Acute sinusitis has the potential to cause coughing symptoms because acute sinusitis is an acute inflammation of the mucous membranes, which in most cases is due to upper respiratory tract infections, including viral infections, bacterial infections, and some acute infectious diseases. The main symptoms of acute sinusitis are nasal congestion, pus, decreased sense of smell, and headache. Because the nose and throat are part of the upper respiratory tract, the symptoms of upper respiratory tract infections are also aggravated during an acute sinusitis attack, with symptoms of a cold, such as fever, headache, cough, and peripheral discomfort. If the sinusitis is accompanied by a cough, the cough needs to be treated symptomatically along with the acute sinusitis. Acute sinusitis is mainly treated with systemic antibiotics, and systemic supportive therapy. Local nasal treatment will mainly apply nasal hormonal nasal sprays, such as the commonly used mometasone furoate and budesonide. The topical treatment of cough will usually be nebulized with budesonide suspension, which will give good relief from the cough while treating the sinusitis.