Smelly Mucus in the Nose
Smelly mucus in the nose may be a sign that you have a sinus infection, also called sinusitis. The American Academy of Otolaryngology -- Head and Neck Surgery reports that a history of thick drainage that's foul smelling and tasting is a symptom of chronic sinusitis 1. Treating your chronic sinus infection helps relieve your symptoms and stop the unpleasant odor.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Identification
Your sinuses are located behind your eyes and under your forehead, cheekbones and the bridge of your nose. These air-filled cavities clean the air you breathe, using mucus to filter out dirt, germs and other particles. Mucus travels from the sinuses to your nose, where it exits your body. When you're sick or suffering from allergies, the sinuses swell, preventing complete drainage and causing a foul-smelling bacterial infection in some cases. If a sinus infection lasts three months or more, it may be a chronic sinus infection, according to MayoClinic.com 2.
- Your sinuses are located behind your eyes and under your forehead, cheekbones and the bridge of your nose.
- Mucus travels from the sinuses to your nose, where it exits your body.
Symptoms
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Other symptoms of a chronic sinus infection may include:
- pain or pressure in the facial bones
- difficulty breathing due to sinus congestion
- nausea
- sore throat
- post-nasal drip
- green or yellow mucus in the nose
- cough
- bad breath
- fatigue
- pain in the teeth
- ear or upper jaw
You may notice that your sense of smell and taste is also affected if you have a chronic sinus infection.
Risk Factors
If you have allergies or a weak immune system, you may at a higher risk of developing a sinus infection.
Medication
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Doctors treat chronic sinus infections with oral antibiotics. When sinusitis has been present for several weeks or longer, treatment usually lasts for at least four weeks and can continue for up to eight or 12 weeks or longer, according to the American Rhinologic Association 4. Your doctor may also prescribe an oral decongestant to help thin out mucus. She may recommend that you use nasal steroid spray to relieve swelling in nasal passages and saline spray to keep nasal passages moist. Over-the-counter medications can help relieve pain due to sinusitis.
- Doctors treat chronic sinus infections with oral antibiotics.
- She may recommend that you use nasal steroid spray to relieve swelling in nasal passages and saline spray to keep nasal passages moist.
Surgery
Surgery is only recommended if you have severe chronic sinusitis that isn’t helped by other treatments. Your doctor may also recommend surgery if you have a polyp that blocks your nasal passages.
Related Articles
References
- MayoClinic.com: Sinusitis
- Battisti AS, Pangia J. Sinusitis. [Updated 2019 Jun 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470383/
- InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Sinusitis: Overview. 2009 Feb 9 [Updated 2018 Oct 18].Available from: https://www.ncbi.nlm.nih.gov/books/NBK279485/
- Kwon E, O'Rourke MC. Chronic Sinusitis. [Updated 2018 Nov 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441934/
- Treating Chronic Sinusitis. Informed Health Online: Institute for Quality and Efficiency in Health Care. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072668/.
- Hamilos DL. Chronic Rhinosinusitis (Beyond the Basics). UpToDate. https://www.uptodate.com/contents/chronic-rhinosinusitis-beyond-the-basics.
- Radojicic C. Sinusitis. Cleveland Clinic Center for Continuing Education. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/rhino-sinusitis/.
- Battisti AS, Pangia J. Sinusitis. [Updated 2019 Jun 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.
- de Camargo RA, Nicodemo AC, Sumi DV, et al. Facial structure alterations and abnormalities of the paranasal sinuses on multidetector computed tomography scans of patients with treated mucosal leishmaniasis. PLoS Negl Trop Dis. 2014;8(7):e3001. Published 2014 Jul 31. doi:10.1371/journal.pntd.0003001
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- InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Sinusitis: Overview. 2009 Feb 9 [Updated 2018 Oct 18].
