Some easily recognizable symptoms when someone is experiencing:
1. Sinusitis.
      Swelling of the nasal passages, pus-like discharge, swelling, redness around the eyes and cheeks.
2. Nasal Polyps
     Slowly progressive nasal congestion accompanied by decreased olfactory function, headaches and a feeling of pressure on the forehead as well as upper tooth pain and others.
Supporting examinations to confirm the diagnosis include:
      • History
      •    Physical examination
      • Laboratory and other supporting examinations.

Examination for diseases:
    A. NOSE POLYPS
          • Imaging tests
               CT Scan or MRI Scan, to see a detailed image of the inside of the nose. This examination can also help determine the location and size of the polyp, as well as the type of tissue growing.
          • Allergy test, to find out what triggers inflammation that might cause polyps. This test is carried out by injecting the allergen into the arm or back to see what allergic reactions appear on the skin.
         • Biopsy

  B. SINUSITIS
          • Allergy testing
               On the skin, this test helps identify a person's allergens.
        • Blood test
             Blood tests such as:
             • Complete Hematology:
                 High white blood cell count during fever may indicate severe acute sinusitis & high eosinophil count may be associated with severe allergies, some types of chronic sinusitis with nasal polyposis and asthma.
             • Serum immunoglobulins
                  Low levels of immunoglobulins (for example, IgG and IgA) can indicate decreased immunity, while high levels of IgE can be associated with allergies.
             • Microbiological examination.
                  Sinus and nasal culture examination, by taking samples or tissue culture from inside the nose or sinuses, then identifying the presence of bacterial or fungal infections. Culture results in the form of antibiotic sensitivity and fungal or bacterial resistance profiles can help determine appropriate antibiotic treatment.
              • Radiological Tests
     An X-ray examination of the paranal sinuses (Waters X-ray) was carried out.

Author: Dr. Garba Prihatiningpuri (PRAMITA Clinical Laboratory Medical Consultant Doctor Jl. Pahlawan No. 60 Madiun)