What can i do to get rid of headaches: The request could not be satisfied
Headaches: Treatment depends on your diagnosis and symptoms
Headaches: Treatment depends on your diagnosis and symptoms
Do you take aspirin or acetaminophen for all your headaches? For some types of headaches, that’s not the best approach. Here’s why.
By Mayo Clinic Staff
Your head hurts. Again. The first step in foiling your frequent headaches is determining what type of headache you have. Sometimes headaches are a symptom of another disease or condition; sometimes there’s no clear cause.
Take a close look at your headache signs and symptoms. Keeping a headache diary might help determine your headache type. Note when your headaches occur, your symptoms, and potential triggers, such as food, stress or changes in sleep.
There are many types and sub-types of headaches. Chronic daily headaches, which occur 15 days or more a month, are one sub-type. Tension-type headaches and migraines are also common sub-types of headaches. They can both be chronic, though they aren’t always. Other types of chronic daily headaches include:
- Hemicrania continua, a one-sided headache that can feel like a migraine
- Primary stabbing headaches, which last for a few seconds and can occur several times throughout the day
- Primary exertional headaches, caused by exercise
- Chronic paroxysmal hemicranias, sharp, one-sided headaches that can cause tearing or a congested nose
- Medication overuse headaches, which occur from overusing pain medications for headaches for at least three months. These headaches occur at least 15 days out of the month.
Other headache types include:
- Cluster headaches, which cause severe pain on one side of the head and occur off and on for weeks over the course of a few months. Cluster headaches are associated with one or more signs and symptoms, such as tearing, nasal congestion and nasal discharge. These occur on the same side as the pain.
Tension-type headaches, the most common variety of headaches:
- Might be felt as a tight band of pain around your head, a dull ache or pressure
- Might cause mild to moderate pain on both sides of the head
- Vary widely in frequency
- Can be occasional
- May occur more than 15 days a month (chronic)
- Last from 30 minutes to a week
Most occasional tension-type headaches are easily treated with over-the-counter medications, including:
- Ibuprofen (Advil, Motrin IB, others)
- Acetaminophen (Tylenol, others)
Daily prescription medications, including tricyclic antidepressants, might manage chronic tension-type headaches. Alternative therapies aimed at stress reduction might help. They include:
- Cognitive behavioral therapy
- Massage therapy
Migraines are another common type of headache. They affect three times more women than men. Migraines typically:
- Cause pain that is moderate to severe
- Cause nausea, vomiting, or increased sensitivity to light or sound
- Affect only one side of your head, but can affect both sides
- Worsen with activity such as climbing steps
- Last from four to 72 hours without treatment
Migraine treatment is aimed at relieving symptoms and preventing additional attacks. If you know what triggers your migraines, avoiding those triggers and learning how to manage them can help prevent migraines or lessen the pain. Treatment might include:
- Rest in a quiet, dark room
- Hot or cold compresses to your head or neck
- Massage and small amounts of caffeine
- Over-the-counter medications such as ibuprofen (Advil, Motrin IB, others), acetaminophen (Tylenol, others) and aspirin
- Prescription medications including triptans, such as sumatriptan (Imitrex) and zolmitriptan (Zomig)
- Preventive medications such as metoprolol (Lopressor), propranolol (Innopran, Inderal, others), amitriptyline, divalproex (Depakote), topiramate (Qudexy XR, Trokendi XR ,Topamax) or erenumab-aooe (Aimovig)
Recognize emergency symptoms
Seek emergency care if you have:
- A very severe, sudden headache
- Headache after a head injury or fall
- Fever, stiff neck, rash, confusion, seizure, double vision, weakness, numbness or difficulty speaking
- Pain that worsens despite treatment
These symptoms suggest a more serious condition, so it’s important to get a prompt diagnosis and treatment.
Almost everyone gets headaches, and many are nothing to worry about. But if headaches are disrupting your activities, work or personal life, it’s time to see your doctor. Headaches can’t always be prevented, but your doctor can help you manage the symptoms.
May 10, 2019
- Headache information page. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/All-Disorders/Headache-Information-Page. Accessed June 26, 2018.
