Williamsburg Sun

• Chronic sinusitis affects 28.9 million American adults, or 11% of the adult population. 
• Symptoms of chronic sinusitis can include nasal inflammation, a runny nose, postnasal drainage, congestion, pain or swelling in the face, headaches, loss of smell and taste, a sore throat, bad breath, or fatigue. 
• Sinus headaches can cause facial pain, watery eyes, and post-nasal drip, similar to other kinds of headaches. 

Sinus headaches are a common symptom of sinusitis and can become quite debilitating. According to Dr. John Ditto of Richmond Breathe Free, sometimes these can be difficult to diagnose because of how common headaches are in general. 

“A sinus headache is where you have pain in the distribution of your sinuses,” Dr. Ditto told the Williamsburg Sun. “What I mean by your sinuses is your forehead, your sinuses behind your cheeks, your sinuses next to your eyes, and you even have a sinus way in the back in the center of where the nose meets the back of the throat. You can get infections or obstruction of those sinuses, and they can cause pain. The challenge is to differentiate between what's a headache, like facial pain or migraine, and what's sinus pain, and sometimes the two overlap.”

Sinuses are air-filled spaces inside your forehead, cheekbones, and behind the bridge of your nose. When they get inflamed, usually because of an allergic reaction or an infection, they swell and produce more mucus, and the channels that drain them can become blocked, according to WebMD. The build-up of pressure in your sinuses causes pain that feels like a headache. It is important to figure out what kind of headache you are having so that the correct course of action can be taken to relieve your pain.

According to Healthline, headaches are common. Research estimates that 70 to 80 percent of people experience headaches, and about 50 percent experience them at least once a month. Allergies can be the source of some of those headaches, and allergies related to sinus disease can cause headaches as well.

If your headache gets worse when you bend over or lay down, that would be a sign of a sinus headache. Other symptoms include a deep and constant pain in your cheekbones, forehead, or the bridge of your nose, a stuffy nose, fatigue, and an achy feeling in the upper teeth. If headaches occur more than 15 days per month and OTC medicines are used frequently but help little, the Mayo Clinic recommends consulting a physician. 

For patients with sinus headaches, the goal is typically to relieve symptoms and treat any infections, according to WebMD. Antibiotics, antihistamines, or decongestants can be taken for a short time. Inhaled nasal decongestants can be taken, but only for up to three days. Longer use can worsen symptoms.

According to Richmond Breathe Free's website, Dr. John Ditto earned his medical degree from the University of Missouri-Columbia School of Medicine, where he was recognized for his research. He then received specialized training in ear, nose, and throat disorders at the University of Michigan's Department of Otolaryngology Head and Neck Surgery.