HEADACHE – TREATMENT AND PREVENTION

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HEADACHE - TREATMENT AND PREVENTION

HEADACHE - TREATMENT AND PREVENTION

Headache is usually a benign symptom but it can be the manifestation of serious illness such as brain haemorrhage, brain tumour or brain infection. Approximately 5% of patients with headache are found to have a serious underlying neurological disorder.

Warning Symptoms/ When to get CT/MRI Brain

  • Acute severe & progressive headache.
  • New onset headache in adult life (>40 years)
  • Headache associated with fever, nausea, vomiting, vision disturbances, confusion, seizure, neck pain, limb weakness or worsens with posture and movements.
  • Nocturnal occurrence or morning awakening.
  • Headache not responding to treatment

Migraine: Most common form of headache, more common in females

  • Episodic, throbbing
  • Unilateral or bilateral
  • Nausea, vomiting
  • Photophobia, Phonophobia
  • Positive family history
  • Increased during menses, hunger, lack of sleep, glare, coffee, red wine, perfumes and stress
  • Relieved by sleep
  • Treatable with very few medicines

Prevention:-

  • Visit to neurologist if any above symptoms or warning symptoms.
  • Proper hydration.
  • Avoid Stress.
  • Do not take pain killers/analgesics by your own as it leads to increase in headache frequency.
  • Proper treatment of hypertension.

Dr Gourav Jain, MD, DM Neurology (PGI Chandigarh)
Consultant, Neurologist

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