This is an automatically translated article.
The article was professionally consulted with Specialist Doctor II Nguyen Van Thai - Ear, Nose Throat Doctor - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.Headache is a fairly common symptom in many diseases, including sinusitis. The symptoms of sinusitis causing headaches need to be differentiated from other diseases to find out exactly what is causing the disease.
1. What is sinusitis?
Rhinosinusitis is a disease caused by edema of the mucous membranes of the facial sinus cavities, causing obstruction of fluid circulation leading to inflammation in these locations. There are many causes of rhinosinusitis, it can be caused by previous nasal polyps, people with crooked septum and a history of tonsillitis also cause sinus congestion, leading to sinusitis. Other factors, which can be bacteria, viruses, or parasites, also contribute to bacterial sinusitis.In addition, people with allergies are also very susceptible to sinusitis, commonly known as allergic rhinitis. The allergens can be pollen, animal hair such as dogs, cats, bugs ... from the outside environment, or it can be harmful chemicals such as cigarette smoke, dust, or use of chemicals. Overuse of nasal sprays also leads to sinusitis. When the weather changes, or more precisely, the temperature and air pressure in the living environment changes suddenly, it is also favorable conditions for the recurrence of rhinosinusitis.
There are 2 common clinical diseases that are acute rhinosinusitis and chronic rhinosinusitis, especially chronic sinusitis is sinusitis that has happened for a long time, recurs many times. difficult to treat as well as leaving dangerous complications for patients.
Symptoms of rhinosinusitis:
● Headache: Sinusitis causes headache is one of the main symptoms of sinusitis patients, used to distinguish acute sinusitis and chronic sinusitis.
Viêm xoang gây đau đầu
● Fever: low-grade fever or high fever, accompanied by chills.
The face is swollen.
Stuffy, blocked nose.
Runny nose, water is green or yellow.
● Some cases of sinusitis caused by bacterial, viral, and parasitic infections can cause pain in other parts of the respiratory tract such as nose, throat, tonsils, ears...
Particularly for chronic sinusitis, it is common. There are no symptoms of the upper respiratory tract, so the diagnosis of the disease should be based on the results of the treatment of migraine or other disorders that cause headaches. case of chronic sinusitis.
Trắc nghiệm: Bận rộn có ảnh hưởng đến sức khỏe của bạn không?
Cuộc sống hiện đại khiến chúng ta vì quá bận rộn mà quên chăm sóc sức khỏe cho chính mình. Ai cũng biết rằng lịch trình làm việc cả ngày có thể khiến bạn kiệt sức, nhưng cụ thể bận rộn ảnh hưởng thế nào tới sức khỏe? Hãy cùng làm thử bài trắc nghiệm dưới đây.
2. Rhinitis causes headaches
Besides symptoms such as facial pain, toothache, nasal congestion... the headache symptom cannot be ignored when diagnosing a patient with rhinosinusitis. Rhinosinusitis causing headaches is usually a severe pain, ie in the forehead, cheeks, and temples with previous sinusitis, or can also cause inflammation in the posterior sinuses, then there will be sinusitis, pain in the back of the neck, pain in the top of the head.. ., the headache lasted for many hours. Rhinitis causes headache, also accompanied by symptoms such as pain in the shoulders and neck, stuffy nose, cough with phlegm, runny nose, green or yellow color...The cause of the sinusitis causes that headache When these sinuses are blocked, causing a blockage in the flow of fluid, it will lead to an infection that occurs in these sinuses. The inflammatory response that forms causes mucus to be secreted more and more, causing the body to manifest a runny, runny nose. And so on, if not detected in time, these dirty fluids stagnate and cannot escape outside, stagnate in the sinus cavities, creating great pressure on the sinuses, causing headaches.
Need to distinguish sinusitis causing headaches with headaches caused by other diseases. More specifically, common headaches that are not caused by sinusitis, the patient will have a headache on one side of the head, left or right, when touching the temple, there is a feeling of pain and jerking. constant, jerky and painful pulsation of blood vessels. Moreover, unlike rhinosinusitis, which causes a headache, which is a long-lasting pain, a normal headache only hurts in episodes, the pain increases gradually over time, it hurts more when the patient is active, which can cause nausea. , neurological symptoms such as photophobia, fear of noise, hallucinations and short-term visual loss.
Rhinosinusitis causing headaches should be distinguished precisely from headaches caused by other conditions because if subjective, these symptoms are quite similar and can lead to the wrong diagnosis of sinusitis, and then treatment will be ineffective, causing certain effects to the patient.
3. How to treat headaches caused by sinusitis
To relieve the symptoms of rhinosinusitis causing headaches as well as other symptoms of rhinosinusitis, the treatment of sinusitis headache includes 2 main methods: medical treatment and surgery:● Medical treatment:
Apply to cases of acute sinusitis as well as some cases of chronic sinusitis. Patients will be prescribed antibiotics when there are signs of sinusitis due to infection, antihistamines if it is allergic sinusitis, antifungal drugs in case of fungal sinusitis, decongestants..
Besides, drugs such as anti-inflammatory, analgesic, expectorant, decongestant, cough suppressant, nasal cleaning solution, topical antiseptic, steroids... are also prescribed to Support the treatment of sinusitis.
For decongestants, it will have the effect of draining the sinuses, helping the sinuses to become more open, but it is necessary to use this medicine according to the indications and instructions of the treating doctor, do not arbitrarily use it. to avoid the side effect of making the patient worse, or lead to a vasodilating reaction secondary to worsening nasal congestion.
● Surgery
This is a treatment method applied to patients with chronic sinusitis who have abnormalities in the anatomical structure of the nasal septum, nasal sinuses or the appearance of tumors inside the sinuses. Medical treatment with the above drugs did not respond.
Phẫu thuật điều trị viêm xoang mạn tính
BSCK II Nguyen Van Thai was formerly a Doctor of Otolaryngology and Head and Neck Surgery at the Department of Otolaryngology - Hue Central Hospital with more than 17 years of treatment experience, especially in the field of Head and Neck Surgery. Currently, he is an Otolaryngologist at the Inter-Specialist Clinic of the Department of Medical Examination and Internal Medicine, Vinmec Da Nang International General Hospital.
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