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[3] [4] This commonly includes nasal obstruction, sore throat, tonsillitis, pharyngitis, laryngitis, sinusitis, otitis media, and the common cold. [5]: 28 Most infections are viral in nature, and in other instances, the cause is bacterial. [6] URTIs can also be fungal or helminthic in origin, but these are less common. [7]: 443–445
Sinusitis is a condition that affects both children and adults. It is caused by a combination of environmental and a person's individual health factors. [ 8 ] It can occur in individuals with allergies , exposure to environmental irritants, structural abnormalities of the nasal cavity and sinuses and poor immune function . [ 9 ]
Acute sinusitis lasts a maximum of 12 weeks. The clinical symptoms of acute rhinosinusitis are purulent nasal secretion, nasal obstruction and/or tension headache or feeling of fullness in the facial area. Acute rhinosinusitis can be caused by a viral or bacterial infection – a distinction is not possible during the first days.
If the sinus passage remains blocked, there is a chance that sinusitis may result. [6] If the mucus backs up through the Eustachian tube , it may result in ear pain or an ear infection . Excess mucus accumulating in the throat or back of the nose may cause a post-nasal drip , resulting in a sore throat or coughing. [ 6 ]
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Nasal congestion can interfere with hearing and speech. Significant congestion may interfere with sleep, cause snoring, and can be associated with sleep apnea or upper airway resistance syndrome. [5] In children, nasal congestion from enlarged adenoids has caused chronic sleep apnea with insufficient oxygen levels and hypoxia.
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