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Headaches: Different Types, Causes, and Treatment 2022 -Doctor Michael

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 Headache is one of the most common neurological symptoms for which patients seek medical advice. Headaches may be acute (sudden) or chronic (long-standing). A mild ache can be seen in some types of headaches, such as tension headaches. It can also be very painful in some types of diseases, like subarachnoid hemorrhage and meningitis. This article will take you through the major causes of headaches and their treatment 


Headaches Different Types, Causes, and Treatment 



Should I worry or visit a doctor because of a headache?


Most people go to the doctor when they have severe headaches, more headaches, a new pattern, fear of brain tumors or impending strokes, knowledge of a new treatment method, or other things that make them think about going to the doctor.


Where does headache pain come from?


Although the term "headache" can encompass any pain in the head, including the face, nose, ears, eyes, and throat, in common usage, this term refers to pain in the cranial vault. The brain and skull bones per se are insensitive to pain.


However, the skin, subcutaneous tissues, muscles, blood vessels, and periosteum of the scalp, major dural venous sinuses and their tributaries, portions of the large blood vessels at the base of the brain before they enter the brain substance, and the dura mater at the base of the brain are all sensitive to pain. 



What Causes headaches? 


  • Officialized Mechanical irritation, displacement, traction, or distension of these structures results in headaches.
  • Formalized 2Irritation, stretching, and traction on the cranial nerves V, IX, and X, and the upper three cervical roots can also cause headaches.
  • Diseases of the pain-sensitive structures in the head, such as the eyes, nose, and ears, give rise to pain, which may be referred to as "head pain."
  • A wide range of systemic diseases, such as fevers, infections, diabetes, hypertension, chronic respiratory failure, and many more, can happen.
  • Furthermore, many drugs can cause or aggravate headaches.
  • In the vast majority of patients, headache is not associated with any neurological (nervous) signs. Proper history is the most helpful clinical tool to diagnose and identify the cause.


In history, the following points have to be inquired into:


Onset and duration Onset: Acute or chronic duration: In other words, formalized Short duration: only lasts a few hours or days


Long duration: months or years


If paroxysmal, what is the frequency or periodicity of each attack, and what is the precipitating factor?


Like:


  • Formal unilateral (one-sided), bilateral (two-sided), or alternating
  • Frontal, temporal (sides of the head), parietal (upper portion of the head), or occipital (the back portion of the head).
  • The direction of the headache's spread
  • Pain that is either superficial or deep-seated


Aggravating and relieving factors


• the nature of the headache, such as aching, dullness, bursting, throbbing, stabbing, gripping, striking, and so on. The severity of the headache is mild, moderate, or severe.


Associated symptoms: visual symptoms, nausea, vomiting, autonomic disturbances, photophobia, irritability. Description of a typical attack in the case of paroxysmal headache


Coughing and other things like changing the posture of the head, straining at the stool, coughing, and other things.


Previous treatment and its response


Drug intaketype of drug, dose, and duration. The patient's ideas about his headache and its cause

The purpose of the current consultation


Any symptom of the eyes, ears, or nose, as well as systemic symptoms such as fever or anemia. has a history of head trauma and infections of the central nervous system.


A history of chronic headaches, epilepsy, brain tumors, hypertension, diabetes, and mental illnesses

Social history: the patient's lifestyle, diet, work and work attitude, hobbies, leisure, family relationships, and psychiatric problems


What does my headache mean?

Depending on how long you've been sick, headaches can be divided into the following groups:

  • Recent headache in an ill patient, e.g., meningitis, brain abscess, brain tumor.
  • Raised intracranial tension, acute head trauma, subarachnoid hemorrhage, and systemic infections, e.g., typhoid.
  • A recent headache in a patient who appears to be healthy, such as a sinus headache, ocular headache, chronic post-traumatic headache, drug-induced headache, or a simple lumbar puncture headache that doesn't get in the way.
  • Longstanding persistent headache, e.g., tension headache and longstanding, paroxysmal headache, e.g., migraine, sinusitis

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