20(47):17788-17795. doi:10.3748/wjg.v20.i47.17788. You can contact him at any of the Brazos Valley Allergy & Asthma Clinics for professional allergy, asthma, and immunology services to patients at six locations throughout the Brazos Valley. Antibiotics are one of the most common classifications of drugs used to treat bacterial infections. Answer From James T C Li, M.D., Ph.D. Use a clean humidifier to moisten the air at home. To provide you with the most relevant and helpful information, and understand which In patients who have severe allergy to penicillin-type drugs, doxycycline is a reasonable alternative. Holland TL, et al. Levofloxacin may also be used to treat people who have been exposed to anthrax or certain types of plague. This is taken in 3 or 4 divided doses daily for more effective results. Carefully read and follow instructions on over-the-counter medicine product labels before giving medicines to children. A mum whose daughter was diagnosed with a rare cancer after being told it was a sinus infection wants to make as many special memories as possible. Follow the directions supplied with your specific neti pot. 2016;316(20):21152125. While most upper respiratory infections are caused by a virus, you can develop a secondary bacterial infection, like pneumonia, sinusitis, bronchitis, strep throat, or an ear infection. In: Ferri's Clinical Advisor 2019. Visit Sinus Rinsing for Health or Religious Practice for information on how to safely use a sinus rinse. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Antibiotics are very crucial during surgeries and are used to prevent patients from getting any infections from the cut. Overview Acute sinusitis causes the spaces inside your nose (sinuses) to become inflamed and swollen. Applying moist, warm heat may help soothe sinus pain. Some of the home remedies to treat a sinus infection without antibiotics include: Your doctor may prescribe you antibiotics if you are not relieved from initial treatments and have more concerning symptoms like worsening headache, fatigue, and sinus pain. Recommendations for prevention and control of influenza in children, 2017-2018. Last updated on March 31, 2022. What are the antibiotics used for a sinus infection? Click here for an email preview. Get plenty of rest for your body to heal and fight the infection. Saline irrigation spells relief for sinusitis sufferers, Ten home remedies to relieve sinus pain and pressure, A fever (which may indicate a bacterial infection) is present, Clear and definite signs of a bacterial infection, such as redness, swelling, or pus. The most common is Amoxicillin which is effective against most strains of bacteria. Honey is packed with antioxidants and has antibacterial and antifungal properties. But when they become blocked and filled with fluid, germs can grow and cause an infection. This drug is also used to treat a wide variety of bacterial infections whichinclude respiratory infections, ear infections, skin infections, and sexually transmitted infections. The best antibiotics for tooth infection are known to fight the bacteria most commonly found in your mouth. Healthline only shows you brands and products that we stand behind. It is usually treated with penicillin. Roughly30 million adults in the United States(11% of the adult population) arediagnosed with sinusitis, according to research done by theCenters for Disease Control and Prevention. Generally speaking, sinus infections will not go away on their own, and treatment is necessary in order to clear the infection. Saline nasal wash can be a great way to thin out the mucous in the sinuses enough to clear out the blockage. Sinus Infection: Symptoms, Causes, and Treatment, mayoclinic.org/diseases-conditions/acute-sinusitis/expert-answers/acute-sinusitis/faq-20058562, acaai.org/allergies/types/sinus-infection, cdc.gov/antibiotic-use/community/for-patients/common-illnesses/sinus-infection.html, 9 Ways to Naturally Clear Up Your Congestion. Side effects can range from mild reactions, like a rash, to more serious health problems. Sinus infections that have other causes, such as allergies or viruses, won't benefit from antibiotics. Accessed March 9, 2021. Drink plenty of water To help flush the virus out of your system, make sure you're adequately hydrated. Theyll do this by: Amoxicillin (Amoxil) is a commonly prescribed drug for acute sinus infections. AskMayoExpert. PlushCare There is a problem with Dosage The usual dosage of amoxicillin/clavulanate is 500 mg twice a day for 5 to 7 days. Antibiotics wont help a sinus infection caused by a virus or an airborne irritation, like secondhand smoke. Avoid smoking and exposure to secondhand smoke. Common causes of chronic sinusitis are: A sinus infection occurs when the tissue in the sinuses swells up. Only used distilled water. It also discusses over-the-counter treatments and home remedies. There are many antibiotics that your doctor or physician may prescribe to help treat your sinus infection. 2013;2013(6):CD000247. https://www.foodsafety.gov/keep-food-safe/4-steps-to-food-safety. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Whats The Best Way To Get Sinus Pressure Relief Over-the-counter options include nasal decongestants and nasal steroid sprays. Kids can get many colds, maybe even half a dozen or more a year. Emergency Medicine Clinics of North America. At Brazos Valley Allergy & Asthma Clinics, we strive to help our patients be as healthy as possible with respect to their allergies, asthma, and immune system. Eat foods with antibacterial. https://www.cdc.gov/foodsafety/diseases/staphylococcal.html. Swelling of the epiglottis, the flap of tissue covering the windpipe, is potentially life-threatening, particularly in children ages 2 to 5 years. Side effects can range from minor issues, like a rash, to very serious health problems, such asantibiotic-resistant infectionsandC. diffinfection, which causes diarrhea that can lead to severe colon damage and death. It is this discrepancy that has clinical researchers and public health folks jumping up and down in alarm, because more unnecessary prescriptions for antibiotics mean more side effects and higher bacterial resistance rates. Accessed Jan. 28, 2020. 2014. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. AIDSinfo by the Microbiology Society. Doctors may recommend the following nonantibiotic treatments for sinusitis: Nasal decongestants: Over-the-counter nasal decongestant sprays can help relieve symptoms of stuffiness. All rights reserved. Ten home remedies to relieve sinus pain and pressure. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. C. diff causes diarrhea that can lead to severe colon damage and death. Sinupret + by Bionorica AG. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Do you have any brochures or other printed material that I can take? But your healthcare provider may prescribe an antibiotic if youve had a sinus infection for more than 10 days. Covering your nose and mouth when sneezing or coughing. Levofloxacin is an antibiotic that that may be used to treat different types of bacterial infections. The infection is treated with a combination of drugs, including the antibiotic azithromycin, the antifungal fluconazole, the antimicrobial drug miltefosine and the corticosteroid dexamethasone. Below are some ways to help relieve sinus pain and pressure: Ask your doctor or pharmacist about over-the-counter medicines that can help you feel better. Antibiotics usually aren't needed to treat acute sinusitis, because it's usually caused by a virus and not by bacteria. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Centers for Disease Control and Prevention. Annually, it accounts for 15% to 20% of adult antibiotic prescriptions and costs more than $20 million in patient visits. Can I take doxycycline hyclate for strep throat. Be sure to consult with your allergist or another healthcare provider before using a saline nasal rinse. Accessed Jan. 28, 2020. Recurrent Respiratory Infections in Children, What Causes Fever and Headache Together and How Its Treated, Recurrent Respiratory Infections in Adults, Antibiotics Commonly Used to Treat Bronchitis, Whats Causing Your Lingering Cough and How to Treat It, side effects from a prescribed antibiotic, help ward off some side effects of antibiotics, Nonspecific upper respiratory tract infection fact sheet, Viral and bacterial interactions in the upper respiratory tract, Antibiotics for the common cold and acute purulent rhinitis, Antibiotic use in acute upper respiratory tract infections. When you see your doctor, expect a thorough examination of your sinuses. Mayo Clinic is a not-for-profit organization. Sinusitis is often caused by bacteria, including Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and sometimes Staphylococcus aureus and Streptococcus pyogenes. Accessed March 9, 2021. The release was issued in February to alert the public about the infection. health information, we will treat all of that information as protected health Antibiotics are not needed for acute viral sinusitis. Aim to drink at least 8 ounces of water every 2 hours. Find out which remedies. In case you have an allergy to these antibiotics, you may get rid of sinus infection without antibiotics. Generally speaking, there are some healthy hygiene habits that can help protect you from infections and stop antibiotic-resistant germs from spreading, including: 9. