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Gateway Reporter

Wednesday, December 4, 2024

DC doctor: ‘Sinus headaches are a referred pain caused by inflammation’

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Dr. Manish Khanna | Capitol Breathe Free

Dr. Manish Khanna | Capitol Breathe Free

  • It's estimated that 70-80% of the population experiences headaches, with around 50% experiencing them at least once a month.
  • Allergies and sinus problems are common triggers for some of these headaches.
  • It is advisable to consult a doctor if headaches occur more than 15 days per month and over-the-counter medications fail to provide relief.
Headaches are one of the most common side effects of sinus and allergy problems. According to Dr. Manish Khanna of Capitol Breathe Free, headaches can be caused by inflammation in the sinuses.

“Sinus headaches are a referred pain caused by inflammation and blockage of a sinus cavity which is causing those nerves to fire and it transmits the pain in the patient's facial area,” Dr. Khanna told the Gateway Reporter. “Now, whether it's behind the cheeks, whether it's in the forehead and the temples, It’s really anywhere in the head depending on which sinuses are involved.”

Your sinuses are air-filled spaces inside your forehead, cheekbones, and behind the bridge of your nose. When they get inflamed—usually because of an allergic reaction or an infection—they swell, make more mucus, and the channels that drain them can get blocked. According to WebMD, the build-up of pressure in your sinuses causes pain that can feel like a headache.

There are many common allergies that can lead to headaches. These include allergic rhinitis, also known as hay fever, food allergies, and histamines. If you have a headache along with seasonal and indoor nasal allergies, it’s more likely due to a migraine headache rather than allergies. However, pain related to hay fever or other allergic reactions may cause headaches due to sinus disease.

At times, allergies related to sinus disease can cause headaches. Although it’s a good idea to discuss taking any medication with your doctor, you can address certain allergies—and allergy-related symptoms such as headaches—with preventive steps and OTC medications. If your allergies get to a point where they’re interfering with your day-to-day activities, schedule an appointment with your doctor for a full diagnosis and possibly a referral to an allergist.  

Sinus headaches are associated with pain and pressure in the face and sinuses and can cause nasal symptoms such as inflammation of the sinus, nasal congestion, pain, pressure and fullness in your cheeks, brow, or forehead, worsening pain if you bend forward or lie down, stuffy nose, fatigue, and an achy feeling in your upper teeth.

According to Capitol Breathe Free's website, Dr. Manish Khanna earned his undergraduate degree from the University of Maryland, Baltimore County. The following year, he completed postgraduate research at the National Institutes of Health. In 2002, he obtained his medical degree from Albany Medical College. where he later completed both his surgical internship and residency, serving as chief resident until 2007. After his residency, he pursued a fellowship in rhinology, specializing in advanced endoscopic sinus surgery, at the California Sinus Institute in Palo Alto, California. He completed this fellowship and achieved board certification in otolaryngology—head and neck surgery in 2008 before returning to the D.C. metro area.                  

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