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- Ah-See KW, Evans AS. Sinusitis and its management. BMJ. 2007;334(7589):358–361. doi:10.1136/bmj.39092.679722.BE
- Benevides GN, Salgado GA Jr, Ferreira CR, Felipe-Silva A, Gilio AE. Bacterial sinusitis and its frightening complications: subdural empyema and Lemierre syndrome. Autops Case Rep. 2015;5(4):19–26. Published 2015 Dec 30. doi:10.4322/acr.2015.029
- Silveira MLC, Anselmo-lima WT, Faria FM, et al. Impact of early detection of acute invasive fungal rhinosinusitis in immunocompromised patients. BMC Infect Dis. 2019;19(1):310.
- Kwon E, O'Rourke MC. Chronic Sinusitis. [Updated 2018 Nov 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.
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- Benevides GN, Salgado GA Jr, Ferreira CR, Felipe-Silva A, Gilio AE. Bacterial sinusitis and its frightening complications: subdural empyema and Lemierre syndrome. Autops Case Rep. 2015;5(4):19–26. Published 2015 Dec 30. doi:10.4322/acr.2015.029
- Ah-See KW, Evans AS. Sinusitis and its management. BMJ. 2007;334(7589):358–361. doi:10.1136/bmj.39092.679722.BE
- Lee S, Lane AP. Chronic rhinosinusitis as a multifactorial inflammatory disorder. Curr Infect Dis Rep. 2011;13(2):159–168. doi:10.1007/s11908-011-0166-z
- Jiang RS, Huang WC, Liang KL. Characteristics of Sinus Fungus Ball: A Unique Form of Rhinosinusitis. Clin Med Insights Ear Nose Throat. 2018;11:1179550618792254. Published 2018 Aug 3. doi:10.1177/1179550618792254
- Min JY, Tan BK. Risk factors for chronic rhinosinusitis. Curr Opin Allergy Clin Immunol. 2015;15(1):1–13. doi:10.1097/ACI.0000000000000128
- Zhang Z, Adappa ND, Lautenbach E, et al. The effect of diabetes mellitus on chronic rhinosinusitis and sinus surgery outcome. Int Forum Allergy Rhinol. 2014;4(4):315–320. doi:10.1002/alr.21269
- Lin YH, Chang TS, Yao YC, Li YC. Increased Risk of Chronic Sinusitis in Adults With Gastroesophgeal Reflux Disease: A Nationwide Population-Based Cohort Study. Medicine (Baltimore). 2015;94(39):e1642. doi:10.1097/MD.0000000000001642
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- Ah-See KW, Evans AS. Sinusitis and its management. BMJ. 2007;334(7589):358–361. doi:10.1136/bmj.39092.679722.BE
- Blin P, Blazejewski S, Lignot S, et al. Effectiveness of antibiotics for acute sinusitis in real-life medical practice. Br J Clin Pharmacol. 2010;70(3):418–428. doi:10.1111/j.1365-2125.2010.03710.x
- Potter PC, Pawankar R. Indications, efficacy, and safety of intranasal corticosteriods in rhinosinusitis. World Allergy Organ J. 2012;5(Suppl 1):S14–S17. doi:10.1097/WOX.0b013e31823f7216
- Ah-See KW, Evans AS. Sinusitis and its management. BMJ. 2007;334(7589):358–361. doi:10.1136/bmj.39092.679722.BE
- Treating Chronic Sinusitis. Informed Health Online: Institute for Quality and Efficiency in Health Care.
- Chow AW, Benninger MS, Brook I, et al. IDSA Clinical Practice Guideline for Acute Bacterial Rhinosinusitis in Children and Adults. Clin Infect Dis. 2012;54(8):e72–e112.
- Hamilos DL. Chronic Rhinosinusitis (Beyond the Basics).
- Radojicic C. Sinusitis. Cleveland Clinic Center for Continuing Education.
- Wald ER, Applegate KE, Bordley C, et al. Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years. Pediatrics. 2013;132(1):e262-80.
Writer Bio
Working at a humane society allowed Jill Leviticus to combine her business management experience with her love of animals. Leviticus has a journalism degree from Lock Haven University, has written for Nonprofit Management Report, Volunteer Management Report and Healthy Pet, and has worked in the healthcare field.