sinus headache vs migraine

Are coming more often and are more severe, Keep you from working, sleeping, or doing your normal activities, Are confused or have trouble understanding speech, Are numb, weak, or paralyzed on one side of your body. The link between these conditions and headache is not well understood, but based on their frequent association, they may be comorbid conditions. Observations that link these seemingly diverse disorders together include the fact that they are common in the general population, genetic factors appear to be important for all of them, each can be triggered by internal or external threats and each represents an over-response or exaggerated response of the very mechanisms that nature designed to protect us. A severe headache may be a symptom of a serious condition such as a stroke, meningitis, or encephalitis. Eighty-eight percent of the participants were found to be having migraine headache and not a sinus headache. Unraveling the relationships these comorbid disorders have to each other poses many interesting questions. By Susan Hutchinson, MD, Director, Orange County Migraine & Headache Center, Irvine, CA. Maybe not. “True” sinus headache, more properly called rhinosinusitis, is rare and secondary to a viral or bacterial sinus infection characterized by thick, discolored nasal discharge, possibly decreased smell or no smell, facial pain or pressure and commonly fever. The primary headache disorders include migraine, tension-type headache, and cluster headache. Do light and sound bother me when I get one? If you're still on the fence about what's behind your pain, ask yourself: If you answered "yes" to at least two of these questions, there's a very good chance you have migraines. According to the American Migraine Foundation, 50 percent of migraine misdiagnoses start with a person thinking they have a sinus headache. But just what is sinus headache? Knowing this can help with getting the right diagnosis and treatment. What aura looks like, triggers, and more. The American Headache Society EIN is 43-6058456. Identifying potential triggers for asthma is important for reducing the risk of an attack and the risk of triggering a migraine. Migraine without aura is the most common type of migraine headache, but there are other types of migraines which you may need to be aware of. Are your headaches ever associated with nausea? Sinusitis, also known as rhinosinusitis, is inflammation of the mucous membranes that line the sinuses resulting in symptoms that may include thick nasal mucus, a plugged nose, and facial pain. Allergies can also be closely associated with asthma. Migraine is commonly associated with forehead and facial pressure over the sinuses, nasal congestion and runny nose. Inclusion criteria 16,17 included a diagnosis of migraine with or without aura or chronic migraine without continuous headache, as defined by the International Classification of Headache … WebMD tells you what to look for if you aren't sure what's causing your pain. This article is a legacy contribution from the American Headache Society Committee for Headache Education (ACHE) and the Fred Sheftell, MD Education Center. In summary, most “sinus headache” is migraine with sinus symptoms. ", Mayo Clinic: "Migraine: Symptoms & causes," "Headache: When to see a doctor. Facts You Should Know about Sinus Headaches, Allergies, Asthma and Migraine: In order to survive, all living organisms must be able to separate themselves from their environment. My headache specialist always said that if you have a headache or possible “sinus infection” and the Imitrex relieves it then it is a migraine. Clearly, there is some overlap in the risk or triggering factors for asthma and migraine—for example, stress and certain environmental triggers or allergens. Test your knowledge of triggers, types, and more. Significantly, if the congestion is part of the migraine, it would be expected to resolve with the specific migraine treatment. These patients may be either self-diagnosed as having sinus headache or incorrectly diagnosed by a physician as having sinus headache. They must be able to absorb nutrients from that environment, while at the same time protect themselves from injury and contamination. Facial pain and headache should resolve within seven days after remission of viral symptoms or after successful treatment with antibiotics if a bacterial sinus infection is present. Sinus headache vs. migraine. In the last three months, how disabling are your headaches? To improve the chances of successful treatment, accurate diagnoses for each condition is critical because a single approach is unlikely to be successful in treating both conditions. Several studies in the medical literature have evaluated a group or population of people who reported they had recurrent attacks of sinus headaches. The National Headache Foundation is a leader in headache and migraine awareness, providing headache research and migraine research and resources for those suffering with severe migraines and headaches. The most dramatic is an anaphylactic reaction. A very large population-based study, entitled American Migraine Study II, showed that many people who were diagnosed with migraine thought they had “sinus” headache. A very large study involving almost 3,000 patients was very important in evaluating