- Headache diary: Keeping a diary can help your doctor help you. National Headache Foundation. https://headaches.org/resources/headache-diary-keeping-a-diary-can-help-your-doctor-help-you/. Accessed June 26, 2018.
- Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, 3rd edition. Cephalalgia. 2018;38:1.
- Bajwa ZH, et al. Evaluation of headache in adults. https://www.uptodate.com/contents/search. Accessed June 26, 2018.
- Kasper DL, et al., eds. Headache. In: Harrison’s Principles of Internal Medicine. 19th ed. New York, N.Y.: The McGraw-Hill Companies; 2015. https://www.accessmedicine.mhmedical.com. Accessed June 26, 2018.
- Taylor FR. Tension-type headache in adults: Pathophysiology, clinical features, and diagnosis. https://www.uptodate.com/contents/search. Accessed June 26, 2018.
- Tension-type headache. American Migraine Foundation. https://americanmigrainefoundation.org/understanding-migraine/tension-type-headache/. Accessed June 26, 2018.
- May A. Cluster headache: Treatment and prognosis. https://www.uptodate.com/contents/search. Accessed June 26, 2018.
- May A. Cluster headache: Epidemiology, clinical features, and diagnosis. https://www.uptodate.com/contents/search. Accessed June 26, 2018.
- Headache: Hope through research. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Headache-Hope-Through-Research. Accessed June 26, 2018.
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Migraine – Treatment – NHS
There’s currently no cure for migraines, although a number of treatments are available to help ease the symptoms.
It may take time to work out the best treatment for you. You may need to try different types or combinations of medicines before you find the most effective ones.
If you find you cannot manage your migraines using over-the-counter medicines, your GP may prescribe something stronger.
During an attack
Most people find that sleeping or lying in a darkened room is the best thing to do when having a migraine attack.
Others find that eating something helps, or they start to feel better once they have been sick.
Many people who have migraines find that over-the-counter painkillers, such as paracetamol, aspirin and ibuprofen, can help to reduce their symptoms.
They tend to be most effective if taken at the first signs of a migraine attack, as this gives them time to absorb into your bloodstream and ease your symptoms.
It’s not advisable to wait until the headache worsens before taking painkillers, as it’s often too late for the medicine to work.
Tablets you dissolve in a glass of water (soluble painkillers) are a good alternative because they’re absorbed quickly by your body.
If you cannot swallow painkillers because of nausea or vomiting, suppositories may be a better option. These are capsules that are inserted into the bottom.
When taking over-the-counter painkillers, always make sure you read the instructions on the packaging and follow the dosage recommendations.
Children under 16 should not take aspirin unless it’s under the guidance of a healthcare professional.
Aspirin and ibuprofen are also not recommended for adults who have a history of stomach problems, such as stomach ulcers, liver problems or kidney problems.
Taking any form of painkiller frequently can make migraines worse. This is sometimes called a medication overuse headache or painkiller headache.
Speak to a GP if you find yourself needing to use painkillers repeatedly or over-the-counter painkillers are not effective.
They may prescribe stronger painkillers or recommend using painkillers along with triptans.
If they suspect the frequent use of painkillers may be contributing your headaches, they may recommended that you stop using them.
If ordinary painkillers are not helping to relieve your migraine symptoms, you should make an appointment to see a GP.
They may recommend taking painkillers in addition to a type of medicine called a triptan, and possibly anti-sickness medicine.
Triptan medicines are a specific painkiller for migraine headaches. They’re thought to work by reversing the changes in the brain that may cause migraine headaches.
They cause the blood vessels around the brain to narrow (contract). This reverses the widening of blood vessels that’s believed to be part of the migraine process.
Triptans are available as tablets, injections and nasal sprays.
Common side effects of triptans include:
- warm sensations
- feelings of heaviness in the face, limbs or chest
Some people also experience feeling sick, a dry mouth and drowsiness.
These side effects are usually mild and improve on their own.
As with other painkillers, taking too many triptans can lead to a medication overuse headache.
Your GP will usually recommend having a follow-up appointment once you have finished your first course of treatment with triptans.
