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Suggest Treatment For Fatigue, Occasional Sinus Discomfort And Pressure

Posted on Fri, 22 May 2015

Question: Greetings. I have always experienced occasional sinus discomfort at different tines of the year, but lately I now notice that I have sinus pressure very frequently whenever it gets very cloudy outside. It is rather predictable and of course I always find relief with pseudophedrine and Tylenol.

But my question is why do I experience them now more frequently just when the weather
becomes cloudy. Even overall fatigue or discomfort which does not exist when the weather is actually with rain or snow??. I know if is sometimes referred to as barometric headache. Is there a way of dealing with this proactively? Thank you.

Answered by Dr. Dr. BR Hudda (1 hour later)

Brief Answer:
This could be chronic sinusitis following exposure to cloudy weather

Detailed Answer:
Hello Greetings
Barometric headache develops due to change in weather conditions or altitude.
If you are to much sensitive to the environmental changes thano there are chances that you may get headache

Your clinical picture is somewhat different
In my opinion you might be having chronic sinusitis due to exposure to clouy environment

I would like further information to help you better
Site of pain( is it over sinuses or generalised headache)
Do you have running nose, sneezing and thick nasal discharge during or after an attack

You need not to worry, you should visit an ENT specialist as per your convenience for examination and a battery of tests like blood work up and an X ray PNS ( paranasal sinuses)
If it is a chronic problem than it can be corrected with FESS( functional endoscopic sinus surgery)

Proactive measures
Steam inhalation and deep breathing exercises
Cover your nose and face during such an environment
Stay indoor during cloudy weather
multivitamin and vitamin C supplements

Hope this answers your question
follow up questions are most welcome
wish you good health

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. BR Hudda (34 minutes later)

Thank you for your interesting reply. I don't have any discharges at all, just a sense of pressure, especially in the higher sinus area. No pain, but most of the time it is when the sky starts getting cloudy. No sneezing or runny nose. I do take vitamin C and multi. The pseudopherine and tylenol always resolves the discomfort until the next day of cloudiness. Sometimes I also notice it when there is wind. My only concern has been it has become more frequent than it used to be. So it is somewhat mysterious to me.

Answered by Dr. Dr. BR Hudda (2 hours later)

Brief Answer:
Could be chronic sinusitis

Detailed Answer:
Hello
Thanks for your reply

This could be a sinus problem like chronic sinusitis.

Blood vessels physiologically get narrowed due to cold temperature. My theory is that cold and cloudy weather induces narrowing and congestion which in turn blocks sinus opening leading to pain. Though things are not clear, I believe you should consult an ENT specialist while in pain. X-ray PNS can verify the problem. Surgery may be needed for correction.

Thanks for using our services
Best wishes

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Above answer was peer-reviewed by : Dr. Prasad