Is There a Link Between Sneezing and Migraines?

Is There a Link?

Is There a Link Between Sneezing and Migraines?
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If you are a migraineur and you suffer from frequent sneezing and congestion, you may be surprised to know there is a potential connection between your head pain and your sniffles. Let's take a closer look at the connection between migraines and rhinitis — a health condition associated with frequent sneezing.

What is Rhinitis?

Rhinitis is a common medical condition that affects the nasal passages. It's characterized by at least one the of the following symptoms:

  • Sneezing
  • Runny Nose
  • Stuffy nose
  • Nose itching

What are the Types of Rhinitis?

There are a number of types of rhinitis. Here are common types:

  • Allergic Rhinitis: Seen in people with allergies. Typical triggers include tress, grass, pollen, mold, house dust mites, and pets.
  • Nonallergic Rhinitis: Nasal congestion and postnasal drip are main symptoms. Typical triggers include smoke and strong fragrances, like car exhaust, cleaning products, or perfume.
  • Mixed Rhinitis: Most common type of rhinitis, and includes both allergic and nonallergic rhinitis.
  • Occupational Rhinitis: Caused by allergens or irritants in an individual's place of work.

Is There a Link Between Migraines and Rhinitis?

A study in Cephalalgia examined the potential link between migraines and rhinitis. In the study, a questionnaire was mailed to approximately 18,000 individuals and returned by sixty percent. Six thousand of the respondents were identified as having migraines, and of these 6000 migraineurs, 66% were identified as also having rhinitis.

Of the migraineurs, the questionnaire inquired about the number of migraines per month, as well as the person's disability associated with their migraines, assessed by the Migraine Disability Assessment Scale (MIDAS)

Results showed that the frequency AND disability of migraines were higher in individuals with rhinitis.

Of the different types of rhinitis, individuals with mixed rhinitis were the most likely to experience an increased frequency of migraines and have more disabling migraines than those without rhinitis

What Does This Mean?

Remember, a link implies a possible relationship or association. It does not mean that one medical condition directly causes another. That being said, one of the biggest lessons to take away from this study is the potential coexistence of both rhinitis and migraines, especially in people who have both headaches and frequent sneezing or runny noses.

To dig a bit deeper, it's important to note that too often a headache in a patient with rhinitis is misdiagnosed as a sinus headache when it's really a migraine. This notion is supported by a study in Headache, in which 63% of patients who self-diagnosed themselves as having a sinus headache actually met criteria as having a migraine. Only 3% were found to have a headache attributed to the sinuses.

What is The Scientific Cause Behind This Potential Link?

The scientific basis for this link is not clear. Do migraines cause or exacerbate symptoms of rhinitis or vice versa? One hypothesis involves the trigeminal nerve, a large nerve in the face that supplies sensation and some motor or movement function. Rhinitis-associated inflammation and swelling in the nose may stimulate trigeminal nerve endings, causing pain signals to be sent to the brain. This leads to the development of a migraine.

Overall, more studies are needed to better understand this link.

Take Home Message

Be proactive in your healthcare. If you have both migraines and rhinitis, discuss your symptoms with your doctor. Effectively treating one condition, especially your rhinitis, may improve the severity and/or number of headaches you suffer. Additionally, what you may be self-diagnosing as a sinus headache may, in fact, be a migraine!


Eross E, Dodick D, Eross M. The sinus, allergy and migraine study. Headache. 2007;47:213–24.

Fletcher RH, Peden D. An overview of rhinitis. In: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.

Martin VT, Fanning KM, Serrano D, Buse DC, Reed ML, Bernstein JA, Lipton RB. Chronic rhinitis and its association with headache frequency and disability in persons with migraine: Results of the American Migraine Prevalence and Prevention (AMPP) Study. Cephalalgia. 2013 Nov 25. [Epub ahead of print].

Ozturk A, Degirmenci Y, Tokmak B, Tokmak A. Frequency of migraine in patients with allergic rhinitis. Pak J Med Sci. 2013 Apr;29(2):528-31.

DISCLAIMER: The information in this site is for educational purposes only. It should not be used as a substitute for personal care by a licensed physician. Please see your doctor for diagnosis and treatment of any concerning symptoms or medical condition.

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