Hello,
Thank you for choosing DoctorSpring.
Do you have these headaches throughout the day ? Or is it more in mornings ?
Also does the pain increase when you stoop down / bend ? Is there a feeling of fullness and throbbing when you bend your head down ?
Is there pain if you press the bridge of your nose or temples ?
As of now is this headache your only symptom ?
You can reply as a followup
Thank you
Patient replied :
Thank you for the reply.
I have these headaches throughout the day. This morning I was woken up by the headache at 5am and it's been continuous up to now (4pm). I have just taken Ibuprofen and it has helped relieve the pain.
The pain increases very slightly when bending/stooping. There is a feeling of fullness and slow throbbing when I bend my head down.
I don't feel any pain when I press the bridge of my nose; however I feel a little pain when pressing my left temple over the vein.
In addition to the headache my sinus feels like it's dry, tight and throbbing. I also have a slight tightness in my upper chest, a little similar to the feeling I had as a kid when I had an infection from asthma, although not as bad.
Thanks
Hello,
Thank you for the information.
Migraine and Headaches of Sinusitis (or so called Sinus headaches ) often cause diagnostic confusion. However in your case the history of onset of the symptoms and the features are suggestive of Headache from ACUTE SINUSITIS.
I will list down my recommendations.
1.Opening up sinus to drain is important. Steam inhalation via nose twice daily can help in this.
2. Continue the anti allergic medication. However since its been over a week you need not use the steroid nasal spray
3. Use Ibuprofen only if really necessary.
4. Oral decongestants like ephedrine sulfate 25 mg, pseudoephedrine HCL 60 mg, phenylephrine HCL 10 mg etc can help, but might require a prescription.
4. The antibiotic chosen by your Physician is Roxithromyicn which is a Macrolide. These are not the first choice for Acute Sinusitis as there is high rates of resistance of S. pneumoniae . So if symptoms persists more than 48 hours you might need another antibiotic course of Amoxicillin-clavulanate, which is more suitable antibiotic.
Most of the cases of Sinus headache peaks over few days and then declines. Xray and Physical examination might not diagnose sinusitis. Do follow the recommendation. If the pain is persisting you will require further evaluation and treatment
Hope this helps
Feel free to ask follwoups
Thank you