South Bay SD News

• Experts recommend that people see a doctor when allergies begin to interfere with their day-to-day activities.
• Early intervention for a sinus patient not only increases their immediate quality of life but also improves long-term relief and reduces healthcare costs. 
• Studies have found that people with chronic sinusitis could also be more likely to suffer from depression and anxiety.

For patients dealing with sinusitis, the question of when to go see a doctor or an ENT (ear, nose, and throat) specialist is important.  According to Dr. Paul Shalch Lepe of SoCal Breathe Free, seeing an ENT specialist when dealing with sinusitis is a very important step. 

"Sinus problems are oftentimes chronic; patients have been dealing with them for a long time. They've been given antibiotics and other medications, and it becomes frustrating. It really affects your quality of life," Dr. Shalch Lepe told South Bay SD News. "So whenever we intervene and treat a patient that can benefit from our treatment pathway, it is satisfying to see them finally get some resolution, finally feel better, and not be on so much medication."

People suffering from sinusitis may experience congestion, facial pain, headaches, toothaches, nasal drainage, a reduced ability to smell, fever, and bad breath, according to NHS Inform. People experiencing symptoms lasting longer than a week should see a physician. An ENT specialist might recommend a saline solution or over-the-counter medication. If those treatments fail to improve symptoms, they might prescribe antibiotics, corticosteroid spray, or even sinus surgery.

According to the Mayo Clinic, serious complications can result from untreated sinusitis, including vision loss or infections in the bones and skin. Patients are advised to see a doctor if symptoms last more than 10 days or fail to improve with treatment. Patients experiencing symptoms such as confusion, swelling, or fever may be facing a serious infection and should see a doctor immediately.

A study completed by the University of Michigan found 99% of 114 participants were misdiagnosed as having chronic sinusitis when their diagnosis came from the emergency department or their primary care physician. This indicates the best diagnosis comes from an inflammation specialist.

Balloon sinuplasty is most often recommended for people with chronic sinusitis after other treatments have been shown to be ineffective. Balloon sinuplasty is a fairly straightforward procedure with no cutting or removal of bones or tissue and reported complications are minimal. However, balloon sinuplasty is still a type of sinus surgery, and carries some of the same risks that other types of sinus surgery do.

According to SoCal Breathe Free's website, Dr. Schalch Lepe is an otolaryngologist and ENT doctor in San Diego who specializes in sinus, allergy, and sleep treatments. He completed his residency in otolaryngology at the UC Irvine Medical Center at the UC Irvine School of Medicine. He also earned his medical degree at the Universidad Nacional Autonoma de Mexico School of Medicine in Mexico City.