When the space inside the face (sinuses) becomes inflamed and swollen, it is called sinusitis. This will lead to a blockage in the drainage of the sinuses and causes mucus to build-up inside it. When a patient is having acute sinusitis, it will cause difficulty in breathing through the nose and the patient may suffer from a headache, throbbing pain, congestion, nasal discharge, and swelling around the face. So, it is common for patients to have sinusitis to have a sinusitis headache. Acute sinusitis usually caused by a common cold or viral infection and could be resolved within days or a few weeks.
Sinusitis that persists longer than 12 weeks is called chronic sinusitis. Some of the symptoms that a patient will have are thick, yellow or greenish discharge from the nose or down the back of the throat and are usually referred by doctors as post-nasal discharge. Nasal congestion or blockage is also another classical symptom told by the patient and it may cause difficulty to breathe through the nose. The patient can also have tenderness, pain, and pressure around the eyes, cheeks, nose or forehead that can worsen when the patient bending over. It is not always compulsory for a patient to meet a doctor for sinusitis but the patient may do so if the symptoms persist more than a week, symptoms got worse, persistent fever, and a history of recurrent or chronic sinusitis. On the other hand, it is urgently required for a patient to see a doctor if the patient is suffering from symptoms that may indicate serious infection like severe pain, swelling or redness around the eyes, high-grade fever, confusion, double vision or changes in vision, and stiff neck.
There are some risk factors that may lead to sinusitis like allergic condition or hay fever that may affect the sinuses, abnormality of the nasal passage such as deviated nasal septum, nasal polyps or nasal tumour, medical condition like cystic fibrosis that is common among caucasian, immune system disorder like HIV/ AIDS, and exposure to smoke either through smoking or through a secondhand smoking. Although rare, sinusitis has the risk to cause meningitis, an inflammation at the membranes and fluid surrounding the brain and spinal cord and infection to bone and skin called osteomyelitis and cellulitis respectively. Apart from that, if the infection spreads to the eye, it can cause reduced vision or even blindness. There are some steps to prevent sinusitis from happening such as avoiding upper respiratory infections by staying away from people who have colds and washing hands frequently using soap and water. As patients sometimes knew the triggering cause for their allergic reaction, it is recommended to manage allergies by avoiding foods that trigger an allergic reaction and use antihistamines to keep symptoms under control.
Smoking is one of the risk factors that may lead to sinusitis, so it is important to avoid cigarette smoke and polluted air. Some of the medicine for sinusitis headache includes the use of saline nasal spray that should be sprayed into the nose several times a day to rinse the nasal passage and the use of decongestants that are available in over-the-counter (OTC). Apart from that, doctors may advise their patients to use nasal corticosteroids like fluticasone, budesonide, mometasone, and beclomethasone or pain relievers like acetaminophen, ibuprofen or aspirin to control their symptoms. Other remedies to treat or control sinusitis is by using nasal lavage. The patient is asked to breathe in the vapour from a bowl of hot water and the use of specially designed squeeze bottle or neti pot to ease the pain and help mucus drain.