Sinus Infection or Allergies? How to Spot the Difference
- sarahcline2000
- Jul 11, 2025
- 3 min read

A stuffy nose, pressure in your face, or constant sneezing can leave you feeling miserable. But is it a sinus infection or allergies causing your symptoms? While the two conditions can feel very similar, they have different causes and treatments. Knowing the difference can help you find relief faster and avoid unnecessary medications.
If you are dealing with persistent congestion or facial pressure, this guide will help you tell the difference and know when it is time to see a provider.
What Causes Each Condition
Sinus infections and allergies affect the same parts of your body but in different ways.
Sinus infections are usually caused by bacteria or viruses. They often happen after a cold or upper respiratory infection when the sinuses become inflamed and filled with mucus
Allergies are caused by your immune system reacting to things like pollen, dust, or pet dander. This triggers inflammation in your nasal passages and causes symptoms similar to a cold
Understanding what is behind your symptoms is the first step to choosing the right treatment.
Common Symptoms of Sinus Infections
A sinus infection can come on suddenly or develop after several days of cold-like symptoms. Look for:
Facial pain or pressure around the cheeks, forehead, or eyes
Thick yellow or green nasal discharge
Postnasal drip
Headache
Tooth pain
Fatigue
Fever in some cases
Symptoms lasting more than ten days or worsening after a few days
If your symptoms are intense or not getting better, it may be more than just a cold or allergy.
Common Symptoms of Allergies
Allergies often follow a pattern based on season, environment, or exposure to certain triggers. Symptoms include:
Sneezing
Itchy eyes, nose, or throat
Clear, watery nasal discharge
Nasal congestion
Postnasal drip
Symptoms that come and go with certain exposures or weather changes
No fever
If your symptoms last for weeks or always return in certain environments, allergies are a likely cause.
How to Tell the Difference
It can be tricky to know whether your symptoms are from allergies or a sinus infection. Ask yourself these questions:
Did my symptoms come on gradually and follow a pattern
Am I noticing itchiness or sneezing more than pressure or pain
Is the nasal discharge clear or thick and colored
Do I have a fever or facial tenderness
If you are still unsure, your provider can help make a clear diagnosis and recommend the best treatment.
When to See a Provider
Mild allergy symptoms can often be managed with over-the-counter medication, while sinus infections may require a different approach. See your provider if:
Your symptoms last longer than ten days
You have facial pain that does not improve
You develop a fever or worsening headache
Your over-the-counter allergy medicine is not working
You have frequent sinus infections or seasonal flare-ups
FAQs: Sinus Infections vs Allergies
Can allergies turn into a sinus infection?
- Yes. Ongoing congestion from allergies can block sinus drainage and lead to an infection if bacteria start to grow.
How can I treat a sinus infection at home?
- Rest, fluids, warm compresses, and saline rinses can help. If symptoms worsen or do not improve, you may need prescription treatment.
What allergy medications work best?
- Antihistamines, nasal sprays, and decongestants can all help. Your provider can recommend the right combination for your symptoms.
Are sinus infections contagious?
- Only viral sinus infections are contagious. Bacterial ones are not usually spread from person to person.
Can allergy testing help?
- Yes. If you have frequent allergy symptoms, testing can identify your triggers and help you manage them more effectively.
At Cline Medical Group, we can help you figure out what is causing your symptoms and create a plan that works for you.
Call (606) 637-2334 or book online today to feel better faster.
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