Nasal Steroids And Decongestants
Nasal steroids and decongestants indicated for chronic allergies are stimulants, and some include caffeine in their chemical makeup, which has been shown to be an on-and-off migraine trigger. These drugs promote systemic absorption, which means they enter the circulatory system, affecting the entire body. It has been shown that regular long-term use of these medications, such as intranasal corticosteroids, can be a trigger to migraines.
One problem with nasal steroids, decongestants, and the aforementioned PPIs is that people get put on a medication and they just stay on it, even if the symptoms resolve, said Dr. Charles. Its best to use these medications intermittingly, as needed. Keep in mind, however, that a rebound reaction is possible after stopping nasal steroids and PPIs. A healthcare provider can provide guidance.
Dr. Charles said that the use of menthol, instead of nasal steroids and decongestants, can be used to treat sinus issues and prevent migraine.
What Are The Risk Factors For Migraine And Sinus Headache
The exact reason why a person has migraine isnt known, but it’s believed to be a combination of genetics and environmental factors, says Kiran Rajneesh, MBBS, a neurologist and pain medicine specialist at the Ohio State University Wexner Medical Center. By genetics we mean something that youre born with a propensity for headaches that includes family history or mutations that involve certain channels in the brain, Dr. Rajneesh says.
Migraine is most common in people ages 18 to 44, and women are about three times more likely to have migraine than men, according to the Migraine Research Foundation.
People are born with some propensity for migraine, and then there is a threshold for symptom attacks; people can reach that threshold when they are exposed to certain environmental factors or lifestyle changes, says Rajneesh. These can include certain foods, drinks, lack of sleep, or even changes in the weather, he says.
A sinus headache is a symptom of a sinus infection. According to the Centers for Disease Control and Prevention , the risk factors for sinus infection can include a previous cold, seasonal allergies, smoking and exposure to secondhand smoke, structural problems with the sinuses such as nasal polyps, and a weak immune system or medications that compromise the immune system.
What About Menstrual Migraines Morning Migraines
If youre wondering: where is Hormonal Migraine? Morning Migraine? Complex Migraine? Well, these technically arent official Migraine types anymore, according to the IHS. I asked Peter Goadsby, MD, one of the top doctors influencing IHS and AHS policies why these new terms were adopted.
His explanation: the World Health Organization needed a common language to define all the Migraine sub-types so that doctors and patients around the world could compare notes and exchange data. That seems like a very good idea.
If you suffer from Menstrual Migraine attacks three days before every period, you can keep calling that. Ditto for Weather-Related Migraine and Morning Migraine, the kind that wrecks your day before it even starts. As Migraine Warriors, we tend to think of the occasions when attacks occur and major symptoms to name our pain.
Personally, I discovered after decades of suffering from Chronic Migraine without Aura that my own pain didnt start at 23, but instead at 12 with Abdominal Migraine complications and a Migralepsy seizure.
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Sinus Migraine: A Costly Blindspot In Medical Care
Sinus migraine is a frequently overlooked diagnosis and this oversight in clinical care has profound financial and other consequences: a leading misuse of oral antibiotics, inappropriate sinus surgery, and prolonged patient suffering and disability. Although lacking consensus on pathophysiology, diagnostic criteria and nomenclature, medical professionals need to know more about this alternative explanation for patients complaints of sinus pressure, pain, nasal congestion and runny nose. In;a review of research, Frederick Godley, MD and his team explore the silent epidemic of misdiagnosed migraines and seek to;instil;change.
Essentially, they argue that most patients and their caretakers are being fooled by a faulty, or hypersensitive, nervous system, otherwise known as;a;migraine. Even though clinicians are taught to ask what a patient means when they say they have sinus problems, they often neglect to ask all the questions that might identify a non-infectious cause. Many patients are;thus misdiagnosed and receive inappropriate treatment. The review explored the impact of misdiagnosis or delayed diagnosis and found that patients suffer a range of unfortunate consequences including overuse of;antibiotics, the cost and risk of sinus surgery and prolonged suffering.
While most think of migraine as a nasty headache, it is really a disease of the entire nervous system.
Allergy Sinusitis And Sinus Headache Resources
There are a number of very good resources available for people suffering from allergies, sinusitis, and sinus headaches:
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Migraines And Allergic Rhinitis
There are a few ways that respiratory allergies could affect your migraines. First, there is a clear relationship between inflammation and allergies. An inflammatory reaction caused by allergies leads to the release of chemicals and these chemicals can, in turn, trigger migraines. Second, allergic rhinitis causes nasal congestion. This could irritate nerves in the nose and sinuses and provoke a migraine. Finally, allergies have been shown to worsen symptoms of anxiety and depression, which could also affect the number of migraines you experience.
