When to Refer for Sinusitis

When you have a sinusitis, an inflammation of the sinuses often caused by infection. Also known as sinus infection, it’s one of the most common reasons people visit their doctor. Most cases clear up on their own or with basic care—steam, salt rinses, rest, and over-the-counter decongestants. But if it drags on or gets worse, you might need more than what your primary care provider can offer. That’s where knowing when to refer for sinusitis becomes critical.

Acute sinusitis usually lasts less than four weeks. If your symptoms—like thick nasal discharge, facial pain, congestion, and reduced sense of smell—don’t improve after 10 days, or if they get worse after seeming to improve, that’s a red flag. It could mean a bacterial infection has taken over, and antibiotics might be needed. But antibiotics aren’t always the answer. Repeated courses can lead to resistance, and some cases aren’t infections at all—they’re allergies or structural problems. That’s why seeing an ENT doctor, a specialist in ear, nose, and throat conditions matters. They can look inside your sinuses with a scope, check for polyps or a deviated septum, and rule out other issues like fungal infections or immune disorders.

Chronic sinusitis lasts 12 weeks or longer, even with treatment. People with this condition often feel like they’re constantly sick. They might have ongoing fatigue, post-nasal drip, or a bad taste in their mouth. If you’ve tried multiple rounds of antibiotics, nasal sprays, and home remedies with no lasting relief, you’re likely dealing with something deeper. An ENT can order a CT scan to see exactly what’s going on inside your sinuses. They might suggest targeted therapies, like long-term saline irrigation, allergy testing, or even surgery if there’s a blockage. This isn’t about being overly aggressive—it’s about fixing the root cause so you don’t spend years feeling miserable.

Some people don’t realize that sinusitis can affect more than just their nose. Headaches, ear pressure, tooth pain, and even trouble sleeping are common. If you’re getting frequent sinus infections—three or more a year—that’s another sign you need a specialist. Kids with recurring sinusitis might also need evaluation for underlying conditions like cystic fibrosis or immune deficiencies. And if you have asthma or diabetes, your risk for complications goes up. A specialist can help you manage those risks and adjust your care plan.

There’s no single rule that says, "Wait exactly 10 days." But if your symptoms are severe, persistent, or coming back too often, don’t wait for them to get worse. Early referral to an ENT doctor can save you from unnecessary meds, missed work, and long-term damage. The posts below cover real cases, treatment comparisons, and practical advice on managing sinus issues—from home remedies that actually work to when it’s time to walk into a specialist’s office. You’ll find what works, what doesn’t, and how to know you’re not just being overly cautious—you’re being smart.