LetsTalkGut

Can Long-Term Sinus Issues Disrupt Your Gut Balance? What the Study Says

by Anna Sandhu | Sep 26, 2025

Reviewed by Dr. Arun, M.Pharm., PGDRA, Ph.D.

What if tiny living things in your gut help explain why some people have long-lasting sinus problems? A new study looked at that idea using smart genetics tools and data from large groups of people.

The condition studied is called Chronic Rhinosinusitis (CRS) — it means you have sinus and nasal cavity inflammation that lasts a long time (weeks or months). The researchers asked: Could changes in the gut microbiome (the mix of bacteria in your gut) be causing or related to CRS?

They used a method called Mendelian Randomization (MR). This means they looked at genetic variants that naturally affect gut bacteria or sinus disease, to try to see if there is a cause-and-effect rather than just a coincidence. They used big databases of genetics and gut microbiome data.

Here’s what they found: People with CRS had differences in certain gut bacteria. For example, some gut bacteria were less common in those with CRS, while others were more common. These shifts in the gut-bacteria mix linked with increased risk of CRS.

The study also found that some gut-microbiome metabolic pathways (the functions bacteria do) were different in people with CRS. So it may not only be which bacteria are there, but what they do.

Importantly, the research suggests that CRS might impact the gut microbiome (not only the reverse). That means the long-term sinus condition could change gut bacteria. That two-way relationship is interesting.

What does this mean for you? It means that doctors and researchers should look beyond the nose, and consider the gut-body connection in long-term sinus trouble. It opens up new possibilities for helping people, but it does not mean there is a simple “take this probiotic and your sinusitis will go away” answer yet. More research is needed to turn this knowledge into real treatments.

More Information: Alterations of gut microbiome in chronic rhinosinusitis: insights from a mendelian randomization study. DOI: https://doi.org/10.1016/j.bjorl.2025.101698