Migraine vs. Sinus Headache: Differences and Causes
Many patients present to me in the clinic and say- ‘ Doc I have a Sinus problem.’
Most of them turn out to have allergies or just a simple cold.
In today’s article, I am going to bring out the differences between a Migraine headache, Sinus headache, and allergic symptoms or common cold. With COVID-19 around, we will also look at the differences between the symptoms of a COVID-19 infection and acute sinusitis.
Difference between a Sinus headache and Allergy
A clear cut case of Acute Sinusitis presents with the following steps – Viral infection of the nose sets off sneezing, nasal congestion, and fever. If this does not resolve in about 5 days, a Secondary Bacterial infection sets in- the discharge becomes thick and yellow with postnasal drip, there is increased nasal congestion and blockage with associated headache and cheek pain – this is Sinusitis.
Most patients usually have symptoms better explained by Allergy- Sneezing, clear watery nasal discharge, nasal itching, nasal congestion, eyes itching, and watering. An allergy can also cause a headache (commonly known as an allergy headache).
Migraine vs Sinus Headache: Know the difference
Watch this video to understand:
- Causes and symptoms a migraine headache
- Causes and symptoms of a sinus headache
COVID-19 infection versus Acute Bacterial Sinusitis
The Coronavirus is also known to attack the sinuses – the virus lodges in and replicates in the Sinus tissues.
The differences between a Coronavirus infection and a regular case of Acute Sinusitis are:
- Covid-19 patients are usually sicker with other symptoms of fever, cough, breathlessness.
- Covid-19 – some patients complain of complete loss of sense of smell and taste as the first symptom of the infection- it seems the virus travels along the nerve root of the Olfactory nerve. It is also possible that these patients may have some neurological symptoms as well.
- Covid-19 patients do not usually have the thick purulent nasal discharge so typical of a Sinus infection
In conclusion, please remember if your headache is severe and does not subside in 2-3 days, it is best to consult your doctor immediately.
MBBS (AFMC), MS, DNB, DLO, DHA
Dr. Rajesh Bhardwaj is a senior ENT specialist with 30+ years of experience in comprehensive ENT care. He has served 15 years in the Indian Army and holds extensive clinical experience in major hospitals. He is skilled in advanced ENT surgeries, cochlear implants, and managing complex ENT cases, and is widely respected for his ethical practice and honest medical opinions.
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