Why do I have severe headache while bending down?

Patient's Query

Hi doctor,

Since, ten days, I have been suffering with flu and headache. I took tablet Zifi 200 mg and tablet Sinarest. But, nothing seems to be working. After taking the pills, the flu and headache disappeared temporarily for just one day and got back immediately. My wife too is having the same problem. Please help. Thank you in advance.

Answered by Dr. Shyam Kalyan N

Hello,

Welcome to icliniq.com.

I went through the details you have given. You seem to have a sinusitis infection. Well, for me to be sure, if you are having sinusitis, I would like to have some more information.

You are complaining of headache. Is it like a facial pain? Or like a brow ache? Is there any headache while bending down?

Do you get any temporary relief after taking tablet Sinarest or steam inhalation?

Are you having nose blockage or running nose?

If all the above conditions turn out to be positive, then for sure, you are having sinusitis.

I would like to know the following details, so that I can give you a better treatment plan. Have you taken the complete course of tablet Cefixime 200 mg for five days? Are you using nasal drops Xylometazoline 0.1% or Oxymetazoline hydrochloride 0.05% to relieve nasal blockage? Did you take steam inhalation?

In case if all the above mentioned suggestions were already tried and still you did not get any relief, then it could be because of allergy. Allergy could have resulted in sneezing, nasal congestion, itching and running nose.

For allergy, I would prescribe you to use Mometasone furoate (Nasonex) and Fluticasone furoate nasal spray.

Montelukast (Singulair) nasal spray is given to reduce allergic inflammation associated with nose.

To confirm if the cause is allergy, few investigations need to be done; We need to get absolute eosinophil count and Serum IgE (Immunoglobulin E) tests done.

To check for bacterial infection, a diagnostic nasal endoscopy must be performed. This test will in turn help us to get information regarding the pathology inside the nose and give us a clear idea as to what is causing the infection to not heal.

Finally, a CT scan of PNS (Paranasal Sinuses) should be taken. It will show the ostiomeatal complex and sinus drainage pathways and also show if any abnormality is present.

Some of the general measures you need to follow to get rid of headache and flu are:

Avoid smoking and drinking till you feel better.
Drink three to four liters of water daily (hot water).
Do not have chilled foods or drinks.
Take lots of steam inhalation.
Avoid direct exposure to sun. Stay away from dust, traffic, smoke and pollution.
Consume healthy and nutritious food along with vitamin supplements.

Wish you a speedy recovery.

For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist

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