Brief Answer:
Headaches which are more likely MIGRAINE not SINUS

Detailed Answer:
Good evening. Your symptoms are quite compatible with MIGRAINE type of headache despite your report of postnasal drip. You mention that OTC remedies have not helped which would be expected if in fact the cause of your headache were either sinus congestion or allergies. Also, taking too much OTC medication itself is a risk factor for precipitating migraine like symptoms.

If your doctor prescribed amoxicillin for a supposed upper respiratory INFECTION then, I would ask for verification by way of other clinical assessment data such as purulent phlegm or nasal discharge, FEVER of 101 degrees or above and of course, a CT of the sinuses that clearly demonstrate acute congestion of the sinuses. Please don't accept an explanation of a NEGATIVE CT SCAN meaning that you have sinus congestion that "can't be seen...." I hear this explanation told to me by patients and I have no idea why any physician or other health care professional would use such an answer to explain headaches as you describe since MIGRAINE HEADACHES are a very likely and reasonable explanation for what you're describing.

My advice is to keep detailed track of your headaches on a HEADACHE DIARY which you can get on the internet....lots of different versions of them. And then, to find either a neurologist or headache specialist who can correctly interpret your data and treat it appropriately. My guess is that you've had similar episodes to what you're describing in the past...maybe even in your younger days. Or perhaps, you even suffered from migraine headaches in your 20's or 30's which then, subsided postmenopausally....but we know very well that the epidemiology of migraine headaches is such that there are actually 2 peaks of incidence that occur in the population.

The one that most people and doctors know about occur in a person's 20's and 30's...but there is another peak incidence rate which occurs in the 60's and 70's....the old adage that menopause "cures" migraines in women is not exactly precise and I have many patients in my headache clinic who unfortunately, have a recrudescence of their terrible headaches later in life and since neither they nor their healthcare providers are thinking that their headaches can really return....they are forever treating them with antihistamines, antibiotics, and all sorts of other rather questionable treatments that never quite work and the person then, falls into a vicious cycle of taking tons of unnecessary and even exacerbating medications that really do not confer any relief of significance.

The trigeminal nerve which is believed to be the progenitor cranial nerve of importance responsible for relaying nerve impulses from the face, sinus cavities, and other parts of the head resulting in migraine headaches is highly integrated in the clinical picture you describe often misinterpreted as sinus and allergy pathology.

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This query has utilized a total of 42 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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