What are the symptoms of sinus headaches. How do over-the-counter treatments help with acute sinusitis. Which OTC medications are most effective for sinus pain relief. How can you differentiate between sinus headaches and other types of headaches. What are the best home remedies for sinus congestion.

Understanding Sinus Headaches: Symptoms and Causes

Sinus headaches are a common and often misunderstood condition that can cause significant discomfort. These headaches typically result from inflammation or congestion in the sinus cavities, which are air-filled spaces located in the forehead, cheekbones, and behind the bridge of the nose.

What are the primary symptoms of a sinus headache? The most common signs include:

• Pain and pressure around the sinuses, particularly in the forehead, between and behind the eyes, and above the nose
• Tenderness in affected areas when touched
• Pain that worsens with movement, such as bending over or lying down
• Nasal congestion or stuffiness
• Nasal discharge
• Cough
• Sore throat
• Fatigue

It’s important to note that if pain is your only symptom, you may not be experiencing a true sinus headache. Sinus headaches are usually accompanied by other symptoms related to sinus congestion and inflammation.

Differentiating Sinus Headaches from Other Types of Headaches

How can you tell if you’re experiencing a sinus headache or another type of headache? This distinction is crucial for proper treatment. Sinus headaches are often confused with migraines or tension headaches, but there are key differences:

Sinus Headaches vs. Migraines

Migraines may cause nasal symptoms and facial pain similar to sinus headaches, but they typically also involve:

• Nausea or vomiting
• Sensitivity to light and sound
• Visual disturbances (aura)
• Throbbing or pulsating pain, often on one side of the head

Sinus Headaches vs. Tension Headaches

Tension headaches usually present as:

• A band-like pressure around the head
• Tenderness in the scalp, neck, and shoulder muscles
• Pain that’s typically not associated with nasal symptoms

If you’re unsure about the type of headache you’re experiencing, it’s best to consult with a healthcare professional for an accurate diagnosis.

Over-the-Counter Treatments for Sinus Headaches and Acute Sinusitis

What over-the-counter (OTC) treatments are effective for sinus headaches and acute sinusitis? There are several options available that can help alleviate symptoms and provide relief:

Pain Relievers

OTC painkillers can help reduce the pain and discomfort associated with sinus headaches. Common options include:

• Acetaminophen (Tylenol)
• Ibuprofen (Advil, Motrin)
• Naproxen sodium (Aleve)

It’s important to follow the recommended dosage and not use these medications for more than 10 consecutive days without consulting a doctor.

Decongestants

Decongestants work by reducing swelling in the nasal passages, which can help relieve sinus pressure and congestion. They come in two forms:

1. Oral decongestants (e.g., pseudoephedrine)
2. Nasal sprays (e.g., oxymetazoline)

Be cautious when using decongestants, as they can cause side effects and may not be suitable for everyone. Nasal sprays should not be used for more than 3 consecutive days to avoid rebound congestion.

Nasal Steroid Sprays

OTC nasal steroid sprays, such as fluticasone (Flonase) or triamcinolone (Nasacort), can help reduce inflammation in the nasal passages and sinuses. These sprays are generally safe for long-term use but may take a few days to reach full effectiveness.

Antihistamines

If allergies are contributing to your sinus issues, antihistamines may provide relief. Common OTC antihistamines include:

• Loratadine (Claritin)
• Cetirizine (Zyrtec)
• Fexofenadine (Allegra)

Keep in mind that some antihistamines can cause drowsiness, so choose a non-drowsy formula if you need to stay alert.

Home Remedies and Natural Treatments for Sinus Relief

In addition to OTC medications, several home remedies and natural treatments can help alleviate sinus headaches and congestion:

Nasal Irrigation

How can you safely perform nasal irrigation at home? Follow these steps:

1. Use a neti pot or bulb syringe filled with a sterile saline solution
2. Tilt your head to the side over a sink
3. Gently pour the solution into one nostril, allowing it to drain out the other
4. Repeat on the other side

Always use distilled, sterile, or previously boiled and cooled water to prevent infections.

