Dr. Dheeraj Kumar Jonnalagadda
Allergy Specialist
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My daughter is 20 years old and studying in a hostel. For the last one month, she is suffering from a headache. After taking painkiller it subsides and again it stars on the next day. So after three days, I consulted an ENT doctor, after examining and taking X-ray, he diagnosed it as sinus headache and gave antibiotics and painkillers for five days. She completed the course and while using the tablets she did not have a headache. Now, again she has a headache. Kindly advise whether the headache is really from sinusitis. Why am I doubting is that she has only headache with mild nose block and no other symptoms like discharge or fever. So, my doubt is whether it is sinus headache or not and if it is due to sinusitis why is it occurring even after completing the course of treatment?
Please help.
Hi,
Welcome to icliniq.com.
Headache can be of many reasons but while pertaining it to ENT, it is mostly due to sinusitis. For declaring the headache due to sinusitis you should have got a nasal diagnostic endoscopy done by an ENT surgeon or should get a CT scan of the paranasal sinus. X-rays are of the very very old generation and no one is using it as a tool to diagnose it. But since you have got the X-ray done, kindly share it along with the reports. Kindly understand that if at all the sinusitis persists the medical management which may completely reduce sinus infection is antibiotics up to 4 to 6 weeks (for a permanent cure) along with mucolytics, a short course of oral steroids and nasal spray if the patient is allergic to dust or pollen. If the above medical management fails then the patient has to be subjected to surgery which we can decide with a CT scan. As you have also mentioned regarding nose block a deviated nasal septum can also be a cause for headache. So kindly share the X-ray report.
Thank you.
Patient's Query
Thank you doctor,
He has not given the report but I have X-ray with me.
Hi,
Welcome back to icliniq.com.
Kindly take a visible picture of it against a white background and upload it so that I can suggest you further measures to be done.
Patient's Query
Thank you doctor,
I have attached the file.
Hi,
Welcome back to icliniq.com.
The attached X-ray does not show sinus infection (attachment removed to protect patient identity). Please check for the following. Whether the headache is while studying or concentrating on anything, it can be because of eye-sight (if so, please get it checked or if already using get the sight checked and rectified). Ask her whether the headache is on one side (which can be due to migraine ) or both sides of the face and does she have the heaviness of head on bending forward (which may be because of sinus infection). After ruling out all these if there is no other disease we will go for CT scan of the sinus to confirm disease in ruling out the sinus infection.
Patient's Query
Thank you doctor,
Please tell me what medicine she should be given for headache until further diagnosis.
Hi,
Welcome back to icliniq.com.
Kindly give her tablet Hifenac-P twice a day for five days, tablet Safpod (Cefpodoxime)-Clavunate 325 mg twice daily for seven days, tablet Razo-DSR once daily for five days.
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Allergy Specialist
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