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?

Headaches are common among working people as accumulated stress results in headaches and tiredness. Among the many different causes, strain on the eyes is one of the leading reasons for that annoying headache.

Taking an eye exam is recommended in case you are having headaches. The issues may not always be related to the eyes, but still a thorough eye check up is recommended. Strain in the eye is caused when small muscles present in the eye have to put in more effort than usual. Symptoms include aching, tired eyes with blurred vision and accompanying headaches. Such headaches are caused because of the following reasons:

Astigmatism
The cornea is in abnormal shape and causes people to squint when they want to focus, and this leads to bad headaches.

Hyperopia
This disorder is also called farsightedness. In case of this disorder, the images are focused by the eye behind the retina, and causes blurred vision and strain upon the eyes. Headaches occur as a result.

Presbyopia
This kind of problem occurs when the lens hardens and becomes inflexible with old age. This makes it hard for a person to focus and causes sore eyes along with headaches.

All disorders or conditions of the eyes can be rectified with the use of prescribed spectacles and contact lenses. For people already having glasses, regular eye check up should be carried out. Your power may increase which you are unlikely to notice, so regular check ups are vital.

Other causes
Headaches related to eye strain and eye problem can also develop from other causes. They are:

1. Glaucoma, an eye disease also causes headaches. This disease is characterized by the development of a fluid in the eyes, which in turn causes the internal eye pressure to shoot up. This pressure fluctuation can lead to headaches in many cases of glaucoma.
2. Cataract affected people suffer from headaches as well. Cataracts develop in individuals due to ageing. The lens becomes cloudy, and the vision gets blurred and slowly diminishes. The eye has to give more effort resulting in eye strain and accompanying headaches.

Prevention
In case you are having headaches, and you are not being able to find out the reason behind it, you should have an eye check up. Eyes are very sensitive and added strain to them causes headaches. People who use computers for long hours are affected by headaches due to eye strain. The best prevention is to have an eye examination and switch to glasses or lenses if required.

Headaches are of various kinds and arise from different factors, but eye strain is known to cause a lot of headaches in people who do eye stress involving activities.

Headaches? Get Your Eyes Checked!

Link Between Sinuses and Headaches

Suffering from splitting headaches? The remedy to it can only be found once the cause behind it is identified. Everything from migraines to stomach infections can be the cause of your headaches. But it is not impossible to tell the difference between the different aches. You have to notice the other symptoms that accompany your headache to understand what is causing the pain.

Symptoms of sinus headaches

When you have the following problems along with your headache you can be sure it is being caused by your sinus:

- Pain in the head, face and nose
- Pain in the eyes
- Stuffy or blocked nose along with the pain
- Accompanying nasal allergies and bouts of sneezing
- Inability to smell

Understanding sinuses

The sinuses comprise of a rather sizable cavity present behind your cheekbones, bridge of your nose and forehead. Generally, the fluid in the region gets drained through the nose. But due to infection, allergic reactions and tumors the cavity can get blocked and also get inflamed. The inflammation is caused by an increase in mucus production, which can lead to the nasal cavity being blocked. The blockage stops the fluids from draining and the sinuses get even more inflamed. When the cavity gets inflamed it starts pressuring the cheekbones, nose bridge and forehead and eyes.

Why does it ache?

The building up of the pressure on the cheekbones, nose bridge and forehead causes the area to start hurting. Thus, when one has a headache originating from inflamed sinuses, the pain is not just isolated to the forehead. The pain in the nose is a sure shot sign that the headache is caused by the inflammation of the sinuses.

Not just another chronic ache

Most people mistake any chronic headache as a sinus problem. But mostly such aches are caused by migraines and stress. If you have a prolonged headache as well as fever you are sure to have a sinus ache instead of any other chronic headache.

Make it better

Once you have identified the headache as a sinus ache you can start the treatment. Steam inhalation helps clear the sinuses, reducing the pain almost immediately. If steam inhalation does not help, you might have a severe sinus infection. In such cases, it is best to visit a doctor to understand the extent of the infection. The doctor is likely to prescribe antibiotics for the remedy of the infection. Even if you are aware of what medicines to take for sinus infections it is best to get checked by a medical professional before you start popping pills since the headache might just be due to some other causes as well.



