Your doctor may ask about your symptoms. He or she may feel for tenderness in your nose and face and look inside your nose. Your doctor can usually make the diagnosis based on the physical exam. Antibiotics usually aren't needed to treat acute sinusitis, because it's usually caused by a virus and not by bacteria. Even if your acute sinusitis is bacterial, it may clear up without treatment. Your doctor might wait and watch to see if your acute sinusitis worsens before prescribing antibiotics. However, severe, progressive or persistent symptoms might require antibiotics. If your doctor prescribes an antibiotic, be sure to take the whole course, even after your symptoms get better. If you stop taking them early, your symptoms may recur. No alternative therapies have been proved to ease the symptoms of acute sinusitis. It's been suggested that products containing certain combinations of herbs may be of some help. These combination therapies contain cowslip, gentian root, elderflower, verbena and sorrel. Possible side effects from these herbal products include stomach upset, diarrhea and allergic skin reactions. Check with your doctor before taking herbal or dietary supplements to be sure they're safe and that they won't interact with any medications you're taking.
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