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Wednesday, 27 November 2013

Sinusitis - Headache/Sinus headache - The Symptoms

Sinusitis is defined as a condition of inflammation of the paranasal sinuses of which can develop headache as a result of exposure to a cold or flu virus, or an allergic reaction to pollen, mold, dust or smoke, etc..Sinusitis affects 37 million people each year.

II. Symptoms 
1. Congestion
In children, congestion is more likely to treat with Nasal saline as a result of diagnosed with rhinorrhea from sinusitis. Unfortunately, nasal saline irrigation have been found in children. In the study of 61 Children met inclusion criteria. 73% of parents initially thought that nasal saline irrigation would be helpful, but only 28% thought that their children would tolerate the treatment. 93% of children made an attempt to use nasal saline irrigation and 86% were able to tolerate the treatment. 84% of parents whose children attempted nasal saline irrigation noted an improvement in their child's nasal symptoms. 77% of children that attempted nasal saline irrigation continue to use this treatment for symptom relief. 93% reported an improvement in their child's overall health that they attributed to this treatment(1)

2. Cough
Cough is a symptom of sinusitis, but one can rarely expect isolated persistent or recurrent cough as the only symptom(2)


3. Runny nose
Runny nose is common symptoms of Sinus headache as a result of nasal cavity filled with a significant amount of mucous fluid. Some researchers found that Runny nose may sometime but not frequent caused by infection of the paranasal sinuses(3), a group of four paired air-filled spaces that surround the nasal cavity.

4. Headache
Sinus headache may be actually migraine, in a study of  Prevalence of Migraine in Patients With a History of Self-reported or Physician-Diagnosed "Sinus" Headache, Dr. Curtis P. Schreiber, MD and the team showed that 88% of patients with a history of "sinus" headache were determined to have migraine-type headache. In patients with recurrent headaches without fever or purulent discharge, the presence of sinus-area symptoms may be part of the migraine process. Migraine should be included in the differential diagnosis of these patients(4)


5. In the review of mechanisms of the symptoms of rhinosinusitis, here are many symptoms(4), all of them are caused by inflammation of the sinuses and inflammation of the lining of the nose.
a.  four primary symptoms used to diagnose rhinosinusitis: nasal obstruction, nasal discharge, facial pain and loss of sense of smell
b. cough, sneezing, sore throat and voice changes, epiphora, fever, and psychological effects and fatigue(5a)
c. Others suggested that Migraine may be responsible for many headaches thought to be caused by the sinuses. Patients complaining of "sinus headache" must have a complete ear, nose, and throat examination. Occasionally, chronic headaches may arise from the sinuses; a thorough history is important to search for symptoms of facial pain and pressure along with other nasal sinus symptoms(5b)

6. Etc. 

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Sources
(1) http://www.ncbi.nlm.nih.gov/pubmed/22266167
(2) http://www.ncbi.nlm.nih.gov/pubmed/17767602
(3) http://www.ncbi.nlm.nih.gov/pubmed/3074104
(4) http://archinte.ama-assn.org/cgi/content/abstract/164/16/1769
(5a) http://www.ncbi.nlm.nih.gov/pubmed/21751530