose or forehead
Reduced sense of smell and taste
Other signs and symptoms can include:
Aching in your upper jaw and teeth
Cough, which may be worse at night
Bad breath (halitosis)
Fatigue or irritability
The signs and symptoms of chronic sinusitis are similar to acute sinusitis, except they last longer and often cause more significant fatigue. Fever isn't a common sign of chronic sinusitis, as it may be with acute sinusitis.
Though exercise is a very important part of maintaining a healthy lifestyle, those suffering from sinusitis often experience pain and throbbing in the head and sinuses, even with moderate activities such as jogging. Therefore, walking and biking are both great exercise options, which will promote recovery by aiding in circulatory and respiratory health. Just remember that overly intense physical activity may worsen the symptoms of sinusitis by pushing an already-weakened immune system too hard.
Always breathe slowly to save your breath. Inhale through your nose, keeping your mouth closed. Exhale through pursed lips. Include the following in your exercise routine-
Stretching: It helps prepare the muscles for activity and helps prevent injury and muscle strain. Regular stretching also increases your range of motion and flexibility.
Cardiovascular or aerobic: This type of exercise strengthens the heart and lungs, and improves the body's ability to use oxygen. Aerobic exercises include walking, jogging, jumping rope, bicycling (stationary or outdoor), cross-country skiing, skating, rowing, and low-impact aerobics or water aerobics.
Strengthening: Strengthening exercises for the upper body are especially, as they help increase the strength of your respiratory muscles.
Quit! Smoking is harmful for your lungs, heart and also to people around you. STOP NOW!
This will help your body fight inflammation and speed recovery.
This will help dilute mucous secretions and promote drainage. Avoid beverages that contain caffeine or alcohol, as they can be dehydrating. Drinking alcohol can also worsen the swelling of the lining of the sinuses and nose.
Moisturize your sinus cavities
Drape a towel over your head as you breathe in the vapor from a bowl of medium-hot water. Keep the vapor directed toward your face. Or take a hot shower, breathing in the warm, moist air. This will help ease pain and help mucus drain.
Rinse out your nasal passages
Use a specially designed squeeze bottle (Sinus Rinse, others), saline canister or neti pot to rinse your nasal passages. This home remedy, called nasal lavage, can help clear your sinuses. If you make your own rinse, use water that's contaminant-free distilled, sterile, previously boiled and cooled, or filtered using a filter with an absolute pore size of 1 micron or smaller % to make up the irrigation solution.
It will reduce stress and also help you breathe better and open up your nasal passage.
Sleep with your head elevated. This will help your sinuses drain, reducing congestion.
Use a humidifier
If the air in your home is dry, such as it is if you have forced hot air heat, adding moisture to the air may help prevent sinusitis. Be sure the humidifier stays clean and free of mold with regular, thorough cleaning.
Avoid crowds and protect against seasonal flu
Avoid crowds in seasons which you tend to catch infections. Keep your surroundings clean and free from irritants and allergens.
Eat foods rich in vitamin C, like grapefruit, oranges, and tangerines. Studies that have shown that high levels of vitamin C help clear congestion.
Add chili peppers, ginger, garlic, and/or horseradish to your daily recipes. These foods contain agents that break up mucus and relieve congestion.
Eat pineapple. It contains bromelain, which helps reduce inflammation in the nasal passages.
Increase your omega-3 essential fatty acids by selecting high-quality wild-caught salmon, miminal-mercury albacore tuna, fish oil, avocados, and sprouted walnuts.
Eat raw, organic vegetables after washing them.
Add high-quality fiber to your diet, such as ground flax seed.
Choose sprouted, whole-grain products.
Add nutrient-dense, unprocessed foods, such as sprouted nuts and seeds, to your diet.
Drink purified water throughout the day.
Don'ts: Foods to eat with caution
Common allergy-causing foods such as dairy products, eggs, wheat, and corn (including corn derivatives such as dextrose, maltodextrin, corn syrup, fructose, modified starch, corn starch, margarine, shortening, and corn oil) Chronic sinusitis can be caused by an underlying food allergy or intolerance.
All simple or refined carbohydrates (white flour, white rice, white bread, pasta, cookies, cakes, crackers, processed snack foods, etc.)
All foods containing refined sugar or artificial sugar-substitutes such as aspartame.
Alcoholic beverages in excess, since they hinder the functioning of the immune and digestive systems
Fungi such as mushrooms, Pickled foods, Sweetened fruit juices that spike blood sugar levels too rapidly
Hydrogenated or partially hydrogenated oils found in many processed foods, deep-fried foods, fast foods, and junk food
Limited caffeine intake ,While moderate amounts of caffeine may be beneficial, excessive consumption of caffeine may aggravate sinusitis.
Sample Diet Plan (patient with CRS)
Do not add SALT while cooking or as seasoning.
Life Long Instructions
Quit smoking and cut down on alcohol.
Limiting sugar, caffeine, and alcohol can promote health and reduce stress. Take your diet and exercise plan seriously.