This is so you can discuss their effectiveness and whether you had any side effects.
If the medicine was helpful, treatment will usually be continued.
If they were not effective or caused unpleasant side effects, your GP may try prescribing a different type of triptan as how people respond to this medicine can be highly variable.
Anti-sickness medicines, known as anti-emetics, can successfully treat migraine in some people even if you do not experience feeling or being sick.
These are prescribed by a GP, and can be taken alongside painkillers and triptans.
As with painkillers, anti-sickness medicines work better if taken as soon as your migraine symptoms begin.
They usually come in the form of a tablet, but are also available as a suppository.
Side effects of anti-emetics include drowsiness and diarrhoea.
You can buy a number of combination medicines for migraine without a prescription at your local pharmacy.
These medicines contain both painkillers and anti-sickness medicines.
If you’re not sure which one is best for you, ask your pharmacist.
It can also be very effective to combine a triptan with another painkiller, such as ibuprofen.
Many people find combination medicines convenient.
But the dose of painkillers or anti-sickness medicine may not be high enough to relieve your symptoms.
If this is the case, it may be better to take painkillers and anti-sickness medicines separately. This allows you to easily control the doses of each.
If medicines are unsuitable or do not help to prevent migraines, you can try acupuncture.
Some GP surgeries offer acupuncture, but most do not, so you may have to pay for it privately.
Evidence suggests a course of up to 10 sessions over a 5- to 8-week period may be beneficial.
Find out more about acupuncture
Seeing a specialist
If the treatments above are not effectively controlling your migraines, your GP may refer you to a specialist migraine clinic for further investigation and treatment.
In addition to the medicines mentioned above, a specialist may recommend other treatments, such as transcranial magnetic stimulation.
Transcranial magnetic stimulation
In January 2014, the National Institute for Health and Care Excellence (NICE) approved the use of a treatment called transcranial magnetic stimulation (TMS) for the treatment and prevention of migraines.
TMS involves holding a small electrical device to your head that delivers magnetic pulses through your skin.
It’s not clear exactly how TMS works in treating migraines, but studies have shown that using it at the start of a migraine can reduce its severity.
It can also be used in combination with the medicines mentioned above without interfering with them.
But TMS is not a cure for migraines and does not work for everyone.
The evidence for its effectiveness is not strong and is limited to people who have migraine with aura.
There’s also little evidence about the potential long-term effects of the treatment, although studies into the treatment have so far only reported minor and temporary side effects.
NICE recommends that TMS should only be provided by headache specialists in specialist centres because of the uncertainty about the potential long-term side effects.
The specialist will keep a record of your experiences using the treatment.
Treatment for pregnant and breastfeeding women
In general, migraine treatment with medicines should be limited as much as possible when you’re pregnant or breastfeeding.
Instead, trying to identify and avoid potential migraine triggers is often recommended.
If medicine is essential, your GP may prescribe you a low-dose painkiller, such as paracetamol.
In some cases, anti-inflammatory medicine or triptans may be prescribed.
Speak to a GP or your midwife before taking medicine when you’re pregnant or breastfeeding.
Page last reviewed: 10 May 2019
Next review due: 10 May 2022
Home remedies to get rid of headaches
Migraine: what to do if pain relievers don’t help?
14% * of the world’s population suffer from migraine attacks, the average duration of which is 18 hours. 68% * of migraine sufferers are between 35 and 45 years old. Among them there are three times more women than men. Aigul Kudaibergenova, a practicing neuropathologist and candidate of medical sciences, announced these figures at an event dedicated to the launch of the Migraine Control application in Kazakhstan.
“No one can say for sure what exactly is causing my headache”
Our heroine Bota Suleimenova had her first migraine attack four years ago.Now it is a part of her life: migraines can remind of themselves once a month or several times a week. It interferes with work and life.
– The first attack happened in the winter of 2015, when I flew to Almaty on vacation.It was a night flight, and when I got home, I immediately fell asleep. When I woke up, I still had a headache. I thought it was due to the change of time zones. The painkillers did not help, the pain did not stop for 2-3 days: I could not get up, I felt sick, it hurt to open my eyes. Then I was diagnosed with migraine.
