The common causes of nasal congestion with headache are rhinitis, sinusitis, turbinate hypertrophy, nasal septum deviation, nasal polyps, and the initial stage of upper respiratory tract infection. According to the patient’s age, medical history, symptoms, signs and accompanying symptoms, it is possible to diagnose rhinitis or cold, nasal congestion with headache should check whether the body temperature is increased, if the body temperature is increased is mostly seen in the early stage of cold, due to viral infection or bacterial infection caused by acute tonsillitis or acute pharyngitis, both symptoms of nasal congestion, headache, accompanied by an increase in body temperature, headache is caused by an increase in body temperature. If the patient’s nasal congestion and headache are not accompanied by an increase in body temperature, there is no sore throat, but accompanied by a series of sneezing, headache is more serious can be considered sinusitis, in many cases rhinitis and colds are easily combined, according to the severity of symptoms and the early and late appearance of symptoms can make a diagnosis.