### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
good day,i would be pleased with an acceptable answer as i am having chronic sinus since two years also have 3 surgeries included sinus wash and saptoplasty, but i am still having lot of facial panes. everytime i have to take pane killers to get of these panes. i am not getting releif from these pains. i also left with partial sense of smell 99 % i cant smell any thing. your help would be much appreciated. because now i am just losing hopes.

### output:

Greetings, Welcome to Chat Doctor. Chronic sinusitis is a very common condition these days. And people tend to have surgeries to get rid of it, but complete cure is usually not achieved. Well there are many reasons for this long term issue but one of the most common problem that I notice in my clinic is that either the patient rides a motorbike and is exposed to fast blowing air or has had history of different allergies to different environmental factors. So foremost question here would be if you have either of these problems. Secondly these problems is also common in those people who are used to keep the temperature of their air conditions of the car, office or the house very low. As they shift from cooler environment like the indoor to outside heat there is sudden change in temperature which worsens nasal congestion and hence sinusitis worsens.Therefore, I would suggest that instead of taking too much of medication and surgeries, you should take care of all the above-mentioned factors and avoid mucus collection in the sinus altogether. To avoid allergies, it is advisable to visit an allergy clinic and sensitization protocols should be followed to reduce episodes of sinusitis due to allergies like pollen allergies.  I hope the answer was helpful.  In case of further assistance, feel free to contact in writing.  Chat Doctor. 