Sinus Headache vs. Migraine: How to Tell the Difference
Many patients arrive convinced they have 'chronic sinus' because of throbbing headaches over their eyes or cheeks. However, genuine sinusitis has very specific physical signs that differ from migraines or tension headaches.
What Characterizes a True Sinus Infection?
A true sinus infection (sinusitis) involves inflammation of the mucosal lining of the sinus cavities.
Key hallmarks include thick colored (green or yellow) nasal discharge, nasal obstruction, and facial heaviness that worsens when bending your head forward.
You may also experience reduced sense of smell, dental ache in the upper teeth, and occasional low-grade fever.
When a Headache Might Actually Be a Migraine
Migraines often cause pain across the forehead and temples, and can activate autonomic nerves causing watery eyes or clear nasal dripping.
Unlike sinus infections, migraines typically feature sensitivity to light and loud sounds, nausea, and clear (not colored) nasal secretions.
How an ENT Specialist Confirms the Diagnosis
Diagnostic Nasal Endoscopy: A tiny illuminated camera allows the doctor to inspect the sinus drainage pathways directly without discomfort.
This confirms whether pus, swelling, or polyps are physically present in the sinuses before prescribing heavy antibiotics.
When to Consult an ENT Specialist
- ✓Facial pressure and discolored nasal discharge lasting more than 10-14 days
- ✓Severe swelling or redness around the eyes
- ✓Headache with fever and stiff neck
Need a personalized consultation?
Dr. Sandhya S. Patil is available at Swasthya ENT Centre in Banashankari, Bengaluru.