Hopefully i have caught it early enough, last time my blood pressure went up because of the sinus congesion in the frontal sinuses. I find it really hard to distinguish between symptoms of sinusitis and cfs but starting to read the signs earlier. I dont really get a runny nose but do get some post nasal drip (PND) which hasnt really been that bad this time but have had headaches more constantly which have been global type headaches but what has been leading me to the sinus infection this time is that the last few mornings i have woken up with really bad headaches(which wake me up) but after being up for awhile they ease. From what i have read this is a common sign of sinus issues as the sinuses cant drain very well at all after lying down sleeping, also this morning my headache was more of a face ache which is basically where the sinuses are. Checked my blood pressure this morning and this time its ok for now. Also i use oxymetazoline sinus spray tonight which eased my headache considerably within a half an hour, so it also helps me to diagnose the sinusitis. Last time it took me a few weeks to work out that what was going on was something other then cfs/me symptoms, also starting a few new treatments can make it hard to work out what is going on. Today i started some doxycycline which i will give a few days and if no improvement i have a weeks worth of azithromycin on hand, plus lots of saline nose sprays again. I dont see my cfs doc for another month and another doc i see has just gone on holidays, hopefully not too long, also hope the abx etc i start now help. Im going to ask my cfs doc about a ct scan of my sinuses to see how much congestion is there?? the abx i used last time helped, maybe need to stay on them alot longer, maybe also a swab but With crap nk function its going to be hard to keep many of these dam infections down. I cant believe i just posted something about sinuses in Neilk's thread, lol. I think i put the mocker on myself?? cheers!!!