At least one study has suggested that people with allergic rhinitis are more likely to experience a migraine than people without allergic rhinitis. Also, it showed that allergic rhinitis may increase the frequency of ones migraines. Other studies have shown a relationship between allergic asthma and migraine headaches. Unfortunately, it is not clear what is causing allergies and asthma in these patients.
Treatment of allergic rhinitis may help prevent or treat headaches in people that seem to have allergy-based triggers to their migraines. Unfortunately, there have been few studies performed that can prove or disprove this.
How Can They Be Stopped
Migraine sufferers can cut an attack short with one of the triptan drugs, a class that includes eletriptan , sumatriptan , and zolmitriptan . The triptan drugs seem to work by inhibiting pain signaling in the brainstem. They also constrict blood vessels, so people with a history of cardiovascular disease are usually advised not to take them.
Pain relievers like ibuprofen and naproxen can halt a mild attack, but rebound headaches may develop if they’re taken too often. Rebound headache occurs after the body gets used to having a medication in its system; when it’s not there, headaches happen. Migraines can quickly snowball into more serious pain, so it’s important to treat the headache early, regardless of the medication.
What Are The Sinuses And What Do They Look Like
Sinuses of the face are cavities or spaces within the bones that help humidify the air and secrete mucus to help with air filtration. Additionally, they contribute to the strength of the skull and its ability to resist trauma. The sinus cavities also allow more resonance to be added to the voice.
The sinuses are often referred to as the paranasal sinuses because of their location and connection to the back of the nose. The sinuses develop as air sacs within the bones of the skull, which are named by their location.
- Frontal sinus: located above the eyes within the frontal bone of the skull
- Maxillary sinus: located beneath the eyes under the cheekbones within the maxilla bone of the face
- Ethmoid sinus: located in the ethmoid bone separating the eyes from the nose
- Sphenoid sinus: located in the sphenoid bone at the base of the skull
While infants do have sinuses, they are very poorly developed. The maxillary sinuses cannot be seen on an X-ray until 1 to 2 years of age and the frontal sinuses are not seen until age 5 or 6.
Rhinosinusitis And Facial Pain
Acute rhinosinusitis usually follows an acute upper respiratory tract infection. Pain related to ARS is often unilateral, severe and associated with fever in 50% of cases and with nasal obstruction. Unilateral facial and dental pain are predictors of maxillary infection as validated in studies using maxillary sinus aspiration . Acute frontal ARS is often characterised by pyrexia and tenderness on the medial side of the orbital floor under the supraorbital ridge, where the frontal sinus is thinnest. Endoscopic examination is mandatory and usually shows hyperemia of the sinonasal mucosa, and purulent secretions. Acute sphenoiditis is uncommon, causing pain at the vertex of the head, although pain can be referred to the temporal region or the whole head.
CRS patients with facial pain and/or pressure have a higher risk of migraine compared to the patients without these symptoms. CRS may increase migraine-associated morbidity and migraine frequency through irritation of trigeminal nerve receptors. Additionally, the age- and sex-specific prevalence of CRS with pain and pressure mirror those of migraine .
Diagnostic criteria for headache attributed to rhinosinusitis are listed in .
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How To Tell Youre Having A Migraine
Migraines are severely disabling, with symptoms ranging from intense head pain to nausea, vomiting, and fatigue. If you suffer from migraines, its helpful to know some common warning signs, so you can prepare for or try to prevent one. Watch this video for signs that a migraine might be around the corner.
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What Are Some Ways I Can Prevent Migraine
The best way to prevent migraine is to find out what triggers your attacks and avoid or limit these triggers. Since migraine headaches are more common during times of stress, finding healthy ways to cut down on and cope with stress might help. Talk with your doctor about starting a fitness program or taking a class to learn relaxation skills.
Talk with your doctor if you need to take your pain-relief medicine more than twice a week. Doing so can lead to rebound headaches. If your doctor has prescribed medicine for you to help prevent migraine, take them exactly as prescribed. Ask what you should do if you miss a dose and how long you should take the medicine. Talk with your doctor if the amount of medicine you are prescribed is not helping your headaches.
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What Is The Best Way To Treat A Sinus Headache
Treatment options for sinus headaches vary, but most can be improved with over the counter medications like acetaminophen or decongestants. Antibiotics are usually reserved for sinus infections lasting more than one week. The length of your sinus infection is linked to whether you are suffering from a chronic or acute sinus infection. Chronic sinus infections usually lead to longer sinus headaches, while acute sinus infections;are linked to shorter;headaches.;Make an appointment with your doctor to find out which if sinusitis is causing the sinus headache.
