What can cause fatigue, headaches, and nausea after a traumatic brain injury? How can you manage these symptoms and improve your recovery?

Navigating Post-Traumatic Symptoms: Fatigue, Headaches, and Nausea

Recovering from a traumatic brain injury (TBI) can be a complex and challenging journey, often marked by a range of troubling symptoms. Among the most common and disruptive of these are fatigue, sleep problems, and headaches. Understanding the causes and management strategies for these post-traumatic symptoms is crucial for optimizing recovery and quality of life.

Battling Fatigue: Reclaiming Your Energy

One of the hallmarks of a TBI is increased fatigue, where individuals find themselves tiring more easily and struggling to bounce back from busy days. This can be a frustrating and debilitating experience, but there are steps you can take to address it.

Strategies for Managing Fatigue

• Establish a consistent sleep routine: Going to bed and waking up at the same time each day can help regulate your body’s natural sleep-wake cycle.
• Prioritize rest and recovery: Listen to your body’s cues and take breaks when needed, even if it means rescheduling activities or adjusting your workload.
• Avoid stimulants and late-day naps: Caffeine, alcohol, and long daytime naps can disrupt your sleep patterns and exacerbate fatigue.
• Engage in light exercise: Gentle physical activity, such as walking or yoga, can help boost energy levels without overtaxing your system.

Tackling Sleep Problems: Restoring Restorative Sleep

Many individuals with TBI struggle with sleep disturbances, ranging from difficulty falling asleep to poor sleep quality. Addressing these sleep problems is crucial for managing fatigue and promoting overall healing.

Strategies for Better Sleep

1. Establish a consistent bedtime routine: Engage in relaxing activities, such as reading or light stretching, to signal to your body that it’s time to wind down.
2. Create a sleep-friendly environment: Ensure your bedroom is cool, dark, and quiet, and consider using earplugs or blackout curtains if needed.
3. Avoid screens and stimulants before bed: The blue light emitted by electronic devices and the effects of caffeine can disrupt your sleep.
4. Discuss sleep concerns with your healthcare provider: They can help identify and address any underlying issues, such as post-traumatic stress or medication side effects.

Navigating Headaches: Identifying and Managing Different Types

Headaches are another common symptom of TBI, and understanding the different types can help you develop more effective management strategies.

Common Post-Traumatic Headache Types

• Tension headaches: These are the most prevalent type, often triggered by stress, poor posture, and muscle tension in the neck and shoulders.
• Migraines: Characterized by throbbing pain, nausea, and sensitivity to light and sound, migraines can be exacerbated by factors such as fatigue, irregular eating, and certain foods.
• Post-traumatic headaches: These headaches can develop months or even years after a TBI, often manifesting as a combination of tension and migraine-like symptoms.
• Cluster headaches: Intense, recurring headaches typically localized to one side of the face and often triggered by stimulants like nicotine or alcohol.
• Withdrawal (rebound) headaches: These can result from the overuse of pain medication, leading to symptoms like nausea, difficulty concentrating, and mood disturbances.

Managing Headache Triggers

To help prevent and manage post-traumatic headaches, it’s essential to identify and minimize common triggers, such as stress, poor sleep, skipped meals, and certain medications. Working closely with your healthcare team to develop a comprehensive treatment plan can help you find relief and improve your overall quality of life.

Addressing Nausea and Stomach Discomfort

In addition to fatigue and headaches, individuals with TBI may also experience nausea, vomiting, and stomach cramps. These symptoms can further exacerbate the challenges of recovery and impact overall well-being.

Strategies for Managing Nausea and Stomach Issues

1. Maintain a balanced, nutritious diet: Avoid heavy or greasy foods that may further upset your stomach, and focus on easily digestible, nutrient-rich options.
2. Stay hydrated: Drink plenty of water and consider electrolyte-rich beverages to help replenish fluids and minerals.
3. Manage stress and anxiety: Techniques like deep breathing, meditation, and gentle exercise can help alleviate the physical and emotional stress that can contribute to nausea and stomach discomfort.
4. Discuss medication options with your healthcare provider: They may be able to prescribe anti-nausea medications or adjust existing treatments to better address your gastrointestinal symptoms.