As a child, I had a concussion, at the age of 10-11 I developed constant headaches. Then they diagnosed intracranial pressure, so all my conscious life these pains seemed to be something common.Everyday life was not particularly disturbed, but when I was in my first years of university, there was probably a period of exacerbation. I was again referred for MRI and examination, which again only confirmed intracranial pressure.
According to some doctors, the migraine occurred as a consequence of intracranial pressure, but no one can say for sure what exactly is causing my headache. Maybe because of intracranial pressure or migraine, or because of all together.
Nobody knows for sure what causes migraines
Migraine is a chronic disease, the main symptom of which is an attack of a throbbing headache.Sometimes migraines are accompanied by nausea, sensitivity to light and sounds: ordinary sounds and soft light intensify the already excruciating pain.
Neurological disorders can also speak of migraine: dizziness, temporary visual impairment, lethargy. At the same time, migraine is associated with external factors – nutrition, regimen, stress level.
The causes of migraine are not visible on MRI, and pain is a very subjective indicator that is extremely difficult to measure. In the intervals between attacks, the person looks quite healthy, which supports the spread of the myth about the illusory nature of the disease.
Headache often and severely, but the diagnosis of migraine is too early
There are many types of headaches, but globally they can be divided into primary and secondary. Secondary pain occurs as a consequence of any deviation. Migraine, on the other hand, belongs to the primary – for its occurrence, any previous trauma and deviations are not necessary.
Primary headache, as a rule, is not life threatening, but greatly impairs its quality.
Migraine is often confused with tension headache. The pain of tension can arise from the characteristics of upbringing, the psychological qualities of the personality, the level of stress or prolonged positional loads.
People describe this pain as pressing, mild or moderate, more often bilateral. It appears in the afternoon or after stress. If tension headache lasts for several days, it may be accompanied by photo- and phonophobia, as in migraine, but this rarely happens and is never accompanied by nausea or vomiting.At the same time, a person can move, eat, work, and physical activity does not increase the pain, and even sometimes relieves it. With migraines, physical activity is extremely difficult.
Psychotherapy can be effective for tension headaches, but not for migraines.
“Medicines do not always work quickly”
Bota Suleimenova: – I have had poor eyesight since childhood, so attacks often disappear with an aura. An aura is a short-term visual impairment that signals an impending attack.
Medicines do not always work quickly, so the best solution is to reduce the frequency of attacks. To do this, I try to exercise regularly and maintain a healthy regimen. With an overall improvement in health, the frequency of migraine attacks decreases.
Although often no reason is needed for an attack to occur. You can eat right, maintain an overall healthy body and brain, but seizures still appear. It gets in the way of doing business. I work in an international organization, we have additional sick leave, which can not be confirmed by papers.If I have sudden attacks, I can just lie down at home.
Those close to you try to treat with understanding, but the other person can do nothing to help. Do not disturb is already help.
Migraine has a scenario with certain stages
1. Prodrome – first phase. The symptoms of the prodromal phase include a wide range of phenomena: mood changes, irritability, depression or euphoria, fatigue, sensitivity to smells and sounds.This phase occurs with migraine with or without aura.
2. 30% of people then have an aura , which lasts no more than an hour, it looks like visual hallucinations. And the longer a person looks at colored or flickering objects or drawings, the worse his condition becomes, so he tries to focus on a white wall or a piece of paper.
Aura is a transient neurological phenomenon that occurs before or during a headache. Usually, the aura develops gradually over a few minutes and lasts no more than an hour.Symptoms can be visual, sensory, or motor, and many patients have more than one symptom at the same time.
During the first two phases, you must take a triptan life-saving tablet. This will not stop the pain, but it will significantly ease it and shorten the duration of the attack.
3. During the third phase pain covers the entire head, nausea and vomiting appear, strong phobia and sound. Any movement increases the pain. This phase can last from several hours to several days.
4. Postdrome – the pain subsides, the person falls asleep. On the next day, a person experiences fatigue, he has poor hearing, blurred vision. Abilities are reduced.
