Headache

Headache is one of the most common health-related conditions in United States, with around 15% of us taking pain-relieving for a headache at any given time. It is likely that nearly all of us will experience headache during our lifetime. People of any age can be affected, but people between the ages of 25 and 44 years are more likely to report having a headache.

There are different types of headache and many different causes, which explains why the condition is so common.

Most headaches have more than one contributing factor

Some of the more common triggers for headache are lifestyle related, such as poor Headache can be classified into 2 broad categories: primary and secondary.

Examples of primary headache include cluster and tension headaches

Secondary headaches are triggered by an underlying disorder – such as infection, injury or a tumour – and are a side effect of the main illness.

You feel pain when various structures of your head are inflamed or irritated. These structures include:

• the sinuses
• which are air-filled cavities inside the head that form part of the respiratory system. The sensation of pain can also be ‘referred’
• which means that pain occurring in one area can transmit the feeling of pain to an area nearby

An example is the referred pain of a headache arising from a sore neck. Anything that stimulates the pain receptors in a person’s head or neck can cause a headache, including: Tension headache is the most common type of headache. Two out of 3 people will have at least one tension headache in their lifetime, which: , diet, stress management and attention to posture.

Misalignments of the spine and neck, poor posture and muscle tension can refer pain into the head. Therapies to treat recurring headache caused by musculoskeletal problems may include osteotherapy, Stress is thought to trigger our body’s ‘fight or flight’ response, which is characterised by shallow breathing, faster heart rate and raised blood pressure, and greater amounts of ‘stress chemicals’ such as adrenaline.

Stress can cause or worsen a headache in a number of ways, including: reducing the levels of endorphins, which are the body’s natural pain-relieving chemicals.

If the teeth of a person’s upper and lower jaw fail to meet smoothly, the resulting muscle tension in the jaw can cause headache. Treatment may include correcting the bite, replacing missing or using occlusal splints, which allow the jaw to close without dental interference.

Surgery may be needed in severe cases

Many infections of the nose, throat and ear can cause headache. Depending on the disorder, treatment can include medications such as antibiotics, decongestants or antihistamines.

Persistent problems, such as chronic , may need surgery as a final resort.

Consult with an ear, nose and throat specialist. According to some studies, what we eat and when we eat it can play a significant role in headache. Different causes of diet-related headache include:

• naturally occurring chemicals in foods
• such as amines

Some other foods can cause headache in susceptible people.

It is important to seek professional help

Self-diagnosis of food sensitivities can result in unnecessary diets that may not work. It’s a good idea to keep a diary of what you ate or drank in the 24 hours before a headache. This gives clues to the triggers of food-related headache.

Healthcare professionals who may be able to help include a , they tend to squint and strain their eye muscles in order to better focus their vision. Eye diseases such as can cause headache by referring pain into the structures of the head. Medications are designed for a particular target in the body, such as a diseased organ.

However, they can also affect other areas in the body. Unwanted side effects or adverse reactions are possible with all medications, including prescription and over-the-counter medications, can cause headache as an unwanted side effect. medications can also make headaches worse.

Suggestions for reducing the risk of medication-induced headache include: Follow the dosage directions on the label. Don’t mix prescription medications with drugs such as alcohol.

Avoid dependence on painkillers

Report any side effects or unusual symptoms to your doctor immediately

If you believe that medications may be giving you recurring headache, it is important to consult with your doctor. In many cases, a different medication can be prescribed.

There are many causes of recurring headache, with multiple factors working in combination. Rather than address the causes, it may seem easier to take pain-relieving medications, such as aspirin.

However, taking more than three doses of these per week could make your problem worse.

Once the medications wear off, the headache returns because the triggers remain.

If you then take more pain-relieving medications, the cycle of relief and rebounding headache continues, prompting you to take ever-increasing amounts of medication. Disorders of the ear, nose and throat that can cause recurring headache include: streptococcus. can bring on a headache.

Causes may include: very rarely, a tumour

Neurologists specialise in disorders of the nerves and brain. It is rare for headaches to be caused by serious problems such as a brain tumour, but these need to be ruled out through medical examination. Usually, you will only be referred to a neurologist after all other causes of chronic headache have been investigated and eliminated.

Some neurological tests include

Treatment depends on the disorder

Cluster headaches are relatively uncommon and tend to mainly affect men. Cluster headaches: are treated with medication or oxygen therapy. Headache can be caused by many contributing factors working together.

That’s why you need professional advice to investigate and properly diagnose the specific factors behind your recurring headache. In some cases, headaches may be a warning about more serious underlying problems. Tests can include scans, x-rays.

Factors that are considered when diagnosing a headache include: factors that improve the headache, such as massage. Successfully treating chronic headache usually requires a combined approach that takes all the triggers for a person into account.

Ask your doctor or healthcare professional for help in treating chronic headache

Your doctor can refer you to appropriate experts, such as ear, nose and throat specialists, neurologists, optometrists and physical therapists.

