Which is more severe: rhinitis or sinusitis?

Dec 01, 2025 Source: Cainiu Health

Dr. Lu Cheng

Introduction

Sinusitis is usually more severe than rhinitis. Rhinitis is limited to inflammation of the nasal mucosa, with symptoms mainly involving nasal discomfort; sinusitis refers to inflammation of the sinus mucosa, often developing from rhinitis, with a broader affected area, more severe symptoms, and potential complications. If persistent purulent nasal discharge, severe headache, or facial pain occurs, prompt medical attention is recommended.

Sinusitis is generally more severe than rhinitis. Rhinitis is limited to inflammation of the nasal mucosa, with symptoms mainly involving nasal discomfort; sinusitis refers to inflammation of the sinuses' mucosal lining, often developing from rhinitis, affecting a broader area and causing more severe symptoms that may lead to complications. If you experience persistent purulent nasal discharge, severe headaches, or facial pain, it is recommended to seek medical attention promptly.

Rhinitis typically presents as nasal congestion, clear or黏ulent nasal discharge, sneezing, and nasal itching. Symptoms are confined to the nasal cavity and have minimal systemic impact. With timely intervention, the prognosis is usually good, and serious complications rarely occur.

In addition to nasal symptoms, sinusitis can also cause thick, foul-smelling nasal discharge, headache, facial tenderness, reduced or lost sense of smell, and in some patients, systemic symptoms such as fever and fatigue. If not treated promptly, it may lead to serious complications including otitis media, orbital cellulitis, or even intracranial infections.

To maintain health, keep the nasal passages clean by rinsing them with saline solution regularly. Avoid exposure to allergens such as pollen and dust. Dress warmly to prevent colds and reduce triggers for rhinitis episodes. Maintain a light diet, avoiding spicy and irritating foods, and engage in moderate exercise to boost immunity and lower the risk of recurrent inflammation.

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