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. OTC medications that may help include: Decongestants. Sinus infections happen when fluid builds up in the air-filled pockets in the face (sinuses). Staph bacteria are very adaptable. Make sure to store it correctly (especially if it needs to be refrigerated). Some of them may choose to have no treatment and wait for their congestion to subside, while others may contact their physicians to prescribe their best medication for sinus infection. These combination therapies contain cowslip, gentian root, elderflower, verbena and sorrel. This site complies with the HONcode standard for trustworthy health information: verify here. Mayo Clinic Q and A:Sinusitis and treatment options, Allergy and Sinus Solutions from Mayo Clinic Store, Assortment of Health Products from Mayo Clinic Store, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. When your sinuses are inflamed, the area gets blocked with fluid, causing pain and in some cases, allowing bacteria to grow. penicillin. Other prescription medicines for sinus infection include Cefaclor, Sulfamethoxazole, Azithromycin, Clarithromycin, and Loracarbef. https://naturalmedicines.therapeuticresearch.com. Have your symptoms been continuous or occasional? Fluid builds up, which can cause congestion and runny nose. Cough and cold medicines can result in serious and sometimes life-threatening side effects in young children. How long does doxycycline stay in your body after you finish your prescribed amount? But there are some things you can do to try to speed up the recovery process. Amoxicillin-clavulanate (Augmentin) is often prescribed for a bacterial sinus infection. But today, healthcare providers warn against the nonselective use of antibiotics for a sinus infection. We prefer non-drowsy antihistamines such as Claritin, Zyrtec, and Xyzal so you can stay alert. Antibiotics may be helpful if common cold symptoms last for more than 10 days, the Cochrane report found. These self-help steps can help relieve sinusitis symptoms: No alternative therapies have been proved to ease the symptoms of acute sinusitis. Insert the spout of the pot into your top nostril. Always follow your pharmacists advice and the guidelines on the package when taking OTC medications. Zoorob R, Sidani MA, Fremont RD, Kihlberg C. Antibiotic use in acute upper respiratory tract infections Am Fam Physician. Antibiotics won't help you get better if you have acute bronchitis. sinusitis, can be either a viral or bacterial infection. mucus dripping down the throat from the nose, tenderness under the eyes or on the bridge of the nose, mild to severe pain in the forehead or temples, bad breath or unpleasant taste in the mouth. Imaging studies. Some people try saline spray and nasal irrigation to find relief. Other home remedies for sinus infections include: Although antibiotics are not always warranted for sinus infections, there are some instances when they can be beneficial. There's a chance antihistamines could make congestion worse by causing mucus to dry and thicken in the sinuses. Eat foods with antibacterial properties, 7. Unfortunately, it's hard to know if a sinus infection is bacterial, viral, or has other causes based on symptoms alone. Read our. Best Antibiotic treatment for sinus infection. She has worked in the hospital setting and collaborated on Alzheimer's research. An acute sinus infection, also called sinusitis, is usually caused by a virus. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. How long after stopping doxycycline can I drink alcohol? A Cochrane report analyzing the available research into the use of antibiotics to treat colds, published in 2013, found that antibiotics do not work for the common cold, and side effects of antibiotics used for the common cold are common. azithromycin. facial pain. These foods contain lots of vitamin C to fight off viruses. Ensure your healthcare provider knows about all other drugs and supplements youre taking. If your doctor suspects a bacterial infection, you will be prescribed antibiotics. Due to the development and routine administration of the H. influenzae vaccine over the past 30 years, the incidence of this infection has dropped substantially. Allegra ( fexofenadine) Benadryl ( diphenhydramine) Claritin ( loratadine) Zyrtec ( cetirizine) Antihistamines might be helpful during a sinus infection if allergies are also playing a role. Several home remedies can help you get rid of a sinus infection unless the cause is bacterial. When Do We Need Antibiotics for Sinus Infection? Mayo Clinic. This interferes with drainage and causes mucus to build up. information is beneficial, we may combine your email and website usage information with