Treating a headache depends on its cause

Some of the various treatments include:

• eliminating any medications that may be causing headache as a side effect
• such as birth-control pills treatment for any underlying disorder
• such as high blood pressure
• neck problems or jaw problems. Usually
• your doctor will have a list of trusted complementary therapists

If not, suggestions include:

• Contact the professional association for your chosen therapy
• ask for a list of members in your area

Ask your friends for word-of-mouth recommendations.

During the first visit with your therapist, ask about their training and qualifications. Treat with suspicion any therapist who advises you to stop your conventional medical treatment, and consult with your doctor before stopping any medication.

Need treatment today? Need treatment today, but it’s not life-threatening and you can’t get a GP appointment, there are services available: – provide care for conditions that require treatment today but not an emergency response (extended hours) Tel. About headaches medication diet , stress , muscle tension , and lack of exercise Serious underlying disorders, such as brain tumours , are rarely the cause of headache, although persistent headache should always be investigated by a doctor Pain receptors and headache the muscles and skin of the head the nerves of the head and neck the arteries leading to the brain the membranes of the ear , nose and throat Causes of headache stress muscular tension dental or jaw problems infections diet eye problems hormonal influences medications disorders of the ear, nose or throat disorders of the nervous system injury to the head , neck or spine high blood pressure poor posture - puts unnecessary strain on the muscles of the back and neck hangover from abuse of alcohol or drugs temperature - extremes of heat or cold dehydration - affects blood pressure noise - especially loud noises temporal arteritis - inflammation of the artery at the temple, most common in elderly people arthritis meningitis Headache caused by stress or tension feels like a tight band of pressure around the head is often associated with muscle tightness in the head, neck or jaw can be caused by physical or emotional stress is best treated by making lifestyle adjustments, such as exercise physiotherapy or chiropractic tightening the muscles, particularly of the upper back, shoulders, neck and head lowering a person’s tolerance to pain reducing the effects of medications such as pain-relievers Headache and jaw or dental problems teeth Tooth decay , dental abscesses and post-extraction dentist Headache caused by infection tonsillitis Headache caused by diet and food fluctuations in blood-sugar levels, which can lead to spasm of the arteries in the head caffeine withdrawal, commonly caused by regular and excessive consumption of coffee or tea food additives , such as MSG (monosodium glutamate) doctor , dietitian or naturopath Eye problems and headache If a person has difficulties with their vision , such as long-sightedness glaucoma Many of the eye problems that contribute to headache can be treated with prescription glasses or contact lenses.

Talk to a qualified eye-care specialist such as an optometrist Medications and headache herbal preparations and vitamin pills Oral contraceptives (‘the pill’) Hormone replacement therapy (HRT) – also known as menopause hormone therapy – makes headaches worse for some women.

Some diabetes Pain-relieving medications and ‘rebound’ headaches Ear, nose and throat disorders and headache sinus problems caused by infection, cold , flu or allergic reactions such as hay fever labyrinthitis the general term for any type of inflammation of the inner ear infection of the ear, nose or throat, caused by either bacteria or viruses trauma - such as a blow to the ear or perforation of the eardrum hay fever when the immune system overreacts to irritants such as pollen tonsillitis an infection most often caused by the bacterium The nervous system and headache Irritated, inflamed or damaged nerves haemorrhages - some health conditions, such as hypertension (high blood pressure) and diabetes , can damage the blood vessels infection - such as meningitis , which is inflammation of the membranes lining the brain and spinal cord nerve damage - can be caused by, for example, vitamin deficiencies or trauma to the head or neck CT and MRI scans Cluster headache usually involve severe pain, localised to one eye include other symptoms, like swelling and watering of the affected eye can be triggered by alcohol and cigarettes , but the underlying cause is unknown Diagnosis of headache eye tests and sinus location of the pain, such as around one eye or over the scalp degree of pain experienced duration of the headache other symptoms, such as visual disturbances or a sore neck how often the headache recurs factors that worsen the headache, such as certain foods Treatment for headaches over-the-counter pain-relieving medications, such as aspirin or paracetamol relaxation techniques, such as massage changing your diet alternative therapies , such as acupuncture or chiropractic stress management medications that act on the arteries Choosing a complementary therapist.

In addition to conventional medical treatment, you may benefit from the help of a complementary therapist Where to get help Your GP (doctor) Your pharmacist Neurologist Dentist or orthodontist Ear, nose and throat specialist Eye-care professional Osteopath , physiotherapist or chiropractor Dietitians United States Urgent Care Clinics Nurse-on-Call (616) 555-0024 – for expert health information and advice (24 hours, 7 days) Emergency care In an emergency, always call 911 Emergency department of your nearest hospital.

Key Points

• There are different types of headache and many different causes, which explains why the condition is so common
• Examples of primary headache include cluster and tension headaches
• Depending on the disorder, treatment can include medications such as antibiotics, decongestants or antihistamines
• Different causes of diet-related headache include: naturally occurring chemicals in foods, such as amines
• Some other foods can cause headache in susceptible people