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Headaches


What is a headache?

Headache... a word that many of us encounter in our daily lives and perhaps at one time or another have experienced. Headache is a common and frequently recurrent disorder that can seriously disrupt a person's life. Headache pain may be generalized (all over) or localized (in one area) and may rage from mild to severe. Postural changes, prolonged coughing, sneezing, or exposure to sunlight may contribute to headaches. Sometimes a headache may be a symptom of a serious underlying problem (such as stroke or brain tumor) and may call for prompt medical care. Although painful and annoying, the vast majority of headaches do not indicate a serious disorder. Tension headaches and migraine headaches account for 90% of all headaches.

Here are some precursors to headaches:

  • benign headache
  • common cold
  • fever
  • hangover from alcohol withdrawal
  • head injury
  • head or neck infection (NOT involving brain) (ear infection, pharyngitis or sinusitis)
  • influenza
  • certain medications such as indomethacin, nitrates, and vasodilators
  • premenstrual syndrome (PMS)
  • stress
  • a swollen tooth
  • withdrawal from caffeine or other medications
  • withdrawal from street drugs (marijuana, cocaine, methamphetamine, etc.)

The symptoms/sources for two common types of headaches:

Tension Headache is a common headache pattern that may or may not be associated with psychosocial stressors. Tension headaches are characterized by:

  • pain usually felt in the back of the head and neck, usually not one sided
  • may fluctuate in severity, pain that lasts for weeks or month with brief periods of relief
  • attacks that begin at anytime of the day
  • pain that is often described as a "tight band" pressing, but rarely throbbing, and never accompanied by fever.

Vascular Headaches are broken down into two well-known headaches known as migraines and clusters

Migraine headaches, often preceded by fatigue, depression, and visual disturbance (light flash, loss of peripheral vision, etc.) are characterized by:

  • pain that is characterized on one side at a time (may involve the entire head)
  • pain that is throbbing in nature and usually develops in the morning and gradually worsen after an hour
  • attacks that may occur every few days or weeks, or not for months. Migraines often continue for hours, but rarely last longer than a day or two
  • pain that may be aggravated by stress, alcohol, or certain foods such as chocolate and are frequently accompanied by nausea and vomiting and relieved by sleep
  • family history of migraine headaches

Cluster headaches (histamine headaches), are headaches which are a variation of the migraine are characterized by:

  • occurring when one is about to fall asleep
  • pain that is often situated behind an eye, one-sided
  • patients report that the pain occurs in the spring and autumn
  • pain that peaks within 5-10 minutes and disappears in less than an hour, occurring daily in a series of intervals that last weeks to months
  • pain triggered by alcohol
  • accompanied with a flushed face and a nasal congestion 

Symptoms of a headache that signal potentially serious problems may:

  • involves a sudden, violent pain (could signal an aneurysm)
  • worsen over time and includes other symptoms such as nausea, vomiting, speech changes,
  • cause personality changes, etc. (although rare, this could indicate that there could be a brain tumor or a mini stroke)
  • include nausea, vomiting, fever, and stiff neck (could be an indication of meningitis)

And, in rare cases may be caused from:

  • cerebral aneurysm
  • brain tumor
  • stroke
  • meningitis

If headaches occur frequently or are accompanied by other symptoms, then it may be necessary to consult with your doctor.

References and Resources:

Mayo Clinic: Tension Headaches
National Headache Foundation