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Published on: 2/10/2026

Sinus Infection Relief: What Every Woman Over 65 Must Know

Sinus infections are common after 65 and can be more uncomfortable or prolonged due to immune changes, drier nasal passages, chronic conditions, and certain medications; most cases still improve with hydration, saline rinses, warm compresses, rest, and cautious use of OTC pain relievers, while antibiotics are usually unnecessary unless symptoms exceed 10 days, are severe, or worsen after initial improvement. There are several factors to consider, including how to tell a cold from sinusitis, which medications to avoid, prevention tips, and urgent red flags like eye swelling, vision changes, severe headache, high fever, or confusion; see the complete guidance below for details that may affect your next healthcare steps.

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Sinus Infection Relief: What Every Woman Over 65 Must Know

A sinus infection—also called sinusitis—is common at any age, but it can be more uncomfortable and sometimes more complicated for women over 65. Changes in the immune system, existing health conditions, and medications can all affect how sinus infections feel and how long they last. The good news is that most sinus infections are treatable, and many improve with the right care and timely guidance.

This guide explains what a sinus infection is, why it matters more as we age, how to recognize symptoms, and what relief options are supported by credible medical evidence. The goal is to help you feel informed, not alarmed, and to know when it's time to speak to a doctor.


What Is a Sinus Infection?

A sinus infection happens when the lining of the sinuses—air-filled spaces in the bones of your face—becomes inflamed and swollen. This swelling blocks normal drainage, allowing mucus to build up. Germs (viruses, bacteria, or rarely fungi) can then grow more easily.

There are different types of sinus infections:

  • Acute sinus infection: Lasts up to 4 weeks, often after a cold
  • Subacute sinus infection: Lasts 4–12 weeks
  • Chronic sinus infection: Lasts more than 12 weeks or keeps coming back
  • Recurrent sinus infection: Several infections in one year

In older adults, sinus infections may last longer or feel more intense if the immune response is slower.


Why Women Over 65 Should Pay Special Attention

As we age, the body changes in ways that can affect sinus health:

  • Immune system changes can make infections harder to fight
  • Drier nasal passages can irritate sinus tissues
  • Chronic conditions such as asthma, diabetes, or heart disease may complicate recovery
  • Medications (like blood pressure drugs or antihistamines) may dry out mucus or mask symptoms

These factors do not mean a sinus infection is dangerous by default—but they do mean it deserves careful attention.


Common Sinus Infection Symptoms

Symptoms of a sinus infection can vary, and not everyone has all of them. Common signs include:

  • Facial pressure or fullness (especially around the cheeks, eyes, or forehead)
  • Stuffy or blocked nose
  • Thick nasal discharge (yellow or green)
  • Post-nasal drip (mucus draining down the throat)
  • Headache that worsens when bending forward
  • Reduced sense of smell or taste
  • Tooth pain (especially upper teeth)
  • Fatigue or feeling "run down"
  • Mild fever (not always present)

In women over 65, symptoms may be more subtle, such as ongoing fatigue or pressure without a fever.

If you're experiencing any combination of these symptoms and want to better understand what might be causing them, Ubie's free AI-powered Sinusitis symptom checker can help you get personalized insights in just a few minutes.


Sinus Infection vs. a Common Cold

Many sinus infections start as colds, but there are differences:

  • A cold usually improves within 7–10 days
  • A sinus infection may:
    • Last longer than 10 days without improvement
    • Get better, then suddenly worse
    • Cause thick nasal discharge and facial pain

Understanding this difference can help you decide when home care is enough and when medical advice is wise.


Safe and Effective Sinus Infection Relief Options

Most sinus infections—especially viral ones—improve with supportive care. Credible medical organizations support the following approaches:

At-Home Relief Measures

These steps are often helpful and low-risk:

  • Stay well hydrated to thin mucus
  • Use saline nasal sprays or rinses to clear passages
  • Apply warm compresses to the face to ease pressure
  • Rest to support immune function
  • Use a humidifier if indoor air is dry (clean it regularly)

Over-the-Counter Options (Use Carefully)

Some medications may help, but older adults should be cautious:

  • Pain relievers like acetaminophen for discomfort
  • Saline sprays (not medicated sprays) for daily use

Avoid long-term use of decongestant nasal sprays unless a doctor advises it, as they can worsen congestion over time.

