Dear rsandoval89,
1. Sinus headaches usually worsen during the day as the maxillary sinuses fill up during the day. This is because the openings of the maxillary sinuses are high up in the nose. On lying down the maxillary sinuses drain as a post nasal drip and the headache subsides. Most headaches worsen on walking, physical activity and exertion.
2. The sinuses have a vast surface area and hence with the slightest infection and inflammation the toxins are absorbed easily into the blood stream and cause the nausea, dizziness, weakness and fatigue. The post nasal drip can also causes acidity and reflux.
3. Assuming that your underlying condition is allergy, do you have sneezing and watery discharge (rhinorrhea) and nasal obstruction? Do you also have aspirin sensitivity? Asthma and sinusitis are related and treating the sinusitis relieves the asthma to some extent.
4. In order to relieve your symptoms, you should discuss the following with you GP : 1. starting a newer generation anti-histamine (such as levocetrizine or rupatadine) and an anti-leukotriene (such as montelukast) once a day. 2. Instead of Nasonex, switch to budesonide, fluticasone or ciclesonide nasal spray. Get your physician to prescribe these for at least two weeks and check the response. Also Start regular steam inhalation through the nose and mouth for 10 minutes at a time. If you do not respond, the headache does not reduce or if steam inhalation makes you feel worse then you probably have significant nasal obstruction or a DNS (deviated nasal septum) or hypertrophied turbinates.
5. It is difficult to see the sinuses on nasal examination as they are surrounded by bone and their openings are very small and usually hidden. The gold standard investigation is a plain CT PNS (Para Nasal Sinuses) on a multi slice machine. This can wait as usually at your age there should be nothing major.
6. Besides sinus headache, tension headache and migraine should be ruled out. Ideally an MRI or MRA is done for headache that does not respond to medication. If the headache subsides on its own or on taking medicines, MRI is usually not necessary.
Hope that this information helps and hope that you will get better soon.
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Regards.
Dr. Sumit Bhatti
Also rather Asthma or Allergies could cause these symptoms.
Best
Just to ad i had the C/T scan done and it came back normal no masses no bleeding nothing. I also had a full blood count analysis and urinalysis done and nothing.
Also an ECG was performed because i also started to have palpitations along side the headaches.
Any in put is appreciated.
Best