Questions: A neighbor tells you that she is taking antibiotics for an acute sinus infection. She states that she has severe pain in her sinuses and wonders what she can do other than take analgesics. What advice might you give?

The advice I would give to your neighbor for managing an acute sinus infection, in addition to taking antibiotics and analgesics, includes the following:

1. Stay Hydrated: Drinking plenty of fluids, such as water, herbal teas, and clear broths, can help thin the mucus, making it easier to drain from the sinuses.

2. Use a Humidifier: Adding moisture to the air with a humidifier can help keep the nasal passages moist, which can reduce congestion and discomfort.

3. Saline Nasal Spray or Rinse: Using a saline nasal spray or performing a nasal rinse with a neti pot can help clear out mucus and allergens from the nasal passages, providing relief from congestion.

4. Warm Compresses: Applying a warm compress to the face, particularly over the sinus areas, can help reduce pain and pressure by improving circulation and promoting drainage.

5. Elevate Your Head: When resting or sleeping, keeping the head elevated with an extra pillow can help the sinuses drain more effectively, reducing congestion and discomfort.

6. Avoid Irritants: Stay away from smoke, strong odors, and other environmental irritants that can exacerbate sinus symptoms.

7. Rest: Ensure you get plenty of rest to help your body fight off the infection and recover more quickly.

8. Over-the-Counter Decongestants: If appropriate and after consulting with a healthcare provider, using over-the-counter decongestants can help reduce nasal congestion. However, these should be used with caution and not for extended periods.

Summarizing, in addition to taking antibiotics and analgesics, your neighbor can manage her acute sinus infection by staying hydrated, using a humidifier, performing saline nasal rinses, applying warm compresses, elevating her head while resting, avoiding irritants, getting plenty of rest, and possibly using over-the-counter decongestants after consulting with a healthcare provider.