Humidification

Dry air can irritate the sinuses, so increasing humidity in your environment can help. Try these methods:

• Use a humidifier or vaporizer in your home
• Take a hot shower and breathe in the steam
• Apply a warm, damp towel to your face for a few minutes

Hydration

Staying well-hydrated can help thin mucus and promote drainage. Aim to drink plenty of water throughout the day and consider warm liquids like herbal tea or broth.

Advanced Treatment Options for Persistent Sinus Issues

What should you do if home treatments and OTC medications don’t provide sufficient relief? In cases of persistent or severe sinus problems, your doctor may recommend additional treatments:

Prescription Medications

• Stronger decongestants
• Prescription-strength nasal corticosteroids
• Antibiotics (if a bacterial infection is suspected)

Bioelectronic Sinus Device

This innovative OTC device uses microcurrents to stimulate nerve fibers, potentially reducing sinus inflammation, pain, and congestion.

Sinus Surgery

In rare cases where conservative treatments fail to provide relief, surgical intervention may be considered. Your doctor can discuss the risks, benefits, and expected outcomes of sinus surgery if it becomes a viable option.

Preventing Sinus Headaches and Maintaining Sinus Health

How can you reduce the frequency and severity of sinus headaches? Consider these preventive measures:

• Avoid known allergens and irritants
• Practice good hand hygiene to prevent viral infections
• Use a humidifier in dry environments
• Stay hydrated
• Avoid tobacco smoke and other airborne pollutants
• Manage allergies with appropriate medications or immunotherapy

By incorporating these habits into your daily routine, you may be able to reduce the occurrence of sinus headaches and maintain better overall sinus health.

When to Seek Medical Attention for Sinus Issues

While many sinus headaches and cases of acute sinusitis can be managed at home, certain symptoms warrant immediate medical attention. When should you consult a doctor for your sinus problems? Be alert for the following signs:

• Fever above 101°F (38.3°C)
• Severe pain or swelling in the face or eyes
• Redness around the eyes or cheeks
• Vision changes or eye swelling
• Severe headache that doesn’t respond to OTC pain relievers
• Confusion or altered mental state
• Stiff neck
• Symptoms that persist for more than 10 days or worsen after initial improvement

These symptoms could indicate a more serious condition, such as a severe infection or complications from sinusitis. Don’t hesitate to seek medical care if you experience any of these warning signs.

In conclusion, while sinus headaches and acute sinusitis can be uncomfortable and disruptive, a variety of over-the-counter treatments and home remedies are available to provide relief. By understanding the symptoms, exploring different treatment options, and taking preventive measures, you can effectively manage sinus-related discomfort and maintain optimal sinus health. Remember to consult with a healthcare professional if your symptoms are severe, persistent, or accompanied by concerning signs, to ensure proper diagnosis and treatment.

Sprays, Irrigation and Other Treatments

Written by WebMD Editorial Contributors

Medically Reviewed by Jennifer Robinson, MD on March 21, 2023

• Symptoms
• Treatments

Your clogged sinuses can give you pain and pressure above your nose and between your eyes, but the right treatment can bring relief. First, you need to find out if a sinus headache is the cause of your discomfort.

These headaches may give you:

• Pain and pressure around the sinuses — in the forehead, especially behind and between the eyes, and above the nose. These areas may be tender to the touch.
• Pain that gets worse with movement, like bending over or lying down.

If pain is your only symptom, you probably don’t have a sinus headache. Those usually have other symptoms as well, including:

• Stuffy nose
• Nasal discharge
• Cough
• Sore throat
• Fatigue

Your doctor may suggest treating the pain and the underlying causes of your sinus headache at the same time.

They might recommend:

Over-the-counter painkillers. Drugs like acetaminophen, ibuprofen, or naproxen sodium may help. Always read and follow the label, and don’t use them for more than 10 days at a time without talking to your doctor.

Decongestants. These medicines, which you can buy without a prescription, help open your blocked sinus cavities. They do this by curbing the swelling and mucus in your nasal passages.

