Everybody has experienced headaches at some time or other in their lives. It is the most common pain which one suffers from and usually goes away on its own without any treatment. In rare cases, this pain may be a sign of a serious medical condition and you need to see a specialist for headaches. Normally headaches which are moderate or severe in nature and are not responsive to over-the-counter pain relievers are a cause of concern.

However, here are some signs that can be warnings that should not be ignored:

It occurs more than three times per month
Headache with nausea and vomiting
Headache with fever
Headache with pain in the eye or ear
Headache accompanied by other neurological symptoms such as seizures or change in vision, numbness, and difficulty with speech or weakness
It awakens you from sleep
A sudden headache that feels like explosion or thunderclap
It causes confusion or loss of consciousness
Headache after head injury
Headaches beginning after the age of 50
The reason why you need to see a specialist in such cases is first to identify the cause of headache and then to get a pain management plan accordingly. The pain management specialist doctors have completed additional training and have additional certification in treating headaches. They may also work in a clinic dedicated to treating headaches. This empowers them to identify the cause of headache accurately. You might be surprised that headaches can be caused due to simple reason like dehydration or in some cases be an early sign of a life threatening brain tumor.

Pain management plans offered by the specialist
Depending on the signs and symptoms of your headache the pain management specialist will guide you if you have tension headaches, migraine headaches, or cluster headaches and treat it appropriately.

Tension headache   These are the most common headaches caused due to the stress of day to day living and the specialist will mostly treat it with a prescription of over the counter pain medication and sometimes meditation too.
Migraine headache - A person with a migraine headache has a more severe headache pain and may also experience sensitivity to light and sound, nausea and vomiting. Hence along with medication the specialist will guide you to keep a journal of the possible triggers and help you eliminate them.
Cluster headache - Cluster headaches typically occur on one side of the head and are quite rare. They are more painful and usually will not respond to over-the-counter medication. People with cluster headaches usually have to take medication every day to prevent their headaches, because they are difficult to stop once they have started and they are utterly incapacitating.
What the specialist will actually do for your headache depends not just on the type of headache but also its cause and severity. So reach out to a specialist if you have any of the above mentioned signs and symptoms for an accurate diagnosis and to recover sooner.

When To See A Specialist For Headache?

Eye Strain is an umbrella term that denotes a number of symptoms that relate to the extended use of eyes as well as discomfort that may come from excessive smartphone and computer use. This condition may or may not lead to significant eye damage and is usually characterised by blurry vision, headaches and a feeling of dryness in the eye as you blink less which creates less tears. This may happen due to the extended use of the eye when you are following objects on a screen or staring at a screen for too long. So, is eye strain the cause of your headaches? 

Find out more in this article.

Causes: Eye Strain or Asthenopia is caused by concentrating on visually intense tasks like reading from texts that have a fine print, the use of computers and other screens for prolonged periods, and trying to focus on objects in the dark. This can lead to distress of the muscles in this area which can also cause eye strain leading to a variety of symptoms including double imagery and even headaches and mild migraine like conditions.

Eye Muscle Imbalance: When there is eye strain which leads to headaches, it can also give rise to eye muscle imbalance which makes it difficult to concentrate with both eyes at the same time. In such cases, one may need bifocal glasses so as to fix the issue and prevent such debilitating headaches to remain on a persistent basis.

Diagnosis: Digital eye fatigue and ocular eye strain leading to headaches can be diagnosed by a doctor with the help of regular eye examinations. In any case, one should have the eyes checked at least once a year. This is especially important if your job involves sitting in front of the computer screen for prolonged hours.

Symptoms: There are a variety of symptoms of these headaches that are caused by eye strain. Apart from blurry vision which does not allow the patient to see properly and clearly without glasses, it can also cause headaches with symptoms like nausea and sensitivity to light. Retinal or eye migraines do not necessarily have to come with headaches, but the pressure can be painful enough.

