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Suggest remedy for severe headache and pressure in head

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Posted on Mon, 14 Dec 2015
Question: I have had two rounds of antibiotics and steroids but continue to have extreme sinus pressure in my head. The pressure is so extreme it causes a helmet type headache. I can also hear the swish sound in my head as blood flows through. I have to take a pain killer to relieve headache. Could this still be a sinus infection or does it sound like extreme allergies?
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Answered by Dr. Sumit Bhatti (49 minutes later)
Brief Answer:
Take supportive medication or get sinus imaging done.

Detailed Answer:
Hi,

Thank you for your query.

1. By definition, a sinusitis that lasts for more than ten days or recurs, is likely to be a bacterial sinusitis.

2. It is not clear if you have also taken anti allergic medications and decongestants. If not, these supportive medications along with steam inhalation should be taken.

3. If there is still no relief, a Sinus X-ray, or preferably a plain Sinus CT will settle the diagnosis.

4. If the infection was not resistant, then after two courses of antibiotics, there should be no infection, only blocked sinuses and secretions. A nasal endoscopy and nasal swabs should be helpful.

5. Extreme allergies would present with more allergic symptoms such as sneezing, nasal discharge, congestion, eye symptoms and less of fever and pain.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2658 Questions

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Suggest remedy for severe headache and pressure in head

Brief Answer: Take supportive medication or get sinus imaging done. Detailed Answer: Hi, Thank you for your query. 1. By definition, a sinusitis that lasts for more than ten days or recurs, is likely to be a bacterial sinusitis. 2. It is not clear if you have also taken anti allergic medications and decongestants. If not, these supportive medications along with steam inhalation should be taken. 3. If there is still no relief, a Sinus X-ray, or preferably a plain Sinus CT will settle the diagnosis. 4. If the infection was not resistant, then after two courses of antibiotics, there should be no infection, only blocked sinuses and secretions. A nasal endoscopy and nasal swabs should be helpful. 5. Extreme allergies would present with more allergic symptoms such as sneezing, nasal discharge, congestion, eye symptoms and less of fever and pain. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.