At least two symptoms must be present for a diagnosis of chronic sinusitis, including drainage of a thick discharge from the nose or down the back of the throat and reduced sense of smell and taste, according to Mayo Clinic. The common cold causes most cases of acute sinusitis.
Nasal obstruction or congestion and pain, tenderness and swelling around your eyes, cheeks, nose or forehead are other symptoms of chronic sinusitis, notes Mayo Clinic. Fatigue is usually more severe in patients with chronic sinusitis as compared to those with acute sinusitis. Fever is a common sign of acute sinusitis, but it typically does not affect those with chronic sinusitis.