Headache

12 min read

A headache is a common medical condition that can range from mild to severe. It is usually caused by tension, stress, or a medical condition. Headaches can be classified into two main categories: primary and secondary. Primary headaches are not caused by any underlying medical condition and are usually caused by stress, tension, or lifestyle factors. Secondary headaches are caused by an underlying medical condition, such as a sinus infection, a tumor, or a stroke.

Headaches can be further classified into different types, such as tension headaches, migraine headaches, and cluster headaches. Tension headaches are the most common type of headache and are usually caused by stress or muscle tension. Migraine headaches are more severe and can be accompanied by nausea, vomiting, and sensitivity to light and sound. Cluster headaches are the least common type of headache and are characterized by intense pain on one side of the head.

Headaches can be managed with lifestyle changes, such as reducing stress, getting enough sleep, and avoiding triggers. Over-the-counter medications, such as ibuprofen and acetaminophen, can also be used to relieve headache pain. In some cases, prescription medications may be necessary to manage more severe headaches.

Take the Headache Assessment

Symptoms

Common Symptoms of a Headache

  • Pain in the head, which can range from mild to severe
  • Pain that is localized to one area or spreads across the head
  • Pain that is throbbing or pulsing
  • Sensitivity to light and sound
  • Nausea and vomiting
  • Blurred vision
  • Dizziness
  • Fatigue

When to See a Doctor

If you experience any of the above symptoms, it is important to seek medical attention. If the headache is accompanied by any of the following symptoms, it is especially important to seek medical attention:

  • Severe pain that does not go away
  • Pain that is accompanied by fever, stiff neck, confusion, or seizures
  • Pain that is worse when lying down
  • Pain that is worse when coughing or straining
  • Pain that is accompanied by a rash, redness, or swelling

Your doctor can help you determine the cause of your headache and provide appropriate treatment.

Causes

Stress

Stress is one of the most common causes of headaches. Stress can be caused by a variety of factors, including work, family, and financial issues. When a person is under a lot of stress, it can cause the muscles in the head and neck to become tense, leading to a headache.

Dehydration

Dehydration is another common cause of headaches. When the body does not have enough water, it can cause the blood vessels in the head to constrict, leading to a headache. It is important to drink plenty of water throughout the day to prevent dehydration and headaches.

Hormones

Hormonal changes can also cause headaches. Women are particularly susceptible to headaches due to hormonal fluctuations during their menstrual cycle. Hormonal changes can also occur during pregnancy, menopause, and other times of hormonal imbalance.

Medications

Certain medications can also cause headaches. Some medications, such as birth control pills, can cause headaches as a side effect. It is important to talk to your doctor if you are taking any medications that could be causing your headaches.

Diet

Diet can also play a role in causing headaches. Eating a diet that is high in processed foods, sugar, and caffeine can lead to headaches. It is important to eat a balanced diet that includes plenty of fruits, vegetables, and whole grains to prevent headaches.

Sleep

Lack of sleep can also cause headaches. When a person does not get enough sleep, it can cause the muscles in the head and neck to become tense, leading to a headache. It is important to get enough sleep each night to prevent headaches.

Getting a Diagnosis

Medical History

The first step in diagnosing headaches is to take a detailed medical history. This includes information about the type of headache, the frequency and duration of the headache, any associated symptoms, and any medications or treatments that have been tried. This information can help the doctor determine the type of headache and the best course of treatment.

Physical Exam

The next step in diagnosing headaches is to perform a physical exam. During the exam, the doctor will check for signs of infection, inflammation, or other physical abnormalities that could be causing the headache. The doctor may also order tests such as blood tests, X-rays, or CT scans to rule out any underlying medical conditions.

Neurological Exam

A neurological exam is also used to diagnose headaches. During this exam, the doctor will check for any signs of neurological problems such as weakness, numbness, or changes in reflexes. The doctor may also order an MRI or CT scan to look for any abnormalities in the brain or spinal cord.

Diagnostic Tests

In some cases, the doctor may order additional tests to help diagnose the cause of the headache. These tests may include an EEG to measure brain activity, a lumbar puncture to check for infection, or a spinal tap to check for pressure in the brain. The doctor may also order a CT scan or MRI to look for any structural abnormalities in the brain.

Conclusion

Diagnosing headaches can be a complex process, and it is important to consult with a medical professional to ensure that the correct diagnosis is made. The doctor will take a detailed medical history, perform a physical exam, and order additional tests if necessary. With the right diagnosis, the underlying cause of the headache can be treated and the symptoms can be managed.

Questions for Your Doctor

Medical History

Your doctor will likely ask you about your medical history, including any past or current medical conditions, medications, and allergies. They may also ask about your family’s medical history, as some conditions can be hereditary. Be sure to provide as much information as possible to help your doctor make an accurate diagnosis.

Headache Symptoms

Your doctor will want to know the specifics of your headache, such as when it started, how long it lasts, and what type of pain you’re experiencing. They may also ask about any other symptoms you’re experiencing, such as nausea, dizziness, or sensitivity to light or sound. Be sure to provide as much detail as possible to help your doctor make an accurate diagnosis.

Lifestyle Habits

Your doctor may ask about your lifestyle habits, such as your diet, exercise routine, and sleep habits. They may also ask about your stress levels and any other lifestyle factors that could be contributing to your headaches. Be sure to provide as much information as possible to help your doctor make an accurate diagnosis.

Treatment Options

Your doctor will discuss treatment options with you based on your diagnosis. Treatment options may include lifestyle changes, such as getting more sleep or reducing stress, as well as medications or other therapies. Be sure to ask your doctor any questions you have about the treatment options they recommend.

