Many patients see their family/internal medicine doctor over and over again for sinus disease. Each time they leave with antibiotics and nose sprays. Getting a sinus infection two or three times a year is within the realm of reason but patients that get more than that should see an ear nose and throat specialist. Taking antibiotics for more than 21 consecutive days or getting more than five sinus infections a year can lead to undesirable changes in the normal/healthy bacteria that live in your body.
Recently a wonderful quality of life measure, aptly named the SNOT-20 was released to gauge how sinus disease impacts patient’s daily lives. It measure 20 parameters that patient’s rate on a scale of 0-5. A high score indicates that sinus disease is leading to a decreased quality of life. I have attached the link so you can do it at home.