Chronic sinusitis is less likely to have headache as the main complaint, while acute sinusitis, especially acute frontal sinusitis, is more likely to be accompanied by severe frontoparietal swelling and throbbing pain. Therefore, sinusitis rhinogenic headache is easier to diagnose and anti-inflammatory treatment is effective. However, the headache symptoms of non-sinusitis rhinogenic headache are not as severe, but it is difficult to make a clear diagnosis and is often misdiagnosed and mistreated. The disease is prolonged and recurrent. It seriously affects study, work and life.
Non-sinusitis rhinogenic headache symptoms: 1. Adults mostly have migraine headache, the site of which is mostly at the inner canthus, nasal root, eyebrow arch and temporal side (temple), or each headache attack starts from the inner canthus and eyebrow arch, and then radiates to the temporal side until half of the head is in pain, with nausea, vomiting and cold sweat when severe. The headache is often relieved after vomiting, and can also be relieved by sleep. The nature of headache is various, such as vague discomfort, hidden pain, dullness, pressure, numbness, etc.
2. In adolescents, the headaches are mostly swelling and pain in the middle of the forehead and the top of the head, door pain, dullness, pressure, numbness, etc. Some of them are migraine headaches, and in severe cases, the headaches are unbearable, with nausea or even vomiting and cold sweating. Vomiting and sleep can relieve the headache.
3. Correlation between headache and transnasal breathing: Most of them have nasal blockage and poor transnasal breathing first, and then headache attacks. However, there are a few patients with inspiratory headache and blocked nasal cavity to see relief of headache.
Therefore, the diagnosis and differential diagnosis of non-sinusitis rhinogenic headache requires a doctor with clinical experience (not an article doctor) to patiently and carefully inquire into the medical history, meticulously examine the nasal cavity and, if necessary, assist in sinus CT examination to clarify the cause and formulate a targeted treatment plan.