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Question #12873
51 days ago
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sinus headaches - #12873

Ishita

I am dealing with these awful sinus headaches, and I honestly don’t know what to do anymore. It started a few weeks ago, just this persistent pressure behind my eyes and nose, sometimes feels like my head's in a vice. I thought it was just a cold or something, but it's been over a month and these sinus headaches just keep coming back! I tried over-the-counter meds like ibuprofen, and sure, it takes the edge off for a bit, but they always return. I even tried a nasal spray after reading online that could help, but no luck. I went to a doc last week, and they mentioned allergies could be a trigger, but I got tested years ago and nothing came up. I'm kinda lost here. Have any of you had sinus headaches like this? How do you cope or got them to end? I'm really trying to figure out if it's worth seeing an ENT or trying allergy meds again. I'm just so tired of feeling this pain when I bend down or even just open my mouth wide. Do nasal rinses actually work for sinus headaches? Any insights would be greatly appreciated!

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Doctors’ responses

Sinus headaches are truly frustrating, especially when they’re persistent. Based on what you’ve shared, it seems like you’ve explored a few options already, but let’s try to break it down to make sure you’re not overlooking anything. Firstly, regarding persistent sinus headaches, it’s essential to address any potential underlying conditions such as chronic sinusitis or nasal polyps. Considering you mentioned allergies in the past, it may still be worthwhile to revisit this angle, as intolerances or even environmental changes might have impacted your sensitivity. Sometimes factors like changes in weather, humidity levels, or irritants like tobacco smoke and strong odors can exacerbate sinus issues. An ENT specialist could be crucial in helping you assess whether there’s any structural issue contributing to these headaches. They’re able to employ imaging studies like a sinus CT scan, which could reveal obstructions or chronic inflammation that might not be visible otherwise. Conservative measures, like saline nasal rinses, can also be highly effective as they directly address mucus build-up and nasal congestion; they thin secretions and can remove potential allergens. Since you mentioned trying over-the-counter options already, integrating a daily nasal rinse might be a solid next step. Just ensure you’re using distilled or boiled water cooled down to room temperature when preparing the rinse to prevent infections. As for medications, although nasal decongestants might give temporary relief, caution is needed if used for more than a few days as they can lead to rebound congestion, potentially worsening your symptoms. Antihistamines, especially non-sedating ones, can still be considered if there’s a chance allergies are a factor. For persistent issues and in combination with other medications, topics steroids prescribed by a physician might be utilized to reduce inflammation from chronic rhinosinusitis. Remember, if symptoms persist despite these interventions, re-evaluation by your doctor or an ENT might be necessary. It’s always important to remain open to multiple paths of treatment and professional advice, allowing tailored solutions. Prioritize comfort and as much as possible, minimize exposure to the triggers; continual monitoring of symptoms and interventions should guide you toward relief.

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