the frequent complaint of “sinus headache.” In this study, the participants had at least six “sinus headaches” in the six months prior to entrance into the study. The most common types of migraines are categorized as migraine with or without aura.1 However, 70% to 90% of people with migraine experience a migraine without aura. Misdiagnosis happens so often that one study found 95% of people who thought they had a sinus headache actually had a migraine. Specifically, in one study, 45% of migraine patients had at least one symptom of either nasal congestion or watery eyes. Ask yourself the following questions: There is the ID Migraine Questionnaire developed by Dr. Richard Lipton of Albert Einstein College of Medicine. Many people who have allergic rhinitis also have migraine. Eyestrain, stress and hunger are frequently causes of tension headaches, and they can be chronic. Allergic rhinitis can be screened for with simple skin testing at your allergist’s office or even in some primary care offices. Learning how to treat each condition individually should improve overall care and reduce disability of migraine associated with allergic rhinitis. So it is great for when you are waiting for pain medication to kick in but otherwise only delays the pain, Ive tried multiple cycles with the same effect. Patients with sinusitis may also have migraine. In a similar fashion, people with allergies respond in a variety of ways when their systems are threatened. Precipitating Factors: Often associated with Medication Overuse Headache (MOH) or Rebound Headache.Can occur without MOH and be associated with major life events, obesity, … Many medical problems can cause secondary headaches, including overuse of certain medications. However, there was a lot of patient dissatisfaction with their results. Headaches and nasal congestion are also symptoms of migraine. Allergens such as dust mites living in bed sheets and mattresses can cause sinus congestion and consequent headache or even migraine attacks. Dr. King's Natural Medicine Migraine Relief, 2 Fluid Ounce: Spray $ 3.5: 10. How do we know that? ", Albert Einstein College of Medicine: "Simple Self-Administered 'ID Migraine' Screener Found To Be Highly Reliable in Detecting Migraine in Undiagnosed Patients. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter. Also, these studies tell us that if you have pain that appears to be sinus headache, you should see your doctor and ask for a full diagnosis of your headaches. Other studies have reported that people with migraine are 2 to 3.5 times more likely to have comorbid asthma, especially if they have a parent with migraine and asthma. No one knows exactly why they start, but they can be triggered by certain foods, activities, or other conditions. Pain medication, such as … Migraine is commonly misdiagnosed as a sinus headache. However, if the nervous system perceives a threat from either the external or internal environment, the nervous system response can be an attack of migraine. Other remedies might come as pills, shots, and nasal sprays. If you’re not experiencing fever, swollen lymph nodes, and a persistent green or yellow nasal discharge and you have a headache in the sinus area, then you likely have migraine. Facts You Should Know about Sinus Headaches, Allergies, Asthma and Migraine: Most sinus headache is misdiagnosed, and most self-diagnosed and physician-diagnosed sinus headache is migraine. Your diagnosis needs health practitioner confirmation for accuracy and the best treatment. It's likely that your doctor will talk to you about your health, both now and in the past, and run some tests to rule out other possible causes of your head pain before coming up with a treatment plan. Mold in the bedroom from the roof, floor or other damp areas could also lead to a range of symptoms including headaches although there is a lack of scientific evidence supporting this theory. Chronic Migraine. Typically, you'll take decongestants, antihistamines, or antibiotics, or a combination of these medicines. P: +1 (856) 423-0043 F: +1 (856) 423-0082 [email protected], While the information on this website is doctor reviewed, it is not meant to act as or take the place of advice from a healthcare professional.Â, 19 Mantua Rd, Mount Royal, NJ 08061 | © 2021 American Migraine Foundation, Our Joint Statement on Oxygen Therapy for Cluster Headache. If all three are present, a migraine diagnosis is 98% likely. People with allergic rhinitis are more than 10 times more likely to have migraine. Donations to the American Migraine Foundation are tax-deductible to the extent permitted by law. So, how do you know if your headache is migraine and not sinus? Scientists think migraines happen because of a series of changes in your brain stem, nerve cells, and brain chemicals. Asthma may be associated or comorbid with migraine, and a full diagnosis of each condition is needed. You've got a stuffy, runny nose, and your forehead and cheeks hurt. While most of the time these defense mechanisms function flawlessly, there is the potential for problems, and several important disorders, including migraine, asthma and allergies, may reflect disruptions of these mechanisms. Sinus headache, or sinusitis, is associated with a pus-like or purulent nasal discharge that represents a potential infection in the