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Suggest Treatment For Migraine And Sinus Infection

Posted on Fri, 16 Jan 2015

Question: Dear Sir / Madam. Please help me. I have had this issue for circa two years and my local GP and hospital cannot diagnose or solve the problem. I have chronic throbbing on the right side of my face in the nasal region and feel like there is pressure in my sinuses but only on the right side. My eye on the right feels lazy and the muscles of the eyebrow and around this eye and cheek fell heavy and pulsate and are not functioning properly. My neck muscles on the right hand side feel tight and spasm. My eye feels like it wants to close. In the past I have also had spasm of the muscles in my neck and right side of my mouth - perhaps something to do with the facial nerve on the right hand side of my face. I have constant throbbing behind my nose and right eye although zero discharge or mucus typical of a sinus infection, Please help me as this is affecting my daily life now.

Answered by Dr. Abubakar Siddiqh (1 hour later)

Brief Answer:
Looks like migraine, needs evaluation.

Detailed Answer:

Hi,

I have gone through your question and understand your concerns that you are having facial pain since 2 years. I would like to ask you few more details.

Is there any nausea or vomiting?
Is your facial pain episodic or continuous?

Kindly get back to me with the details.

Here my possibility and further management:

As per your clinical details, it appears to be migraine or trigeminal neuralgia.

I suggest you to consult ENT surgeon and give detailed history (migraine, trigeminal neuralgia), ENT examination, and diagnostic nasal endoscopy (to see any source of infection), if necessary CT scan brain (to see any vascular anomalies). Depending on the examination, treatment can be started.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Abubakar Siddiqh (3 hours later)

I have no vomiting. Although a persists t cough. I believe it to be some sort of sinus infection causing pressure behind my eye which is affecting its function. My right nasal passage is swollen but with no signs of infection. An off the shel decongestant spray seemed to subdue the swelling this morning. There is something swelling affecting my eye function.

Continuous throbbing pulsation on right side only affecting eye, nose and teeth.

Answered by Dr. Abubakar Siddiqh (3 hours later)

Brief Answer:
seems to be sinusitis, needs evaluation.

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

As per symptoms looks like ethmoidal or sphenoidal sinusitis, which can cause pain around the eye (pressure symptoms), with trickling of secretions into throat (post nasal drip) can induce cough.

Kindly go ahead for the investigations, what, I have already mentioned.

Hope, I have answered your query.

Take care.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T