Texas Allergy Experts

Managing sinus infections

Pressure in the face associated with fever and colored nasal drainage is often diagnosed as a  sinus infection and treated with antibiotics.  When the frequency of this diagnosis becomes  intolerable, an approach toward accurate diagnosis and management action plan becomes  necessary. 

The initial issue: Is it one infection re-flaring, or  series of separate infections ?

The work-up of recurrent infection

 A plain X-ray or CT scan of sinuses

Screening allergy skin tests

Gamma Globulin levels – the G, A, M

Antibodies are defensive


Deficits can produce infection. E

Antibody is the allergy antibody –

elevations are associated with


Antibody response following vaccination with Tetanus and Pneumococcus boosters

(blood initially and 4 weeks later)

Reasons for Sinus Infection  When the  sinuses cavities  don’t drain well, stagnation, and bacterial infection occur. The most common reasons for poor drainage: 

Allergic swelling

Viral infection (lots of exposures)

Structural blockage (polyps)

Scarred sinus opening


Cilial Dysfunction

Immune deficits

DO it yourself: Here is a crucial skill - a sinus irrigation.   Actually, it's just nasal irrigation - but the fluid will wash away clots that form to block the sinus openings.   We also will sometime put antibiotics into the sinus rinse bottle. Watch this little 60 second Youtube video

Here is how they do it surgically - the Balloon

click for little you tube video.