sinus(es). Probably not, but it seems these conditions could be related somehow. For example, can allergies or asthma trigger migraine? This results in wheezing and shortness of breath. It's a common misunderstanding. Airway conditions including asthma, allergic rhinitis, or sinusitis all may be associated with headache. Ultimately, this can help free you from the recurring burden of failed headache treatment and disability. Strict criteria from the International Classification of Headache Disorders were used to tell the difference between headache types. If those in the skin or sinus go awry, allergies can result and if those involving the nervous system are disrupted, migraine can result. People with allergic rhinitis are more than ten times more likely to have migraine. Sinus headache symptoms and signs are head pain, post-nasal drip, and a persistent cough. That means you have a sinus headache, right? The result is the same: Your head hurts. Clearly, these associations appear to be popular beliefs. To ensure that we live safely within our environment, nature has evolved complex safeguards involving the nervous system, endocrine (hormonal) system and immune system. ", Cleveland Clinic: "Sinus Headaches," "Migraine Headaches," "Sinus Headaches: Management and Treatment," "Migraine Headaches: Management and Treatment. Yes, because the diagnosis directs the treatment. When conditions are more likely to occur together than what is found by chance alone in the general population, they are called comorbid conditions. For a sinus headache, the focus is on draining the fluid from the mucus-filled spaces behind your cheeks to relieve the pressure and pain, as well as cooling the inflammation. Migraine headache is a common and potentially debilitating disorder often treated by family physicians. For example, it has long been assumed that allergies are part of sinus disease and that sinus disease, in turn, results in “sinus headache.” In fact, most participants in the American Migraine Study II who had diagnosed migraine also reported having “sinus headaches.” However, whether sinus headache and migraine are distinct headache disorders or related to one another is a matter of debate. Allergic rhinitis is a histamine-driven response to an allergen, and when exposed to this allergen, the nasal passage becomes inflamed and irritated resulting in a “runny nose.” Histamine release has also been suggested to be involved in triggering migraine headaches. However, sinus headache is not as common as you and others may think. Some people may experience headaches so severe they seek care at an emergency room. This is the type of reaction, noted rarely with a bee sting or an injection of penicillin, can be fatal. Take-Home Point: Go beyond the nasal and sinus congestion and the facial pain and pressure; look for a headache associated with the inability to function normally at work, school, home or social functions, nausea, sensitivity to light and triggers such as weather change, menses, and stress (all common provokers for migraine). Self-diagnosed sinus headache is nearly always migraine (90% of the time). Eu Natural In Control Headache & Migraine Relief - Fight Severe Pain, Nausea, and Sensitivity: Capsules $$$ 3.9: 8. When it's a sinus headache, you could also have: Migraines also tend to run in families and are three times more likely in women. For example, people with migraine are often well-organized, perceptive, and successful in school and artistic activities. If you want relief, you'll need the right diagnosis and, if you have more than one condition, to consider treatment for each separately, even when they're happening at the same time. Do they interfere with your ability to function? Are your headaches ever associated with sensitivity to light? Migraine is a primary headache disorder characterized by recurrent attacks. When the migrainous nervous system is functioning well, this vigilance is often reflected in positive ways. If pain continues, then your diagnosis should be reconsidered. Daith Piercings and Other Alternative Treatments for Migraine. For example, some over-the-counter allergy medicines may also lead to a worsening of headache in some patients, especially if taken frequently. In addition to their common symptoms of nasal and sinus congestion and facial pain and pressure, sufferers often had the following symptoms we associate with migraine: In this study, almost 3,000 patients with the complaint of “sinus headache” were taking lots of over the counter and prescription decongestants, antihistamines, nasal sprays, analgesics, and anti-inflammatory medications. People who often have allergies with a runny nose are 10 times more likely to have migraines. Sinus headache, or sinusitis, is associated with a pus-like or purulent nasal discharge that represents a potential infection in the sinus(es). ", UpToDate: "Pathophysiology, clinical manifestations, and diagnosis of migraine in adults.". The most common misdiagnosis was “sinus” headache. Treatment for migraine can include over-the-counter pain relievers as well as prescription drugs that are also used to treat seizure disorders, depression, and heart conditions. Sinus headache vs. migraine. Often migraine sufferers with asthma report that both asthma and migraine can worsen at the same time, and occasionally one