If a person has more than 10 migraine attacks a month, he practically does not live. Fortunately, there are few of them, one in three experiences one or less than one seizure per month. But it happens that people do not know about the existence of pills that can help stop a migraine attack, because up to 50% of migraine sufferers still practice self-medication.
Migraine is trying to get people to live in the golden mean
People with migraines are more susceptible to fleeting factors called triggers that increase the risk of headache attacks.
Among the most common triggers:
- Hormonal – menstruation, ovulation, use of oral contraceptives.
- Food – the consumption of alcohol, glutamate, chocolate, cocoa, nuts, celery, cheese.
- Weather – Weather changes can affect the balance of chemicals in the brain and trigger seizures.
- Behavioral – not getting enough sleep or sleeping too long, feeling hungry or overeating.
If you keep a diary of the occurrence of migraine attacks and the circumstances in which these attacks manifested themselves, you can identify your individual characteristics. People who know their triggers and avoid them are less likely to experience seizures and significantly improve their quality of life.For convenience, you can keep a diary of migraine triggers in the mobile application. Such a Migraine Control application was recently announced by SANTO. Useful materials about migraine on the Internet can be found under the hashtag #SUMMigraineReduces.
You can download the application using these links:
Migraine is controlled by special drugs – triptans
Neurologist Aigul Kudaibergenova spoke at the event dedicated to the launch of the Migraine Control application developed by SANTO.According to her, mild migraine attacks can sometimes be stopped by non-steroidal anti-inflammatory drugs, but still, in most cases, for mild, moderate and severe migraine attacks, doctors recommend using drugs with triptans.
According to Aigul Kudaibergenova, a properly selected drug helps to eliminate headache as quickly as possible – within two hours. In this case, the headache should not occur again after a few hours or 1-2 days. Preparations with triptans, according to the neurologist, must be taken before the onset of the third stage of migraine.The sooner you take the pill, the less migraine will manifest itself.
Triptans are antagonists of serotonin, which is also called the hormone of good mood. Triptans interact with the vessels of the brain and, roughly speaking, block pain impulses.
At the same time, up to 50% of people suffering from migraine ignore drugs with triptans – this is due to the widespread practice of self-medication.
Being carried away with analgesics, in addition to migraines, they risk earning a drug-related headache.
* Source : A.V. Amelin et al. Migraine (pathogenesis, clinical picture and treatment) St. Petersburg, 2001.
What is chronic migraine?
Chronic migraine – a disease in which the head hurts 15 days a month or more. At the same time, attacks typical for migraine are at least eight times a month . This is the description given by the III International Classification of Headaches.
How does chronic migraine occur?
As a rule, before a person develops a chronic migraine, he suffers from more rare attacks (episodic migraine). When the disease becomes chronic, the headache may lose its migraine features. It can become bilateral, compressive rather than pulsating. The accompanying symptoms become weaker – vomiting, light and sound phobia. However, although chronic migraine is less similar to the classic one, it is also sensitive to specific anti-migraine drugs – triptans.
What is the problem with chronic migraine treatment?
Up to 3-4% of people worldwide suffer from chronic daily or almost daily headache. The main reason for which is chronic migraine. However, it is usually difficult for doctors to diagnose. They take it for a chronic tension headache, they believe that the pain is caused by osteochondrosis or insufficient blood supply to the brain (which does not correspond to modern scientific ideas about the nature of migraine).
What Really Causes Chronic Migraine?
Large studies were carried out, which revealed that the development of chronic migraine is influenced by:
- Excessive use of drugs for relieving headaches (pain relievers),
- depression, stress and / or increased anxiety,
- Increased frequency of episodic migraine attacks.
One of the significant factors in the transition of migraine to chronic migraine is also considered previous, even for many years, physical or emotional abuse.
However, whether this is all a cause or a consequence of chronic migraine is still under discussion. What is scientifically proven: at the initial stage of the development of chronic migraine, when rare attacks become more frequent, certain biochemical changes occur in the brain. The brain learns pain. If preventive treatment is started at this stage, chronic migraines can be prevented. If more than 6 months have passed since the onset of chronic migraine, the chances of success decrease. Therefore, it is important not to delay treatment.
