Here are the differences (generally) between migraines and sinus pain and some remedies for both scenarios. Migraines tend to pound on and off whereas sinus pain is a steady constant pain with pressure from the sinuses making this worse. Nausea tends not to be present with sinus pain but it often is with a migraine. Sinus problems will not be genetic but migraines definitely can be. Migraines often have an aura before onset but sinus pain will not.
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