sinus migraines
Sinus Headache or Migraines?
Many people do not know that chronic sinus headaches are largely believed to actually be migraine attacks and NOT related to one’s sinuses. Migraine pain can actually felt around the eyes and nose – areas frequently associated with one’s sinuses – in many cases. Furthermore, during a migraine attack one will feel not just pain but also feelings of inflammation and stuffiness due to the inflammation of blood vessels around the head and neck. This inflammation can lead to feelings of congestion or cause other symptoms such as runny nose or watering eyes.
How can you tell the difference between a sinus infection (rhinosinusitis) and a migraine?
Sinus infections are rare, not chronic. There will be a clear beginning and end. Migraines, however, can occur with great regularity and last for a period of days.
Sinus infections will be accompanied by other symptoms of infection such as fever, discolored, and/or foul smelling discharge. If these symptoms are absent, your pain is likely being caused by migraine.
The symptoms of sinus infection should be resolved by a course of antibiotics. If the pain continues despite treatment by antibiotics, consider that migraine may be the true cause of your pain.
Are your sinus headaches brought on by changes in the weather? Believe it or not this is a frequent trigger for most migraine sufferers.
Do you experience symptoms of nausea, light or noise sensitivity, throbbing sensations of pain, and the inability to go about your daily activities until the pain has passed? If so, you are likely experiencing a migraine.
Do over-the-counter decongestants and other sinus medications seem ineffective and lead to rebound headaches? If so, consider migraines.
The Next Steps
If you suspect that you may be dealing with the symptoms of migraine rather than sinus headaches or infection there are two things you need to do. First, make an appointment with your doctor to discuss your symptoms and see if you can get medication specifically for the treatment of migraines. If this medication is effective at easing your pain, then this is the most effective feedback you can get regarding the cause of your discomfort. Secondly, consider keeping a headache diary – note all of your symptoms day by day as well as other factors including the weather, what you ate, how you slept, stress levels, exposure to chemicals, strong fragrances or bright lights.




