Hello,

Thanks for your detailed response.

Following should be the consideration of the diagnosis four your present headache and one month old cough;

1) Sinusitis; it is good that you have been started with the antibiotics. It can take almost 72 hours for antibiotics to show the effects on the symptoms. Decongestants also would be helpful.

2) Post nasal drip; this is one of the commonest cause for persisting cough in your age group. Two to three weeks antihistaminics should be able to take care of it. Cyproheptadine is one of the best for it.

For the headache, you can take alternate four hourly Ibuprofen and acetaminophen. This should relieve it; meanwhile antibiotic and antihistaminic should start working.

Alarming signs would be fever, vomiting or vision disturbances, which would warrant visit to emergency facility.

Please feel free for your follow up questions.

Dr. Arun

Hi,

Headache, hurting ear, cough point to upper respiratory tract infection. In the absence of fever, serious causes like encephalitis or meningitis can be ruled out which also have vision problems, nausea, neck stiffness also. The other causes of headache are primary headaches which are divided into three;

1) tension type headache; commonest

2) migraine

3) cluster headache; rare

A tension type headache can be another consideration which do respond to rest, analgesics, local analgesic ointment, massage, acupressure etc.

So a concomitant sinusitis with tension type headache would be the most likelihood diagnosis. Your present symptoms also point to the almost same conclusion by your examining physician.

It is pleasure and privilege assisting you.

Dr. Arun