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It's more likely to be caused by a sinus infection if it happens with: A cold or shortly afterward Thick, discolored mucus A decreased sense of smell Pain in one cheek or your upper teeth When to See Your Doctor Consult your doctor if you have: Nasal congestion and sinus pressure for more than 10 days A high fever, which is 103 F in adults and lower in children and babies (check with your pediatrician for guidance) A sore throat Discolored mucus Severe headaches or other pain that doesn't get better with painkillers Takeaways Nasal congestion and sinus pressure can make you feel lousy