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headache

Headache

The predominant indication of a headache is discomfort in the head or face. The degree of pain can vary from a mild, persistent ache to a sharp, piercing pain, and is often associated with additional symptoms such as queasiness, photosensitivity, phonophobia, and trouble focusing. Tension headaches, which account for approximately 80% of all headaches, are caused by stress, anxiety, or tension in the head, neck, and shoulder muscles.

While most headaches are harmless and can be managed with over-the-counter pain relievers, some types of headaches may indicate the presence of a serious underlying illness. For instance, migraines are severe headaches that are usually accompanied by other symptoms such as visual disturbances, sensitivity to light and sound, and nausea. Additionally, cluster headaches are intensely painful headaches that occur in clusters or cycles, and may require medical intervention to manage. It is essential to seek medical attention if headaches become frequent, severe, or accompanied by other worrisome symptoms.

Types 

Headaches are classified into primary and secondary types, with over 150 varieties in total.

  1. Primary headaches: These are caused by overactive pain-sensitive brain regions and include tension-type, migraine, cluster, and new daily persistent headaches. 
  2. Secondary headaches: These are due to underlying medical problems, such as dehydration, sinus, and medication overuse headaches. Some secondary headaches are harmless and go away after treating the primary condition. However, others can be severe and potentially fatal, including spinal headaches and thunderclap headaches. Thunderclap headaches are sudden, and intense, and require immediate medical attention as they can be a sign of a serious underlying condition such as a head injury, brain bleed, reversible cerebral vasoconstriction syndrome, or a sudden increase in blood pressure.

Diagnosis 

To receive appropriate treatment for your headaches, it is crucial to seek medical advice. Your healthcare provider will perform a physical examination, discuss your medical history, and examine the symptoms you are experiencing during a headache assessment. During the assessment, your doctor will inquire about the frequency, intensity, and duration of your headaches, as well as potential triggers such as foods, drinks, or situations that may cause them. They will also ask about your family history of headaches, exercise habits, and sleep patterns.

Following the medical history portion, your healthcare provider may conduct physical and neurological examinations to determine any underlying conditions or illnesses that may be causing your headaches. They will look for signs of fever, infection, high blood pressure, muscle weakness, and vision problems. A neurological examination can also rule out any central nervous system problems that could be causing severe headaches.

After reviewing the results of the assessments and examinations, your doctor can diagnose the type of headache you are experiencing and determine if further testing is necessary. Imaging tests such as CT scans or MRIs can be used to identify any abnormal regions or issues in the brain. If your doctor is unsure about the cause of your headaches, they may refer you to a headache specialist for further evaluation and treatment.

Treatment 

After you begin a therapy programme, monitor how effective it is. You can keep track of patterns or adjustments in how you feel by keeping a headache diary. Try to be patient as you and your doctor may need some time to come up with the best course of action. Tell them the truth about what's working and what isn't for you.

Even while you are receiving therapy, you should continue to avoid foods and odours that you are aware can cause headaches. Additionally, it's critical to maintain healthy behaviours that will keep you feeling good, such as consistent exercise, adequate rest, and a nutritious diet. Additionally, attend your regular follow-up sessions so your doctor may check on your progress and alter your treatment plan as necessary.

 

Conclusion:

Consulting with your healthcare provider is essential if your headaches are affecting your daily routine or mood. It may be helpful to record your headache-related feelings in a journal to present to your doctor. This can aid in making an accurate diagnosis and prescribing an appropriate treatment plan to alleviate your symptoms. The more details you provide to your healthcare provider about your headaches, the higher your chances of receiving an accurate diagnosis and effective treatment.

 

Medanta Medical Team
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