Migraines and Headaches

What You Should Know About Headaches?

Written by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.

Published on Apr 27, 2017 and last reviewed on Sep 07, 2018   -  3 min read

Abstract

Abstract

Do you suffer from headaches that disturbs your life, work, studies and relationships? Do you keep popping pain killers to get relieved? Ever wondered if your headache is easily treatable? Read this article to know the answers.

What You Should Know About Headaches?

Headache is a common reason for patients to seek medical attention. We see so many online queries on headache. If you are suffering from headaches, read this article because, understanding your problem can help you solving it.

Type of Headache

There are many causes of headache, and if correctly diagnosed and treated , you may become “Headache” free.

Common Causes Of Headaches:

  • Migraine
  • Tension Type Headache
  • Idiopathic Stabbing
  • Cluster Headache
  • Exertional Headache
  • Systemic infection
  • Sinusitis
  • Head Injury
  • Vascular Disorders
  • Subarachnoid Haemorrhage
  • Brain Tumour

The patient who presents with a new, severe headache have causes that may be different from patient with recurrent headaches over many years.

People frequently ask me to get imaging of brain done to rule out the cause of headache. They have special attraction for MRI and CT Scans. But not every headache requires investigations. But there are headaches which require investigations. Let us understand , when a headache requires immediate attention.

Headache Symptoms that Suggest a Serious Underlying Disorder :

  • Worst headache ever
  • First severe headache
  • Headache worsening over days or weeks
  • Associated with Neurological Deficit
  • Fever or unexplained systemic signs
  • Vomiting preceding headache
  • Pain induced by bending, lifting, cough
  • Pain that disturbs sleep or presents immediately upon awakening
  • Known systemic illness
  • Onset after age 55
  • Pain associated with local tenderness, e.g., region of temporal artery

If you have any of these symptoms, you need to have a doctor consultation as soon as possible.

Now, let us read about two most common types of headaches, i.e Migraine and Tension type headache that we see in clinical practice.

Migraine :

Migraine, a very common cause of headache, more commonly affects women than men. It is usually an episodic headache which is usually unilateral (on one side of head) and is associated with certain features like:

  • Nausea (Feeling of vomiting)
  • Photophobia (Sensitivity to light)
  • Phonophobia (Sensitivity to sound)
  • Light-headedness
  • Scalp tenderness
  • Vomiting, Nausea (Feeling of vomiting)
  • Visual disturbances
  • Paresthesias (tingling sensations)
  • Vertigo
  • Alteration of consciousness
  • Diarrhea
  • Seizure
  • Confusion

People having migraine, usually during acute attacks, prefer to be alone and don’t want any sound, light, want to sleep in dark room.

Acute attacks are usually triggered by some stimulants called as “triggers” which are commonly following :

  • Bright lights
  • Sounds
  • Hunger
  • Stress
  • Exertion
  • Hormonal fluctuations during menses
  • Lack of or excess sleep
  • Alcohol, Wine, Cheese or other chemical stimulation

Patients should try to notice their triggers and should do life-style adjustments to avoid them.

How to Deal with Migraines?

  • Patients having migraine should seek a medical consultation. There are drugs which are given to terminate acute attacks of migraine, as well as to prevent them.
  • They should have a fix routine of sleeping like from 10 pm to 6 am. They should not sleep for more than 30 min during daytime, as excessive sleeping during day time would cause problem in falling asleep during nighttime, leading to disturbance of sleep cycle and precipitation of migraine.
  • They should avoid wine, cheese, lemon.

Tension - Type Headache :

It is a chronic head-pain syndrome characterized by tight, band like discomfort. It is bilateral (means on both sides of head). The pain typically builds slowly, fluctuates in severity and may persist more or less continuously for many days. The headache may be episodic or chronic (present >15 days per month). It may be associated with sleep disturbances.

How to Deal with Tension Type Headache?

  • The pain can generally be managed with simple analgesics but should be taken under medical supervision as they have a long list of adverse effects. There are other drugs too, but can be given only under medical supervision.
  • Behavioral therapies including relaxation are also effective.
  • Patients with this type of headaches are advised to throw away their “Headaches” to prevent the “Headache” , means they should try to sort out the tension or problem that is causing the headache.

So, just try figuring out what kind of Headache you have and consult a Headaches And Migraines Specialist Online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician/headaches-and-migraines

Have a “Headache Free Life”.

Last reviewed at:
07 Sep 2018  -  3 min read

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Related Questions & Answers


My sister has a headache that does not subside with pain medications. Please help.

Query: Hello, My sister has headaches from the last six months. Earlier, it was random, but from the last two months, it is continuous. The MRI is normal and no medicines are working. Please help.  Read Full >>


Dr. Anshul Varshney
Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. It could be a migraine or tension type headache. Please revert with the following details: Are the headaches one-sided or on both sides?  Are the headaches pulsating in nature?  Is the frequency daily or intermittent?  Is it associated with nausea or vomiting? Reve...  Read Full

Can a migraine and a tension-type headache coexist?

Query: Hello doctor, In short, I have a baby who is now 9 months old. I have started having a visual aura (fortification spectrum) and migraine around two months ago. The aura was almost always on the left side of the vision and the headache (which was quite mild), was on the right side of my head, at the ...  Read Full >>


Answer: Hello, Welcome to icliniq.com. This looks like it is related to a subconscious anxiety and stress. It does not look like a migraine. However, the aura and the previous headache are classical of a migraine. A migraine and tension-type headache can co-exist. As your baby is 9 m...  Read Full

I have headache after using Nevanac ophthalmic suspension

Query: Hello doctor, I am 37 years old. I have discomfort and mild pain in the right eye since last four days. The doctor has advised taking Nevanac ophthalmic suspension 0.1 suspension, and Maxmoist eye drops for dry eye. He has advised to take Nevanac one drop four times daily in both eyes, and Maxmoist ...  Read Full >>


Dr. Rahul Vaswani
Eye Care Ophthalmologist

Answer: Hello, Welcome to icliniq.com. No, Nevanac (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a spherica...  Read Full

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