Seeking Support and Additional Resources

Navigating the challenges of post-traumatic symptoms, such as fatigue, headaches, and nausea, can be a daunting task, but you don’t have to go through it alone. Reach out to your healthcare team, including your primary care provider, neurologist, and any mental health professionals involved in your care, to develop a comprehensive treatment plan. Additionally, consider connecting with support groups and exploring educational resources to better understand and manage your symptoms.

Remember, with the right strategies and support, you can take an active role in your recovery and work towards regaining your energy, reducing headaches, and improving your overall well-being.

Fatigue, Sleep Problems and Headaches

Fatigue, sleep problems and headaches are the most common (and often distressing symptoms) experienced after a traumatic brain injury. They are the symptoms that are most often related to cognitive and emotional concerns.

FATIGUE

You may find that you tire more easily and have difficulty rebounding from busy days. You might also find that fatigue can often intensify other symptoms.

What can you do about fatigue? 

SLEEP PROBLEMS 

If you find yourself struggling with sleep, first develop a regular sleep routine. Having a sleep routine helps the body prepare for going to sleep and helps you wind down before bed. You may be underestimating how much sleep you need – many people who have experienced a TBI need about 2.5 hours more sleep per night than those without a TBI. 

What can you do about sleep problems? 

• Establish a regular routine. Go to bed at the same time each night and wake up at the same time each morning. 
• Go to bed when you’re sleepy. Listen to your body. 
• Avoid exposure to bright lights, screens, or the TV before bedtime. 
• Avoid heavy meals, alcohol and/or caffeine late in the evening 
• Create a calm bedroom cool, dark, quiet, use earplugs and blackout curtains 
• Avoid taking late afternoon naps (or daytime naps longer than 30 minutes) 
• Avoid exercise late in the day 

Avoid alcohol and do not use sleeping medication unless directed by your healthcare provider. Alcohol and sleeping medication can become addictive and do not work well in the long run as they do not teach your body how to sleep better. Be sure to discuss your sleep concerns with your healthcare provider. 

Often individuals with combat-related head injuries can experience post-traumatic stress symptoms that can impair sleep – such as nightmares and increased arousal. Let your healthcare provider (including mental health therapist) know if these are concerns for you. 

HEADACHES 

There are five types of headaches that are most often associated with traumatic brain injuries: 

Tension headache (most common type) – triggers include worry, stress, overwork, poor posture, and poor ventilation. 

• Band of pressure around head 
• Neck or jaw discomfort 
• Tenderness on your scalp and in neck and shoulder muscles 
• Onset is usually later in the day, so may prevent sleep 

Migraine headache – triggers include emotional stress, physical activity, sleep problems, fatigue, irregular eating habits and certain foods (i.e., chocolate).

• Throbbing pain in forehead and temple 
• May have nausea, vomiting, numbness, muscle weakness, and sensitivity to light/sound/smell 
• Sleep may help resolve symptoms 

Post-traumatic headaches 

• Pain that increases when touched, accompanied by a burning or tingling sensation 
• Similar to tension and migraine headaches 
• Occur months or years after a traumatic brain injury 

Cluster headaches – triggers include nicotine, alcohol, overwork, and emotional stress 

• Intense pain behind the eye and one side of the face, which may move to the other side of the face.  
• Similar too migraine headaches, but more severe 
• Lasts between 15 minutes to three hours 

Withdrawal (rebound) headaches – triggered from withdrawal of extended use of pain medications 

• Nausea, difficulty concentrating, depression, irritability, and restlessness 
• No specific area of pain 

Most headaches are caused by these triggers or aggravating factors (minimize these if possible) 

• Stress 
• Depression and anxiety 
• Lack of sleep or changes in sleep routine 
• Skipping meals 
• Poor posture 
• Working in awkward positions or holding one position for a long time 
• Medications used for other conditions such as depression or high blood pressure 
• Overuse of headache medication 
• Jaw clenching or teeth grinding 
• Lack of physical activity 

If experiencing any, or all, of these symptoms and would like additional resources and Get Support 

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Headache and constantly want to sleep.

Reasons and what to do.

Headache and constantly want to sleep. Reasons and what to do.

Gimranov Rinat Fazylzhanovich
Neurologist, neurophysiologist, experience – 33 years;
Professor of Neurology, MD;
Clinic for Rehabilitation Neurology. About the Author

Publication Date: May 25, 2021

Drowsiness and headache are common symptoms that can indicate the development of a serious illness or an unhealthy lifestyle.

