How to tell if your headache is really from sinus pressure

Many of my patients already know that they have allergies. For some it is new territory. The idea that allergies can increase or decrease through the course of one's life is still surprising to many. ("I've never had allergies before!") In addition, many people with allergies don't really know what they are allergic to. This makes them all more difficult to diagnose. Yet allergies can definitely combine with other factors and contribute to existing headaches. It may be often enough that people may become confused about where there usual headache ends and the sinus headache begins. Then add to the mix possible sinus infections? Even more confusing.! So here are a few distinguishing characteristics.

Most people will describe their headache as "pressure" when it is sinus related. Otherwise headaches are usually felt as dull aches or bands of tension. If the pain is around the eyes and cheeks and central forehead, it is likely sinus related. Pain or pressure in the teeth is also sinus related. When it is more around the temples, or a band around the head, it's a tension headache. Near or above one eye is usually a migraine. If this does not help, try this quick test. Bend forward or tilt your head forward. A sinus related pain will usually create more pressure and more pain. Most other headache variations do not worsen when you move this way. Lastly, migraines are the only headache to also cause nausea and/or vomiting. If you experience this, then it is usually a migraine.

Attributing the allergy to the allergen is helpful in figuring out the patterns. Seasonal allergies often play a large role. Depending on what season it is can help you determine what you are reacting to. Late winter/early spring is usually from snow mould. (This is actually a fungus). Mid to late spring is more often tree pollen. Late spring to mid summer is usually grass pollen. Mid to late summer is usually weed pollen. Late summer to fall is most often leaf mold. Some sources say winter is high in mold as well. This may be true, but keep in mind indoor allergies such as dust mites. Most people don't spend much time outdoors through the coldest months. In fact, using an air purifier in your bedroom can help cut down on all allergens, especially the indoor ones. You can also use weather apps or allergy specific apps to help track the allergens according to your specific climate.

To make things even more confusing, chronic allergies can weaken your immune system to make you more susceptible to getting a sinus infection. There are some general guidelines that can help regardless. Current research suggests that people suffering from chronic sinusitis often have poor gut flora. This is where the immune system starts. Probiotic supplementation therefore can go a long way to help one's immune system under these circumstances. Herbal remedies can also be helpful. I have seen the best success in allergies with feverfew, stinging nettles, and Vitamin C. Chronic infection seems to be better treated with oregano oil. Of course, if you have a fever or other symptoms in addition to sinus pressure headache, please consult your primary care physician.