Table of Contents
- Sinus headache facts
- What are the sinuses?
- What is a sinus headache?
- What causes a sinus headache?
- What are the symptoms of a sinus headache?
- Symptoms with sinus infection
- Symptoms with sinus inflammation
- What kind of a doctor treats sinus headache?
- When should I seek medical care for a sinus headache?
- How is a sinus headache diagnosed?
- What is the treatment for a sinus headache?
- What home remedies help soothe the symptoms of a sinus headache?
- What over-the-counter (OTC) medications treat a sinus headache?
- What prescription medications treat a sinus headache?
- What about surgery for sinus headache?
- What are the complications of a sinus headache?
- Can a sinus headache be prevented?
- What is the prognosis for a sinus headache?
How is a sinus headache diagnosed?
The health-care professional will likely begin by taking a history of the symptoms to help come to the diagnosis. Contributing factors in the development of sinusitis and headache may include a recent cold or upper respiratory tract infection, history of smoking, environmental allergies to dust or molds, as well as recent airplane travel, swimming or SCUBA diving, or other activities involving air pressure changes within the facial sinuses.
Physical examination may reveal tenderness to percussion, or tapping, over the affected sinus that reproduces the pain. Examination of the ears may reveal a serous otitis, or fluid levels behind the eardrum in the middle ear, that may suggest drainage problems in the face and sinuses. Examination of the nose may reveal swollen nasal passages and discharge. Evaluation of the mouth and teeth may find a source of infection, and the back of the throat may be examined for signs of postnasal drainage.
Routine X-rays of the face are not recommended to make the diagnosis of sinusitis or sinus infection. If the health-care professional considers imaging studies of the sinuses it is to confirm the diagnosis, and to look for fluid collections or thickening of the mucus membranes that line the sinus walls. Limited CT scan of the sinuses is often recommended. Plain X-rays of the sinuses may sometimes be considered. Blood tests tend not to be helpful in making the diagnosis of the cause of sinus headache.