Often, in order to get rid of an unpleasant state, it is enough to rest and review some aspects of the daily routine. But in some situations, an early visit to the doctor is the only way out of the situation.

Article content:

• 1 Causes
  • 1.1 Circulatory disorders in the brain
  • 1.2 Neoplasms
  • 1.3 Meningitis and encephalitis
  • 1.4 Anemia 9 0023
  • 1.5 Blood pressure problems
  • 1.6 Atherosclerosis of cerebral arteries
  • 1. 7 Depression
  • 1.8 Diabetes mellitus
  • 1.9 Hypovitaminosis
• 2 Diagnosis
• 3 Treatment
• 4 List of used References

Causes

Depression, drowsiness and severe headache can be caused by various causes. As a rule, such a condition is the result of an incorrect lifestyle or an existing neurological pathology [1].

Excessive workloads, when you are engaged in mental work, and a constant lack of sleep, lead to the fact that a person ceases to feel fresh and rested.

The problem does not disappear after the use of tonic drinks, but is aggravated.

In some cases, if there are additional symptoms, if a person has increased drowsiness and a constant headache, then the cause may be pathological.

Circulatory disorders in the brain

Lack of nutrients and oxygen necessary for neurons to work. This situation leads to the fact that the brain tries to go into a more economical mode of existence and signals a lack of nutrition with severe pain. Additional symptoms are dizziness, memory impairment, constant absent-mindedness.

Neoplasms

Fortunately, this is a rather rare reason for the violations in question. The presence of a tumor is usually felt at night. At this time and in the early morning, a person will be tormented by headaches, practically not drowned out by medicines. A feeling of drowsiness, fatigue haunts even after a full-time sleep, and a sharp movement of the head is accompanied by an attack of pain.

Meningitis and encephalitis

Infectious diseases occur with inflammation of the membranes and tissues of the brain, which is extremely dangerous.

The main symptoms are a bursting headache, nausea, a gradually rising temperature and severe drowsiness throughout the day.

Diseases are extremely dangerous, if such symptoms appear, you should immediately consult a doctor.

Anemia

Anemia, a pathological insufficiency of erythrocytes in the blood, leads to the fact that a person constantly feels tired and sleepy [2].

Waking up is given with great difficulty, and after a few hours of being awake, the desire to go to sleep is again haunted.

Problems with blood pressure

Annoying manifestations occur both against the background of high and low blood pressure. Both options are dangerous (for example, hypertensive encephalopathy) and destructive to the brain.

Atherosclerosis of the arteries of the brain

A decrease in the amount of incoming oxygen, against this background, leads to the fact that a person becomes more lethargic and sleepy, experiences severe discomfort.

Depression

Occurs against a background of severe stress, feelings of depression. Often – in the autumn-winter period. The body, experiencing constant depression, begins to save energy. Against the background of depression, working capacity decreases, the desire to do something disappears. A person constantly wants to sleep, he is haunted by headaches.

Diabetes mellitus

Sudden increase or decrease in blood sugar level is manifested by several symptoms:

1. decrease or increase in pressure;
2. severe drowsiness accompanied by headache;
3. dizziness;
4. feeling of dry mouth;
5. thirst and frequent trips to the toilet in a small way;
6. weight gain or weight loss.

These are extremely dangerous signals that indicate that you need to see a doctor immediately.

Hypovitaminosis

With a deficiency of vitamins, in particular – D, a person will be haunted by fatigue, drowsiness and pain. In particular, hypovitaminosis provokes headaches – cephalgia [3].

I need to get tested and check the level of calciferol. If necessary, add its sources to the menu: fish products, fortified supplements.

If a person very often or already constantly wants to sleep, he has a severe headache in his temples, weakness haunts him all the time, then determine the causes of the condition, understand that this should be done by a doctor.

You cannot postpone your visit to the hospital. Such, not too dangerous at first glance, symptoms may indicate the development of a serious disease.

Diagnostics

A neurologist often hears from a patient: “I always want to sleep and my head hurts.”

To understand whether such a condition is the result of a person’s wrong lifestyle or a manifestation of a serious illness, the doctor can, after conducting a thorough examination.