What if you suspect that migraine attacks are more frequent?
- Start keeping a headache diary. For example @ Migrebot in Telegram. You need to consider how many days a month you “fall out of life” due to migraines, what medications, including over-the-counter ones, and how much you take, what events preceded the increased frequency of attacks (head injury, started taking a new medication, etc.) ). Try to remember how many times a month you had a headache before 90 150
- Contact a specialist.Chronic migraines are much easier to prevent than to cure. Don’t wait until it becomes daily!
- If you take pain relievers with opiates / opioids (codeine, hydrocodone, meperidine, tramadol, oxycodone) and drugs containing butalbital, you will need to stop or reduce their intake.
If the headache has already become chronic
- Do not tolerate a headache, relieve attacks quickly and aggressively (take a sufficient dose of the drug at the beginning of the attack).At the same time, avoid taking the drug of the same class too often. Ask your doctor to advise you on several drugs of different pharmacological groups;
- actively use non-drug methods of treatment;
- if you are overweight, try to get rid of it;
- Ask a specialist for help in treating comorbidities, if any. It is necessary to treat depression, anxiety, sleep disorders.
In the treatment of chronic migraine, openness and honesty between doctor and patient is especially important.Thanks to partnerships, early treatment of developing chronic migraine can give remarkable results.
- “International classification of headaches, 2nd edition (full Russian version)” , 2006, 380 p.
- Nikitin S.S., Artemenko A.R., Kurenkov A.L. “Treatment of chronic migraine.” // Journal of Neurology and Psychiatry named after S.S. Korsakov. – 2011. – N 5. – S. 85-89.
- Tabeeva G.R., Yakhno N.N. “Migraine”. // GEOTAR-media. – 2011 .– 624s.
- Barbanti P., Aurilia C., Egeo G., Fofi L. “Migraine prophylaxis: what is new and what we need?” // Neurol Sci. – 2011. – v.32. – Suppl 1. – S111-115
- Manack A.N., Buse D.C., Lipton R.B. Chronic migraine: epidemiology and disease burden. // Curr Pain Headache Rep. – 2011. – v.15. – p.70-78.
- Rothrock J.F. “Migraine” chronification “”. // Headache. – 2008. – v.48. – p. 181-182
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90,000 Without pills, the old fashioned way. How to get rid of a headache on your own? | Healthy life | Health
It is believed that headache can arise from hypoxia, i.e. lack of oxygen in the body, arising, for example, due to stuffiness in the room, lack of sleep, etc. In this case, there is a recommendation to get up and walk along the street.It should be understood that in such a situation the headache will not be severe, even, rather, it will not be pain at all, but a slight malaise, which will pass with the flow of fresh air.
If the state is not very active and wants to sleep, this may also indicate a lack of oxygen. In such a situation, it is recommended to relax in a room where it will be fresh, slightly humid (the optimal level of air humidity can be achieved with the help of humidifiers) and ventilated.
– Yes, indeed it is.Often, the head hurts from hypoxia in apartments, offices, especially during the heating season, when the heaters burn out the oxygen we need so much. The best way is to take a walk in the fresh air for half an hour or go out onto the balcony, breathe slowly and deeply for 10 minutes, says , a neurologist of the highest category, Ph.D. Russia) Lyudmila Prozorova .
Herbal medicine and foot bath
Those who suffer from pressure drops are usually able to recognize headaches that begin against this background.Naturally, it is advisable to check your guesses with the readings of the tonometer. With reduced pressure to normalize the condition, people take tonics, for example, tincture of ginseng, etc. In addition, caffeine can also correct the situation – it is enough to drink a small amount of coffee to feel better.
If the pressure is high, other options are usually used at home. Foot baths, herbal warm teas – all this helps to improve the situation. It is clear that we are talking about a slight increase in pressure.If the numbers are very high, you have to fight with official methods.
With the development of headaches, a variety of herbal and plant teas are often recommended. One of the most effective methods is called ginger tea. It is enough to grind a little ginger root and boil it with boiling water.
