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Can sinusitis come back? Or could it have been there from the beginning?

Yes, sinusitis can come back or be present from the beginning. It is possible to develop sinusitis due to allergies, although it is rare. If you suspect you have sinusitis but have not had a cold, it could be related to bruxism, which can impact the sinuses. It is advisable to consult both a dentist and a doctor to determine the cause of your symptoms.