Treatment

Over-the-Counter Medications

Over-the-counter medications are the most common treatment for headache. These medications include ibuprofen, acetaminophen, and aspirin. They can help reduce inflammation and pain. However, it is important to follow the instructions on the package and not take more than the recommended dose.

Prescription Medications

If over-the-counter medications are not effective, your doctor may prescribe a stronger medication. These medications can include triptans, which are used to treat migraines, and opioids, which are used to treat severe headaches. It is important to follow your doctor's instructions when taking these medications.

Lifestyle Changes

Making lifestyle changes can also help reduce the frequency and severity of headaches. These changes can include getting enough sleep, reducing stress, avoiding triggers such as certain foods or smells, and exercising regularly. Additionally, drinking plenty of water and avoiding caffeine can help reduce headaches.

Alternative Treatments

Alternative treatments such as acupuncture, massage, and biofeedback can also be used to treat headaches. These treatments can help reduce tension and pain. Additionally, relaxation techniques such as deep breathing and meditation can help reduce stress and tension, which can help reduce the frequency and severity of headaches.

Conclusion

Headaches can be a nuisance, but there are a variety of treatments available to help alleviate the pain. Over-the-counter medications, prescription medications, lifestyle changes, and alternative treatments can all be used to treat headaches. It is important to talk to your doctor to determine the best treatment for your specific type of headache.

Drugs & Medications

Over-the-Counter Pain Relievers

Over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB) and acetaminophen (Tylenol) are often the first line of defense against headaches. These medications can help reduce inflammation and pain, and are generally safe for most people to take. However, it is important to follow the directions on the package and not take more than the recommended dose.

Prescription Medications

If over-the-counter medications are not effective, your doctor may prescribe a stronger medication. Commonly prescribed medications for headaches include triptans, such as sumatriptan (Imitrex) and naratriptan (Amerge), and ergotamines, such as dihydroergotamine (D.H.E. 45). These medications can help reduce the intensity and frequency of headaches, but should be used with caution as they can have serious side effects.

Antidepressants

Antidepressants are sometimes prescribed to treat chronic headaches, such as migraines. These medications can help reduce the frequency and intensity of headaches, as well as reduce the associated symptoms, such as nausea and sensitivity to light. Commonly prescribed antidepressants for headaches include amitriptyline (Elavil), nortriptyline (Pamelor), and fluoxetine (Prozac).

Botox

Botox injections are sometimes used to treat chronic headaches, such as migraines. Botox works by blocking the release of certain chemicals in the brain that can cause headaches. The injections are usually given every three months, and can help reduce the frequency and intensity of headaches.

Alternative Treatments

In addition to medications, there are a variety of alternative treatments that can help relieve headache pain. These include acupuncture, massage, biofeedback, and relaxation techniques. It is important to talk to your doctor before trying any alternative treatments, as some may not be safe for certain people.

Diet

What to Eat

Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help reduce the frequency and intensity of headaches. Here are some specific foods to include in your diet:

  • Fruits and vegetables: Fruits and vegetables are rich in vitamins, minerals, and antioxidants, which can help reduce inflammation and improve overall health. Aim to eat a variety of colors and types of produce.
  • Whole grains: Whole grains are a good source of fiber, B vitamins, and other nutrients that can help reduce inflammation and improve digestion. Examples include oats, quinoa, and brown rice.
  • Lean proteins: Lean proteins such as fish, chicken, and beans are a good source of essential amino acids, which can help reduce inflammation and improve overall health. Aim to include a variety of proteins in your diet.
  • Healthy fats: Healthy fats such as olive oil, avocados, and nuts are a good source of essential fatty acids, which can help reduce inflammation and improve overall health.

What to Avoid

Certain foods and beverages can trigger headaches in some people. Here are some foods and beverages to avoid if you are prone to headaches:

  • Processed foods: Processed foods such as chips, crackers, and cookies are often high in sugar, salt, and unhealthy fats, which can trigger headaches in some people.
  • Caffeine: Caffeine can trigger headaches in some people, so it is best to limit or avoid caffeine-containing beverages such as coffee, tea, and energy drinks.
  • Alcohol: Alcohol can trigger headaches in some people, so it is best to limit or avoid alcoholic beverages.
  • Artificial sweeteners: Artificial sweeteners such as aspartame and sucralose can trigger headaches in some people, so it is best to limit or avoid foods and beverages that contain them.

Conclusion

Eating a healthy diet can help reduce the frequency and intensity of headaches. Aim to include plenty of fruits, vegetables, whole grains, and lean proteins in your diet, and limit or avoid processed foods, caffeine, alcohol, and artificial sweeteners.

Lifestyle

Get Enough Sleep

Getting enough sleep is essential for headache relief. Aim for 7-8 hours of sleep each night. If you have trouble sleeping, try to establish a regular sleep schedule and avoid caffeine and alcohol before bedtime.

Exercise Regularly

Regular exercise can help reduce the frequency and intensity of headaches. Aim for at least 30 minutes of moderate exercise each day. This can include walking, jogging, swimming, or cycling.

Reduce Stress

Stress can be a major trigger for headaches. Try to find ways to reduce stress in your life, such as yoga, meditation, or deep breathing exercises. You can also try to avoid stressful situations and take regular breaks throughout the day.

Eat Healthy Foods

Eating a healthy, balanced diet can help reduce the frequency and intensity of headaches. Avoid processed foods and foods high in sugar and salt. Instead, focus on eating plenty of fruits, vegetables, and whole grains.

Stay Hydrated

Staying hydrated is essential for headache relief. Aim to drink at least 8 glasses of water each day. You can also try drinking herbal teas or other non-caffeinated beverages.

Limit Caffeine and Alcohol

Caffeine and alcohol can both be triggers for headaches. Try to limit your intake of both, or avoid them altogether. If you do choose to drink caffeine or alcohol, do so in moderation.