Treatment: To begin with, the best form of treatment for headaches born from eye strain includes prevention which can be done by getting plenty of rest and sleep even as we limit the hours spent in front of the screen. One can also lower the resolution of the screen and make it more ambient. Also, the screen should be placed at a considerable distance from the eyes. The doctor can also prescribe glasses and eye drops for better eye lubrication.

Headache - Can Eyestrain Be the Reason Behind it?

Contraception is not only restricted to married couples in today's world. Most of the young couples refrain from seeking medical advice for contraception may be because of social concerns or simply because they feel hesitant and shy.

There are many contraceptive pills available over the counter which youngsters are tempted to buy and use as it seems to be the easy way out. Frequent and improper use of such emergency pills can lead to a lot of hormonal disturbances and the menstrual cycle goes topsy turvy. Then the dilemma starts. As it becomes difficult to interpret the cycle dates and erratic bleeding which happens is disturbing.

In my practice I have seen many young girls popping in pills randomly every now and then. Sometimes at weekly intervals as they are unable to manage the stress of their relationship getting disturbed. What youngsters should try and understand is there is nothing wrong in having pills for contraception but it should be done with proper guidance and the selection of the right pill for that particular individual is important which can be done easily by getting into consultation with a doctor. Need not necessarily be a gynecologist always.

Emergency pills are ok for once in a blue moon kind of use. But it should not become a habit.


Misuse Of Emergency Contraceptive Pills

Post-traumatic stress disorder (PTSD) is an abnormal condition of the mind that develops when a person is exposed to certain traumatic events in life such as accidents, sexual assault or warfare.

The major symptoms of PTSD are:

Reliving the traumatic experience over and over again; this leads to severe and long-term mental distress.
Recurring dreams about the events.
Provocation of traumatic thoughts by the slightest event that causes distress to the individual.
Avoiding memories and thoughts that might remind them of the event.
Developing a negative view of themselves and the world.
Developing social or specific phobias.
Treatment

Medication and antidepressants: Medicines such as paroxetine, sertraline and selective serotonin reuptake inhibitor (SSRI) help the individual address insomnia related problems that occur due to PTSD and suppress nightmares.
Psychotherapy: This form of therapy is used to cure both mental health conditions (such as obsessive compulsive disorder, anxiety and depression) as well as emotional problems that result from PTSD. Skilled mental health experts are needed for this form of treatment to be administered. They would listen to each individual patiently and provide effective strategies to give solutions to the problems. Some of these therapies are:
Cognitive Behavioural therapy: This therapy enables the individual to adapt to changes and recognize thought patterns which lead to irrational and negative behaviour and actions.
Exposure therapy: This therapy causes the affected individual to first become anxious by exposing him/her to the traumatic memories, situations and objects by simulating them. The therapy helps the person to overcome his/her fears and become comfortable in the same environment that had previously caused fear and anxiety.
Group therapy: This popular and effective form of therapy allows the individual to share his/her feelings, fears and thoughts with a group of people who have themselves experienced similar trauma in their lives. Sharing such experiences helps reduces stress levels.
Some Self-Help and Coping Tips include:

Avoiding situations that cause PTSD can worsen the condition. Hence, the individual should try to embrace and face such situations boldly.
PTSD can result in loss of motivation and stress. Try utilizing your time in socialising, indulging in certain or even exercising for that matter.
Taking some time out to relax and having fun is very important. This calms the body and mind, thereby improving one s mood.

PTSD - 6 Major Signs + Treatment

Almost everyone these days is familiar with headaches. The throbbing pain that invades your headspace when you are in the middle of your meeting or work   where you need to focus. It is unforgiving and a big nuisance.

Mostly common conditions like fatigue, lack of sleep, stress, sinus and migraine cause pain in the head. But recent studies show that high blood pressure, or what is commonly known as hypertension, may also lead to severe headaches. Most of the time high blood pressure do not exhibit any symptoms and hence is referred to as  the silent killer . More often than not people do not even realize how a mild headache can be a result of hypertension.

