What is it?

Headache is a pain in any part of the head, including the scalp, upper neck, face (including the eye area).

A primary headache is caused by problems with or overactivity of pain-sensitive structures in your head. A primary headache isn't a symptom of an underlying disease.

What are the causes and triggers?

The three most common causes of a primary headache are:

1. Cluster headache
2. Tension-type headache
3. Migraine

Some primary headaches can be triggered by lifestyle factors, including:

1. Alcohol, particularly red wine
2. Certain foods, such as processed meats that contain nitrates
3. Changes in sleep or lack of sleep
4. Poor posture
5. Skipped meals
6. Stress
Doctors focus on determining whether a headache has another cause. They also check for symptoms suggesting that a headache is caused by a serious disorder. If no cause is identified, they focus on identifying which type of a headache is present.

Tips that could help before seeking consultation:

1. Try to keep stress in check. Stay organized and prepared to minimize stressful situations. Have some fun, and don't overdo it at work.
2. Try incorporating meditation or yoga in your daily regime
3. Apply a heating pad, hot water bottle or warm compress to aching muscles. Or take a hot shower.
4. Apply an ice pack wrapped in a towel to the neck.
5. Practice good posture to ease muscle strain. While standing, keep shoulders back and head level, buttocks, and abdomen pulled in. While sitting, keep your head straight and thighs parallel to the floor.
When to seek consultation?

In people with headaches, certain characteristics are cause for concern; these people should immediately seek medical consultation:

   1. It occurs more frequently than usual
   2. Are more severe than usual
   3. Worsen or don't improve with appropriate use of over-the-counter drugs
    4. Prevent you from working, sleeping or participating in normal activities
    5. Headaches that cause you distress, and you would like to find treatment options that enable you to control them better
    6. Tenderness at the temple (as when combing hair) or jaw pain when chewing
    7. The presence of cancer or a disorder that weakens the immune system
    8. Use of a drug that suppresses the immune system
    9. Red eyes and halos seen around lights
   10. If you are experiencing certain other symptoms like- headaches that increase in frequency or severity, headaches that begin after age 50, worsening vision, weight loss

A headache can be a symptom of a serious condition, such as a stroke, meningitis or encephalitis. Go to a hospital emergency room or your local emergency number if you have the worst headache of your life, a sudden, severe headache or a headache accompanied by:    
   1. Confusion or trouble understanding speech
   2. Fainting, drowsiness, confusion
   3. High fever, greater than 102 f to 104 f (39 c to 40 c)
   4. Numbness, weakness or paralysis on one side of your body
   5. Stiff neck
   6. Trouble seeing, speaking or walking
   7. Nausea or vomiting (if not clearly related to the flu or a hangover)

If people with none of the above symptoms or characteristics start having headaches that are different from any they have had before or if their usual headaches become unusually severe, they should call their doctor.

Doctors can usually determine the type or cause of headaches based on the medical history, symptoms, and results of a physical examination. Depending on their other symptoms, the doctor may advise taking an analgesic or ask them to come for an evaluation.

If you would like to consult with me privately, please click on 'consult'.

Headache - Certain facts one should know

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?

Headache is a very common medical problem. Nearly 25% of females and 8% of males in general suffer from headaches at some point in their life.

More than 90% of headaches are due to migraine. However headaches are also caused due to tensions and due to wrong lifestyle practices. If headaches are not treated and managed at the right time they can also complicate into - brain like hemorrhage, meningitis, brain tumors, etc.

Any new onset headache should be taken seriously as it could be because of a serious brain illness.

Common myths associated with headaches:
It's because of acidity - headaches are not caused due to acidity or'gas, as popularly highlighted.
Headaches could only be because of sleepless nights - they could be because of any strain on your body. Eyesight, tension, nasal issues, flu are few reasons.
Headaches are only because of tension - they could be because of a number of reasons, tension could be just one factor.
Headaches can be cured by self medication - persistent headaches need to be addressed by specialists. Ignoring the signs and symptoms can lead to complications.

Common symptoms of migraine are:
One sided or whole head pain
Head pain accompanied with nausea or vomiting
Irritation with loud noise and bright lights.
Increase in headache with even slight movement of head.

