Skip to content
CleaStart with Clea
Australia’s clearer way into migraine care.See how Clea works
Start with Clea
Migraine LibraryUnderstand migraine

Sinus headache or migraine?

Facial pressure, congestion and pain around the eyes are often labelled sinus headache, but migraine can cause similar symptoms.

About 2 min read · Australian context where available
Checking review recordSource references are available below.
KEY POINTS

The short version.

01

Migraine can cause nasal symptoms

02

True sinus headache usually accompanies active sinus disease

03

Repeated 'sinus headaches' deserve a migraine review

In this guide · 7 sections

Why they get confused

Migraine can cause facial pain, watery eyes, congestion and pressure around the forehead or cheeks. Those symptoms can look like sinus disease even when infection is not the cause.

Clues that point toward sinus disease

Fever, thick coloured nasal discharge, marked smell loss and other signs of acute rhinosinusitis support a sinus cause more than migraine. A clinician can help distinguish the two.

Understanding sinus headache or migraine?

Sinus headache or migraine? can be part of the wider migraine picture, but the meaning depends on timing, frequency, associated symptoms and whether this is a familiar or changing pattern for you. Clea focuses on helping you organise those details rather than turning one symptom into a diagnosis.

How it fits into migraine

Migraine is a neurological condition that can affect pain, sensory processing, balance, thinking, mood and the gastrointestinal system. Symptoms can occur before, during or after head pain, and some migraine attacks occur without prominent headache.

What else can look similar

Many symptoms are not specific to migraine. A clinician may need to consider other headache disorders, medicines, sleep, infection, hormonal factors, eye or ear conditions, musculoskeletal problems, neurological disorders or other causes depending on the symptom and examination.

What to notice

The useful question is not simply whether sinus headache or migraine? happened once. Look for a repeatable pattern across attacks: when it appears, how long it lasts, what other symptoms occur with it and how much it changes normal activity.

  • Timing and duration
  • Frequency
  • Symptoms that occur with it
  • Impact on work, school or daily life
  • What you tried and what happened next

What to track in Clea

Record headache or migraine days, severity, associated symptoms, medicines used and the context around the episode. Several weeks of consistent observations are usually more useful than trying to prove a cause from one attack.

  • Headache and migraine-like days
  • Severity and function
  • Associated symptoms
  • Acute medicine days
  • Anything that changed around the pattern
SOURCES AND FURTHER READING

Go to the original sources.

Medicine and treatment information changes.

Clea checks source material, but PBS listings, medicine information and treatment access can change. Confirm current details with the TGA, PBS, your pharmacist or treating clinician.

How Clea sources and reviews migraine information →
KEEP EXPLORING

There is always more context.