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Sinus Headaches

more about Sinus Headaches


A sinus Headache causes facial pain(N) and pressure(N), and often occurs as a result of allergies(N) or infections of the sinuses.


A sinus Headache is usually dull and constant, and worsens when bending forward. It may be associated with yellow-green or brown nasal discharge, Runny Nose, cough, and sore throat. If it has been triggered by allergies(N), it may relate to weather and seasonal changes.


Predisposing:

Bacteria:

    1. Streptococcus pneumoniae
    2. Hemophilus Influenza
    3. Moraxella catarrhalis
    4. Staphylococcus aureus


  • Trans-illumination (passing light through the sinuses) may show fluid collection; this is not helpful for patients younger than 10 years of age.
  • Sinus X-Rays show mucosal thickening, air-fluid level, complete opacification.
  • CAT scan of sinuses (more accurate than X-Rays).
  • Cultures are not helpful unless the needle has been inserted into the sinuses. This is done only in extreme cases.


  • Oral antibiotics usually 10 to 14 days. Commonly used antibiotics include Ceftin and Augmentin.
  • Older antibiotics such as amoxicillin and erythromycin may be prescribed, but you should note that they do not provide as broad a coverage as Ceftin and Augmentin. Specifically, they are not as effective against Hemophilus Influenza.
  • Oral decongestants, such as pseudoephedrine, and nasal sprays, such as Afrin, may be helpful for the first 3 days. After 3 days, "rebound" may occur and the decongestants may no longer be effective.
  • Take a warm shower twice a day, and expel excessive mucous.
  • Saline nasal sprays may be used multiple times during the day to loosen nasal secretions.
  • Chronic Sinusitis: Treatment lasts 3-6 weeks.
    If You Suspect This Condition
    If you or your children have a sinus condition that fails to respond to self-treatment in a week or two, or recurs repeatedly, consult your physician.


  • Headaches - general
  • Migraine Headaches
  • Tension Headaches
  • Cluster Headaches
  • Ophthalmoplegic Migraine
  • Stroke
  • Subarachnoid Hemorrhage
  • Brain Tumor
  • Headaches due to Brain Tumor
  • Brain Aneurysm
  • Headaches due to brain hemorrhage or aneurysm
  • Headaches due to substance Abuse(P)
  • Headaches due to post-traumatic injuries or Concussion(P)
  • sinus infection or sinusitis
  • Headaches due to changes in intracranial pressure(N)
  • Meningitis
  • Shingles
  • Temporal Arteritis



  • more about Sinus Headaches


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