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You wake up every morning with a throbbing pain behind your forehead or cheeks that doesn’t go away after a cup of coffee or over-the-counter pain medication. As the day progresses, you feel increasingly congested, and even breathing through your nose becomes a challenge. You might chalk it up to seasonal allergies or stress, but what if the real issue is chronic sinusitis?

Chronic sinusitis affects millions of people each year and can often mimic other common ailments. Dr. Robert Guida, our double-board-certified facial plastic and reconstructive surgeon and otolaryngologist based in New York City, frequently sees patients who are surprised to learn their persistent headaches and sinus issues are actually part of a larger problem.

In this article, we explore why chronic sinusitis leads to headaches and the signs and symptoms to look for. Recognizing the signs can make all the difference in getting the right treatment.

Why does chronic sinusitis lead to headaches?

Chronic sinusitis occurs when the sinuses—air-filled cavities in your face—become inflamed and swollen for three months or longer. This inflammation can block normal mucus drainage, leading to a buildup of pressure in the sinus cavities.
This pressure often causes sinusitis-related headaches. When the sinuses are unable to drain, they create a feeling of heaviness or pain, particularly around the eyes, forehead, and cheeks. The location of your headache may even indicate which sinuses are affected. For example, pain in the forehead may suggest frontal sinus involvement, while discomfort behind the eyes could point to issues with the ethmoid sinuses.

Signs and symptoms indicating your headaches are really caused by sinusitis…

Nasal congestion that won’t go away

If you’ve been dealing with a stuffy nose for weeks—or even months—it might be a sign of chronic sinusitis. Unlike temporary nasal congestion from a cold, the blockage associated with sinusitis is persistent and often comes with difficulty breathing through one or both nostrils. This congestion may also worsen when you lie down, which can affect your sleep.

Facial pain and pressure

Do you feel constant pressure or tenderness in your face? Chronic sinusitis often causes pain around the affected sinuses, which can be mistaken for dental issues or tension headaches. The discomfort may intensify when you lean forward or engage in activities that increase pressure in your head, such as exercising or flying.

Postnasal drip and a persistent cough

A telltale sign of chronic sinusitis is postnasal drip, the sensation of mucus draining down the back of the throat. This can lead to a chronic cough, especially at night, when lying flat worsens the drainage. Postnasal drip can also irritate the throat, leaving it sore or scratchy.

Reduced sense of smell or taste

Have you noticed that food tastes less good or that your favorite scents seem muted? Chronic sinusitis interferes with your ability to smell and taste because of the swelling and blockage in your nasal passages. For some, this can linger even after other signs have improved.

Persistent fatigue

Living with chronic sinusitis can take a toll on your energy levels. The constant battle with sinus inflammation and drainage can leave you feeling drained, even after a full night’s sleep. Fatigue is often compounded by poor sleep quality due to nasal congestion or coughing fits.

Thick, discolored nasal discharge

Another common symptom of chronic sinusitis is thick, discolored nasal discharge, often yellow or green. This mucus may drain from the nose or down the back of the throat, causing further irritation. Unlike the clear discharge associated with allergies, this type of mucus is a sign of an underlying infection or prolonged inflammation.

Ear pain or pressure

Chronic sinusitis doesn’t just affect your nose and throat—it can also impact your ears. You might experience a feeling of fullness or pressure in your ears, similar to what you’d feel during a change in altitude. This can sometimes lead to temporary hearing loss or ear ringing (tinnitus).

Bad breath that lingers

Persistent bad breath, or halitosis, is another surprising symptom of chronic sinusitis. The bacteria and mucus buildup in your sinuses can create an unpleasant odor that doesn’t go away, even with regular brushing and mouthwash.

When to seek professional help

If these symptoms sound all too familiar, it’s time to consider that your headaches and other issues may not be isolated problems. Chronic sinusitis is a treatable condition, but it requires an accurate diagnosis and personalized care plan.
Dr. Robert Guida, with his extensive experience in sinus surgery and facial plastic surgery, can help you determine whether chronic sinusitis is the root cause of your discomfort. Schedule a consultation with Dr. Guida today to explore your options for effective treatment. With his expertise, you’ll be on your way to breathing easier and living headache-free again.

Contact Us 212-871-0900