Headache is a very common ailment. It is so common that not a lot of people are spared from experiencing it in their daily lives. There are a variety of reasons that could cause a headache and in most situations, it can be overcome by taking enough rest or a good sleep and mostly don’t need any medications. But certain headaches do need immediate medical attention and to identify the features associated with such headcahes is important. The so called “red flags” in headache which warrant urgent medical attention are the following.
Causes :
Besides problems associated with the brain, eye problems, sinusitis, inflamed gums, issues with the ear can also cause headaches. The most dangerous conditions that lead to headaches are bleeding inside the brain or in its shell, tumors and infections in the brain or increased intracranial pressure ie inside the skull.
The two common headaches that occur periodically are the ones due to migraine or the tension-type headaches which is a result of increased stress.
Migraine Headache :
Migraine headache is widely seen in youngsters 20-50 years age group, especially women. ITs usually percipitated by sleeplessness, excessive stress or workload, inadequate food or water intake or certain beverages like coffee. It is a pulsating or throbbing type of pain that emerges from one side of sclap and can spreads across the entire head becoming unendurable. Slightest noise and light can increase the pain during these times. Dizziness, pounding head, nausea and vomiting may occur along with headache. During the initial stages, the headache stays put for 1-4 hours which will be cured after a deep sleep or taking pain killers. Over time, these headaches might come every day and stay for a few days at a stretch.
Tension-type headache :
This type of headache is usually seen among middle-aged people without any gender discriminations. This starts as a grippingor constricting type of pain on both side of the head but however, the effects like vomiting are less intense, unlike migraine. As the name denotes, this type of headaches is caused due to increased stress and sleeplessness.
Remedy/ How to mitigate?
If the headaches are short-lived and facile, then taking adequate rest or painkillers would suffice. Under the exhibition of the earlier said red flag symptoms, urgent medical care is necessary. They may need brain imaging either CT or MRI to evaluate the cause.
If the headaches become so severe and the frequency increase to more than 2 attacks per week, that they disrupt the daily activities, then an expert treatment would be required. They may need specific medicines depending on the cause of headache. As earlier siad two most common causes are migrane and tension type headache. Prophylactic medicines to reduce the frequency of attacks are needed and may need to take them for 3-6 months continuously.
Precautions :
Keep an eye out on the following factors to reduce migraine and tension-type headaches.
Most of the time, headaches are caused by simple and manageable reasons. By following a lifestyle with less tension and stress and maintaining good sleep hygiene, can reduce the occurrence of headaches. But, if headaches are recurring or affecting daily life activities, finding the cause and undergoing necessary treatment is important.
Dr. Vishnu has various research work publications in Kerala Medical Journal. Original Article “Observation of Serum Uric acid level in essential hypertension” published in Kerala Medical Journal (KMJ) August 2013, is one of his esteemed publications. He has already done many oral presentations. The enlightening presentation includes “Observation of Serum Uric acid level in essential hypertension” — APICON- 2013, Role of Plasmapheresis in Neurological disorders ISNSCON 2017, Clinical profile on NODAT — NAKCON 2017. He is a Life Time Member of Indian Medical Association. He was Awarded First Prize in Free paper presentation APICON 2012 of “Observation of Serum Uric acid level in essential hypertension
A Malaysian national diagnosed with lower rectal cancer had to fly from his home to Trivandrum entrusting Dr.Baiju Senadhipan, the prestigious Consultant Gastrosurgeon at SUT Pattom to have a comeback to his routine life.