What are the different types of headaches that can last for hours? What causes these headaches and what are the symptoms? How are they diagnosed and treated? Find answers to these questions and more.

Types of Headaches That Can Last for Hours

Headaches can be more complicated than most people realize. There are over 150 types of headaches, but the most common ones that can last for hours include:

Tension Headaches

Tension headaches are the most common type of headache among adults and teens. They cause mild to moderate pain and come and go over time, usually without any other symptoms.

Migraine Headaches

Migraine headaches are often described as pounding, throbbing pain. They can last from 4 hours to 3 days and usually happen one to four times a month. Along with the pain, people have other symptoms like sensitivity to light, noise, or smells, nausea or vomiting, loss of appetite, and upset stomach or belly pain.

Cluster Headaches

Cluster headaches are the most severe type. You could have intense burning or piercing pain behind or around one eye. The pain can be so bad that most people with cluster headaches can’t sit still and will often pace during an attack. Other symptoms include a drooping eyelid, a reddened eye, a smaller pupil, and a runny or stuffed-up nostril on the affected side.

Chronic Daily Headaches

You have this type of headache 15 days or more a month for longer than 3 months. Some are short, while others last more than 4 hours. It’s usually one of the four types of primary headache: chronic migraine, chronic tension headache, new daily persistent headache, or hemicrania continua.

What Causes Headaches That Last for Hours?

Headaches can be caused by a variety of factors, including:

Tension

Stress, muscle tension, and poor posture can all trigger tension headaches.

Hormonal Changes

Fluctuations in hormone levels during a woman’s menstrual cycle, pregnancy, and menopause can lead to hormone headaches.

Sinus Issues

Inflammation of the sinuses can cause sinus headaches, which are characterized by deep, constant pain in the cheekbones, forehead, or bridge of the nose.

Head Trauma

Post-traumatic stress headaches usually start 2-3 days after a head injury and can last for a few months.

Exercise

The increased blood flow to the head and neck during exercise can trigger exercise headaches, which can last for up to 48 hours.

Symptoms of Headaches That Last for Hours

The specific symptoms of a headache that lasts for hours will depend on the type of headache. Common symptoms include:

Pain

Headaches can cause mild to severe pain, ranging from a dull ache to a pounding, throbbing sensation.

Sensitivity to Light, Sound, or Smells

Many people with headaches, especially migraines, experience increased sensitivity to their surroundings.

Nausea and Vomiting

Nausea and vomiting are common symptoms of migraines and some other types of headaches.

Other Neurological Symptoms

Headaches can also be accompanied by dizziness, blurred vision, and difficulty concentrating.

Diagnosing Headaches That Last for Hours

To diagnose the type of headache, your doctor will likely:

Take a Medical History

Your doctor will ask about the characteristics of your headaches, such as the location, severity, duration, and associated symptoms.

Perform a Physical Examination

Your doctor may examine your head, neck, and other areas to look for any underlying causes of your headaches.

Order Imaging Tests

In some cases, your doctor may order imaging tests, such as a CT scan or MRI, to rule out any underlying medical conditions.

Treating Headaches That Last for Hours

The treatment for a headache that lasts for hours will depend on the type of headache and its underlying cause. Common treatments include:

Medication

Over-the-counter or prescription pain relievers, anti-inflammatory drugs, or migraine-specific medications may be used to alleviate the symptoms of a headache.

Lifestyle Changes

Identifying and avoiding triggers, such as stress, poor posture, or certain foods, can help prevent or manage headaches.

Alternative Therapies

Techniques like acupuncture, massage, and relaxation exercises may also be helpful in treating headaches.

Preventive Measures

In some cases, your doctor may recommend preventive medications or other interventions to reduce the frequency and severity of your headaches.

What Happens After Starting Treatment?

After starting treatment for a headache that lasts for hours, you may experience:

Reduced Frequency and Severity of Headaches

If the treatment is effective, you should notice a decrease in the number and intensity of your headaches over time.

Improved Quality of Life

Effectively managing your headaches can help you feel better and improve your overall quality of life.

Ongoing Monitoring and Adjustment of Treatment

Your doctor may need to monitor your progress and adjust your treatment plan as needed to find the most effective approach for your individual needs.