### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello doctor,i am suffering from sinus problem for the past one year.i am female 33 yrs.Frequently i am getting headache whenver i take headbath. my doctor told me to take x-ray and the result was normal sinuses.I am having severe pain in middle of the head and sidesalso.He told problem is very serious and asked me to take ct scan. I dont want to take that.He gave some medicines altiva 120,moxikind cv 375

### output:

Thanks for contacting ChatDoctorI am sorry to hear that you have been having persistent sinus headaches. Your doctor has already taken x-rays of your sinuses and found no infection. Your doctor then went ahead and prescribed an antihistamine and a course of antibiotics and I assume you continue to have headaches. In my clinic I see people who have been diagnosed with sinus headaches for years and no documented abnormal Sinus x-rays or CT scans. I then question whether they actually had sinus problems in the first place. Typically, people with migraine headaches will complain of sinus congestion and pain. If these headaches cause you to stop what you are doing and lose work or time with family then you more than likely have migraine headaches. For this I usually recommend taking a Tristan medication like Limited to help abort the headache. Another frequent cause of sinus headaches is TMJ or temporal mandibular joint syn Chat Doctor.  This headache or facial pain starting in the end around the jaw that can radiate into you head and sinus areas. This is frequently associated with a clicking or popping at the TMJ. For this I recommend an anti-inflammatory like Naproxen and possible dental referral for a bite guard. At this time I would not recommend taking a CT scan since your initial X-rays have been negative. I would ask your doctor if any of the above problems could possibly cause your headaches. Hope I answered your question. Please contact us again with your medical concerns.