Headache or headache is the nature of pain in a specific location in the head Headaches come in many different forms, including compression headaches, throbbing headaches, throbbing headaches, throbbing headaches, or dull headaches. They may be slow-paced headaches or sudden headaches. The pain ranges in duration from less than an hour to pain lasting several days. Headache on one side of the head or pain on both sides Headache in only one location Or the pain originates from one location and spreads throughout the head. Some headaches can be caused by serious brain diseases that can be life-threatening. You should immediately see a doctor at the hospital for a detailed diagnosis.
What are the causes of headaches?
The cause of headaches is pain-sensitive structures within the skull, around the head, nerves, or blood vessels being pulled. Inflammation or injury occurs. These mechanisms respond by stimulating the nerves surrounding the head structures to send pain signals to the midbrain. Makes you feel like you have a headache.
How many types of headaches are there?
There are many types of headaches. The cause and location of the headache determines what type of headache it is. Whether it’s a general headache Or is it a headache that is a medical emergency? In general, headaches can be divided into two main types: primary pain and secondary headaches
Primary headaches are a group of headaches that are not caused by another disease. And it is not a dangerous type of headache that is a medical emergency. Rather, it is a headache caused by a malfunction of pain-sensitive structures. Some primary headache symptoms may be inherited. Types of primary headaches include:
- Headache from tight muscles (Tension-type headaches) It is a headache caused by stress, hard work, and not getting enough rest. with headaches on both sides that tighten around the head Or the pain in the temple spreads to the back of the neck. The pain duration ranges from 30 minutes to several days. Symptoms usually occur in the afternoon or evening.
- Sinus headaches It is a headache all over the face in the sinus areas such as the forehead, bridge of the nose, and eye sockets. It comes from a variety of causes, such as the flu, allergies, bacterial or fungal infections. People who have sinus headaches will have a clear headache when they tilt their head or bend over. They may have a fever, a swollen face, mucus, and a runny nose.
- have a headacheMigraine (Migraine headaches) It is a headache that is caused by changes in chemicals in the brain. Or the blood vessels in the head expand abnormally, heredity, hormones in women, stress, lack of sleep, certain environments that trigger headaches such as heat, light, color, sound, certain chemicals or smells. The headache is only on one side of the temple and the pain may switch sides. There is a throbbing headache that resembles a pulse. with moderate to severe headaches The pain lasts from 4 hours to 3 days and may include nausea and vomiting. dizzy, spinning house Eyes can’t fight light. or numbness in the body as well
- Cluster headaches It is a headache caused by abnormal functioning of the brain. The fifth cranial nerve and surrounding blood vessels and chemical reactions in the brain It is characterized by severe one-sided headaches, sharp pains, throbbing pains that intermittently cause tears to flow, sweating, droopy eyelids, and constricted pupils. Had a series of headaches 1-3 times a day for anywhere from 2 weeks to 3 months, then the headaches disappeared.
- New daily persistent headaches (NDPH) It is a sudden headache on both sides or on one side that has never been experienced before. Symptoms include nausea, vomiting, and inability to tolerate light, similar to migraine headaches. Daily persistent headaches are a very rare type of headache and the exact cause is unknown. It is assumed that it may be caused by inflammation within the structures around the head, infection, or a brain tumor. or problems with blood vessels that require a thorough diagnosis by a medical expert
What are the factors that trigger primary headaches?
- Looking at bright lights or flashing lights
- Using your eyes or straining your neck for a long time
- exposure to hot air or cold weather
- drinking alcohol
- Certain foods, such as processed foods that contain nitrates
- Not sleeping at the right time, lack of sleep
- Exercising too hard
Primary headaches are generally harmless. But it may interfere with daily life.
Secondary headache is a group of headaches that are caused by disease or abnormalities occurring within or outside the skull structure. There are both harmless headaches that can be treated. and life-threatening types that must be rushed to the hospital for treatment as soon as possible.
- Secondary headaches caused by structures outside the skull and neck, such as sinus headaches and headaches from dehydration. Headaches from muscle pain and fascia in the head and neck Severe toothache radiating to the head, glaucoma, or jaw joint abnormalities
- Secondary headaches that are caused by structures within the skull such as brain areas, blood vessels, nerves, including brain tumors. brain hemorrhage Cerebral hemorrhage intracranial pressure meningitis Cerebral aneurysm Abnormal hydrocephalus, brain abscess, brain cancer, or cerebral vein thrombosis.
- Thunderclap headache is a sudden headache. Violence that occurs suddenly without warning It can be a prelude to a serious medical emergency, such as a brain hemorrhage. Cerebral blood vessels shrink or cerebral vein thrombosis
What kind of headaches should you see a doctor for?
- Sudden, severe headache
- The worst headache of my life.
- Headache accompanied by other symptoms such as fever, convulsions, lethargy, confusion, behavioral changes, weakness in the arms and legs, numbness, and speech problems. Crooked face or mouth or abnormal vision
- Chronic headache Frequent headaches that require regular painkillers
- Headache only when coughing or sneezing
- New onset headaches after age 50
- Headaches that occur during pregnancy
Diagnosing headaches What is the method?
Doctors will diagnose headaches through a preliminary physical examination. And take a detailed history, which is the most important step in diagnosing the cause of the headache, such as where the headache is, what kind of pain it is, how much pain it is, and how often the pain is. How long have you been in pain? Constant or worsening pain While in pain, can I do my daily activities? Are there any other symptoms, such as a fever? What should I do to relieve the pain? Medicines taken regularly, congenital diseases, history of accidents or head injuries Family history of headaches and including lifestyle in living life The doctor will then perform additional diagnostic tests using the following methods:
- MRI (Magnetic resonance imaging) It is a head examination using 3D electromagnetic waves with high resolution and clarity. Structures inside the head can be seen to detect the cause of headaches, such as tumors, cancer, and brain hemorrhages. Cerebral hemorrhage or blockage, paresis, paralysis, dementia, and others. It is a safe test and does not cause pain or danger in any way. And it is processed with an AI system that is fast and accurate, helping to clearly identify the cause of the disease.
- PET and CT scan (PET/CT scan) It is a nuclear medicine test that uses a combination of PET (Positron emission tomography) and CT or a high-performance 3D computerized x-ray machine to find structural abnormalities within the head that may be the cause of headaches, such as blood vessels and tumors. cancer and other disorders, including helping to evaluate treatment results and prognosis and helps to treat headaches more effectively
headache treatment What is the method?
Doctors will consider headache treatment guidelines based on the diagnostic tests obtained for both primary and primary causes of headaches. and secondary headaches It takes into account individual factors such as headache triggers, overall health, medical history, age, duration of headaches. or the severity of the headache
Guidelines for treating primary headaches
- Drug treatment (Medications) For example, a group of nonsteroidal pain relievers or NSAIDs such as Ibuprofen, Naproxen, or a group of painkillers for migraines such as Triptans, Ergot. However, the use of such drugs should be at the discretion of the doctor.
- Preventive medications to prevent headaches Doctors may consider anti-headache medication for those who experience frequent headaches to help reduce their frequency. and severity of headaches
- Training in dealing withstress (Stress management) Breathing exercises Muscle relaxation, music therapy
- Avoiding factors that trigger headaches such as stress, lack of sleep, or drinking alcohol.
- Practicing body control to create balance (Biofeedback) It is a treatment process performed by doctors together with multidisciplinary specialists at the hospital. To check the functioning of vital signs, breath, pulse, and body temperature. muscle tightness and brain management
- Botox injections (*Migraine headache in the consideration of the doctor)
- Physical therapy (Physical therapy)
Guidelines for treating secondary headaches
Guidelines for treating secondary headaches caused by disease or abnormalities within the skull, such as cerebral hemorrhage, stenosis, brain tumor or brain cancer, including
- Medication treatments
- radiation therapy (Radiotherapy)
- Chemotherapy (Chemotherapy)
- Targeted therapy
- Immunotherapy (Immunotherapy)
Basic ways to relieve headaches What is the method?
Occasional mild headaches can be relieved with over-the-counter pain relievers from pharmacists. Eating food from all 5 food groups or finding activities to relieve stress. However, if the symptoms do not subside or you have severe headaches that affect your daily life. You should see a doctor immediately to get initial headache relief. Basic ways to relieve headaches There is a method as follows.
- Taking basic painkillers such as Paracetamol, Ibuprofen
- Resting your eyes from the screen or temporary hard work
- Hot compress or cold compress on the head
- Stretching exercises
- Head, neck or back massage
- Relax in a dimly lit, quiet place.
- Going for a walk to relax
- listening to casual music
- Playing with beloved pets
What are the complications of headaches?
Headaches are generally not life-threatening. However, headaches can lead to a number of complications, especially in the context of treatment. or complications that result from the cause of the headache
- Complications of primary headache For example, using non-steroidal painkillers or NSAIDs, which may cause abdominal pain. and bleeding in the digestive tract Headaches from an overdose of painkillers that, if the medication is stopped, the headaches will recur. Migraine headaches that continue for more than 72 hours without relief. Migraine headaches that cause migraine infarction or seizures associated with migraine headaches (Migraine-associated seizer)
- Complications of secondary headaches Often caused by the actual cause of the headache, such as a brain tumor. or brain cancer These causes need to be treated with medication, surgery, or chemotherapy to treat the headaches.
People with chronic headaches or have complications from headaches, you should see a qualified doctor for a diagnosis. and systematically plan appropriate treatment to effectively treat headaches and complications.
headache prevention What is the method?
- Primary headacheIt can be prevented by finding the cause of the headache. or factors that may trigger headaches, which vary according to each person and change those behaviors, such as getting enough sleep Eating every meal and drinking enough water Limiting the amount of caffeine or alcohol you drink Exercise in moderation Ease your mind from stress, meditate, or even avoid the smell of certain perfumes that may trigger headaches to prevent recurrence.
- Secondary headacheIt is a headache that cannot be prevented or avoided because it is a headache caused by disease. or abnormalities within the skull structure People who have a sudden, severe headache for no apparent reason. Have a headache along with other abnormal symptoms. People who have been in an accident. or received a head injury You should undergo a thorough examination by a neurosurgery specialist to determine the cause of the disease. and receive effective treatment to get rid of the disease or to make the headache subside.
Frequent headaches, headaches that don’t go away, can detect the cause. Helps relieve headaches
People who have at least one headache per week. People who take painkillers every day or almost every day but their headaches still don’t go away. People who have more and more headaches with no signs of improvement. You should see a neurosurgery specialist for a thorough diagnosis. Including including history taking Diagnosis of neuropathy and radiological examinations to determine the true cause of headaches and to help receive effective treatment in a timely manner. Detecting symptoms early will help treat symptoms quickly. It also helps prevent complications that may arise from headaches. and helps you to live your daily life normally and happily