Why do I have a stuffy nose and migraine at the same time?

It can be confusing because migraine can cause nasal congestion and a runny nose, even when you don't have a cold or sinus infection. Migraine-related nasal symptoms happen because the nerves and blood vessels involved in migraine also influence the nose and sinuses.

In fact, many people who think they have a “sinus headache” actually have migraine. One study of 2,991 people with self-described or physician-diagnosed sinus headaches found that 88% actually met criteria for migraine.

A helpful clue is the other symptoms: migraine may include throbbing or moderate-to-severe head pain, nausea, and sensitivity to light or sound, while a true sinus infection is more likely to involve symptoms such as fever, thick nasal discharge, and facial pain or pressure.

For soothing comfort during an attack, Soothie Hoodie can be used as a complementary option. Its hot/cold gel packs and gentle pressure around the head and upper neck may feel comforting.

Learn more:

American Migraine Foundation — What Is a Sinus Headache?
https://americanmigrainefoundation.org/resource-library/what-is-a-sinus-headache/
Mayo Clinic — Migraine: Symptoms and causes
https://www.mayoclinic.org/diseases-conditions/migraine-headache/symptoms-causes/syc-20360201

If your congestion or headache is severe, persistent, accompanied by high fever, vision changes, confusion, or is very different from your usual migraine, seek medical care.