Antibiotics are not needed for many sinus infections, but your doctor can decide if you need an antibiotic. There's no treatment for viral sinus infections, but you can manage symptoms with over-the-counter medications. Pediatrics. Amoxicillin is typically prescribed for 7-10 days at a . If the patient has more severe infections, doses may be doubled. Levofloxacin is usually only used for bacterial infections that cannot be treated with safer antibiotics. The Best Antibiotic for a Sinus Infection To fight the virus, add antibacterial foods like garlic, ginger, and onions to your meals. The Choosing Wisely campaign was created as an initiative of the American Board of Internal Medicine (ABIM) Foundation to improve health care quality. Is my condition likely temporary or chronic? It takes time to get over sinusitis. https://www.uptodate.com/contents/search. But as recently as 2015, it did not cause any. Common symptoms of a sinus infection include: Before prescribing an antibiotic, your healthcare provider may suggest an over-the-counter (OTC) treatment for a sinus infection. Take regular hot showers and breathe in the damp air. 1. Antibiotics are used to treat bacterial infections. Without antibiotics, there is a higher chance of blood poisoning and the more complicated surgeries would not be possible to perform. In: Harrison's Principles of Internal Medicine. Any given adult will get a cold at least a couple of times a yearusually in the fall and winter. Information about medical problems you've had, Information about the medical problems of your parents or siblings, All medications, herbs, vitamins and other supplements you take, Questions you want to ask your health care provider. Generally, antibiotics shouldnt be prescribed for upper respiratory tract infections, even when your healthcare provider suspects bacteria are the cause, because these infections tend to clear up on their own. Don't routinely prescribe antibiotics for acute mild-to-moderate sinusitis unless symptoms last for ten or more days OR symptoms worsen after initial clinical improvement. Allergists and other specialists recommend limiting the use of antibiotics for situations when the symptoms seem to be caused by a bacterial infection. You can review and change the way we collect information below. Also explore types, prevention, and more. 2019;321(19):1946. doi:10.1001/jama.2019.3468, Kenealy T, Arroll B. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. If you go to the healthcare provider with a cold, theyll generally treat your symptoms, including suggesting you: There are only a few situations in which your healthcare provider might prescribe antibiotics when youre dealing with a cold or flu. Read on to learn what you can do to support your healing from a sinus infection. When you get a cold, also known as an upper respiratory tract infection, should you visit your healthcare provider and get antibiotics? John Carew, MD, is board-certified in otolaryngology and is an adjunct assistant professor at New York University Medical Center. Most sinus infections are not bacterial, so antibiotics are not necessary. They help us to know which pages are the most and least popular and see how visitors move around the site. Acute bronchitis is a lower respiratory tract infection. Reye's syndrome. All information these cookies collect is aggregated and therefore anonymous. Consult your doctor if you or your child has: If you have a sinus infection for eight weeks or more, or have more than four sinus infections per year, you may have chronic sinusitis. nasal discharge. Keep up to date with recommended immunizations. How can I best manage these conditions together? Natural Medicines. If a secondary bacterial infection should develop, one treatment of choice is amoxicillin-clavulanate (Augmentin). (2019). Sinus infection (sinusitis). I would add a 1/2 to 1 teaspoon of baking soda to . But complications of colds can occur, including: Some of these complications may require treatment with antibiotics. What's the most likely cause of my symptoms? 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Antibiotics prescribed for sinusitis include Augmentin (amoxicillin-clavulanate) and cephalosporin. information is beneficial, we may combine your email and website usage information with Youll also likely feel stuffed up and have colored snot full of pus. Accessed Feb. 17, 2022. Verywell Health's content is for informational and educational purposes only. As a result, antibiotics were overprescribed and overused. