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A persistent heaviness of the head accompanied by stuffiness of the nose indicates that the patient may be suffering from a sinus infection or inflammation of the sinuses called as sinusitis.

Some of the signs and symptoms that are typically associated with Sinuitis involve the following:

1. Pain in the region of the face and head.

The nature of this pain can vary from being dull and throbbing to being acute in nature. One of the classical signs of this pain is that it is aggravated on moving the head suddenly as well as on blowing the nose. This pain may be referred to the teeth of the individual as well.

2. Stuffiness of the nose.

This can be infuriating for the patients, especially if it happens over and over and again as it causes a change in the tone of the voice, impacts the ability to perceive taste fully and is a social embarrassment as well.

Measures like the use of nasal decongestion sprays and medication may provide some temporary relief, however they are not effective in the long term.

3. Tiredness and lethargy

The feeling of having to carry around a weight on your head can be much more tiring than people expect. This is the reason why people who suffer from chronic sinusitis often complain of tiredness and a loss in energy.

This may also impact their performance in the work place or in academic pursuits.

This increased pressure in the head also leads to a deep sleep, which is sudden in onset as well as cause a ringing sensation in the ears.

Causes

Sinusitis can be caused due to an allergic reaction, an infection or anatomical features that prevent physiologic clearing. A combination of these causes can also be in play.

An ENT evaluation to help narrow down the possible causes will be necessary before the commencement of treatment.

Investigations

X-rays of the sinuses (PNS view) will be required to be done. Your doctor may opt to do an exploratory endoscopy to confirm whether there are any nasal polyps that are present inside your sinuses. Usually, this endoscopy is used to provide treatment as by clearing the accumulated mucus inside the sinus.

Treatment

The treatment of sinuses will involve one or combination of the following:

1. Anti allergic medication

Anti histamines are usually prescribed to help alleviate the symptoms caused from allergies. Since most of the allergies are to dust and other substances that are really difficult to avoid altogether, this medication may need to be taken for a long term basis.

2. Nasal decongestion sprays

These sprays will be used to prevent the sinuses from clogging up and particularly effective in prevention after the sinuses have been cleared.

3. Surgery

If non surgical options have been exhausted and the patient still reports a recurrence of the problem then surgery may be only option left. This procedure is performed to remove the polyp from the sinus as well as enlarge its opening to allow for physiologic clearing of the mucus from the sinus.

Surgery to remove a polyp is usually done only if it is particularly large in size, otherwise it will reduce in size itself as the inflammation in the sinus subsides.

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