Follow the instructions carefully. You shouldn’t use nasal decongestant sprays for more than 3 days in a row, or it could make your congestion worse. And don’t use oral decongestants for more than 7 days. If you also take a pain medicine, make sure the decongestant doesn’t have it as well, so you don’t accidentally get too much.

Nasal steroid sprays. In some cases, your doctor may suggest an over-the-counter spray and other drugs to reduce your congestion and pain.

Antihistamines. These drugs may help if allergies cause your sinus problems.

Think moist. Dry air can irritate your sinuses, so use a humidifier or vaporizer. Other options include holding a warm, wet towel over your face for a few minutes or using a saline solution nasal spray.

Use salt water. Get a bulb syringe or neti pot and flush out your sinuses with salt water. It moistens and helps clear mucus from your nasal passages, which cuts down on the pressure. 

Bioelectronic Sinus Device. This device works by using microcurrents to stimulate nerve fibers and helps reduce sinus inflammation, pain, and congestion. It is sold over-the-counter.

Always use distilled, sterile, or previously boiled and cooled water. Rinse the neti pot after each use and let it air dry.

You can also try saline (salt water) nasal sprays to flush out your stuffy nose.

Avoid irritants. Perfume, cigarette smoke, and certain chemicals can irritate your nasal passages and worsen your symptoms.

If home treatments don’t work — or if you have a fever, pain, or swelling of your face or eyes, redness around your eyes or cheeks, severe headache, confusion, or a stiff neck — see your doctor right away.

If your headaches and other sinus problems keep coming back, surgery can sometimes help if nothing else does. Your doctor can tell you if you’re a good candidate, what the risks and benefits are, and what to expect. 

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Sinus headache relief

Find specific relief for the kind of discomfort that comes with sinus pressure. Sinus headache relief products work to both clear your sinuses and relieve the pain. These sinus medicines can contain nasal decongestants or expectorants. which can both help to reduce pressure. Many also contain acetaminophen or ibuprofen for pain relief. You can choose between sinus headache relief products in tablet or liquid form from brands such as Vick’s, Advil and Robitussin here at Walgreens.com.

Relief for sinus pain

For effective relief, choose your sinus headache relief based on what you need. You can find combination packs of both day time and night time relief to help you get better rest and feel good throughout the day. If you don’t have any trouble sleeping, choose a day time sinus relief product. There are formulas for severe colds and coughs as well as different flavors of liquid medicines to choose from.

More congestion relief

Additional options for sinus relief include an assortment of products for children and adults. You can use nasal strips to help open your airways for better breathing while you sleep. Nasal sprays and neti pots can help clear your sinuses for up to 12 hours. Saline and nasal washes can be used by kids and adults for relief of sinus pressure, congestion and pain.

How to diagnose sinus headache

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• Sinus headache with runny nose

How to diagnose sinus headache with a runny nose: Sinus headache is pain that can feel like an infection in your sinuses. There may be a feeling of pressure around the eyes, on the cheeks and on the forehead, and pain in the head. But in fact, this pain can be caused by a migraine. Primary diagnosis of sinus headache with a runny nose will require computed tomography of the brain, magnetic resonance imaging of the brain and subsequent consultation with a neurologist. As an additional examination, the doctor may prescribe an MRI of the sinuses.

Which doctor treats sinus headache with a runny nose: If you have symptoms of sinus headache with a runny nose, you should first consult a neurologist, based on the results of the initial examination, the doctor may prescribe an additional consultation with an otolaryngologist.

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Headache symptoms of a common cold

Headache symptoms of sinusitis include:

• pain, pressure, and a feeling of fullness in the cheeks, eyebrows, or forehead
• Increased pain when bending forward or lying down
• nasal congestion
• fatigue
• Sensation of pain in the upper teeth.

