Long term sinusitis ,produces recurrent headachedand nose blocks.It is better to take a holistic approach, meaning medications and lifestyle modifications.
Next Steps
medications: start topical steroids( nasal spray) fluticasone and azelastine combination spray, 2puffs on each nostril ,morning and night. x 3.mnths
T Cetrizine. 0-0-1, when symtpoms are not in control
lifestyle changes: 1) steam inhalation. twice a day. 2)double mask at the time of house work. 3) cover your ears with cotton to reduce the impact of cold, wearing home footwear ,mufflers and sweaters, room temperature control heaters 4) intake of fruit everyday. (citrus) to increase your immunity