Brief Answer:
Sounds potentially from vibratory conductance of either sinuses or ears

Detailed Answer:
Good evening. I am a headache specialist and an adult neurologist.

If you have been having headaches only since 2 months ago and they are improved by sleeping them off a bit as well as having taken the antibiotic of amoxicillin/clavulinic acid (generic for the brand name drug AUGMENTIN) then, it is possible you may've been dealing with a type of SINUSITIS.

The sounds and crackling you are hearing that remain are a bit more difficult to explain if the headaches are actually gone and I would have to say that such sounds really have not reason to be present since there are no movable joints in the head at all. I am wondering if you are not hearing either cracking sounds made by your cervical column of the upper spine or if the sounds could be coming from the ears or if the Eustachian Tube could be intermittently blocked causing crackling sounds that can be referred to the ears and make it seem like it's in the head.

Any patient of mine with these types of symptoms would receive either a CT of the sinuses or an MRI. I would also do a complete ENT workup and refer the patient if I didn't feel comfortable doing the exam myself.

I hope these answers satisfactorily address your question. If so, may I ask your favor of a HIGH STAR RATING with some written feedback?

Also, if there are no other questions or comments, would you CLOSE THE QUERY on your end so this question can be transacted and archived for further reference by colleagues as necessary?

Please direct more comments or inquiries to me in the future at:

bit.ly/drdariushsaghafi

I would be honored to answer you quickly and comprehensively.

Please keep me informed as to the outcome of your situation.

The query has required a total of 9 minutes of physician specific time to read, research, and compile a return envoy to the patient.

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Brief Answer:
Could be entirely independent of sinus type of problem

Detailed Answer:
Thank you for your updated information.

I believe that the headaches you are now describing as being now located in a different area of the head from when they initially started suggest that you may be having a different sort of headache problem.

Sinus headaches (assumption your previous doctor made by giving you antibiotics) only truly occur by epidemiological standards on the order of 0.5% of the time when considering all headache types. Migraine headaches can mimic SINUS headaches and for that reason are frequently misdiagnosed or confused (even by headache specialists) and treated with things such as antibiotics, antihistamines, or nasal steroids and other treatments.

If you were a private patient of mine with these sorts of head symptoms my first intention would be to place you on a headache diary plan whereby you would keep track of a number of relevant parameters on a specific document which I can then, review. Once we've done that then, we can move forward with a specific treatment plan which would be either using medications or as is the case in many instances...making lifestyle changes or other "tweaks" to address the headaches more effectively and without making the person "dependent" upon drugs or other concoctions.

Therefore, in your situation particularly I would highly recommend that you engage a physician who can direct you in such a plan of tracking your headaches or can refer to a Headache Specialist since these doctors (such as myself) fully understand the importance and utility of using this type of documentation ahead of making prescriptions.

Appropriate blood and labwork should also be considered. In your case a cervical spine series of films (whether by CT or MRI) would be part of the workup if you were in my clinic and blood work could also include elements such as TSH and FT4 which test the functionality of your thyroid gland.

Of course, you're being 21 years old also begs many other related (and at times difficult) questions to answer such as, "Have you used or do you use illicit drugs?" "What sort of stress or mood issues have been affecting you lately and can they possibly be contributing to these head pains you are feeling?" "How have you been sleeping lately? Any nightmares or disturbing dreams that have been waking you up constantly and not letting you get a good night of sleep?"

I was trying to look for an indication as to what your geographic location may be since that would help me know just how easy or hard it would be to get any of these things implemented that I'm talking to you about. Depending on whether you or in the U.S. or overseas sometimes getting imaging studies and finding specialists by referral is very difficult and depends entirely upon the discretion of your primary provider. In the U.S. similar difficulties can arise if you have certain forms of insurance but by and large I think it is much easier for patients in the U.S. to have studies performed and implement treatments or see specialists by request if you ask your primary doctor (or sometimes just look up and schedule yourself with the appropriate specialist).

I hope these answers satisfactorily address your question and provide you with some more bases to have conversations with your doctor in order to move things a bit more down the track. If so, may I ask your favor of a HIGH STAR RATING with some written feedback?

Also, if there are no other questions or comments, would you CLOSE THE QUERY on your end so this question can be transacted and archived for further reference by colleagues as necessary?

Please direct more comments or inquiries to me in the future at:

bit.ly/drdariushsaghafi

I would be honored to answer you quickly and comprehensively.

Please keep me informed as to the outcome of your situation.

The query has required a total of 27 minutes of physician specific time to read, research, and compile a return envoy to the patient.

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