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Headaches

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Twenty million Americans see their doctors each year because of a headache.  Although headaches can be very uncomfortable and temporarily disabling, most are not associated with serious illness.  They can often be relieved by resting in a quiet room or by taking a nonprescription painkiller such as ibuprofen or acetaminophen. Headaches are one of the most common pain-related health problems in both children and adults. You may have a headache along with another minor health problem such as a sore throat, cold, or sinus problem.

When a person has a headache, several areas of the head can hurt, including a network of nerves that extends over the scalp and certain nerves in the face, mouth and throat.

Rarely, headache is a symptom of a dangerous condition such cerebral aneurysm, brain tumor, stroke, TIA, meningitis, or encephalitis.  Very high blood pressure can cause headaches and this situation is a medical emergency.  However, high blood pressure usually causes no symptoms at all, despite the damage that years of high blood pressure can do to blood vessels, heart, brain, and kidneys.  If you have any doubt about your headache, contact your physician.

Basics of Headache:
The most common type of headache is "tension headache."  Tension headaches generally develop gradually, often involve the entire head as well as the neck and shoulders.  They probably are not actually caused by increased muscle tension, although muscle relaxation techniques can be very useful in treatment.  Most people get tension headaches occasionally and these can usually be treated simply.  Some people get them often, but there are usually some useful interventions to help decrease the number of sick days.

Cluster headaches are headaches lasting minutes to hours that occur day after day at a similar time over a period of weeks.  They are sharp.  People with cluster headaches often describe the pain as similar to an icepick.

They are more common in men, and are more difficult to treat than most headaches.  Interestingly, oxygen therapy will often stop a daily cluster headache.  Many of the medications used to prevent or treat migraine headaches are used to treat cluster headaches.

Migraine headaches are "severe headaches."  With classic migraine, the headache is preceeded by a feeling that a headache will develop (prodrome) followed by visual phenomena such as dark or bright spots, streaks of light, or tunnel vision (aura).  The headache then develops, usually on one side.  It is throbbing in nature, accompanied by nausea and increased sensitivity to light and noise.

Most people with migraine headaches do not experience prodrome or aura.  Common migraine headache, like classic migraine headache is treatable and often preventable.

Migraineurs, those who develop migraine headaches often have a family history of migraine headache and they have headache triggers.  People who get headaches when they don't have enough of their daily caffeine are migraineurs.  They would have fewer migraines if they completely eliminated caffeine.  Chocolate, red wines, nuts and cheeses are common food triggers. Migraines before or during menstrual periods are common.  Not all migraineurs get terrible headaches, but some certainly do. Migraine is an important cause of lost days of school, work and enjoyment.

Sinus headaches are those frontal headaches that some people experience with sinus infection and with changes in the weather.  Allergies can also provoke them.

Women who smoke and who experience migraine headaches with aura have more than twice the risk of stroke if they take estrogen-containing birth control pills than those who use nonestrogen-based contraception.  Changing to a nonestrogen or very low-estrogen contraceptive not only can reduce the risk of stroke but can dramatically decrease the number of headaches.

Headache Causes:

Common causes of headaches include:

• Alcohol, caffeine, or other drug use or withdrawal.
• Changes in the levels of chemicals in the body (neurotransmitters).
• Coughing or sneezing.
• Dehydration.
• Dental problems or procedures, such as pain from grinding the teeth or from a root canal.
• Eating or drinking cold foods and fluids.
• Emotional stress.
• Exposure to smoke or fumes from chemicals, including carbon monoxide.
• Eyestrain.
• Fever.
• High altitude. Lower oxygen levels at high altitudes can cause headaches.
• Medical procedures, such as the aftereffects of a lumbar puncture (spinal tap).
• Medications. Many medications can cause headaches.
• Muscle strain in the neck, upper back, or shoulder muscles.

Upper respiratory infections.

Other Health Conditions Associated to Headaches:

Other health conditions that can cause or contribute to headaches include:

• Alcohol, caffeine, or drug abuse, overuse, or withdrawal.
• Fibromyalgia, a condition that causes widespread muscle and soft tissue pain and tenderness.
• Glaucoma, an eye disease that damages the nerves at the back of the eye.
• High blood pressure (hypertension).
• High blood sugar (hyperglycemia) or low blood sugar (hypoglycemia).
• Infection in the sinuses, such as sinusitis or an abscess.
• Inflammatory problems , such as arthritis, lupus, or temporal arteritis.
• Kidney disease, which causes wastes to build up in the blood.
• Low calcium levels in the blood (hypocalcemia) or overactivity of the gland that helps control the release of calcium into the blood (hyperparathyroidism).
• Lyme disease, a bacterial infection spread by certain types of ticks.
• Mental health problems, such as anxiety or depression.

• Problems with pregnancy, such as severe high blood pressure (preeclampsia).
• Sleep problems, such as insomnia or sleep apnea.

Thyroid problems, such as hyperthyroidism or hypothyroidism.

Headaches With other Serious Symptoms:

Although rare, a headache may be a sign of a serious illness. Other symptoms, such as vomiting, dizziness, or changes in vision, may also be present. The following serious illnesses or injuries can cause headaches.

• A head injury:
• Injury to the brain
• Fracture of the skull
• Bleeding in or around the brain
• Brain tumor, which causes swelling within the brain.
• Infection in the brain (encephalitis) or of the membrane surrounding the brain and spinal cord (meningitis).
• Stroke, a problem that occurs when a blood vessel (artery) that supplies blood to the brain bursts or is blocked by a blood clot.

A rupture of a blood vessel with bleeding in or around the brain (aneurysm)

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