Neurologist Lyudmila Prozorova agrees with these recommendations.
Another recommendation for headache therapy without pills is a massage. Gently, you need to walk with your fingertips all over the head, performing massaging movements confidently, but without active pressure.In the process, you can also capture traditional biological points on the head – in the corners of the eyes, in the earlobes, on the back of the head, etc. This manipulation allows you to tone the muscles, strengthen the vascular walls.
– If the causes of the headache are known, and it is not associated with neurological diseases, you can try. This will work if, for example, the reason lies in osteochondrosis, says Lyudmila Prozorova.
It is believed that cold compresses can be used to relax muscles.There is a theory according to which clamps and spasms in the collar zone of the neck lead to a deterioration in blood circulation, which becomes the cause of the same hypoxia. And if you relax this tense knot, you can correct the situation.
It is recommended to wrap a few ice cubes in a kitchen towel and apply to the forehead, temples or even the neck area. Here it is important not to apply and press, but to act as if with blotting movements. This method should be approached with caution. After all, it is possible to excessively cool the spasmodic vessels and further worsen the situation.If in the first minutes there is no improvement, then the method is chosen incorrectly.
– But you don’t need to experiment with this option. Because if the cause of the headache is tension, then it is better to relieve it by distracting attention or switching to another type of activity. For example, go for a walk in the fresh air. It will be more effective. And if the cause of the headache is a chronic inflammatory process or migraine, then the cold can aggravate the situation, the doctor notes.
Doctors note that headache is a symptom that should alert you, especially if it recurs with a certain regularity.
“Headache is a very common complaint of patients. It occurs in many diseases, including serious, life-threatening ones. It can be caused by too wide a range of reasons, from traumatic brain injury to infectious diseases, so there is no universal advice on how to alleviate it.
If a person develops headaches, especially long-term ones, it is impossible to tolerate, “drown” the pain with pills and self-medicate. It is necessary to find out the causes of the ailment and completely eliminate them.To do this, you should definitely consult a doctor who will prescribe an examination, establish an accurate diagnosis and give recommendations for relieving pain, including non-drug methods.
The best prevention of headaches is taking care of yourself and keeping the body in good shape: balanced nutrition, moderate regular physical activity, preferably in the fresh air, good sleep, restorative procedures. It must be remembered that self-medication, untimely access to a doctor can lead to irreparable consequences, ”says neurologist Lyudmila Prozorova.
90,000 Migraines can be managed: how to get rid of a throbbing headache
This autumn still pampers Muscovites with warm, comfortable weather. But the inhabitants of our city are well aware of the atmospheric drops in the capital. Here is the first month of autumn, September, according to forecasters, “will end with cool, unstable weather with precipitation and fluctuations in daytime temperatures from +23 to negative values (at the end of the month -1). “Vessels can’t stand”, “head splits”, “damned migraine” – you can often hear from meteorological citizens …
What happens to the person at this time? And can this addiction be avoided?
“A banal migraine,” says our expert, neurologist Aleksey Samsonov, “the result of a chronic neurological disease, which is especially common in people living in a climatic zone with an unstable climate.But an unbearable headache is more often due to violations of vasomotor regulation. What it is? We are talking about a violation of the regulation of the tone of blood vessels, about a possible decrease in vascular tone or about its increase.
In general, migraine is more of a hereditary disease, – explained Aleksey Viktorovich. – The attacks are not constant, but occur periodically. But they are excruciating. A person has the feeling that blood is knocking in different parts of the head, more often in the fronto-orbital-temporal region, lasting from 4 to tens of hours! And pain is accompanied in most cases by nausea, vomiting, poor tolerance to light and loud sounds.There is also drowsiness, lethargy, but after the end of the attack.
Unfortunately, most people with headaches do not seek medical help for a long time. And this leads to improper treatment, a chronic condition of the disease. But that’s not all: the wrong choice of therapy leads to the formation of the so-called drug headache of a particular person.