Differential diagnosis between common cold headache and migraine headache

Migraine and sinus headache are easy to confuse because the symptoms of these 2 types of headache may overlap. In both migraine and sinusitis, the headache is often aggravated by leaning forward. Migraines can also be accompanied by a variety of symptoms, including nasal congestion, facial pressure, and a clear, watery discharge from the nose. This is due to the involvement of the autonomic nervous system in a migraine attack. In fact, studies have shown that most patients who see a neurologist for sinus headaches have migraines instead. However, sinusitis is usually not accompanied by nausea or vomiting, and is not aggravated by noise or bright lights – all of which are characteristic of migraine Headache with a common cold is usually:

• occurs after a viral infection of the upper respiratory tract or a cold
• appears as thick, discolored nasal mucus
• associated with decreased sense of smell
• causes pain in one cheek or upper teeth.

Sinus headaches often last a few days or longer, and migraines most often last from a few hours to 1-2 days.

Which doctor diagnoses a headache with a runny nose

Consult a neurologist if:

• headache symptoms occur more than 15 days per month or require frequent over-the-counter pain medications
• severe headache and over-the-counter pain medications are not helping.

If you suspect a headache with a runny nose, a neurologist will give you a referral for a consultation with an otolaryngologist.

Diagnosing the cause of a headache with a runny nose

Sinus headache is usually associated with migraine or other forms of headache. Headaches in the common cold are associated with pain and pressure in the face and sinuses, and can also cause nasal symptoms. In most cases, these headaches are not caused by sinus infections and generally should not be treated with antibiotics.

Risk factors

Sinus headaches can affect anyone, but may be more likely to occur if present:

• previous history of migraine or headaches
• family history of migraines or headaches
• hormonal changes associated with headaches.

Differential diagnosis of headache in the common cold

The cause of headaches is sometimes difficult to determine. At the initial examination, the neurologist will conduct a physical examination and interview the patient. Imaging tests may be done to determine the cause of the headache, including:

• computed tomography of the brain
• magnetic resonance imaging of the brain
• MRI of the sinuses.

Author: Bogatov Nikita Dmitrievich

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Therapist named products that provoke severe headaches

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Irina Nevinnaya

In most cases, a headache is not dangerous, but brings a lot of inconvenience and discomfort. What types of pain are encountered, whether they can be avoided and how best to stop, said Oksana Drapkina, director of the National Research Center for Therapy and Preventive Medicine, Corresponding Member of the Russian Academy of Sciences.

Drapkina named the most common types of pain.

1) So, tension headache occurs with emotional stress, lack of sleep, overstrain. It is a constant, dull, bilateral pain. It is often compared in sensations to a vise squeezing the head or a tight bandage tightening.

“In most cases, ordinary painkillers – paracetamol or ibuprofen (don’t forget about the recommended dose!)” – advises Oksana Drapkina, noting that it is necessary to avoid pain-provoking factors – this is the main way to avoid this type of headache.

2) Migraine is a severe throbbing pain, usually affecting one side of the head. The attack often begins unexpectedly. The pain can be so severe that it is accompanied by nausea, vomiting, and sensitivity to light. “Women get migraines three times more often than men. Certain foods (aged cheeses, wine, chocolate, deli meats), bright lights, loud sounds can provoke an attack. For migraines, paracetamol or ibuprofen are used, and if they are ineffective, triptans are used. However, all triptans are taken strictly according to a doctor’s prescription,” says Oksana Drapkina.

3) Cluster headaches are extremely severe pains on one side of the head. “The attack is accompanied by drooping of the eyelid, redness of the eye, swelling of the face. The treatment is carried out similarly to a migraine,” the specialist advises.

4) Sinus headache is associated with inflammatory diseases of the nasal mucosa – sinusitis, sinusitis, frontal sinusitis. Depending on the location of the inflammation, dull pain, sensations of heaviness and pressure are felt in the cheeks, wings of the nose, eyebrows or forehead. A characteristic symptom is that the pain intensifies when bending over. Sometimes this condition may be accompanied by fever, usually patients complain of nasal congestion, green discharge, decreased sense of smell. “In this case, it is necessary to consult an otorhinolaryngologist, since untreated sinusitis is fraught with serious complications,” Dr. Drapkina warns.

It is also a dangerous case if a person experiences a severe headache, and this may be accompanied by some very disturbing symptoms – the face is distorted, one eyelid drops, the corner of the mouth drops, the patient can hardly speak.