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Be sure to consult with your healthcare provider before using any type of OTC medication to treat a sinus headache, particularly if you take any type of medication or you have a medical condition. Centers for Disease Control and Prevention, Antibiotics are defined as any substance that inhibits the growth and replication of a bacterium or kills it outright, according to an. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Sinus infection and toothache: Any connection? Accessed May 12, 2019. Amoxicillin is most effective when given frequently enough to sustain adequate levels in the infected tissue. You doctor may recommend antibiotics if: Most sinus infections usually get better on their own without antibiotics. Shes previously worked and written for WIRED Science, The Scientist, Discover Magazine, LiveScience, and Business Insider. What websites do you recommend? Breathe in steam from a bowl of hot water or shower. This content does not have an Arabic version. Note that decongestants can help relieve nasal and sinus congestion but they are contraindicated (shouldn't be taken) if you have certain medical conditions, such as glaucoma or hypertension/high blood pressure. Since their introduction to the world of medicine, they have helped treat countless people, especially those with infectious diseases. US emergency department visits for outpatient adverse drug events, 2013-2014. Cefdinir and cephalexin are preferred antibiotics for treating children who have UTIs. But more sore throats and ear infections are caused by viruses, and an antibiotic will do nothing to help the patient. Advertising revenue supports our not-for-profit mission. Cookies used to make website functionality more relevant to you. Cochrane Database Syst Rev. Keep your sinuses hydrated to help relieve pressure. Be sure to look for their generic counterparts loratadine, cetirizine, and levocetirizine for effective, cheaper options. The best (first-line) antibiotics for tooth infection include: amoxicillin. Many varieties have become resistant to one or more antibiotics. Keeping your wounds or cuts clean and covered. 2. Antibiotics are defined as any substance that inhibits the growth and replication of a bacterium or kills it outright, according to anarticle publishedby the Microbiology Society. Bennett JE, et al., eds. You may opt-out of email communications at any time by clicking on Antibiotics for acute bronchitis. Clinical manifestations of Staphylococcus aureus infection in adults. Before your appointment, you may want to make a list that includes: For a staph infection, some basic questions to ask include: Your health care provider will likely ask you a number of questions, such as: If you suspect that you have a staph infection on your skin, keep the area clean and covered until you see your health care provider so that you don't spread the bacteria. The healthcare provider suspects a bacterial infection and it has spread to other parts of the upper respiratory system, including the pharynx, larynx, or epiglottis, especially when breathing is impacted or in young children. If you're given an oral antibiotic, be sure to take it as directed. Feb. 27, 2018. Add raw honey for an extra boost. Antibiotics are not needed for many sinus infections. But on the other hand, while 85% of sinus infections improve or clear on their own, there's the 15% that do not. Ask your provider what signs and symptoms you should watch for that might mean your infection is getting worse. You can learn more about how we ensure our content is accurate and current by reading our. Your doctor may ask about your symptoms. This content does not have an Arabic version. Current. 2017;6(6):CD000245. Severe symptoms, such as severe headache or facial pain. Call your doctor if your symptoms dont clear up within 10 days or your breathing is labored. Use over-the-counter (OTC) medications, Centers for Disease Control and Prevention. The overuse of antibiotics is when they are prescribed for reasons other than when they are needed. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. If a sinus infection is left untreated, it can . Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP, Endoscopic Sinus Surgery: The Procedure and Recovery Process. Daniel More, MD, is a board-certified allergist and clinical immunologist. Are there brochures or other printed material I can have? What, if anything, seems to improve your symptoms? This has led to the development of antibiotic-resistant infections. Antibiotics commonly prescribed to treat staph infections include cefazolin, nafcillin, oxacillin, vancomycin, daptomycin and linezolid. WebMD. Medically known as rhinosinusitis, Sinus infection or Sinusitisis aninflammationor swelling of the tissue lining thesinuses. Possible side effects from these herbal products include stomach upset, diarrhea and allergic skin reactions. What's the best treatment for a staph infection? Jennifer Welsh is a Connecticut-based science writer and editor with over ten years of experience under her belt. Just like Cefaclor, this drug is usually recommended to stop the growth of bacteria. Most cases of sinusitis clear up within 10 days. JAMA. Home remedies can often treat sinus drainage. