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NP Prescribers is not an emergency service. If you may be experiencing a medical emergency, call 911 or seek immediate emergency care.

Everyday Care

Sinus Symptoms

Sinus pressure and congestion may result from several causes and do not always require antibiotics.

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The short answer

What symptoms can happen with sinus problems, and when should I get medical care?

Sinus symptoms can include a runny or stuffy nose, facial pain or pressure, headache, mucus draining into the throat, sore throat, cough, or bad breath. Fever, fatigue, and weakness may also occur. Sinusitis means inflamed sinuses; infection, a cold, allergies, nasal problems, or other conditions can contribute. Acute sinusitis lasts up to four weeks, while chronic symptoms last more than 12 weeks. Symptoms lasting over 10 days without improvement, worsening after improvement, severe pain, or prolonged fever merit medical evaluation.

When might more than messages be needed?

A remote history and video view may not distinguish sinusitis from a cold, allergies, or another cause, and they cannot fully examine the nose and face. MedlinePlus notes that diagnosis is based on symptoms plus examination and that imaging may sometimes be needed. Seek in-person evaluation for severe symptoms, worsening after initial improvement, symptoms lasting over 10 days without improvement, or fever lasting longer than 3–4 days.

Sources: CDCNIH MedlinePlusFDA

Overview

Educational information about sinus symptoms. Online care may or may not be appropriate; a clinician must evaluate your individual circumstances.

Common symptoms

  • Congestion
  • Facial pressure
  • Nasal drainage

How online care works

Choose your concern and check your current state. If an approved clinical intake pathway is available, a licensed clinician may review your health information and determine the appropriate visit type and next steps.

When virtual care may be appropriate

  • Symptoms are not severe and a clinician can evaluate your history remotely

When to seek urgent or in-person care

  • Swelling around the eye
  • Severe headache
  • High fever or worsening illness

For a possible medical emergency, call 911 or seek immediate emergency care.

Potential treatment options

  • Symptom-relief guidance
  • Further evaluation if needed
  • Prescription treatment when appropriate

Frequently asked questions

Can sinus symptoms be evaluated online?

It depends on your symptoms, location, and the clinician's judgment. Some situations require an in-person examination.

Will I get a prescription?

Not necessarily. A prescription is issued only when medically appropriate.

Educational information only; this page does not diagnose or replace a clinician's evaluation. Read prescription questions in the FAQ.