Reasons of headaches:
Migraine or headache episodes can be triggered due to the following reasons:
Irregular meal timings
Improper sleep
Excessive mental stress
Excessive alcohol intake
Due to intake of certain food items like red wine, chocolates, cheese, preservatives
Change of weather season
Excessive heat or cold

If headaches occur more than 1 or 2 times in a month, then medical attention becomes important. Headaches take away precious working hours from our routine, reduce your efficiency and can make you vulnerable to excessive consumption of pain killers. At a certain point of time even pain killers stops working. It is essential that you consult a specialist for medical advice and a holistic lifestyle management. Ignoring the same can lead to complications such as loss of vision &amp; paralysis of the body- after all your body's health, balance and maintenance is in your hands!

Headache- It's Better You Consult a Specialist on Time

Migraine vs. Headache: know the difference

How to differentiate between a migraine and headache?

When you feel pain or pressure in your head, it may become difficult for you to assess whether you are experiencing a common headache or a migraine. Let's understand how different they are from each other.

A typical headache usually affects both sides of your head and varies from a mild to moderate pain. It can last from 30 minutes to up to a period of one week.

Some specific areas which get affected by a headache are:

  temples

  forehead

  back of your neck

Factors that trigger this headache type are a muscle strain, stress or anxiety. 

A migraine, on the other hand, is also a type of a headache which results in an acute throbbing sensation in one part of your head. Usually, migraine headaches are highly painful. Migraine pain makes it difficult for a person to carry out his/her daily tasks. Symptoms or signs associated with migraine attacks are:

  vomiting

  nausea 

  sensitivity to sound or light

  pain in the temples

  temporary loss of vision

  pain behind your ear or eye

What are the common causes of a migraine?

  hormonal imbalances in women - fluctuations in oestrogen, especially during menopause or pregnancy seem to trigger a migraine

  drinks like wine and extremely caffeinated beverages 

  foods such as salty foods, aged cheese as well as processed foods can trigger the migraine attack.

  medications - vasodilators such as nitroglycerine and oral contraceptives can intensify migraine pain.

How to treat a headache?

Fortunately, you can get rid of stress-induced headaches through over-the-counter treatments, which include:

  aspirin

  acetaminophen

  ibuprofen

How to treat a migraine?

If you experience migraine attacks less frequently, these medicines may give you quick relief:

  triptans, such as rizatriptan (Maxalt) or almotriptan (Axert)

  antinausea medicines, such as chlorpromazine (Thorazine), promethazine (Phenergan) or prochlorperazine (Compazine)

  non-steroidal anti-inflammatory drugs (NSAIDs), such as acetaminophen, naproxen sodium, aspirin or ibuprofen

Some preventive tips:

  make changes in your diet such as avoid such foods, including caffeine and alcohol which are believed to trigger headaches.

  you can also try muscle relaxation exercises, yoga or meditation to ease the migraine attack. 

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 8 Common Migraine Triggers You Must Stay Away From

Migraine Vs. Headache: Know the Difference

Frequent headaches can be uncomfortable at best, and debilitating at worst. While a chronic migraine can come with a throbbing pain on one side of the head, headaches due to tension can cause mild to moderate pain on both sides. Also, daily headaches happen in at least 15 days, Hemicrania Continua is a condition that brings about constant pain, and usually happens on one side of the head. Read on to learn more about dealing with these different kinds of headaches.

1. Medical Treatment: Inflammation, infections like meningitis and brain injuries that have been proven to be traumatic should be treated with due medication after a proper consultation with a doctor. In certain cases, headaches can be caused due to brain tumours and they must be treated at once. Also, headaches that come with fever, stiff neck, confusion and constant vomiting must be treated by a doctor immediately.

2. Take an Over the Counter Drug: Taking an over the counter drug for instant pain relief can stop the pain and give temporary or long term relief, depending on the kind of headache you are experiencing. It is advisable to speak with a doctor before taking any kind of drug.

3. Find your Triggers: Find and limit your triggers like certain food types as well as stress and certain seasonal changes. Stepping out in the summer with an umbrella and avoiding caffeine or too much of chocolate and cheese can also help in alleviating the pain. Stress is also a major factor that contributes to headaches and should be avoided in order to prevent or stop the pain.

4. Drink Plenty of Water: Staying hydrated is a good way to treat headaches instantly. The consumption of water is known to soothe the pain effectively.

5. A Soothing Break: Find a quiet place with dim lighting to take a break that should ideally last at least half an hour to one hour, or even more. This will help in diminishing and removing the pain. You can also use a cold compress and get yourself a massage.

5 Ways To Deal With Headaches

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?

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