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How long have you had the symptoms. If they are a few days or a week only it may be fluid in your sinuses. The pressure can be terribly painful. Sudafed and motrin taken as otc can be a great help. Be sure to get the one with pseudophedrine as most states have you to sign at the pharmacy for. If this doesn't resolve in a few days or followed by a fever, call your dr. Best of luck.