Evaluation of Recurrent Sinus, Ear, and Upper Respiratory Infections

An evaluation for recurrent infections helps determine why a person is getting sick more often than expected. While occasional colds or infections are normal, frequent sinus infections, repeated ear infections, chronic bronchitis, or multiple pneumonias may signal an underlying issue. This service is designed for children and adults who experience frequent or severe infections and need answers beyond repeated antibiotic treatments.

How It Works / What to Expect?

The evaluation focuses on identifying patterns and underlying causes rather than treating each infection as an isolated event. The process is thorough, thoughtful, and patient-centered.

  • A detailed discussion about infection frequency, duration, and response to antibiotics
  • Review of hospitalizations, need for IV antibiotics, and family history
  • A focused physical exam to assess the ears, sinuses, lungs, and immune-related findings

This comprehensive approach helps guide appropriate testing and next steps.

Types of Testing
Depending on symptoms and history, evaluation may include:
  • Blood tests to measure immune cells and antibody levels
  • Immune function testing to assess how the body responds to vaccines
  • Imaging studies such as sinus or chest imaging to look for chronic changes

These tests provide insight into how the immune system is functioning.

Who Should Consider This Service?
An evaluation may be recommended if you or your child experiences:
  • Four or more ear infections in one year
  • Two or more serious sinus infections in one year
  • Two months of antibiotics with minimal improvement
  • Two or more pneumonias
  • Poor growth or weight gain
  • Recurrent skin or deep tissue infections
  • Need for IV antibiotics
  • Infections that are unusually severe or frequent

These patterns are not considered normal and should be evaluated.

Why This Service Matters?

Repeated infections can lead to missed school or work, fatigue, and long-term complications affecting the lungs or ears. Identifying the cause early can:

  • Prevent future infections
  • Reduce unnecessary antibiotic use
  • Improve energy and overall quality of life
  • Detect treatable immune conditions

Many patients find relief once the underlying issue is identified and addressed.

If frequent infections have become part of daily life for you or your child, an immune system evaluation can help uncover the cause. Understanding why infections keep returning is the first step toward stronger, more consistent health.