Typically, the pain is in the front of the face, around one or both eyes, though as there are four different sets of sinuses, the site of pain coming from each is slightly different. Pressure ewer the affected sinus causes an instant increase in pain; and the pain also worsens when the head is bent down towards the knees (because the pressure of the blood pooling in the veins adds to the pressure inside the sinuses). Anything that increases the pressure or the amount of fluid in the sinuses will increase the pain, so often sinus pain is worse on lying down. You may wake with a headache, which will go after being upright for a time as the blood-vessel congestion reduces slightly. However, pain from the frontal sinus can sometimes start an hour or two after getting up, and then get better in the afternoon.

What else could it be?

Pain centred around an eye could be migraine (but in migraine there are usually changes in the vision, together with vomiting). The pain of glaucoma settles round one eye, but the eye is usually inflamed and the vision will be blurred; pain radiating from the back of the neck in a tension headache or in cervical spondylosis can be sensed in one eye, but there won’t be a raised temperature, and the pain won’t increase much if you bend or lie down.

Toothache and sinus pain can often be very difficult to tell apart, particularly as some of the upper front teeth, especially the upper canines (the ‘eye teeth’, slightly pointed ones just to the side of the front of the mouth) have their roots embedded in the bottom wall of the bone that forms one of the sinuses. A root abscess in a tooth here (that’s an abscess at the very end of the root of the tooth) can be excruciatingly painful and, just like sinusitis, can also give more pain if you put your head down. However, the offending tooth is often very tender when touched or banged, and the pain doesn’t normally increase when pressure is put on the hone overlying the sinuses (though pressure on the bone under the gum certainly Increases the pain).

In addition, a nasal-sounding voice, a history of nasal allergies, or pus dripping down the nose are usually pretty obvious indicators that the pain is sinus rather than dental. However, in difficult cases you may need to see both doctor and dentist — sinus and dental X-rays may be necessary before the diagnosis can be made with certainty.

Just occasionally sinus pain which doesn’t go away with treatment can indicate a 11 nicer of the sinuses, so if your pain doesn’t get better, be sure to check with your doctor — though in most cases, it will be simply because the bacteria responsible for the infection are resistant to the antibiotics that are being used.

finally, high blood pressure can give the same pattern of headaches — worse on rising — but there won’t be facial tenderness, and, obviously, your blood pressure will be high.


Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Reddit
  • StumbleUpon
  • Yahoo! Bookmarks
  • LinkedIn
  • Twitter

Related Posts: