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Can You Have a Sinus Headache Without a Runny Nose?

February 24, 2025

Sinus headaches are often associated with nasal congestion and a runny nose, but is it possible to have a sinus headache without these symptoms? Many people experience facial pressure and head pain and wonder whether their sinuses are to blame. Understanding the causes of sinus headaches and how they differ from other types of headaches can help you determine the best course of action for relief.

For same-day headache treatment, visit the walk-in clinic at AFC Urgent Care South Plainfield. Our board-certified medical providers are here to help diagnose and treat your condition seven days a week. Just walk-in today!

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Reasons For a Sinus Headache Without a Runny Nose

Sinus headaches occur as a result of the sinuses in your forehead, cheeks, or behind your eyes getting irritated or inflamed. But here’s the thing– you don’t necessarily have to have congestion or a runny nose for that pressure to be there. Here’s what might be behind it:

1. Allergies: Pollen, dust, mold, and pet dander– these allergens don’t just make you sneeze. They can irritate your sinuses, without generating any mucus. If your headaches worsen during allergy season, but you’re not swimming in tissues, allergies may be the culprit.

2. Air Pressure: Changes in air pressure or even in the weather can affect the pressure in your sinuses. This can leave you with that stuffy-headed sensation without the congestion. Your sinuses attempt to compensate, but they aren’t always successful, and instead of mucus you may experience sinus-related headache pain.

3. Dry Air: Winter heat, air-conditioning or dehydration can irritate your sinuses, leading to inflammation. No mucus, just discomfort.

While you can have a sinus headache without a runny nose, it is uncommon. Most sinus headaches are accompanied by nasal symptoms such as congestion, a runny nose, or postnasal drip. However, there are cases where sinus inflammation causes pressure without noticeable drainage.

Could It Be Another Type of Headache?

Many headaches mistaken for sinus headaches are actually tension headaches or migraines. Key differences include:

  • Tension Headaches: Typically cause a dull, aching pain around the forehead and temples, often due to stress or muscle tension.
  • Migraine: Can cause severe head pain, nausea, and sensitivity to light and sound, sometimes with facial pressure that mimics a sinus headache.
  • Cluster Headaches: Cause intense pain around one eye and may include nasal congestion, but without widespread sinus involvement.

When Should You Go to Urgent Care?

Most sinus headaches aren’t anything serious and can be managed with:

  • Drinking more water
  • Using a humidifier
  • Steam inhalation
  • OTC pain relievers

But going to urgent care may be the best move if you have:

  • Intense facial pain that won’t go away
  • A fever higher than 101F for more than 3 days
  • Changes in vision, dizziness or confusion
  • Swelling around your eyes or in your cheeks
  • Persistent symptoms that don’t improve in 10 days

Get Walk-In Headache Treatment at AFC Urgent Care West Orange

If your headache symptoms persist, a healthcare provider can determine whether your headache is truly sinus-related or if another condition is the cause. Proper diagnosis and treatment can help you find lasting relief from chronic headaches and facial pain. By understanding the symptoms and characteristics of each headache and seeking medical guidance when necessary, you can take proactive steps to manage your health and feel your best all year long! Need symptom relief? Come visit us at AFC Urgent Care South Plainfield! Our walk-in clinic is open seven days a week to serve your urgent care needs and treat your illness symptoms. If you have any additional questions about the services we provide, please contact us directly at (908) 222-3500.

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