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Pain in right side of head, around right eye, difficulty breathing, congestion. Treatment?

hi,i m a student with age 23 n female.some times contineously one day i m suffering with right side pain on head and the right eye around,its so difficult to study over the day, n m havng tention also a bit more.i din have any other health problems, but some days i feel very difficult to breath n i wont use my nose for braething mostly i use my mouth to breath if i take breat through nose i feel very in sufficien ..plz help me
Asked On : Mon, 18 Feb 2013
Answers:  3 Views:  44
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General & Family Physician 's  Response
Your symptoms suggest a chronic inflammation of the nasal pathways. In your case, chronic sinusitis must be excluded. Difficulties in using nasal route to breathe, unilateral headaches are classical for sinusitis.
This shall be confirmed through a physical examination with tenderness around the sinuses and specific X rays of sinuses called Hirtz and Blondeau incidences. Consulting an ENT specialist if fundamental for the confirmation and management of these symptoms. Treatment could range from antibiotics, inhalers, corticosteroids and pain killers. Left untreated, this evolve to form pus and require a more invasive sinus punctures to drain the pus.
Other differential diagnosis could be migraines, but only after chronic sinusitis has been excluded. Left untreated, complications like cerebral abscesses and meningitis. I would suggest you book a visit with your ENT specialist for a proper evaluation and management.
Thanks as I pray this helps,
best regards,
Luchuo, MD.
Answered: Mon, 18 Feb 2013
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Emergency Medicine Specialist Dr. R.A. Singh's  Response
Hi Divya,
Thanks for writing your query.

After reading your post, it seems that your headache is due to migraine. Migraine are single sided headaches and can be triggered by some factors like :-
1. Lack of sleep.
2. Missed meal.
3. Emotional/mental stress.
4. Physical exertion.
5. Dairy products.
6. Foods containing MSG.
7. Some perfumes/ bright light/ loud sounds.

You can judge which factors are increasing your headache and should avoid them.

You should also get yourself examined by a Neurophysician and Ophthalmologist and also get your head scanned to rule out other causes of single sided headache.

For relief of pain, you can take Paracetamol 500 mg along with Domperidone 10 mg.
If the pain is severe and persistent, you can take anti-migraine medicine like Flunarizine 10 mg at night after discussing with your doctor.

I hope this is helpful to you.
Answered: Mon, 18 Feb 2013
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Dermatologist Dr. Surajit Gorai's  Response
welcome to hcm.
at these age headache is very common problem.
does your nasal congestion follows headache or its reverse?
sometimes migranous headache is associated with autonomic sign symptoms like nasal congestion,lacrimation etc.
headache may also be due to sinusitis(cause of nasal congestion).
so you should be evaluated for nasal sinus diseases AND other causes of headache.
do you feel some spinning sensation/visual problem?
these are called 'aura'.
this is associated with classical type of migraine.
but common migraine may not have it.
tension headache is also a entity for which you should be evaluated.
so to diagnose your problem it need a complete examination.
please consult a medicine practitioner.
good luck
Answered: Mon, 18 Feb 2013
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