Sinusitis (Rhinosinusitis)

(Only your personal physician can provide you with medical advice.  If Dr. Feigenbaum is not your physician, the following should not be construed as medical advice.)


Sinuses are essentially empty cavities in your skull. Sinuses are lined with a delicate lining called mucosa and are coated with mucus.  They are thought to lighten the skull and to provide resonance to the voice. Unfortunately, there are a few common problems with sinuses.  The drainage holes (ostia)  for the sinuses are very small and easily obstructed by inflammation resulting from allergies or upper respiratory viral infections.  Bacteria are always trying to get into your sinuses, which is not a big problem as long as the sinus drainage holes remain open.   But if the 
sinus drainage holes close, the bacteria multiply, and a sinus infection develops.



HOW DO I TELL A SINUS INFECTION (SINUSITIS) FROM ALLERGIES OR A VIRAL UPPER RESPIRATORY INFECTION (URI)?
Cough, headache, sinus pain, nasal congestion, runny nose and post-nasal drip can be due to allergies, a viral upper respiratory infection (URI) or sinusitis, so these symptoms are not usually helpful in diagnosing sinusitis. Simple upper respiratory infections typically last from 3 to 10 days.  Sinus congestion and drainage that increase after a week of illness may be sinusitis.   With chronic sinusitis, symptoms are usually less severe or even minimal and may persist for months or years.  

CAN I HAVE A SINUS HEADACHE WITHOUT A SINUS INFECTION?
A sinus headache is usually caused by closure of those sinus drainage holes, the ostia.  This is often due to allergies or a viral URI.  Most sinus headaches are not caused by sinus infections.  

ARE THERE TESTS TO DIAGNOSE SINUSITIS?
Physicians often have difficulty telling the difference between a sinus infection, allergies and a viral
upper respiratory infection. Unfortunately, there is no great office-based test for sinusitis.   Dr. Feigenbaum may order a sinus CT scan for patients if he needs more information, however, this is usually not necessary.

HOW IS SINUSITIS TREATED?
If an infection is present, antibiotics may be prescribed, but research has shown that many people are capable of recovering from a sinus infection without antibiotics.  Topical nasal steroids may speed up resolution of an infection.



Relevant publications authored by Dr. Feigenbaum

Lieberman SM, Jacobs JB, Lebowitz RA, Fitzgerald MB, Crawford J, Feigenbaum BA. Measurement of Mycotoxins in Patients with Chronic Rhinosinusitis. Otolaryngol Head Neck Surg, 2011;145(2): 327–29 
(Dr. Feigenbaum was the "Principal Investigator" of this study.)

San Diego Sinusitis Specialist

Non-Surgical Sinus Treatment

(Acute Sinusitis, Chronic Sinusitis, Sinus Infection, Nasal Polyps, Sinus Headache)



Relevant in-office testing

Environmental/Airborne Testing to cat, dog, dust mite; tree, grass and weed pollens; molds and other aero-allergens  ​             (Results in 15 minutes)

Meet Dr. Feigenbaum

  • Voluntary Assistant Clinical Professor, UCSD School of Medicine
  • Hospital Affiliations: Scripps Health and Sharp Healthcare​


Bernard A. Feigenbaum, M.D. ​FACP, FAAAAI


  • Published Researcher 
  • 20 Years Clinical and Teaching Experience

​​Update 6-19-18  Hi Everyone, it's Dr Feigenbaum. WE ARE LIMITING our new patients for the summer.  Other than patients with chronic dermatitis who need patch testing and patients with asthma, we're limiting our new patients for now and You could try my great colleagues at Scripps Clinic Allergy Carmel Valley. My wonderful assistants have all just moved on to med school and I'm on my own right now in the office. I apologize if you've been waiting for a call back or email reply.  I should be able to catch up today,


I also just had an very exciting research finding which may allow the diagnosis and easy treatment for a condition not currently considered treatable.  As you can understand, I've been spending a lot of time on that.  I'm going to focus on that and vacation over the summer.  I'll continue to be available for current patients. 

Have a great summer.  Thanks!      Please communicate over patient portal or email.  My cell phone is 858 215 2201 if you need me urgently. 

bf

San Diego Allergy Asthma & Immunology Consultants, Inc.