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Using Budenase Nasal Spray. Getting Headache Due To Sinus. Suggest A Remedy For Repeated Sinus Attacks?

Posted on Tue, 31 Jul 2012

Question: I've been using Budenase nasal spray on doctor's recommendation for the past 6 years almost on a daily basis. Nevertheless, I get headaches quite often especially when i go out in the sun for too long, not eating at the proper time, etc fo which I pop in a 'dart' tablet and I feel better in 20 mns. But over the past few weeks, i've been having headaches due to sinus related issues almost every two days and i'm having to pop in a 'dart' every single time. Can you pls suggest a remedy for repeated sinus attacks?

Answered by Dr. Dr. Naveen Kumar Nanjasetty (1 hour later)

Hi

Thanks for the query

According to the symptoms you have described, it seems to be you are suffering from more of migraine rather than allergic rhinosinusitis.

The potential causes of migraine are:
1. Allergies
2. Exposure to bright lights, loud noises, and strong odors or perfumes
3. Physical stress
4. Emotions
5. Lack of sleep
6. Smoking or exposure to smoke
7. Skipping meals or fasting
8. Menstrual cycle fluctuation
9. Consuming cheese, fizzy drinks, chocolates, ice cream, etc.

In most of the situations, during the attack of migraine there can be nasal congestion and many of the doctors treat this presuming it to be sinusitis. Vice versa even sinusitis can cause migraine because of the stress.

My advice to you to is to get a CT scan of the paranasal sinuses done to rule out sinusitis. If the scan shows the features of sinusitis then it can be treated accordingly. Simultaneously, the treatment of migraine can also be started.

Also, try to avoid those situations and food that triggers migraine. The policy is 'Prevention is better than cure'. Drink plenty of water, do steam inhalation, eat plenty of fruits and vegetables, your symptoms will be alright soon.

Finally, use the steroid spray only when required, rather than using it everyday.

Hope I have answered your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Nanjasetty (18 minutes later)

Thank you Doctor for your detailed report. However, I'm not entirely sure its migraine as I do feel slight congestion and formation of phlegm when the pain starts. As soon as I take a 'dart' tablet, the sinus also seems to subside along with the headache

Answered by Dr. Dr. Naveen Kumar Nanjasetty (4 hours later)

Hi XXXXXXX

Welcome back,

The sensation of accumulation of the phlegm in the throat and nasal congestion following headache is typical of migraine. The relieving of the pain after taking the anti-inflammatory medicines is the classical way of the tissue response to the medicines. If it were to be sinusitis, only the headache would have been reduced with the dart but not the sinusitis. The treatment of sinusitis requires a saline nasal spray and a mucolytic with or without an antihistaminic.

Migraine headaches result from a combination of blood vessel enlargement and the release of chemicals from nerve fibers that coil around these blood vessels. The chemicals which are released by these nerves are suppressed by the anti-inflammatory medicines thus relieving the pain and the congestion.

Please visit a good ENT specialist as well as a neurologist for a complete evaluation.

Wish you good health

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar