One of the chief complaint experience almost in every human being due to various reasons. If any painful sensation occurs in any part of the head, ranging from sharp to dull, that may occur with any other symptoms, then it is generally categorized as headache.
Common types of headaches include
Chronic daily Headache
New Daily Persistent Headaches
Stiff neck/ rash/ worst headaches
Vomiting/ confusion/ slurred speech
Flashing lights/ shimmering lights/ zigzag lines
Intense pain, etc.
When To See Your Doctor For Headache Disease?
When headache continue for weeks and more no. Of days and affects your daily activities with the above mentioned signs and symptoms, then you should consult your doctor to know about type of headache you are facing.
Headache: Causes And Risk Factors
Most common types of headaches are sinus/ tension /migraine.
Sinus Headaches- it usually occurs when there is infection/pressure in the sinuses.
Tension Headaches- It mainly strike when the muscles in the head and neck tighten.
Migraine Headches- It occurs when super sensitive nerve endings in the brain create pain.
Headache Trigger Causes & Risk Factors
Lack of sleep
Changes in weather
Processed food and monosodium glutamate food/ alcohol
Being around smoke/ certain smells
Estrogen level changes in female
Otc (over the counter) drugs
High grade fever/ infections
High blood pressure
Eat small and frequent meals
Forehead cold compress with ice-bag
Get a massage
Drink enough fluids
Maintain your weight
Try to keep stress level low
Not too much caffeine
Don’t spent too much time on tv, laptop, mobile, computers.
Avoid food that triggers your headache.
Avoid loud noise/ strong perfumes/ watching movies in a dark theater
Keep a regular schedule and follow up.
Eat vitamins rich food
Full medical history is required to know the proper cause of headache. It’s the first and most important part of the diagnosis.
It includes some questions regarding frequency, severity and location.
To diagnose the headache properly, it is more important to take patient’s history which helps to differentiate between primary headaches and secondary headaches.
Most common type of headaches, are painful, but not all dangerous. For this kind of headaches, headache trigger trackers and headache diaries can be effective tools to know the diagnosis in brief and causes.
Generally characterized by excruciating pain, usually caused by another more serious conditions.
For Advanced Diagnosis Techniques, some tests and techniques used like-
ESR(Erythrocyte Sedimentation Rate)
MRI, CT Scan
Digital Subtraction Angiography
Headache: General Tips
Drink Water time to time to avoid inadequate hydration.
Breathing exercises and yoga
Massage of headache
Hot/ cold applications
Some acupuncture techniques and procedures
Avoid food that contain monosodium glutamate, nitrate, Tyramine.
Panchkarma therapy in Ayurveda
What To Avoid?
Smoked fish/ smoked chicken
Continuous use of mobile/laptop/ led screen
What To Eat?
Drink adequate amount of water and fluids daily to maintain electrolyte balance.
Try to eat leafy green vegetables
Vitamin b2 riboflavin containing foods
Oatmeal/brown rice/sesame seeds
Small amount of coffee/tea.
Summer squash/ sweet potatoes/ carrots/ spinach
Eat small amount of dessert.
Headache: Questions And Answers (FAQs)
Q.1) What makes headache differ from migraine?
Ans.- Migraine is basically most common form of headache, but not all headaches are migraines. Migraine is usually occur one side of the head and it’s associated with aura/nausea/ vomiting/sensitivity to light/ sound,etc. A throbbing pain also occur. On the other hand, headache is simply painful sensations that occur in head, ranges from simple to more intense depending upon signs and symptoms.
Q.2) What are Cluster Headaches?
Ans.- It is a type of headache which is relatively short lived, usually lasts between 20 mins and 2 hrs. It is mostly one-sided and associated with symptoms such as stuffy nose,tearing, enlarged pupil, droopy lid. It tend to occur several to many times in a day for a period of days to weeks, and then it disappear for a variable amount of time, usually weeks to months.
Q.3) What are Tension Headaches?
Ans.- Tension type headaches are the most common type after migraine. Typically they are found around the back of the head, the temples and forehead. Onset is somewhat pressure like and can last from hours to days. It can co-exist with migraine,and one can transform/trigger the other.
Q.4) What is a Hypnic Headache?
Ans.- A hypnic headache is a rare headache that usually occurs in people between the ages of 40 and 80. Its a unique headache that occurs exclusively at night, typically lasting between 15 and 60 minutes.
Q.5) How headache feels when u have sinus?
Ans.- Build up of a pressure in your sinuses causes pain that feels like a headache. You will feel a deep and constant pain in your cheekbones, forehead, or the bridge of your nose, pain usually gets much stronger when you move your head suddenly or strain.
Q.6) What are Sinus Headaches?
Ans.- The lining of the ducts/tubes that connect the sinuses to the back of the nose when become inflamed then the sinuses are unable to drain normally which makes sinuses to build up pressure within the blocked sinus. Also, occurs swelling and inflammation in sinuses which results in increased mucus and fluid secretion. Fluid combined with the inability to drain make pressure within the sinus cavity, causing the pain of a sinus headache.
Q.7) What causes Sinus Headaches?
Ans.- These kind of headache may be caused by a viral/bacterial infection which causes inflammation and swelling in the nose. It can also be cause by an allergic reaction such as hay fever. Fluid in sinuses increases due to inflammation which decreases the ability of the sinuses to drain.
Q.8) What causes headache pain behind eyes ?
Ans.- There are many causes that leads to pain behind eyes. Some common causes are tension headaches,sinusitis, potential triggers, cluster headache, migraine, eyestrain from staring at a TV, computer screen , undiagnosed nearsightedness. Due to the above mentioned over-activities, stimulation in brain occurs which makes vision impairment, often resulting in a headache.
Q.9) How to get rid of a Headache quickly?
Ans.- Some general tips are :-
Try a cold pack/use a heating pad/ hot compress.
Ease pressure on scalp/head.
Dim the lights.
Try not to chew something like gum.
Drink plenty of liquids.
Get some caffeine like tea/coffee/ something
With a little caffeine in it.
Practice some relaxation techniques like
Yoga/meditation/ muscle relaxation.
Try head massage
Q.10) Why gastric problems lead to headaches?
Ans.- The main reasons for gastric problems are Indigestion, acidity, GERD, constipation, infection in intestine, etc. Our body is connected to various nerves and circulatory pathways. When gastric problems occur in our body, then it stimulate the nerves which is connected to spinal and brain. And when the pain becomes more intense, then at the same time it trigger our brain which directly lead to headaches.
Type of headache which may occur with symptoms such as nausea/vomiting/ sensitivity to light. In many of the people, throbbing pain is felt only on one side of the head.
Due to urbanization, lifestyle of the people of modern era has changed. Due to changed work expectations for better lifestyle, stress is causing incidence of acute and chronic disorders.
MIGRAINE, one of the chronic illness,and has spread in many parts of population. It is chronic neurological disorder. Some people who get migraine have warning symptom, called an aura,before the actual headache begins. An aura is a group of symptoms, of vision changes.
In Ayurveda, Ardhavabhedaka is very much similar to migraine. It is described as vataja/vatakaphaj/tridoshaj shiroroga.
Migraine progresses through four stages-
One/ Two days before a migraine, some changes will warn you for an upcoming migraine.
Constipation, Food cravings, Neck stiffness, Mood changes, Thirst and urination, Yawning frequent.
It is considered reversible symptoms of the nervous system. It can occur before/ during migraines, although it is usually visual but can also include other disturbances. Aura symptoms begins gradually,, builds up over several minutes and lasta for 20 to 60 minutes.
visual phenomena can occur such as seeing various shapes, bright spots/ flashes of light.
pins and needles sensations in an arm/leg.
Migraine usually lasts from 4 - 72 hours if untreated. Attack of migraine includes -
pain that usually occur on one side of your head, but often on both sides.
pain that throb/pulses.
sensitivity to light/sound/ smell/ touch.
nausea and vomiting.
After migraine attack, you might feel drained, confused and washed out for upto a day. Sudden head movement might occur.
WHEN TO SEE YOUR DOCTOR FOR MIGRAINE DISEASE ?
Migraine is often undiagnosed and untreated. Regular signs and symptoms record and attack records should be kept and to report doctor to know about its severity. Headaches history also might help.
In case of any severe signs and symptoms mentioned below occur, then without delay consult doctor/ go to the hospital immediately --
headache with fever/stiff neck/mental confusion/ seizures/ double vision/ weakness/ numbness/ trouble speaking.
chronic headache worse after coughing/exertion/straining/ sudden movement.
an abrupt severe headache.
CAUSES AND RISK FACTORS-
A migraine headache is caused by abnormal brain activity that triggered many things.
It tends to appear between the ages of 10 and 45, sometimes later in life. It run in families. Mostly, it occurs in women as compared to men.
Migraine headaches can also triggered by certain foods like-
Baked goods/ chocolate/ dairy foods/MSG ( monosodium glutamate) foods.
Tyramine rich foods like smoked fish/ chicken livers/ figs/ certain beans/ aged cheese/ red wine
Peanuts/ processed, fermented, pickled/ marinated foods
Hormonal changes in women like fluctuations in estrogen before/during menstrual periods, pregnancy, menopause.
Oral contraceptives and hormone replacement therapy in women can worsen migraines.
Bright lights/ sun glare/ loud sounds.
Strong smell= include perfumes/ paint thinner
intense physical exertion
avoid loud noises, bright lights.
pay attention to food choices such as avoid chocolate, red wine, processed meats, sweeteners, cheese.
record headache of times and severity of headaches.
beware of hormonal changes.
pay attention to the weather.
take nutritive foods and supplements.
eat + sleep on a regular schedule.
don’t miss your meal especially lunch and breakfast.
choose relaxing exercises.
have a managing schedule with lifestyle management.
Diagnosis of migraine is usually based on the history. Acc. To diagnostic criteria established by the International Headache Society, patients must have had at least 5 headache attacks that lasted 4-72 hrs & the headache must have at least 2-3 of the following characteristics in it :-
1) Pulsating quality
2) Moderate/ severe pain intensity
3) Aggravation by / causing avoidance of routine physical activities.
Now, in addition to the above mentioned criteria, patient must have had atleast one of the following :-
1) Nausea/ vomiting
2) Photophobia & phonophobia
GENERAL TIPS/ HOME REMEDIES -
Keep a food diary along with your headache diary --- to help identify what you ate before migraine attacks.
If you think a specific food is triggering migraine attacks/ you may try to avoid that food for a month affects.
Be careful about trying extremely strict diets, it can lead to missing various nutrients.
Try to change things like white bread, white rice and pasta in your diet to whole grains.
Aim to increase fruit and vegetables intake.
Aim to eat healthy fats not low fats.
Limiit sodium to < than 2300 mg/ day. Most salt in our diets comes from processed foods like heat-and-eat frozen meals, canned soups, ready-to-eat snacks like chips and crackers.
Consider eating 5 small meals per day. To stay longer, eat a carbohydrate with a protein/good fat.
Don’t eat/drink anything that triggers your migraine. Some common food triggers are alcohol//aged cheeses,/caffeine. And chocolate.
Drink water through the day instead of sugary drinks like soda/juice.
Eat magnesium rich foods. Magnesium mineral is important for a no. Of body functions, also it binds to specific receptors in brain.
WHAT TO AVOID?
Spicy, heavy, cold, oily foods
Foods that contain a lot of sodium/ additive foods containing monosodium glutamate(MSG)/ artificial sweeteners such as aspartame.
changes in the weather/ changes in sleeping habit patterns.
certain medications without prescription
eggs/ tomatoes/ onions/ dairy products/ citrus fruits
pasta and bread products
chocolate/ aged cheese/ nuts/ aspartame/excessive caffeine
Avoid exposure to wind and sunlight.
Avoid smoked meat and fish.
WHAT TO EAT?
orange/green and yellow vegetables ( summer squash/sweet potatoes/carrots/ spinach)
meals and water intake on time.
dried/ cooked fruits
well cooked and boiled food
boiled and cooked fresh meats/fish/poultry
Vitamin B-2 / Riboflavin containing food like salmon, red meat, grains and mushrooms.
light diet/ rest/ relaxation
QUESTIONS AND ANSWERS -
Q.1.) How hormones affect migraine in women?
Ans.- Migraine is more common in women, menstruation in migraine trigger 10% of women with migraine. Hormonal medications such as oral contraceptives / hormone replacement therapy can also worsen the condition.
Q.2) What are some features of migraine aura?
Ans.- Some features are -
usually develops over 5-20 mins and lasts less than 60 mins.
most commonly visual but can be sensory/motor/ any combination of these.
visual symptoms may be positive/ negative.
Q.3) What is migraine headache?
Ans.- It is a complex disorder characterized by recurrent episodes of headache, mostly unilateral and sometimes associated with visual/ sensory symptoms -collectively known as an aura- arises before the head pain but that may occur during/afterward. Most common occurs in women and also has genetic component.
Q.4) What are the signs and symptoms of migraine?
Ans.- Typical symptoms of migraine include :-
throbbing/ pulsatile headache, moderate to severe pain that intensifies with movement/ physical activity.
unilateral / localized pain in the fronto-temporal and ocular area.
pain builds up over a period of 1-2 hrs.
headache lasts 4-72hrs.
nausea and vomiting, anorexia, food intolerance, light - headedness
light and sound sensitivity.
Q.5) What are some migraine variants?
Ans.- It includes childhood periodic syndromes, migraine with brainstem aura, hemiplegic migraine, status migrainosus, retinal migraine.
Q.6) What is the diagnosis of migraine?
Ans.- It is based on patient history. International Headache Society diagnostic criteria are that patients must have had atleast 5 headache attacks that lasted 4-72 hrs and that the headache must have had atleast 2 of the following characteristics:-
moderate/severe pain intensity
aggravation / causing avoidance of routine physical activity characters in it.
In addition, patient must have had atleast 1 of the following :-
Q.7) How common is migraine in children and adolescents?
Ans.- In early childhood and before puberty, migraines are more frequent among boys. In adolescence ; migraine affects young women > than young men. Migraine occurs in about 3% of children of preschool children. 4% to 11% of elementary school children, and 8% to 15% of high school aged children. As adults, women are 3 times more likely to have a migraine than men.
Q.8) What is an aura?
Ans.- An Aura is a sign of warning indicate that migraine is about to begin. It usually occurs about 30 mins before a migraine starts. Most common are visual include blurred/distorted vision/blind spots/brightly colored/ flashing/ moving lights/lines. Other kind includes change in ability to speak/move/hear/smell/taste/touch. It lasts about 20 minutes.
Q.9) Why nausea occur in migraine?
Ans.- Strong headaches like migraine happen when nerves in brain signal blood vessels on its surface to get bigger. Low levels of serotonin, also linked to motion sickness and nausea. It may also because of certain nerve pathways(vagus and glossopharyngeal) , brain pathways, excite an area in the brainstem that triggers the vomiting center.
Q.10) What actually happens in the brain during a migraine?
Ans.- Migraine pain happens due to waves of activity by group of excitable brain cells, trigger chemicals, such as serotonin, to narrow blood vessels. Serotonin, it is a chemical necessary for communication between nerve cells..
Q.11) How Migraine is treated in Ayurveda?
Ans.- In Ayurveda system of Medicine, natural methods are used like - Panchakarma Therapy procedures include nasya karma, swedan, abhyanga, snehana. Yoga techniques also helps to calm mind and body, ease stress and anxiety, reduce pain. Pathyadi decoction also used.
Panaji, Oct 8 (IANS) Forty-nine per cent of the petrol pump attendants in the state capital suffer from musculoskeletal pain, followed by frequent headaches (26.7 per cent), eye irritation and high blood pressure (both 22.7 per cent) and stuffy nose (18.7 per cent), a study conducted by doctors attached to the state's top government medical college has revealed.The study conducted by Dr. Akshaya V. Naik and Dr. A.M. Ferreira, both post graduation students at the Department of Prevent Medicine at the Goa Medical College, has also said that personal protective equipment (PPE) would help address some of the health issues faced by petrol pump attendants and should be made available for their safety."Fuel spillage over skin (68 per cent), extreme weather conditions (37.3 per cent) fuel spillage in the eyes (32 per cent) were the common hazards reported by the participants. None of the study participants was seen wearing goggles, mask or gloves for their personal safety," the study ‘Cross Sectional Study of Occupational Hazards among Petrol Pump Attendants of Panaji City in Goa' which has been published in the latest edition of the International Journal of Preventive, Curative and Community Medicine has said."73 per cent of the study participants felt that the PPE should be made available for their safety. 22.7 per cent of the study participants had high blood pressure at the time of interview," it also said, advocating providing of PPEs as well as periodical medical check-ups for petrol pump attendants."Also, it has been reported in various studies, that petrol pump attendants have a higher risk of developing cancer from daily exposure to chemicals such as benzene and formaldehyde. This warrants the use of personal protective equipment by every individual working at the petrol pump station for their own safety," the study said.Among the ailments typically suffered by petrol pump attendants, frequent headaches due to the exposure to petroleum fumes, tops the list."Musculoskeletal pain was the most common health problem perceived by the study participants (49.3 per cent) followed by frequent headaches (26.7 per cent), eye irritation (22.7 per cent) and stuffy nose (18.7 per cent),a the study, which has been conducted after interviewing attendants of seven major petrol pumps in the state capital has revealed. Musculoskeletal pain is caused by constant standing, which is common in the daily work routines of a petrol pump attendant."Exposure to excessive heat can lead to heat stress which may affect mental and physical health and may lead to anger, depression, giddiness and low work performance, while repeated exposure to cool temperature can cause hypothermia and chilblains," it also said.Exposure to loud vehicle sounds and constant honking could also lead to "either temporary or permanent hearing loss"."Petrol pump attendants are engaged in long hours of standing while at work. Chemical hazards can occur mainly due to contact and inhalation of the volatile gasoline at the work station. These workers are exposed to both the volatile hydrocarbon in fuel and the fumes from the exhaust of vehicles leading to genotoxicity," the research paper also said.--IANSmaya/rs
Smartphone users who suffer from regular headaches and migraines may be more likely to use painkillers and find less relief, say researchers at All India Institute of Medical Sciences (AIIMS).
For the study, published in the jorunal Neurology: Clinical Practice, researchers have identified 400 people in India with a primary headache condition, which includes migraine, tension headache and other headache types that are not due to another condition.
"While the results need to be confirmed with larger and more rigorous studies, the findings are concerning, as smartphone use is growing rapidly and has been linked to a number of symptoms, with headache being the most common," said study author Deepti Vibha, from AIIMS in New Delhi.
According to the researchers, the study does not prove that smartphone use causes greater use of pain medication and less relief; it only shows an association.
For the findings, the research team asked the people about their smartphone use and their headaches and medication use.
Of the 400 people, 206 were smartphone users and 194 were non-users.
People who did not use smartphones were older, had a lower education level and were more likely to have a low socioeconomic status than those who did use smartphones.
The smartphone users were more likely to take pain-relieving drugs for their headaches than non-users, with 96 per cent of smartphone users taking the drugs as compared to 81 per cent of non-users.
Smartphone users took an average of eight pills per month compared to five pills per month for non-users, the study said.
Smartphone users also reported less relief from the medication, with 84 per cent gaining moderate or complete relief of headache pain compared to 94 per cent of non-users.
However, the study did not find any difference between the two groups in how often headaches occurred, how long they lasted or how severe they were.
The researchers noted that the study only examined people at one point in time; it did not follow them to look for changes over time.
"The root of the problem is not yet clear. Is it a user's neck position? Or the phone's lighting? Or eye strain? Or the stress of being connected at all times? Answers will likely emerge in upcoming years and eventually guide strategies for more sustainable use of the devices," said Heidi Moawad, member of the American Academy of Neurology.
"Features such as hands-free settings, voice activation and audio functions could potentially hold the key to helping smartphone users benefit from their phones without exacerbating their headaches," Moawad added. (IANS)
प्रश्न - धूप में निकलने से सिर भारी हो जाता है और दर्द करता है। इसका कारण और बचाव क्या हैं ?-डॉ. अभिषेक गुप्ता, मुख्य चिकित्सा अधिकारी, निरोग स्ट्रीटकारण:इस तरह से सिर दर्द होने के कई कारण हो सकते हैं, प्रायः ऐसा सिर दर्द तापमान में हुए बदलाव के कारण हो सकता है।जब हमारा शरीर ठीक ढंग से बढ़े हुए तापमान के साथ तालमेल नहीं बैठा पाता या कई बार अधिक तापमान के कारण डिहाइड्रेशन हो जाने से (गर्मी के कारण शरीर से जब बहुत अधिक पसीना निकलता है तो शरीर में पानी की कमी होने लगती है इससे डिहाइड्रेशन हो सकता है) या माइग्रेन के कारण भी ऐसा सिर दर्द हो सकता है।गर्मी के कारण होने वाले सिर दर्द के साथ यह लक्षण भी आपको हो सकते हैं सिर चकराना, मांसपेशियों में ऐंठन या जकड़न, जी मिचलाना, बेहोशी या बहुत अधिक प्यास का लगना।बचाव:• लंबे समय तक गर्मी / धूप के संपर्क से बचें।• घर से निकलते समय उचित मात्रा में पानी व प्राकृतिक पेय जैसे ठंडाई, नारियल पानी, छाछ, शर्बत, शिकंजी, आम का पना, सत्तू आदि को पीकर निकलें। • तेज धूप में शरीर को कपड़ों से ढककर रखें व छाते का प्रयोग करें। • सिर दर्द होने पर तरबूज के रस में मिश्री मिलाकर पियें।• तरबूज के बीज की गरी का चूर्ण करके उसे पानी में मिलकर खूब अच्छे से तब तक घोंटे जब तक वह मक्खन की तरह मुलायम न हो जाये इसका लेप सिर पर लगाने से सिर दर्द में शीघ्र लाभ मिलता है।• आमले व धनिये का शर्बत भी गर्मी से होने वाले सिर दर्द में लाभ करता है।• समस्या में लाभ न होने पर अपने चिकित्सक से परामर्श करें।( मूलतः भास्कर में प्रकाशित )