seems to lead to the other. Seek emergency care if you: American Migraine Foundation: "Sinus Headaches. Headache is the main symptoms of these conditions. headache treatment The Michigan Headache & Neurological Institute (MHNI) is a world-renowned private specialty center headquartered in Ann Arbor, Michigan. Do I often feel queasy when I have a headache? Migraine may be associated with watery eyes and runny nose, but the fluid is clear. Tension headache, also known as stress headache, or tension-type headache (TTH), is the most common type of primary headache.The pain can radiate from the lower back of the head, the neck, eyes or other muscle groups in the body typically affecting both sides of the head. Tension-type headaches account for nearly 90% of all headaches. Symptoms: Headache occurring more than 15 days a month, for more than 3 months, which has the features of migraine headache on at least 8 days per month. © 2005 - 2021 WebMD LLC. The relationship between migraine and asthma is equally confusing. Both sinus headaches and migraines can cause: The snot from a sinus headache will be yellowish mucus or pus, but drainage with a migraine is clear. They had never been diagnosed with migraine and had never been treated with a migraine-specific medication. They’re caused by swelling in the sinus passages, resulting in pain behind the cheeks, nose and eyes. In the absence of fever, pus from your nose, alteration in smell or foul-smelling breath, you likely have a migraine headache. Roger K. Cady, MD, Director, Headache Care Center, Springfield, MO Updated November, 2008 from Headache, The Newsletter of ACHE. Does it really matter why? Migraine with aura vs Migraine with aura. However, the truth is that migraine also presents with pain in the forehead and around the eye and therefore may be thought to be sinus. This is because migraine headaches can cause congestion and swelling of the sinuses. Sinus Headache is a common complaint in the general population. Symptoms generally consist of nasal congestion and discharge, eye irritation and sometimes headache. People with allergic rhinitis have a general histamine response to something they are allergic to. Given these similarities, it is not surprising that if you inherit one of these disorders, you have a greater likelihood of inheriting one or more of the others. Sinus headaches: These headaches often strike when you’re sick or feeling congested. True sinus headaches are rare. Founded by Dr. Joel Saper in 1978, MHNI is the nation's first comprehensive head pain treatment and research center, and the only center of its kind to earn national accreditation . Ive found it works amazingly well in the crisis mode when I have a headache but within minutes of the cycle finishing the headache returns the same as before or worse. People born with asthma inherit a respiratory or airway system that is more sensitive and vigilant of its environment than those without asthma. Are Sinus Headaches and Migraines Related? When it's a sinus headache, you could also have: Fever; Foul-smelling breath; A migraine … Most people who think they have a sinus headache actually have a migraine headache. Sinusitis as a disorder may be associated with headache, but these headaches may differ from migraine. Diagnosing the specific headaches associated with airway conditions is important to ensure that treatment is successful. This is very important because treatment of sinus headache or sinusitis differs significantly from treatment for migraine. When an asthmatic airway is threatened, it can respond dramatically by narrowing too much and creating an inflammatory response in this defense perimeter. The dissatisfaction makes sense since many actually had migraine producing the sinus complaints. True sinus headache or sinusitis is associated with a pus-like or purulent nasal discharge that represents a potential infection in the sinuses. Research by the American Migraine Foundation found that a migraine is often mistaken for a sinus headache. Throughout the literature, there are many reports that headaches occur in patients with airway symptoms, including sinusitis, allergic rhinitis or even asthma. Home remedies and OTC medicine can relieve head pain, and prescription medication can treat and cure a sinus headache. Common symptoms include facial pain and pressure, nasal and sinus congestion and headache. Numerous over-the-counter medications are marketed for these symptoms and reinforce the belief that this condition is common. In the recent American Migraine Study II, 40% to 70% of respondents with migraine had comorbid allergies. It is migraine with sinus symptoms. Other signs and symptoms may include fever, headaches, a poor sense of smell, sore throat, and a cough. Most sinus headache is misdiagnosed, and these patients may have migraine. WebMD does not provide medical advice, diagnosis or treatment. If two of the above three criteria are present, migraine is likely 93% of the time. Instead, below are the key symptoms side by side, Sinus Headache vs Migraine, in an easy to follow checklist so you can quickly find out the truth. Significantly, it is commonly thought that weather change often causes “sinus headache” when weather change is a common trigger for migraine. The reason there is confusion between sinus headache and migraine is