Question about paranasal sinuses - #14780

Hello Riza,

Your CT shows chronic sinus inflammation, especially in deep sinuses that cause headache but not face pain.

🛑Answer to your question:

1.Even after the cold goes away, the sinus linings may take weeks to calm down Especially if you already have chronic inflammation. That’s why your headaches can last up to a month after a cold.

2.Since the headache persists even after FESS and sometimes resembles migraine, it’s possible that a neurological component (migraine) is also contributing.

Okay;My advice

Continue regular sinus care with your ENT (nasal spray, saline, steam). Schedule a neurology consult in person to check for migraine or tension-type headache.

Managing both sinus health and headache triggers together gives the best long-term relief.

Meanwhile: Stay hydrated (2–3 L water/day) Sleep regularly (7–8 hours) Reduce caffeine and alcohol Manage allergies if present (antihistamines) Use humidifiers in dry weather

I trust this helps Feel free to talk Thank you

Hello Riza By going through your history and evaluation of your health status I must say that your CT shows chronic maxillary and sphenoidal sinusitis, especially on the right side. Sinusitis means the lining of your sinuses is inflamed and swollen, often due to infection or allergies. When you catch a cold, the inflammation gets worse, and the sinuses can get blocked. This leads to pressure build-up, which causes headaches that can last for weeks—even after the cold is gone.

About your migraine concern I must say that It’s possible, but less likely if your headaches always follow a cold and you have chronic sinus issues. Migraines usually have other symptoms like nausea, sensitivity to light/sound, and may not be linked to colds.

For better evaluation see an ENT specialist for a review, especially since FESS didn’t fully help. - Sometimes, chronic sinusitis needs ongoing management (nasal sprays, allergy control, saline rinses). - If headaches change in character, become severe, or you get other symptoms (vision changes, weakness, confusion), see a neurologist to rule out other causes.

Thank you

Headaches for many years No facial pain Constant pressure or throbbing Symptoms like:

Noise/light sensitivity

Nausea during headaches

Headache worsening with stress or menstrual cycle

These suggest migraine or neuralgia instead of pure sinus disease.

A neurologist may prescribe:

Preventive meds: Topiramate, Propranolol, Amitriptyline

Acute migraine meds: Triptans

These can improve headaches dramatically.