We all know how awful chronic rhinosinusitis is and how significantly it reduces quality of life. Fixing our chronic rhinosinusitis issues should be one of the top priorities, if not the most. I am adding the summary of some of the things that I have tried and have found helpful. Please add to this list with your methods and experiences to make it more information-rich and helpful to us all. Before I begin, I want to briefly explain what I believe is the cause of the chronic sinus inflammation/infection vicious cycle for many, including me. This small bit of theory will explain the core idea behind each method and why they are helpful. A lot of us have conditions that make us prone to nasal congestion. These conditions can be deviated nasal septum (DNS), mild allergies, food intolerances, some more serious conditions like Cystic Fibrosis, or perhaps simply narrow nasal passages, or anything else that slightly affects breathing. These conditions may not be enough to cause you significant symptoms alone and you feel fine for some/most of the time. There is slight nasal congestion every now and then, but nothing that causes you trouble for the most part. However, anything that further exacerbates nasal congestion can lead you down the road of thechronic sinus inflammation/infection and that makes things significantly worse. You no longer feel good. All of your usual sinus inflammation/infection symptoms are back -- facial pain, excessive fatigue, headache, brain fog and more. It is not difficult for the nasal congestion to go from slightly bad to bad enough to cause trouble. Anything from a simple viral infection (common cold), more stress than usual, or allergies can exacerbate nasal congestion. For most people, the exacerbated nasal congestion is still not bad enough to cause sinus inflammation. However, for people with already poor breathing / nasal congestion, this extra push is all what is necessary for making things for okayish to horrible. But why does this extra nasal congestion cause sinus inflammation/infection?

Hey everyone, I’ve just opened up the Coping & Interventions course in the Classroom. It’s still a work in progress, and I’ll be adding more over time, but I wanted to share what’s there already in case it’s helpful for where you’re at right now. Take a look and let me know what you think—or if there’s something you’d like to see added: https://www.skool.com/chronic-rhinosinusitis-program-6064/classroom/87809df5

Hey everyone — I’ve been revisiting the connection between gut dysbiosis and Chronic Rhinosinusitis. It's something I’ve looked into before, but despite experimenting with various diets and supplements, nothing had really moved the needle—until now (hopefully!). Here’s an updated overview of what I’ve learned and what I’m currently trialling, based on protocols from Dr. Dietrich Klinghardt, along with some personal observations. 🧬 Overview: What Is Gut Dysbiosis? Gut dysbiosis refers to an imbalance in the gut microbiome—where “bad” or opportunistic microorganisms outnumber the beneficial ones. This can cause systemic immune dysregulation, which is highly relevant in conditions like CRS. When dysbiosis is present, the immune system is essentially in a constant state of alert, treating the imbalance like a low-grade infection. This chronic inflammation may contribute to the ongoing sinus inflammation seen in CRS. Research connection: Several studies have shown that patients with chronic inflammatory conditions—including CRS—often have measurable alterations in their gut microbiota. One study found that CRS patients had significantly reduced microbial diversity and increased markers of intestinal permeability (aka leaky gut), which often coexists with dysbiosis. 🔍 Clinical Signs & Symptoms of Gut Dysbiosis - Bloating - Gas - Diarrhea or constipation - Abdominal pain or cramping - Heartburn or reflux - Undigested food in the stool - Brain fog - Fatigue - Mild food sensitivities - Skin issues (eczema, acne, rosacea) 🧪 Personal Signs I’ve Noticed: These are subtle and took time to observe: - Teeth discoloration and plaque buildup increases the more FODMAPs I eat (fermentable carbs). When my diet is simpler, my teeth and gums feel noticeably cleaner. - Lower-right abdominal pain, particularly near the ileocecal valve. - Mild sensitivities to foods like eggs, wheat, and caffeine—symptoms I initially ignored or didn’t link to gut health.

Vitamin-D deficiency is correlated with increased chronic rhinosinusitis symptoms severity. https://pmc.ncbi.nlm.nih.gov/articles/PMC7007989/ https://pmc.ncbi.nlm.nih.gov/articles/PMC7491765/

Hey everyone, Welcome to the Chronic Rhinosinusitis community! This is a space for all of us dealing with CRS to connect, share, and support each other. Whether you’re exploring treatments to put the condition into remission or just looking for ways to manage it better day-to-day, you’re in the right place. Let’s kick things off—what’s been working for you? Have you found a treatment, protocol, or even a root cause that’s made a difference? Feel free to share your experiences, insights, and questions here. We’re all in this together!