Always check with a pharmacist or doctor if you take medications for blood pressure, heart disease, or glaucoma.


When Antibiotics Are (and Aren't) Needed

Many people assume a sinus infection automatically needs antibiotics. In reality:

  • Most sinus infections are viral and do not respond to antibiotics
  • Antibiotics may be considered if:
    • Symptoms last more than 10 days without improvement
    • Symptoms are severe (high fever, significant facial pain)
    • Symptoms worsen after initially improving

Using antibiotics when they aren't needed can cause side effects and antibiotic resistance, which is especially important to avoid in later life.


Possible Complications (Uncommon but Important)

Serious complications from a sinus infection are rare, but they are more likely in older adults or those with weakened immune systems.

Contact a doctor promptly if you notice:

  • Swelling or redness around the eyes
  • Vision changes
  • Confusion or unusual drowsiness
  • High or persistent fever
  • Severe headache not relieved by usual measures

These symptoms need medical evaluation and should not be ignored.


Preventing Future Sinus Infections

Prevention can reduce how often sinus infections occur:

  • Manage allergies with appropriate treatment
  • Wash hands regularly to reduce infection risk
  • Avoid cigarette smoke and strong pollutants
  • Stay up to date with recommended vaccinations
  • Keep nasal passages moist, especially in dry climates

Small daily habits can make a noticeable difference over time.


When to Speak to a Doctor

You should speak to a doctor if:

  • Symptoms last longer than 10 days
  • You have frequent or recurring sinus infections
  • Symptoms interfere with sleep or daily life
  • You have other health conditions that could complicate recovery
  • Any symptoms feel severe, unusual, or potentially life-threatening

A doctor can determine whether imaging, prescription medication, or referral to a specialist is needed.


A Calm, Informed Approach Matters

A sinus infection can be frustrating, especially when it lingers. For women over 65, the key is balance—taking symptoms seriously without assuming the worst. Most sinus infections resolve with proper care, awareness, and timely guidance.

If you're uncertain about your symptoms, using a trusted tool like a symptom check for Sinusitis can be a helpful first step. From there, don't hesitate to speak to a doctor about anything that feels serious or life-threatening.

With the right information and support, sinus infection relief is very achievable at any age.

(References)

  • * Aftab F, Loehrl TA. Management of rhinosinusitis in the elderly. *Laryngoscope Investigative Otolaryngology*. 2018 Feb 21;3(1):31-35. PMID: 29774351. Available from: https://pubmed.ncbi.nlm.nih.gov/29774351/

  • * Orlandi RR, et al. International Consensus Statement on Allergy and Rhinology: Rhinosinusitis 2021. *International Forum of Allergy & Rhinology*. 2021 Mar;11(3):213-731. PMID: 33710732. Available from: https://pubmed.ncbi.nlm.nih.gov/33710732/

  • * Chen W, et al. Chronic rhinosinusitis in the elderly: A systematic review. *American Journal of Otolaryngology*. 2021 Sep;42(5):103102. PMID: 34182285. Available from: https://pubmed.ncbi.nlm.nih.gov/34182285/

  • * Soler Zuniga MA, et al. Pharmacotherapy for chronic rhinosinusitis: an update for clinicians. *Expert Opinion on Pharmacotherapy*. 2020 Jul;21(10):1153-1165. PMID: 32283995. Available from: https://pubmed.ncbi.nlm.nih.gov/32283995/

  • * Baroody FM, et al. The aging nose: Clinical features and therapeutic challenges. *Current Opinion in Allergy and Clinical Immunology*. 2022 Feb 1;22(1):3-9. PMID: 34812836. Available from: https://pubmed.ncbi.nlm.nih.gov/34812836/

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