Originally Posted by bedrock

Sinus troubles could definitely be a problem as a pilot. You've got to be able to equalize the pressure. Many people have sinusitis which is a non specific allergic reaction causing swelling of the sinus tissues. There is no medication that is going to help this on any long term basis, however, you can help yourself. Get a sinus wash bottle and fill it with warm salt water, add a few drops of iodine and flush your sinuses 2x a day. It has remarkable results. You've also got to eat healthy. Cut out snacks and goods loaded with high fructose corn syrup which play havoc on your metabolism by causing insulin spikes and drops, leaving you tired.