What non-antibiotic strategies help prevent chronic sinus infections?

[ZoeyZL]

I've been dealing with recurrent sinus infections for years, and my current bout has persisted for over three weeks despite a course of antibiotics, leaving me with constant pressure and fatigue. My ENT has suggested imaging to check for structural issues or chronic sinusitis, but I'm also interested in exploring non-antibiotic approaches for future episodes. For others who have managed chronic sinus problems, what sinusitis treatment strategies have you found most effective for preventing infections or reducing their severity? Have you had success with specific nasal irrigation routines, steroid sprays, or dietary changes, and what was your experience with procedures like balloon sinuplasty if you went that route?

[Scarlett.D]

You're not alone—I've dealt with chronic sinus pressure too. Daily isotonic saline irrigation helped reduce symptoms for me. I use it first thing in the morning and again at night, making sure the water is sterile or boiled and cooled. I also limit decongestant sprays to short courses because they can backfire if used long-term.

[Alexander_G]

Beyond rinses, I rely on a daily nasal steroid spray (per my ENT) and, if I have allergies, an antihistamine on high pollen days. A humidifier at night helps keep the nasal passages from drying out, and I stay hydrated. I try to avoid smoke and strong fumes, which tend to flare things up.

[Andrew_T]

Diet can be a hit or miss, but I’ve noticed fewer flare-ups when I cut back on ultra-processed foods and dairy for a while to see if it helps. I work with my clinic for allergy testing and a targeted plan, because gut/sinus inflammation can be part of the same picture for some people. It’s not universal, but it’s worth trying with guidance.

[Evelyn_W]

I did consider balloon sinuplasty after discussing with my surgeon. For me, the relief lasted several months but wasn’t a cure for the underlying chronic inflammation. It’s something that can reduce blockages, but you still need ongoing medical management, nasal rinses, and allergy treatment to keep symptoms at bay.

[Zoey_R]

Imaging often helps tailor the plan: if a CT shows a persistent obstruction or polyps, surgery might be recommended alongside medical therapy. In the meantime, a regimen of saline rinses, intranasal steroids, and avoiding triggers seems safer than waiting for a worsening. Avoid relying on decongestants long-term and coordinate any antibiotics with your doctor to minimize resistance.

[EdwardGT]

If you’re seeing a new ENT or surgeon, bring a few questions: Is there a structural issue we can address now or best managed over time? What’s the realistic expectation from balloon sinuplasty vs ongoing medical therapy? What signs should prompt urgent care? And could a referral to a allergist or sinus specialist improve outcomes? I can help you draft a focused list if you want.