An infection of your sinuses involves the build-up of mucus in the air-filled spaces behind your nose, cheeks and forehead. Over-the-counter medicines may provide relief for pain, swelling and pressure symptoms.
Sinus infections are typically caused by viruses that spread via respiratory droplets when someone coughs or sneezes, though bacterial sinus infections may occur as a result of viral infection or a compromised immune system.
Understanding Sinus Infections

Viral
Viral sinus infections can cause your nasal passages to swell, leading to tissue blockage in your nose. Your body then produces mucus as a defense mechanism against invaders and to clear away blockages, according to Dr. Julia Brogdon.
If symptoms worsen further, over-the-counter nasal sprays and decongestants may help provide temporary relief while discussing treatment with your physician may make future infections harder to treat and contribute towards antimicrobial resistance.
Viral infections are one of the primary causes of sinusitis, spread via respiratory droplets when someone sneezes or coughs, as well as through touching surfaces contaminated by an infected person and touching your nose or mouth directly after touching said surface.
Bacterial sinus infections may be less prevalent, but they’re just as contagious. Similar to viruses, they’re transmitted via respiratory droplets or through touching surfaces contaminated with them; but bacterial infections may also result from non-contagious factors like allergies, polyps or structural problems like deviated septum.
It is vitally important that you visit your physician for diagnosis as soon as possible and avoid sharing personal items that could act as transmission sources.
Bacterial
Sinuses (the air-filled pockets that sit behind your cheekbones, eyebrows and nose) can become congested when airways become blocked up with mucus, providing an ideal breeding ground for germs that lead to infection – usually viruses but other bacteria or fungal strains may also lead to sinusitis infections.
Viral infections that lead to sinus infections spread via respiratory droplets released when someone coughs or sneezes, as well as through physical contact with infected surfaces such as doorknobs. Therefore, it’s essential that people regularly wash their hands, cover their mouth when coughing/sneezing, and avoid close proximity with others in order to minimize risk.
Bacterial and fungal sinus infections are less prevalent, yet can still arise due to viral infections or factors such as nasal polyps, allergies or structural defects like deviated septamus. While such infections generally don’t spread directly from one person to the next, they may still result in symptoms for one or both individuals involved.
Regardless of its cause, sinus infections can be painful and uncomfortable.
To help make sure a proper diagnosis and receive appropriate treatment, visit an allergy and asthma specialist who specializes in allergy/asthma management to confirm a bacterial or fungal sinus infection is present and provide medication such as antibiotics or fungus-fighting spray to relieve symptoms and reduce recurrence as well as home treatments such as steam or nasal spray for drainage issues. Telehealth visits also offer convenient care options from home.
Indirect
Sinus infections can be caused by bacteria, viruses or noninfectious factors like allergies or nasal polyps. They may also be acute, subacute or chronic in nature. Viral sinusitis is the most prevalent form, caused by viruses similar to those that cause colds.
They spread easily via respiratory droplets or surfaces and could potentially pass from person to person through respiratory droplets; close contact with someone suffering from viral sinusitis could make you susceptible as they can spread their infection through respiratory droplets; this could leave you susceptible to symptoms such as nasal congestion, drainage facial pressure/pain and decreased sense of smell!
Sinuses become infected when our immune systems react to invaders by swelling up and secreting mucus to flush out and defend against these threats. Mucus acts like a protective barrier between us and these invaders and allows our bodies to stay safe.
While sinus infections themselves aren’t contagious, their associated viruses could be. Therefore, it’s wise to regularly wash your hands with soap and water – particularly before touching food or using the bathroom – as well as cover coughs and sneezes to minimize germ spread. When possible, stay home when sick to prevent further spreading germs to others.
If you have a viral sinus infection, most symptoms should resolve themselves within five to seven days on their own. While you wait, take acetaminophen or ibuprofen for pain and swelling relief and place a warm compress over your face in order to reduce inflammation as much as possible.
Are sinus infections contagious?

Sinus infections, although not contagious themselves, can be triggered by viruses such as the common cold or flu, which are indeed contagious.
However, if a sinus infection is caused by other factors like bacteria, fungus, nasal polyps, allergies, or a deviated septum, it is not contagious. Let’s delve into some essential points to bear in mind:
- Sinus infections are a frequently encountered condition, stemming from various factors.
- If your sinus infection is virus-induced, you have the potential to transmit the virus to another person, though there is no guarantee that they will develop a sinus infection.
- Bacterial-induced sinus infections are not contagious.
- Seeking medical attention is crucial if your symptoms are severe, worsen after initial improvement, persist for more than 10 days without improvement, or if you experience a fever lasting longer than three to four days.
How can we prevent the spread of sinus infections?
Here are some invaluable tips to follow:
- Regularly cleanse your hands with soap and water or an alcohol-based hand sanitizer.
- Steer clear of close contact with individuals who have colds or other upper respiratory infections.
- Refrain from smoking and exposure to secondhand smoke.
- Utilize a clean humidifier to add moisture to the air in your home.
- Cleanse your nasal passages daily.
- Stay hydrated by drinking plenty of water to keep the mucus thin and flowing.
- Inhale steam to alleviate congestion.
- Effectively manage your allergies.
- Avoid nasal irritants such as pollution and smoke.
- Regularly irrigate your sinuses with a saline sinus wash.
- Consider taking oral probiotics, particularly after using antibiotics, to restore the natural balance of sinus bacteria.
- If possible, avoid the use of antibiotics or steroids, as both can disrupt the beneficial bacteria (biome) residing in the sinuses, allowing harmful bacteria to thrive.
- Strive to maintain a healthy lifestyle and a robust immune system, as other illnesses like viral colds or the flu can pave the way for sinus infections.
Always remember that sinus infections themselves are not contagious, although they can be caused by viruses like the common cold or flu, which are contagious.
How to Differentiate Between a Viral and Bacterial Sinus Infection
Sinus infections can stem from either bacteria or viruses, with both types sharing similar symptoms. Nevertheless, distinct variances exist, offering valuable clues to differentiate between the two:
Viral Sinus Infections
- Frequently caused by the common cold virus
- Symptoms encompass nasal congestion, facial pressure, pain, fever, and excessive mucus production
- Typically, these symptoms abate within a span of 5 to 7 days
Bacterial Sinus Infections
- Brought about by bacterial invasion of the nasal and facial cavity linings
- Manifestations involve headaches, facial pain, runny nose, and nasal congestion
- Persistently bothersome for 7 to 10 days or more, occasionally worsening after the initial 7 days
It’s important to bear in mind that indicators such as foul breath, yellow or green mucus, fever, and headaches cannot reliably confirm a bacterial infection, as these can also manifest in viral infections.
Hence, determining the viral or bacterial nature of a sinus infection solely based on symptoms or an examination proves challenging. Instead, your doctor will primarily consider the duration of symptoms to ascertain the infection’s origin.
Should you experience symptoms associated with a sinus infection, seeking professional medical assistance for an accurate diagnosis and proper treatment is crucial. While supportive care for sinus discomfort can alleviate early symptoms, it’s worth noting that antibiotics do not aid in combating viral infections.