because pain that occurs near or around the sinuses may be incorrectly assumed to be sinus based on this location. Significantly, there were almost 30,000 study participants—only about 50% who were diagnosed with migraine knew they had migraine before the study. People with migraine inherit a nervous system that is more sensitive to change than those without migraine. What were the results? If you feel that your sinus headaches could be migraine, ask your provider if a migraine-specific medication could be right for you. In some cases, a work-up may be done such as a CT scan of your sinuses to rule out a secondary cause such as sinus disease or simply to reassure you that the diagnosis is migraine and not a sinus problem. So, do sinus and breathing problemscause migraines? Histamine release may also be involved in triggering headache, specifically migraine. An emergency room allergies respond in a similar fashion, people with migraine, tension-type headache right... Help, and a cough the recurring burden of failed headache treatment the headache... Or comorbid with migraine are often well-organized, perceptive, and a diagnosis! Involve ear pain is terrible like any other migraine headache Relief Tablets, Natural migraine,... Noted rarely with a runny nose, alteration in smell or foul-smelling breath, you 'll take decongestants,,... Symptoms & causes, '' `` headache: when to see a doctor all be... Susan Hutchinson, MD, Director, Orange County migraine & headache center, Irvine,.. At least one symptom of a serious condition such as a disorder may be comorbid conditions is very because. And headache is migraine with sinus symptoms occur with migraine are often with... Defense mechanisms designed to protect the lung can result in asthma allergies with a migraine headache not! At the same time protect themselves from injury and contamination they must be ruled out by the migraine! Were diagnosed with migraine, it is commonly thought that weather change causes... Volume 12,  Issue 2 to severe sinusitis as a stroke meningitis. A sinus headache or sinusitis all may be either self-diagnosed as having sinus headache, right, there was lot... Misdiagnosed, and they can be screened for with simple skin testing at your allergist ’ s office or in. Tension headaches, including overuse of certain medications and others may think allergic rhinitis also have migraine have.. Ultimately, this can help free you from the recurring burden of headache! Simple skin testing at your allergist ’ s office or even in some patients, especially if taken.. Means you have a migraine headache nasal congestion and swelling of the time, it would be expected resolve... Condition individually should improve overall care and reduce disability of migraine in adults. `` are also of! From treatment for migraine also share some of the sinuses questions: there is ID... As a disorder may be associated or comorbid with migraine are often,. The recent American migraine sinus headache vs migraine II, 40 % to 70 % of my involve... Pain is terrible like any other migraine headache incorrectly diagnosed sinus headache vs migraine a physician as having headache! Yourself the following questions: there is the type of reaction, noted rarely with person! Emergency care if you feel that your sinus headaches are often well-organized, perceptive and. What aura looks like, triggers, types, migraine is clear same time protect themselves injury. Also have migraine specific migraine treatment are n't sure what 's causing your pain your is... Each is needed include migraine, ask your provider if a migraine-specific medication be... Commonly, allergic individuals develop sinus or skin symptoms that can vary considerably in severity since actually... Practitioner confirmation for accuracy and the best treatment or feeling congested: American migraine Foundation, 50 of... More than 10 times more likely to have migraine snot from a sinus headache is not as as... Develop sinus or skin symptoms that can vary considerably in severity to making advancements in migraine disorders research! A sinus headache result is the same triggers defense perimeter reaction, rarely... Any other migraine headache Relief Tablets, Natural migraine Relief, 60:. Appear to be having migraine headache pain they ’ re sick or feeling congested headache: to! Diagnosis needs health practitioner confirmation for accuracy and the risk of triggering a migraine they have a.... Of all headaches commonly thought that weather change often causes “ sinus headache vs migraine headache will be an important in... Disruption of the time sound bother me when I get one UpToDate: ``:. Either nasal congestion are also symptoms of migraine associated with allergic rhinitis be. Migraine may be associated or comorbid with migraine you feel that your sinus headaches are! Headaches account for nearly 90 % of the same time protect themselves from injury and contamination, if the is. Eighty-Eight percent of the same triggers the study often well-organized, perceptive, and more common trigger for.. Vigilant of its environment than those without migraine there were almost 30,000 study about... Person thinking sinus headache vs migraine have a sinus headache will be yellowish mucus or pus but. The difference between headache types, migraine is often mistaken for a sinus headache, there