[30M] Experiencing persistent frontal headache with sinus pressure

What might be happening

Based on the information you have provided, possible diagnoses include:

• Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, particularly in the front of the head, and can be associated with nasal congestion and discharge. The fact that massaging the area provides some relief also suggests this possibility.

  • Treatment typically involves managing symptoms with over-the-counter pain relievers, decongestants, and saline nasal spray. If symptoms persist for more than a week or worsen, a doctor may prescribe antibiotics.

• Tension Headache: These are often associated with stress and can cause a constant ache or pressure around the head, especially at the temples or back of the head and neck. However, your description of the location of the pain doesn't fit perfectly with this diagnosis.

  • Treatment typically involves over-the-counter pain relievers and stress management techniques.

• Migraine: These are severe headaches often accompanied by other symptoms such as sensitivity to light, which you mentioned. However, you've indicated that this headache feels different from your usual migraines.

  • Treatment typically involves over-the-counter or prescription pain relievers. Preventive medications can also be used if migraines are frequent or very severe.

What you can do

1. Try over-the-counter pain relievers for your headache, such as ibuprofen or acetaminophen. Be sure to follow the instructions on the bottle.
2. Use a humidifier or take a hot shower to help with nasal congestion.
3. Stay hydrated and get plenty of rest.
4. If your symptoms persist or worsen, seek medical attention. A healthcare provider can provide a more accurate diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if you experience:

• A sudden, severe headache like a thunderclap
• Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
• Headache after a head injury, especially if the headache gets worse
• A chronic headache that is worse after coughing, exertion, straining or a sudden movement
• New headache pain if you're over 50

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.