How Do You Know If You Have Sphenoid Sinusitis
The main symptom of sinusitis is a throbbing pain and pressure around the eyeball, which is made worse by bending forwards. Although the sphenoid sinuses are less frequently affected, infection in this area can cause earache, neck pain, or an ache behind the eyes, at the top of the head, or in the temples.
How Does A Doctor Know Whether Its Sinus Or Migraine
Migraine is a clinical diagnosis, says Weber. That means that the doctor will ask you about your family history of migraine, allergies, and any other symptoms to determine if you have migraine or sinus headache.
To help your doctor make the correct diagnosis, it can be really helpful to track what youre experiencing, says Lauren Doyle Strauss, DO, a headache specialist and assistant professor at Wake Forest Baptist Health in Winston-Salem, North Carolina.
Write down your symptoms, says Strauss. Where is the pain located? Are you tired or dizzy? Are you sensitive to light or sound? Do you have an upset stomach or vomiting?
In addition to considering your symptoms, there can be tests used to identify sinus problems. A headache caused by a sinus infection is typically diagnosed with a CT scan of the sinuses, says Weber.
How Can I Treat A Sinus Migraine
To begin with, most sinus migraines are not caused by a sinus infection and should not be treated with antibiotics.
Women may seek out alternative methods in order to provide relief from sinus migraines. Acupuncture, biofeedback, and further relaxation techniques are acclaimed for helping women monitor any stress that could be triggering dreaded migraines. They may also look into craniosacral therapy and cervical spine alignment to further address any nervous system woes.
Lifestyle changes to reduce inflammation causing sinus migraines include optimizing your diet with antioxidants – berries omega 3 antioxidant herbs like turmeric, rosemary, garlic, and cayenne – to reduce oxidative stress. Also, avoiding triggers – caffeine, alcohol, tobacco, etc. – and setting up a regular sleep routine during periods of significant hormonal fluctuations throughout the menstrual cycle, like menses and ovulation, can reduce the amount and severity of headaches.
The aforementioned examples are just a few of the many treatments for headaches and migraines.
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Are These Your Symptoms
From those patients confirmed with a migraine diagnosis in the study:
- 83% noticed the weather affected their headaches
- 73% noticed seasonal variations in their headaches
- 62% said their headaches were triggered by allergies
- 56% had nasal congestion
- 25% had a runny nose
- 22% had red eyes
- 19% had watery eyes
You could be forgiven for thinking these symptoms are sinus related. They look a lot like the symptoms you might expect from a sinus infection so its no surprise that there is a significant amount of confusion between sinus headache and migraine.
Results found that 9 out of 10 patients in the study had migraine, not sinus headache.
Furthermore, the 100 patients from the study had seen an average of 4 physicians each and had gone on average 25 years without the correct diagnosis or significant relief.
Thats 25 years without significant relief and 4 physicians who had gotten the diagnosis wrong!
The lead investigator of the SAMS study Dr. Eross says It was hard to convince some of them that they actually suffered from migraine headaches, said Dr. Eross. Many were shocked.
One in ten people from the study knew they had migraine, but thought they had sinus headaches in addition. In reality they actually suffered two different types of migraine, one with sinus symptoms and one without, Dr. Eross noted.
Much of the pain or pressure is in the face, on both sides, so it doesnt occur to them that this might be a migraine. Dr Eross
Your Sinus Headache Might Actually Be A Migraine

Sinus headaches and migraines can both feel like tiny construction workers are jackhammering away inside your skull. Otherwise, though, they may seem like completely separate issues. The surprising truth is that sinus headaches and migraines are a lot more connected than you might thinkso much so that what you think of as a sinus headache might be a migraine instead.
I work with ear, nose, and throat doctors very closely. They get a lot of referrals for sinus headaches, but most of those end up being migraines, Kevin Weber, M.D., a neurologist who specializes in treating patients with headaches at The Ohio State University Wexner Medical Center, tells SELF. Sinus headache is very overdiagnosed, and migraine is underdiagnosed.
Knowing the correct cause of your head pain is the first step toward making it go away. Heres what you need to know about sinus headaches, migraines, and how to tell the difference.
Sinus headaches happen due to sinusitis, or an inflammation of your sinuses, the cavities in your skull that are connected to your nose, according to the Mayo Clinic. It can be acute, meaning it lasts for under 10 days, or seems to recede then comes back with a vengeance. It can also become chronic and last for 12 or more miserable weeks. You can get sinusitis thanks to things like a cold, allergies, or abnormalities in your nasal passages, like a deviated septum.
Here are some clear signs you may indeed have a sinus headache:
Related:
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Why Do I Wake Up With A Sinus Headache Every Morning
Sinus headaches caused by inflamed sinuses often start in the morning and clear up on their own by the afternoon. These sometimes occur when there are drastic changes in temperature such as when the seasons shift. They frequently occur in the morning because while you’re sleeping mucus collects and drains.
How Do You Know If You Have Sinus Headache Or Migraine
Listing all the symptoms separately can be confusing and is perhaps why so many sinus headache sufferers have not been correctly diagnosed.