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Sinus infections can sometimes involve bacteria but often are caused by . A sinus infection, a.k.a. Tosh P (expert opinion). Best Antibiotics to Treat Sinus Infection. swabbing the inside of your nose (not routinely done), symptoms that have lasted for more than 10 days, symptoms that arent eased by OTC medication, several sinus infections over the past year. Medically reviewed by Drugs.com. Limit exposure to people with colds or other upper respiratory infections, if possible. For serious staph infections, vancomycin may be required. Strep throat, medically known as streptococcal pharyngitis, is a sore throat caused by infection by streptococcal bacteria. Symptoms normally go away on their own within 10 days. Healthysinuses are filled with air. Your symptoms dont clear up on their own within about 10 days. However, amoxicillin is less effective in some areas because of antibiotic-resistant bacteria. The longer the symptoms last, the more likely you need an antibiotic. This is an antibacterial medication used to treat infections that occur more frequently on people with a weakened immune system. If your doctor suspects a bacterial infection, you will be prescribed antibiotics. This site complies with the HONcode standard for trustworthy health information: verify here. Managing a sinus infection? If allergies are contributing to your sinusitis, allergy shots (immunotherapy) that help reduce the body's reaction to specific allergens may help treat your symptoms. Egan M, Hickner J. Saline irrigation spells relief for sinusitis sufferers. Accessed Jan. 28, 2020. What Are the Risks of Sinus Rinses, and How Can You Avoid Them? Learn more about the AAFP support of the Choosing Wisely campaign. Always use over-the-counter medicines as directed. Acute sinusitis: Do over-the-counter treatments help? other information we have about you. These problems can include severe allergic reactions, antibiotic-resistant infections and C. diffinfection. But proceed with caution. Hobman TC, ed. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Richmond ENT You can help prevent sinus infections by doing your best to stay healthy and keep others healthy, including: To receive email updates about this page, enter your email address: We take your privacy seriously. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Probably not. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Signal detection of adverse drug reaction of amoxicillin using the Korea Adverse Event Reporting System Database. (3) Studies that compared antibiotics with placebo showed that, in most cases, symptoms improved within two weeks, regardless of whether the participant received an antibiotic or not. Amoxicillin with clavulanate should be prescribed for patients at high risk of being infected by an organism resistant to amoxicillin. If the cold leads to an ear infection, antibiotics may help resolve it if pain relievers and decongestants dont do the trick. Centers for Disease Control and Prevention. Most of the time, antibiotics are not indicated for use in treating the common cold or flu. Sherry Christiansen is a medical writer with a healthcare background. AAP Committee on Infectious Diseases. 3 You can also fill a bowl with boiling water and lean over it for 10 minutes. Here are some tips to for hydrated sinuses: Shop for a humidifier and saline nasal spray. Place warm, damp towels around your nose, cheeks, and eyes to ease facial pain. Mayo Clinic does not endorse companies or products. Depending on the type of antibiotic, they may be taken from 3 to 28 days. Other conditions can cause symptoms similar to a sinus infection, including: Your doctor will determine if you have a sinus infection by asking about symptoms and examining you. privacy practices. Make sure you only use food-grade essential oils. This fluid buildup allows germs to grow. How to treat a sinus infection without antibiotics? Other methods that might be used to diagnose acute sinusitis and rule out other conditions include: Most cases of acute sinusitis get better on their own. OTC decongestants, such as pseudoephedrine (Sudafed), may relieve sinusitis symptoms by narrowing the blood vessels.

Metaphors In Chickamauga, Keyshawn Johnson House, Cleveland Browns Super Bowl Wins, Swim With Sharks Hawaii Big Island, Articles W