Sinus & Allergy

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Woman Holder the Bridge of Her Nose

The Basics

It has been estimated that 70% of Houstonians suffer from watery eyes, itchiness, nasal congestion, sneezing, post-nasal drip, sinus pressure, sinusitis or other allergy symptom.

Many patients treat only their nasal allergies and sinusitis symptoms with medication without addressing the underlying cause of their recurrent problems. This results in needless constant suffering and worsening symptoms. Others may be given antibiotics or steroid injections several times for the same sinus infection year after year.

The Pasha Snoring and Sinus Center is designed for those of you who are looking for real, long-term solutions for their allergies or sinusitis from an experienced Houston ENT doctor.

It is important that patients understand some basic Anatomy and Terms. The inside of your nose is complex. Many people become confused with the terms “sinusitis,” “allergy,” and “congestion,” often using the terms interchangeably when they are very different!


The septum is the wall that divides the left and right side of the nose and if crooked, it is called a deviated septum which may cause nasal obstruction or block your sinuses.

The turbinates are the fleshy shelves inside your nose that may become enlarged from a cold or allergy. When swollen, the turbinates are what contributes to the sensation of nasal congestion or “stuffiness.”

The sinuses are air filled cavities in the skull and facial bones. You have four sinus cavities:

  • Maxillary Sinuses: in the cheeks
  • Ethmoid Sinuses: in the roof of nose
  • Frontal Sinuses: in the forehead
  • Sphenoid Sinuses: in the back of the nose

The sinuses are air filled cavities in the skull and facial bones. You have four sinus cavities:

Diagram - Normal Nasal & Sinus Anatomy
  1. Frontal Recess
  2. Middle Turbinate
  3. Inferior Turbinate
  4. Septum
  5. Frontal Sinuses
  6. Ethmoid Sinuses
  7. Maxillary Sinuses

Sphenoid Sinuses are located in the back of the nose.

Sinus & Allergy Terms

Sinusitis is the inflammation (-itis) of the lining of the sinuses. Acute sinusitis is a short-term condition (<1-2 weeks) that responds well to antibiotics and decongestants. Acute sinusitis is often caused by a bacterial or viral infection and may be treated by your primary care provider. Chronic or Recurrent sinusitis is a long-term or recurrent condition caused by many potential factors such as allergies, nasal blockage, or nasal polyps that may require a combination of medical and surgical management. Chronic sinusitis is often not caused by infection and is treated inappropriately with recurrent antibiotics. Our clinic specializes in the comprehensive management of recurrent sinus issues and we have some of the most experienced Houston sinusitis doctors working here.

Sinusitis symptoms include:

  • Facial Pain or Pressure
  • Headaches
  • Nasal Congestion
  • Post Nasal Drip
  • Loss of Smell (Anosmia)
  • Bad Breath/Bad Odor

Your sinuses cannot be seen in routine exams. If Dr. Pasha suspects you may be having recurrent sinus infections, he may order a CAT scan or CT scan, which is a detailed X-ray of the sinuses. He will also examine the inside of your nose painlessly with a microscope or endoscope in the office to evaluate the details of your septum, turbinates, and the opening of your sinuses.

Image - Left Maxillary Sinusitis
Left Maxillary Sinusitis
Image - Normal Sinus
Normal Sinus

Allergies or Allergic Rhinitis is a disorder that occurs when your body detects substances in the air called allergens. Your allergies occur when your body’s defense system mistakes harmless allergens (such as pollen, dust, or grass) for harmful antigens (such as bacteria). The symptoms of allergic rhinitis occur when a substance called histamine is released into the blood. The histamine causes the most common symptoms of allergies such as: runny nose, congestion and sneezing. Dr. Pasha is an experienced allergy doctor (know as an allergist) serving the Houston area and he can help you get on the road to recovery from your allergies.

Learn how Pasha Snoring & Sinus has helped Houston breathe freely.