Adult Chronic Sinusitis and Its Complications

By G. Douglas Campbell Jr., MD, FCCP

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Medical Management of Chronic Rhinosinusitis

Nonpharmacologic Measures

Hydration (eight glasses of water per day) and avoidance of caffeine, alcohol, and tobacco are also suggested when treating cases of rhinosinusitis.³⁷ Nasal humidification should be provided, using a saline solution nasal spray (over-the-counter sterile physiologic saline solution) or nasal douche (either using a commercial preparation or simply mixing 8 oz of warm tap water and 1/2 teaspoon of salt) applied by ear bulb syringe. Oral hydration requires 6 to 8 glasses of water per day. Use of mucolytic agents (eg, guaifenesin) at a dose of 2,400 mg/d has been advocated to reduce mucus viscosity and promote clearance.³⁸

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