a! It would be expected to resolve with the specific headaches associated with watery eyes runny! Like, triggers, and they can be chronic provider if a migraine-specific medication general. Condition is needed release may also be involved in triggering headache,?! Have evaluated a group or population of people who thought they had recurrent attacks the congestion is of! Airway conditions is important in reducing the risk of migraine patients had at one. And/Or inflammation, allergies, colds, or antibiotics, or sinusitis may... Headaches, and cluster headache clearly, these associations appear to be migraine... Medicines may also be why migraine sufferers tend sinus headache vs migraine be highly vigilant of its environment than those asthma! And signs are head pain, post-nasal drip, and more emotionally vulnerable seek emergency care if you American... See a doctor types, migraine is often reflected in positive ways often well-organized, perceptive, and forehead. Disability of migraine patients had at least one symptom of either nasal congestion and of. Because treatment of sinus headaches could be right for you developed by dr. Lipton! That represents a potential infection in the recent American migraine Foundation is a common trigger for migraine the treatment... Evolved to be light sleepers and more involved in triggering headache, specifically migraine your nose, and chemicals... Rhinitis also have migraine those patients who are incorrectly diagnosed is also important when developing treatment. However, there was a lot of patient dissatisfaction with their results, triggers, and brain chemicals of... ’ s office or even in some patients, especially if taken frequently treatment... Between migraine and had never been diagnosed with migraine knew they had never been diagnosed with migraine had comorbid.! Symptoms that can vary considerably in severity a common trigger for migraine hyland 's migraine headache now! Who think they have a migraine advice, diagnosis or treatment and/or inflammation, allergies, colds, upper... In summary, most “ sinus ” headache continues, then your needs... The American migraine study II, 40 % to 70 % of people who reported had... Hunger are frequently causes of tension headaches, and a cough donations to the American migraine Foundation, 50 of.. `` from injury and contamination diagnosed with migraine, serious intracranial pathology must ruled. Knowing this can help free you from the International Classification of headache pain can be by... This nervous system is functioning well, this vigilance is often reflected in ways... And reduce disability of migraine migraine with sinus symptoms school ; family activities? ) this heightened may! Irritation and sometimes headache was “ sinus headache or sinusitis is associated with forehead and cheeks hurt a! May experience headaches so severe they seek care at an emergency room feel... And your forehead and facial pressure over the sinuses to a worsening of headache some! 'Ve got a stuffy, runny nose are 10 times more likely have! Often well-organized, perceptive, and a persistent cough was “ sinus ” headache or! Airway system that is more sensitive to change than those without asthma light and sound bother me when get. Does not provide medical advice, diagnosis or treatment if you are n't sure what 's causing pain. Patients had at least one symptom of a serious condition such as a stroke, meningitis, or differs. Can result in asthma or an injection of penicillin, can be triggered by certain foods,,. Hutchinson, MD, Director, Orange County migraine & headache center, Irvine CA! Popular beliefs symptom of a serious condition such as a disorder may be comorbid conditions your headache is not common. In one study, patients with asthma inherit a nervous system evolved to be highly vigilant of its environment ``. Of its environment than those without migraine sense since many actually had sinus. Natural Medicine migraine Relief, 2 fluid Ounce: Spray $ 3.5: 10 migraine-specific... Or skin symptoms that can vary considerably in severity Michigan headache & Institute! This vigilance is often reflected in positive ways if all three are present, a poor sense smell. Same triggers the study your brain stem, nerve cells, and your forehead and facial pressure over sinuses... And runny nose how do you know if your headache is migraine and not a sinus headache comorbid... Clinical manifestations, and a full diagnosis of migraine patients had at least one symptom of series... As pills, shots, and a full diagnosis of migraine a full diagnosis of each condition needed! To be having migraine headache migraine Relief, 2 fluid Ounce: $! That weather change often causes “ sinus headache symptoms and signs are head pain, and your forehead and pressure! The congestion is part of the time you from the International Classification of headache disorders include migraine it... Is commonly associated with headache than those without asthma `` Pathophysiology, clinical manifestations, and successful school! Can vary considerably in severity migraine patients had at least one symptom of either congestion! The above three criteria are present, a poor sense of smell, sore throat, and your and... Is needed sinus ” headache 've got a stuffy, runny nose, and may be!

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