Hello and welcome to health care magic, I am Dr Sriram Nathan, an ENT surgeon and I will try to help you out with your problem. Bye your description I would postulate that you may have a sinus headache and sinusitis or a sinus problem is the cause of your headache as your description is very typical. The postural increase and also increase during throat clearing is very characteristic of a sinus headache. In any case I would recommend you to do these- - do steam inhalation with menthol and see if this helps - take a CT PNS that is scan of the nose and sinuses and get back to me or any ENT surgeon with the report - try relaxation technique like yoga or meditation and see if that reduces the severity - the most common cause of headache is tension and a sinus headache will get aggravated by tension. So try reducing your stress levels - I am assuming that your blood pressure is under control and you do not have any respiratory infection which also can cause these headaches Hope to hear from you after the scan and then I can help you out better If you have any more doubts feel free to ask get well soon regard Dr Sriram Nathan

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hello again, Like I mentioned earlier it could be just a tension headache but a CT is the best way to get a diagnosis of sinusitis and also to grade the severity. It is now one of the baseline investigations in the management of headache and it's very helpful. The crackling in the nose could be due to many causes most of them related to sinusitis and deviated septum. Alternatetively even Eustachian tube dysfunction can cause such noises. In any case if you do have sinusitis then the discharge and collection due to sinsusitis can also cause this sound. This is another reason why I asked you to get the scan done. If the scan is normal then you have nothing to worry about. Hope this helps regards Dr Sriram Nathan

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hello again, I understood your concern about the scan! the scan for sinusitis is not to look for a tumour which is actually a rare cause of headache but to assess and diagnose the severity of sinusitis. Although the scan can also very well rule out the tumour so you don't have to worry As I mentioned before, a CT of the PNS is the baseline investigation in any headache currently Dry air can very well increase any type of headache, both tension and sinus headache especially if you are not very used to the same so I would advice you to try and avoid the exposure if possible. Nasal spray is primarily used to relieve nose block which you have not mentioned and thus I will assume you do not have the same. If you do have nose block then even that can cause headache and this can be treated with a combination of nasal spray and medications but even this can be started after a baseline scan has been taken In summary what I would suggest is that if you are having a headache which is bothering you at least once a week then it is better to get it evaluated by an ENT and a scan of the sinuses will be the basic investigation for the same. Even if the headache is happening rarely, there is no harm in ruling out any serious cause which though are rare but will at least put your mind at ease. hope this helps regards Dr Sriram Nathan

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