Instead, below are the key symptoms side by side, Sinus Headache vs Migraine, in an easy to follow checklist so you can quickly find out the truth.
If youre not experiencing fever, swollen lymph nodes, and a persistent green or yellow nasal discharge and you have a headache in the sinus area, then you likely have migraine. It is difficult for doctors of patients with migraine and sinus symptoms to acknowledge that a CT scan of their sinuses looks normal and does not show the inflammation, fluid or swelling they would expect after years of rhinosinusitis. Patients and their doctors often fall into the trap of believing that they are nipping sinus infections in the bud with frequent antibiotics and that is why they never get infected drainage.
Take a moment to digest. Most people from the study who were told this rejected the finding at first. They had been told by on average by 4 doctors that it was their sinus. They had also been wrongly diagnosed for an average of 25 years
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Can A Sinus Headache Cause A Migraine
A common misconception is that sinusitis triggers migraines , but that isnt likely to happen. Sinusitis originates in a different region of the body than migraine and they are not necessarily connected However, the two conditions do share the same nerves that can be stimulated, and they do both produce many of the same chemicals in the body during an attack. There are certain signs that can help distinguish between the two and knowing this can help facilitate appropriate treatment of the condition that is present.
Dr. Ailani explains how easy it can be to mistake a migraine for a sinus headache:
With a sinus infection, you will often have a fever, bright colored mucus from the nose in large amounts, and pain that is worse when you lay down . You may notice the pain is worse in the morning after sleeping for several hours. Occasionally, someone may have a chronic sinus infection, something that has been going on for several months. In this case, a person may not have any symptoms, and may not have a headache either.
If you have a severe headache with sinus type symptoms and also have light or sound sensitivity, upset stomach, lack of appetite, and no fever, and you notice the pain resolves in 4-36 hours- this may be a migraine. If you notice the pain improves when laying in a dark, quiet room, or when taking over the counter pain medication, this again goes along with migraine.
Spice Up Your Diet To Ease Sinus Pressure
Many people find that spicy food like peppers or hot mustard opens up their nasal passages and gives them some relief from sinus pain. There is good evidence that capsaicin, which is the active ingredient found in chile peppers, is effective in relieving some types of pain, says Das. Capsaicin preparations have been investigated for the treatment of some facial pain syndromes and of rhinitis with promising results. But if you have the taste for them, you can try spicy foods to help with sinus discomfort.
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Similar Symptoms At A Glance
Sinus headaches and migraines share a few of the same symptoms. For one, they are both forms of headaches so the number one symptom is, of course, head pain. Both will also lead to facial pressure, making your nose, eye, and ear areas feel a bit more congested than usual. Finally, both sinus headaches and migraines will also give you watery eyes. Overall, without knowing the more specific symptoms of the two, it can be pretty difficult to self-diagnose yourself with one or the other. So what is the difference and how can you determine which one you are experiencing? Lets break-down what makes a sinus headache and a migraine different, and how to get relief for both.
Does It Make Sense To Try Home Sinus Remedies
If you suspect that you are experiencing sinusitis, there are a few things you can do to improve the symptoms, including headache, says Rajneesh. But if your efforts to relieve your symptoms are unsuccessful, consider seeing a doctor to help diagnose whats causing them.
Use a humidifier. By humidifying the air, you can get a decrease in sinus pressure, which should translate into decreased incidence of headaches, says Rajneesh.
Drink plenty of water. Hydrating is important, because it can help keep the mucus thin and loose, which can decrease infection and irritation, says Rajneesh.
Use a neti pot, but make sure youre using it correctly. A neti pot is a ceramic vessel with a spout that can be used to flush out nasal passages to relieve congested sinuses. Research published in 2016 in the Canadian Medical Association Journal found that people with chronic sinusitis who used a neti pot with a salt solution saw improvement in symptoms, including fewer headaches, and less use of over-the-counter medications.
Researchers also looked at people who inhaled steam this group had improvement in headaches as well, although no improvement was seen in any other sinus symptoms.
Try over-the-counter pain relievers.Analgesics such as acetaminophen or ibuprofen can help relieve the pain of a sinus headache. A nasal decongestant or steroid spray may help alleviate discomfort as well.
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How Do You Get Rid Of Sinus Pressure In Your Head
Home Treatments
Symptoms Of A Migraine

Migraines can vary from person to person and even from attack to attack. There are a wide range of migraine symptoms, but the most common include:
- Head pain, often over one eye or on one or both sides
- Sensitivity to light
To further compound the confusion between these two conditions, even treatment options are similar. Many people are very surprised to discover that sinus medications and treatments relieve their migraine pain. Dr. Ailani explains:
Migraine can improve when using products like Sudafed or Advil cold/sinus. These medications work to reduce some of the chemicals that are elevated during a migraine, so dont be fooled into thinking that if you feel better with Sudafed, it is a sinus issue. Overuse of these medications can lead to more headaches, so if you find yourself using these medications more than 2-3 days a week, seek medical attention for an appropriate diagnosis.
A diagnosis of either a migraine or a sinus headache is the first step in finding treatment that works.
