Hello and Welcome to Ask A Doctor. I have read your query and here is my advice. Initially migraine headaches are on one side and throbbing, pounding, or pulsating. The headache usually becomes constant and generalized. The headache can be followed by sleep or awaken the adolescent from sleep. A family history of migraine is present in about 70% of the patients. There are numerous precipitating factors which include: -excessive noise -confusion -illness -pizza, cheese, chocolate, citrus fruits, hot dogs, lunch meats -extreme exertion -loss of sleep -stress -bright light -cold food A sinus headache causes a person to have a feeling of fullness or ache behind or above the eyes. It may be accompanied by nausea and vomiting. Hope I have answered your query. If you have any further questions, I will be happy to help. Arnold Zedd, MD FAAP