My Nose Always Gets Very Stuffy On The Side Of Migraine(usually My Right)sinus Headache Or Prodrome?

Question

Asked by Max

My Nose Always Gets Very Stuffy On The Side Of Migraine(usually My Right)sinus Headache Or Prodrome?

I am 51 yrs old and a pediatrician my self.I have had headaches since childhood,worse over time,more frequent, always start with stuffy nose and headace starts on the same side.I do get "ice-picks",and mostly nausea, some times vomiting which actually makes the headache better.After I take my med(maxalt or immitrex) my nose runs and it gets really cold and tingly.I feel it may be allergy related and I know that weather is a trigger.I have tried allergy meds with mixed results. There is a strong family history of migraine,Dad and 2 sisters, each with a different type of trigger.

Answer

Hi Max,

One of the most important things is to have an accurate diagnosis. To simplify matters and make it easier for people to get information and treatment, doctors usually go by the gold standard for diagnosis, the International Headache Society's International Classification of Headache Disorders, 2nd Edition (ICHD-II). Under ICHD-II, there is really no diagnosis of "sinus headache," although we do see it is used. You can read more about the importance of a correct diagnosis in The Type of Migraine Does Matter.

The information in this article, Sinuses Giving You a Headache? It's Probably Migraine, may be very helpful. Probably the most important thing is if you are having three or more attacks a month, it is time to talk to your doctor about Migraine prevention. There's growing evidence that Migraine is a progressive brain disease. A recent study showed that Migraines can cause brain damage, and that people with three or more Migraines a month are more susceptible to this damage. For more information, see Is Migraine a Progressive Brain Disease? and Yes, Migraines Can Cause Brain Damage.

One last thought, if your

If your doctor isn't able to help you, it may well be time to consult a Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.

I hope this helps,

Nancy

Answered by Nancy Harris Bonk