Headaches for 3 weeks, sinus, hard to sleep?

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Full Question:

I have been having headaches off and on for about 3 weeks now. I suffer from bad sinus and I live in Ohio. I wake up with a headache, I go to bed with a headache. I have notice that it's very hard for me to go to sleep at night. At times it fills like someone has hit me up side the head until I take some aleve or something. However I have been under a lot of stress lately. Is this something I should rush to the er for? Annie.

Full Answer:

Dear Annie;

After three weeks of this, you should have seen your personal physician. Unexplained headaches should always be investigated, and your own doctor is the place to start. Unless it's a true emergency, the ER is one of the worst choices for headache diagnosis and treatment.

There are a couple of clues in your question that you need to mention to your doctor:

  • Sinus. Sinus headaches are very rare unless infection is present. Nearly 90% of what people think are sinus headaches are actually Migraines. You can read more about that in _Sinuses Giving You a Headache? It's Probably a Migraine _.
  • Waking with a headache and your sleep. The most common triggers for waking with a headache or Migraine are sleep issues:
    • too much sleep
    • too little sleep
    • disrupted sleep
    • poor quality sleep
    • irregular sleep schedule
There's information on this in our video [**_Migraines, Headaches, and Sleep_**](http://www.healthcentral.com/migraine/c/123/77700/video-migraines).

We hope this information give you a starting point for a good discussion with your doctor.

Good luck,
John Claude Krusz and Teri Robert

If you need help finding a   Migraine and headache specialist,

visit our listing of _Patient Recommended Specialists _.

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Dr. Krusz is a recognized expert in the fields of headache and   Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and   Migraines. You can read more about _ Dr. Krusz_ or more about _** Teri Robert** _.

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