Health

Sinusitis — NHS: Common After a Cold, Usually Clears in 4 Weeks; Salt-Water Rinses; Antibiotics Rarely

Sinusitis — NHS: Common After a Cold, Usually Clears in 4 Weeks; Salt-Water Rinses; Antibiotics Rarely

The cold has gone, but your cheeks and the area around your eyes ache and the yellow mucus won’t stop — that’s when people wonder about sinusitis. The NHS says sinusitis is usually caused by an infection and is common after a cold or flu. It usually clears up on its own within 4 weeks. Self-care is rest, plenty of fluids, painkillers and rinsing your nose with salt water. See a GP if you haven’t improved after 7 days of pharmacy treatment or 3 weeks of treating yourself. Antibiotics are prescribed only rarely, because sinusitis is usually caused by a virus, not bacteria. This sets out the NHS page “Sinusitis (sinus infection)”.

1. Common after a cold or flu; usually clears up on its own within 4 weeks.
2. Rest, fluids, painkillers, salt-water nose rinse (up to 3 times a day). No aspirin under 16.
3. No better after 7 days of pharmacy treatment or 3 weeks of self-care: GP. Antibiotics rarely — usually a virus.

Symptoms — NHS

WhoSymptoms (NHS)Worth noting (our gloss)
Adults (main)Pain, swelling and tenderness around the cheeks, eyes or forehead—
Adults (main)Blocked or runny nose; reduced sense of smell—
Adults (main)Green or yellow mucus; high temperature—
Adults (other)Headache, toothache, bad breath, cough, pressure in the ears, snoring, sounding nasalOverlaps with toothache, bad breath and snoring posts
Young childrenIrritability, difficulty feeding, breathing through the mouth—

The page explains that swelling of the sinus lining stops mucus draining, which causes the blocked feeling. The NHS lists toothache as a sinusitis symptom too — tooth pain itself is covered in toothache. Snoring is in snoring and bad breath in bad breath.

Treating it yourself — NHS

  • Rest and drink plenty of fluids
  • Painkillers such as paracetamol or ibuprofen — no aspirin for children under 16
  • Avoid your allergy triggers; don’t smoke
  • With a high temperature or if you feel too unwell for normal activities, stay at home and avoid other people until you feel better

Salt-water nose rinse — the NHS recipe

StepWhat the NHS saysWorth noting (our gloss)
1Boil about 570ml of water and let it cool—
2Mix in 1 teaspoon of salt and 1 teaspoon of bicarbonate of soda—
3Rinse each nostril, up to 3 times a day—
4Make a fresh solution each timeDon’t store it

This page doesn’t cover warm packs or how long to use decongestant sprays. The NHS advice not to use sprays for more than a week is in common cold.

Pharmacy, GP and urgent help — NHS

WhereWhenWorth noting (our gloss)
PharmacyYou think you have sinusitis, or your child is 12 or older and you think they have itA pharmacist can give the same treatments as a GP (UK system)
GPNo better after 7 days of pharmacy or GP treatment, or 3 weeks of self-care—
GPYou keep getting it; your child is 11 or younger—
Urgent GP or 111Very unwell; painkillers don’t help or symptoms get worse; weakened immune system—
111Advice about a child under 5—

What pharmacies can do in Korea may differ, so read “the same treatments as a GP” as describing the UK system (our view). The page doesn’t mention 999.

What a GP may do — NHS

  • Steroid nasal sprays or drops to reduce swelling — you may need them for a few months
  • Antihistamines if an allergy is the cause
  • Antibiotics rarely — sinusitis is usually caused by a virus, not bacteria
  • Referral to an ear, nose and throat (ENT) specialist if it lasts after 3 months of treatment, keeps coming back, or is only on one side of your face
  • For some, an ENT specialist may suggest surgery (FESS) under general anaesthetic

Checklist

  • ☐ Cheek, eye or forehead pain and yellow or green mucus after a cold
  • ☐ Rest, fluids, painkillers; salt-water rinse up to 3 times a day
  • ☐ Often clears up on its own within 4 weeks
  • ☐ No better after 7 days of pharmacy treatment or 3 weeks of self-care: GP
  • ☐ Symptoms on one side only that keep going: tell your GP

Questions that remain

Does yellow mucus mean I need antibiotics?

The NHS lists green or yellow mucus as a common symptom, but says antibiotics are prescribed only rarely because sinusitis is usually viral.

How is it different from a cold?

The NHS says sinusitis is common after a cold or flu. Advice on colds themselves is in common cold.

Sources

  • NHS — Sinusitis (sinus infection) — source (page shows: reviewed 31 January 2024, next review 31 January 2027; checked 14 October 2026). Causes, adult and child symptoms, 4 weeks, 570ml, 1 teaspoon, 3 times a day, 12 or older, 7 days, 3 weeks, 11 or younger, under 5, 3 months, antibiotics, FESS.
  • Not read. Korean agency guidance on sinusitis.
  • What we added. The “worth noting” column.

Where else to check

  • Your GP or an ENT clinic — if it lasts or keeps coming back.

Written on 14 October 2026. The content is from the NHS; the glosses are ours. It does not replace diagnosis or treatment.