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[Sticky] Sinus Infections


Michael Gray MD JD
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Yes — sinus infections (sinusitis) can often be evaluated and treated via telemedicine, especially when symptoms are mild to moderate and not associated with serious complications. Telehealth has become a common way to get care quickly without an in-person visit.

Here’s how it works and what to expect:

📍 What telemedicine providers can do

  • Symptom assessment: A licensed clinician will ask about your symptoms, their duration, and any red-flag signs. They may also ask you to show your nasal passages or take your temperature via video.

  • Diagnosis: Based on your description and clinical criteria, they’ll determine if your symptoms likely represent a sinus infection (often viral) or if there’s concern for a bacterial infection that may benefit from medicine.

  • Treatment plan: They can recommend home remedies (saline rinses, nasal steroids, OTC meds) and general care tips. If appropriate, they can prescribe medications such as antibiotics or nasal sprays and send an electronic prescription to your pharmacy.

  • Follow-up and referrals: If your situation appears more serious, they’ll advise in-person evaluation at urgent care or by a specialist.

🧠 When telemedicine works well

Telehealth is especially suitable when:

  • Symptoms are uncomplicated (e.g., facial pressure, congestion, thick nasal discharge) without high fever or vision issues.

  • You don’t have emergency signs like severe headache, eye swelling, vision changes, stiff neck, confusion, or very high fever.

  • Symptoms have been under control or typical for a simple sinus infection that’s likely viral.

🚨 When to seek in-person care

You should visit a clinic or emergency department instead of telemedicine if you have:

  • Severe or rapidly worsening symptoms

  • Signs of complications (eye redness/swelling, vision changes)

  • Neurological symptoms (confusion, weakness)

  • Difficulty breathing or high fever not responding to treatment

✅ Research backing

Studies show that telemedicine visits (e-visits) for acute sinusitis can be just as effective as in-person care for many patients and often result in appropriate treatment without higher follow-up rates.


Bottom line:
Yes — a sinus infection can often be diagnosed and treated via telemedicine, including prescriptions when appropriate, but it’s important to use it for non-emergency, uncomplicated cases and follow up with in-person care if symptoms are severe or persistent.


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