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Dr. Green
Chronic sinusitis has similar symptoms to an acute upper respiratory tract infection, such as the common cold, but the symptoms of chronic sinusitis last at least 12 weeks and often cause more fatigue. Captain Miller, can you tell us about some of these symptoms?

Captain Miller
Certainly, Dr. Green. There are four primary symptoms of chronic sinusitis, and at least two of them must be present in order to receive a diagnosis of chronic sinusitis. These symptoms include:

  • Thick, discolored discharge from the nose or drainage down the back of the throat, called postnasal drainage or postnasal drip
  • Nasal obstruction or congestion, causing difficulty breathing through the nose
  • Pain, tenderness, and swelling around the eyes, cheeks, nose, or forehead, and
  • Reduced sense of smell and taste in adults or cough in children

Other signs and symptoms that can occur with chronic sinusitis include:

  • Ear pain
  • Aching in the upper jaw and teeth
  • Cough that might worsen at night
  • Sore throat
  • Bad breath, called halitosis
  • Fatigue or irritability, and
  • Nausea

It's not common to have a fever with chronic sinusitis, but a fever can be an indication of a serious complication of chronic sinusitis, such as meningitis or other infections.