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What Is The Treatment For Non
Painkillers can help soothe symptoms related to non-sinus related headaches. However, it is best to treat the underlying condition thats causing your headaches to prevent future headaches. For TMJ headaches, a mouthguard worn when sleeping can help prevent headaches. Muscle relaxers may also help prevent muscle-related headaches. Be sure to consult with your doctors before taking any new medication.
Hum Your Way To Sinus Pain Relief
âSome people report that humming for one hour improves sinus pain,â says Das. Researchers in Sweden have found that humming can keep your sinuses clear. How could that be possible? Humming may increase both airflow through your sinuses and the level of nitric oxide in your sinuses. The combination of nitric oxide and airflow may reduce your risk of sinusitis. So if you have a common cold or allergies, want to prevent a sinus infection, and know a happy tune that you donât mind hearing for an hour, you may want to try a little humming.
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Why Is My Sinus Not Going Away
It’s possible for an acute sinus infection to develop into a chronic infection over time. However, most chronic sinus infections are caused by: Problems with the physical structure of your sinuses such as nasal polyps, narrow sinuses, or a deviated septum. Allergies such as hay fever that cause inflammation.
What Are Common Signs/symptoms
Sinus headaches are different from other headaches in that symptoms arent limited to pressure or throbbing sensations in the head. Pain is sometimes worse when bending forward or lying down. In addition to pain or pressure in the forehead or brow, you may experience:
- Facial pain, pressure, or fullness
- General fatigue
- Upper teeth pain or discomfort
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What Are The Overlapping Symptoms Of Migraine And Sinus Headache
Migraine attacks usually include a one-sided headache that is typically moderate to severe, with throbbing and pounding when severe, says Weber.
Facial pain and headache can occur with a sinus headache, too, according to the American Migraine Foundation.
Both migraine attacks and sinus headaches can cause watery eyes and a runny nose.
Ocular Migraines Coming From Sinus Inflammation
Asked by matthewjames83
Ocular Migraines Coming From Sinus Inflammation?
For 2 years now Ive been experiencing what I would call ocular migraines that I believe are caused by sinus inflammation. Ive spent thousands of dollars with CT scans, MRIs, etc If someone feels they can assist with what Im experiencing, please let me know.
Heres a quick summary:
Kaleidoscope like visuals start in a very small area of my vision, making it difficult to focus on printed words or small objects. The kaleidoscope visuals grow in size, larger and larger over the period of about 30-40 minutes. Note: I see this in both eyes, not just one. After 30-40 minutes, the visuals will completely disappear and be followed by a severe migraine that typically lasts anywhere from an hour to 4 or more hours.
Ive never had much of any headaches in my life until these started in 2011. Im 30 years old. Doctors sent me for a CT scan and MRI, which showed nothing but very inflamed sinuses. I was not sick or suffering from allergies at the time, but Ive had sinus issues all of my life. Can the headaches be caused by the swelling/inflammation of the sinuses? Anything that can be done to reduce that swelling?
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What Are The Risk Factors For Migraine And Sinus Headache
The exact reason why a person has migraine isnt known, but it’s believed to be a combination of genetics and environmental factors, says Kiran Rajneesh, MBBS, a neurologist and pain medicine specialist at the Ohio State University Wexner Medical Center. By genetics we mean something that youre born with a propensity for headaches that includes family history or mutations that involve certain channels in the brain, Dr. Rajneesh says.
Migraine is most common in people ages 18 to 44, and women are about three times more likely to have migraine than men, according to the Migraine Research Foundation.
People are born with some propensity for migraine, and then there is a threshold for symptom attacks people can reach that threshold when they are exposed to certain environmental factors or lifestyle changes, says Rajneesh. These can include certain foods, drinks, lack of sleep, or even changes in the weather, he says.
A sinus headache is a symptom of a sinus infection. According to the Centers for Disease Control and Prevention , the risk factors for sinus infection can include a previous cold, seasonal allergies, smoking and exposure to secondhand smoke, structural problems with the sinuses such as nasal polyps, and a weak immune system or medications that compromise the immune system.
Sinus Migraine: When Sinus Pain Is More Than A Headache

You have a headache. It extends over your eye and you have pressure in your face. Your nose even runs a little. You take some Sudafed or ibuprofen, tell everyone you have a sinus headache or even a sinus migraine, and lay down for a while. Two or three hours later you are better. You might have a little residual soreness and you might be a little tired, but the worst of the headache is over. Youve just had a sinus headache or was it?
You could have had a migraine that isnt even related to any sinus issues and not realize it. You felt sinus pain and pressure, so your mind automatically went to sinus headache. Your doctor may even have told you it was sinus related and the subject of migraines never came up. It happens a lot more than you might think. In fact, nearly 90% of patients who visit their doctor and complain of sinus headache actually have a migraine or migraine-type headache.
This is an easy misdiagnosis, but its important to get it right because sinus-related headaches and straight-up migraines are treated differently. For a sinus headache, a decongestant could be key. But if youre having a migraine, you might benefit most from a simple pair migraine glasses like these, or other remedies that are designed for migraine.
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