The Link between Hypertension and Headaches
Hypertension or high blood pressure usually occurs when the force of the blood flow in the arteries increase. A headache resulting from high blood pressure usually affects both sides of the head, particularly the temple regions. One major and common cause of high blood pressure is stress. Although people may not be able to find a relationship between the two, one may experience mild but steady pain throughout the head particularly in the forehead or at the back of the head. 

In high blood pressure, a palpitating sensation in the temple region often accompanies the sensation of pain in the head. Pain in the temple region is usually accompanied by mild headaches for which you should seek medical attention. Hypertensive emergency is normally considered when the blood pressure reaches above 180/110. Besides headaches, high blood pressure can also take a serious toll on your health leading to stroke or heart attack, if not treated on time.

There are three types of hypertension conditions that are followed by mild to severe headaches:

Malignant Hypertension- Sudden or rapid increase in blood pressure causes malignant hypertension, which requires medical attention. This is more common among young adults and women with pregnancy-induced high blood pressure.
Idiopathic Intracranial Hypertension- This condition is characterized by increased blood pressure around the brain and is commonly diagnosed with symptoms like vision problems, shoulder pain, thumping noise in the ears, nausea, and severe headaches almost every day.
Hypertensive Encephalopathy- An extreme version of elevated blood pressure, can cause swelling in the brain, severe headaches that may worsen, nausea, dizziness, seizures and even coma.
Uncontrolled high blood pressure can be deadly, and is more common among smokers and older people. The condition can be controlled by adopting certain dietary measures- diet rich in vegetables and fruits, but low in fat, salt, sugary and sweetened beverages, and red meat. However, with proper medications and a balanced diet, one may be able to keep their blood pressure in check. Once the blood pressure normalizes, the headache also disappears in no time.

High Blood Pressure And Headache - Is There A Relationship?

Problems with the arteries and veins present in the hands or legs can lead to vascular disorders. The arteries carry blood from the heart to other parts of the body in order to deliver nutrients and oxygen. The veins carry the blood back to the heart, after the nutrients have been used up. If these blood vessels of the arteries or veins become blocked or narrowed, it can lead to a vascular blockage.

A vascular blockage that occurs in the hands or legs comes under the category of Peripheral Artery Disease or PAD. These type of disorders are less common in the upper extremities of the arms or hands than in the lower extremities of legs. Few of the signs for the same are:

Pain and difficulty in movement due to decreased blood flow
Numbness or weakness of leg or fingertips
Sores on the toes or feet
If the blockage is deep, symptoms of redness, swelling, extreme pain or cramping can be experienced
Abnormal color changes in the fingertips
Ulcers or wounds that don t heal
Skin sensitivity problems when in cold temperatures
How can it be diagnosed?
The blockage can be detected by various methods namely-

Physical Examination   Your doctor may find decreased pulse at armpit, wrist or fingers, full veins, masses, wounds or gangrene.
Doppler or Ultrasound examination to determine the blood flow in the arteries and veins
MRI Scan of the affected area to pay special attention to the blood vessels
Cold Stress Test
Arteriography to show clear blood vessel details
Angiography to map blockages and narrowing of the arteries
What are the Risk Factors for Peripheral Artery Disease?
An individual is at risk for developing vascular blockages in the hands or legs if one or more of the following factors are present:

Smoking
Diabetes
Heredity Factors   A personal or family history of blood vessel disease
High blood pressure
High cholesterol
Aging   People aged above 50 years and older are more prone to vascular blockage
Can it be treated?
Treatments for vascular blockage can vary depending on the age, cause of the blockage, intensity and overall well-being.

Treatments can include:

Self-care   Reducing risk factors and making lifestyle changes to quit smoking, sedentary life or diabetes, blood pressure and cholesterol management can reverse symptoms of vascular disease.
Medications   A variety of drugs can be prescribed to lower the risk and progression of narrowing blood vessels or prevent blood clotting.
Interventional Procedures   Minimally invasive surgery like saloon angioplasty, stenting or removal of artery plaque build-up.
Surgery   If the blockage is severe, surgery may be performed to lessen the vessel narrowing, reconstruct the artery or tie it off, depending on the circumstances.

Pain in the Hands or Legs!

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