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The Weather Report inside my head (Sinus and Migraine locked in competition)

March 16th, 2008

Sniffly with a chance of coughing?  Yesterday’s migraine has transitioned into today’s sinus infection.  You don’t really want to hear about the nasty greenish glop going down the back of my throat!  I seem to have two major weather systems duking it out in here.

I’m going to try to make sense here, but the brain is not quite up to par today, so no promises.  It’s hard to think with stuff pressing on the brain – whether that’s from the inflamed blood vessels of a migraine or from blocked up sinus cavities.

I’ve been wondering for some time about the sinus/migraine connection.  In a thought-provoking article, Sinuses giving you a headache?  It’s probably Migraine! Teri Robert tells us that ” nearly 9 in 10 people with sinus headache symptoms likely are suffering from Migraines,” and Migraine not only causes pain in the sinus area, but can lead to nasal congestion as well! According to a research study  presented in 2004 at the 46th Annual Scientific Meeting of the American Headache Society (AHS), “real” sinus headache is only present when there is a sinus infection, which typically involves fever, lots of green or yellow mucus, and swollen lymph nodes.I have to say, as one who has clear and obvious Migraines, (pounding pain in one or both temples, with extreme light and sound sensitivity) and clear and obvious sinus infections (with the green glop of doom, swollen glands and fever), the study raises as many questions as it answers.  To quote Teri Robert further:

Ironically, researchers believe a few of the people in the study may have acquired sinus infections as a result of having a Migraine. Lengthy Migraine attacks can lead to swollen nasal membranes and closed off sinus passages, creating the perfect environment for an infection, said Dr. Eross.

I had one neurologist (not a headache specialist) tell me my sinus problems are probably Migraine.  Without asking any further questions about my history, it sounds like he read the research, but I don’t think he was giving me useful information.  I don’t generally have those suspect sinus “headaches,” I have months of recurrent infection symptoms.

This is the essential chicken and egg dilemma.  Do my Migraines lead to sinus infections? Does the pressure and swelling of infection trigger Migraines?  Both look likely from my own history.  My internist is intrigued by the question but has no answer for me.  I’ve got my hopes pinned on the headache specialist appointment in June.   What difference does it make?   If I can work out a good preventive regimen for either ailment, I’d love to have it help both!

In the meantime, I try to live in the way that will best take care of both the sinuses and the Migraine brain, which for me involves avoiding dairy, keeping my supplements up (including magnesium and B for the head and C and zinc for the immune system), eating in a way that takes care of my gut (high fiber, not a lot of processed foods, using a pro-biotic supplement), keeping my nasal passages moist with a neti pot and saline spray, and using relaxation to keep the ole brain calm cool and collected (more or less).

Megan Oltman

Free my Brain from Migraine Pain, Free my Head from Sinus Dread?

Vitamin photo courtesy of DRB62/Daniel R. Blume

Gargoyle photo courtesy of ClatieK/Katie Claypoole

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Posted in Communicating, Managing, Medicine | Comments (1)

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