It is also important to take note of what season it is when you first notice your sinus headache. During the spring and fall months, sinus headaches may be the result of an increased pollen count in the air, meaning that allergies are to blame. In this case, treating;the underlying allergy;will;ease the headache.;You want to also make sure that your house is sufficiently clear of mildew, mold or dust mites. These factors;can;contribute to an increased amount of nasal congestion and/or sinus inflammation.
If left untreated, rarely a sinus headache can transform from a minor inconvenience to a serious problem. Sinusitis occurs very close to the brain, meaning that;you could develop an infection which can affect both the central nervous system and the nerves that connect to your eyesight.
Remember to give your doctor a complete list of symptoms,;plus details about the duration and pain level of the headache.
What Are The Symptoms Of Migraine
The exact cause of migraine isnt known. Its believed that changes in levels of chemicals that are produced by the brain, such as serotonin, may affect how the nervous system regulates pain. Genetic and environmental factors may also play a role in causing migraine.
The symptoms of a migraine attack can include:
- pain thats moderate to severe, often characterized as throbbing or pulsing
- pain that typically impacts one side of your head, but can also affect both sides
- sensitivity to lights and sounds
- nausea and vomiting
- pain that gets worse with physical activity
Additionally, migraine can also impact the area of your sinuses. When this happens, you may feel pain in your face or around your eyes.
An found that 45.8 percent of people with migraine had symptoms that impacted their nose and eyes, such as:
- a runny nose
According to research, many people who have pain in the sinus region are actually experiencing migraine or another type of headache. Sinus headache is the most common incorrect diagnosis given to someone who really has migraine.
An found that 88 percent of participants with a history of sinus headache actually met the clinical criteria for migraine.
So, how do you know if youre experiencing sinus pain or migraine?
When trying to tell the two conditions apart, there are a couple of important things to consider, including symptoms and timing.
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How To Know When Its Allergy Migraine And When Its Sinus Headache
Allergy-related migraine episodes and sinus headaches have similar symptoms. Both typically involve facial pain. Symptoms may also include a stuffy or runny nose and post-nasal drip. And allergies are just one potential migraine trigger.
For this reason, doctors often misdiagnose migraine as a sinus headache.
However, a sinus headache is rarely debilitating . And the only true sinus headaches happen as a result of sinusitis or pressure from conditions such as nasal polyps.
In fact, a sinus headache often doesnt actually involve a headache at all. The pain is generally limited to:
- your forehead
- the areas between and behind your eyes
- under your cheekbones
This is because when your sinuses swell, they tend to press on those areas.
An intense, often one-sided headache is the major sign of migraine and an allergy might have triggered it. But no two migraine experiences are the same, which is why diagnosis is sometimes a little tricky.
Most people with a sinus headache describe the pain as dull or pressure-related. Migraine pain, on the other hand, is usually throbbing or stabbing.
Other possible fall allergens:
- burning bush
Acute Treatment For Migraines
There are many types of medications that can be used to stop a migraine attack in progress. These medications help ease the pain. They can also help with other symptoms like nausea and vomiting. In general, first-line medication choices usually involve a combination of NSAIDs, triptans, and anti-nausea medications. Lets run through these medications here.
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What Is Migraine
Migraine is not just a bad headache. Its a disabling neurological disease with different symptoms and different treatment approaches compared to other headache disorders. The American Migraine Foundation estimates that at least 39 million Americans live with migraine.; However, many people do not get an accurate diagnosis or the treatment they need so the actual number is probably higher.
Common symptoms of migraine include:
- Moderate to severe head pain
- Head pain that causes a throbbing, pounding, or pulsating sensation
- Head pain that gets worse with physical activity or movement
- Nausea and/or vomiting
- Sensitivity to light, noise and/or smells
- Nasal congestion and runny nose
What Is An Aura
An aura is a group of sensory, motor and speech symptoms that usually act like warning signals that a migraine headache is about to begin. Commonly misinterpreted as a seizure or stroke, it typically happens before the headache pain, but can sometimes appear during or even after. An aura can last from 10 to 60 minutes. About 15% to 20% of people who experience migraines have auras.
Aura symptoms are reversible, meaning that they can be stopped/healed. An aura produces symptoms that may include:
- Seeing bright flashing dots, sparkles, or lights.
- Blind spots in your vision.
- Numb or tingling skin.
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Can Sinus Pressure Cause A Migraine
Sinus headaches and migraines have many symptoms in common, but theyre not the same type of headache. Once the underlying sinus issue is resolved, sinus headaches should go away. But with migraines, ongoing medication may be needed to help prevent them from recurring.
Sinus pressure may be somewhat linked to migraines, however. If you have allergic rhinitis, your nasal passages can become inflamed and irritated in response to an allergen. Its thought that the histamine release that occurs as part of the allergic reaction can cause migraines. In fact, people who have allergic rhinitis are more than 10 times more likely to suffer from migraines.