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PHX Reporter

Tuesday, May 7, 2024

Arizona doctor: ‘Unresolved sinusitis becomes a quality of life issue’

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Dr. John Stewart | Arizona Breathe Free

Dr. John Stewart | Arizona Breathe Free

  • 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. John Stewart of Arizona Breathe Free, sinusitis can severely take away from one’s daily life, and those people should seek treatment.

"A study by the National Institute of Health showed that over a one-year period, there were up to 73 million restricted-activity days related to sinusitis and total direct medical costs of almost 2.4 billion, not including surgery or radiographic imaging," Dr. Stewart told the PHX Reporter. "Unresolved sinusitis becomes a quality of life issue, taking people away from their jobs, family, friends, and obligations."

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 Arizona Breathe Free's website, Dr. Stewart earned his bachelor's degree in biology, graduating with summa cum laude honors, from Grand Canyon University. He went to medical school at Kirksville College of Osteopathic Medicine and completed his residency training in otorhinolaryngology/facial plastic surgery at the Freeman Hospital & Health System in Joplin, Missouri.

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