What's the Link Between Sinuses and Headaches?

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:

Cluster headache
Tension-type headache
Migraine
Some primary headaches can be triggered by lifestyle factors, including:

Alcohol, particularly red wine
Certain foods, such as processed meats that contain nitrates
Changes in sleep or lack of sleep
Poor posture
Skipped meals
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:

Try to keep stress in check. Stay organized and prepared to minimize stressful situations. Have some fun, and don't overdo it at work.
Try incorporating meditation or yoga in your daily regime
Apply a heating pad, hot water bottle or warm compress to aching muscles. Or take a hot shower.
Apply an ice pack wrapped in a towel to the neck.
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:

It occurs more frequently than usual
Are more severe than usual
Worsen or don't improve with appropriate use of over-the-counter drugs
Prevent you from working, sleeping or participating in normal activities
Headaches that cause you distress, and you would like to find treatment options that enable you to control them better
Tenderness at the temple (as when combing hair) or jaw pain when chewing
The presence of cancer or a disorder that weakens the immune system
Use of a drug that suppresses the immune system
Red eyes and halos seen around lights
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:   

Confusion or trouble understanding speech
Fainting, drowsiness, confusion
High fever, greater than 102 f to 104 f (39 c to 40 c)
Numbness, weakness or paralysis on one side of your body
Stiff neck
Trouble seeing, speaking or walking
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.

Headache - Certain facts one should know

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

A headache can be a hindrance to any person at any time. It can either occur on left or right side in case of a migraine, be isolated to a point or radiate across the entire head. The pain can be sharp, throbbing or dull. It can either develop gradually or suddenly and can last for few hours to several days. Headaches need not arise due to a factor or condition of or in the head alone, they can be triggered because of other disorders or diseases in the body.

What are the different causes of a headache?
There are different kinds of headaches. Based on the symptoms, a doctor can diagnose the causes and the best treatment option for it. Not all headaches indicate serious illness. On the other hand, some headaches can be life-threatening as well. Primarily headaches can be divided into two broad categories- a primary headache and secondary headaches.

Primary headaches: A primary headache is caused due to conditions or factors associated with the pain-sensitive structures of the head. These types of headaches do not result from underlying illness. Muscles of the neck and head, blood vessels and chemical activity in and around the skull are the reason for primary headaches. Even certain genes could be responsible for triggering the pain. Some of the types of primary headaches include a cluster headache, tension headache, migraine, paroxysmal hemicrania etc. There could be primary headaches that last for a very long time such as sex headaches, cough headaches, chronic migraine, hemicranias continua etc. Typically, primary headaches are often triggered by poor posture, alcohol, lack of sleep, irregular food timings, processed meats etc.
Secondary headaches: Secondary headaches are the symptoms of a disease that can activate the pain-sensitive nerves of the head. The severity of the pain varies greatly. Some of the possible causes of secondary headaches include arterial tears, acute sinusitis, brain aneurysm, brain tumour, dehydration, ear infection, carbon monoxide poisoning, dental problems, glaucoma, hangovers, flu, hypertension, stroke, panic attacks, toxoplasmosis, post-concussion syndrome, trigeminal neuralgia, monosodium glutamate, meningitis, giant cell arteritis etc. Some of the common triggers of secondary headaches include ice cream headaches, compression headaches, thunderclap headaches, sinus headaches, rebound headaches, spinal headaches etc.
When to seek emergency care for headaches?
Headaches could indicate serious disorders such as encephalitis, stroke or meningitis. It is advisable to seek immediate medical care for an unbearable headache which also includes the inability to understand speech, stiff neck, trouble in vision, vomiting accompanied with nausea, trouble in speaking, high body temperature, greater than 104 F. A doctor should be consulted if the pain occurs multiple times in a short duration, keeps one from working or performing daily activities, the pain doesn t improve even after the consumption of over the counter medicine and disturbs sleeping.


Headache - Why You Must Consult For It?

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