A patient presenting with these complaints will undergo several stages of investigation:

• An initial examination and interview will reveal additional symptoms. They ask about the daily routine of a person, determine the presence of chronic diseases [4].

• Lab tests: a blood test will help to detect anemia and other abnormalities in its composition. For example – low or too high sugar, lack of oxygen carriers, red blood cells.

• Consultations with related doctors: cardiologist, endocrinologist, ophthalmologist, depending on the preliminary diagnosis.

Instrumental tests will be ordered to help accurately determine the severity of the condition and the rate of the disease.

Treatment

Having established the problem, the doctor will be able to choose a suitable effective treatment.

If a person has a headache, he is drawn, constantly sleepy, then the reasons can be completely different. In this case, it is extremely dangerous to self-medicate, as there is a high chance of doing harm, aggravating the course of the disease. Consultation with qualified neurologists of the clinic is needed.

Depending on the diagnosis, the specialist selects the most effective complex therapy:

• Medicinal component. Medicines are used not only to raise the general tone of the body and relieve pain. They prescribe drugs designed to combat the root cause of poor health.

• Physiotherapeutic methods [5]. Such an approach is often an effective, necessary means for returning to a full life. Individually selected procedures are combined with a variety of physiotherapy exercises.

• Surgical intervention is performed when neoplasms are detected. For this, the patient is sent to neurosurgeons with the results of all examinations.

Often, a restored sleep and rest regimen helps to improve well-being.

It is useful to review the diet, choose a diet for the brain with the addition of sources of vitamins and reduce foods with cholesterol.

Moderate physical activity is effective.

References

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Headaches in adolescence – Kazan-clinic.ru

Headaches in adolescence – Kazan-clinic.ru

“Mom, my head hurts”
It is not uncommon for parents to hear complaints of headaches from their teenage children. Do not attribute this to cunning, laziness and unwillingness to prepare lessons. You need to see a doctor so as not to miss the disease.
Anton Nikolaevich Baklanov, a neurologist and doctor of functional diagnostics, speaks about the causes of headaches in adolescents.
— Why do adolescents often suffer from headaches?
– Frequent stress, excess information, overload at school, hormonal surges – all this can cause spasms and constriction of cerebral vessels and tension in the muscles of the skull. As a result, an adequate perception of the world around is disturbed in a teenager, he becomes irritated, gets tired quickly, loses healthy sleep and desire to learn.
— What can lead to a headache, what symptoms accompany it?
— One of the causes of headaches is stressful situations. In adolescence, there are quite a few events that can lead to emotional overload: school, family relationships, communication with peers, and first romantic feelings, and plans for further education . .. Difficult situations cause tension headaches in teenagers when they arise. sensation as if the head were squeezed by a hoop or a tight headdress. The pain is throbbing or aching. Nausea, vomiting, loss of strength may occur.
Sleep disturbances as well as excess sleep can also cause headaches. Therefore, a certain daily routine is very important for teenagers. At this age, you need to sleep at least 10 hours to cope with stress.
Bad habits can also cause headaches. According to statistics, teenagers who smoke experience headaches more often than their non-smoking peers. The harmful substances contained in cigarettes cause vasoconstriction, which provokes headaches. The use of alcohol also contributes to this, which sometimes happens despite the prohibitions of adults in teenage companies. By the way, smoking and drinking alcohol can lead to diseases of the respiratory system, cardiovascular disorders, and dental problems.
— What is the most common cause of headache?
— One of the most common causes of headaches in adolescents is changes in the work of blood vessels. Headache is observed with vegetative-vascular dystonia, arterial hypertension and hypotension, vasculitis (inflammation of blood vessels), venous circulation insufficiency and other problems with blood vessels.
— What are the symptoms that should not delay a visit to the doctor?
— If a child has severe headache, vomiting, convulsions, irritability, visual disturbances, lack of coordination, an urgent need to see a doctor to rule out the possibility of a brain tumor. Any head injury (bruises, concussions, hematomas, fractures, etc.) can cause a severe headache. Sometimes this happens some time after the incident. Therefore, with such injuries, even if no changes are observed, it is advisable to contact the emergency room, where specialists will identify possible violations.
In any case, do not dismiss if a teenager complains of a headache. You should immediately contact a neurologist.

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