Although there are ways to treat migraines, stopping the attack. And there is a possibility of prevention, our expert says.And adds:
– The best way to cope with a migraine attack is to extinguish it at the very beginning, when the characteristic precursors of a headache are just beginning to appear. Many people know that at this time there is increased irritability for no particular reason, the desire to drink more water (the thirst can be very strong), sometimes you want to sleep or eat something unusual.
You need to know that when one or more of these signs appear, it is advisable to rest, lie down, try to sleep.Sometimes a hot water bottle with warm or cold water helps, depending on which works best in a particular case. It is known from practice that massage of the face, head and neck, strong sweet tea with lemon can also pause and even stop migraines.
But, knowing about your problem, it is advisable to avoid provoking factors: long travel, change of climatic zones, stress, emotional stress, heavy physical exertion. And also – do not starve, exclude some food products: coffee, white and red wine, chocolate, citrus fruits, etc.
Headache is also provoked by hormonal contraceptives, hormone replacement therapy.
– Use relaxation techniques, the neurologist advises. – This will somewhat reduce emotional stress. Lack of sleep and excess sleep should also be avoided. And also – do not get carried away with drugs. They can lead to new spasms of blood vessels in the head.
In theory, it would be necessary to keep a diary of headaches in order to “calculate” the probable provoking factors and understand the general picture of the disease.In a diary, note the time of onset, the duration and frequency of attacks, as well as the situations that preceded them. But who is doing this? Unfortunately, almost no one. But in vain.
And one more simple advice: in the first minutes of an attack, to relieve symptoms, you can take simple or combined analgesics, nonsteroidal anti-inflammatory drugs. This includes regular aspirin. If it does not help, consult a doctor. Indeed, during a severe headache, other pathological processes can occur in the body, explains the neurologist Samsonov.
Well, if migraine attacks are repeated (more than 2 times a month) or severe and do not respond well to therapy with relief agents, you should consult a doctor to decide on the appointment of serious treatment and preventive ways to prevent the disease. Today there are drugs that have an anti-migraine effect – they need to be taken for a long time, and always under the supervision of a neurologist. These are beta blockers, antidepressants, and calcium channel blockers.
And of course, you need to regularly engage in special medical gymnastics, swim, spend more time in the fresh air, look for positive emotions in life.
Alas, this type of headache cannot be cured, but you can significantly improve your condition.
Published in the newspaper “Moskovsky Komsomolets” No. 28074 dated September 13, 2019
Migraines can be managed
90,000 Pain after sleep
The causes of pain after sleep are countless. First of all, you need to see a doctor in order to exclude a rather rare, but still occurring disease – ankylosing spondylitis (ankylosing spondylitis).
This disease is characterized by nighttime lower back pain, however, only a specialist can confirm or remove this diagnosis. With ankylosing spondylitis, such a rather specific picture is observed – within three months there are very painful sensations in the lower back, the mobility of the spine in the morning is somewhat limited, the state of rest only increases them. Very pulling and pain in the lower back after sleep.
Another, but already common, cause of nighttime low back pain is osteoporosis.Sometimes, with this disease, lower back pain at night becomes simply unbearable. Morning back pain is also quite common. Then it is advisable to take some kind of pain reliever, and in the morning, all the same, having gathered up the courage, go to the doctor.
Suffice it to say that herniated discs, and osteochondrosis, and muscle spasm, and the so-called instability of the spine, characteristic of postmenopausal women – all this can lead to such an unpleasant phenomenon as night and morning lower back pain.
Only an osteopath can make you a correct diagnosis, especially since the modern level of diagnostics allows you to do this with ease. And modern medicine has enough methods in its arsenal to eliminate all the problems associated with diseases that cause lower back pain at night.
Headache after sleep
The first reason a head hurts after sleep is squeezing of the blood vessels in the head and neck.If you lie on one side for a long time – the vessels on this side of the head are squeezed, narrowed – edema occurs, which will not allow normal blood circulation to resume for a long time. In this case, the nerves in the vessels become inflamed, and to protect the inflamed area, the brain sends signals to the surrounding muscles of the head (temporal, occipital, frontal) so that they strain and protect the diseased area. Muscle tension compresses blood vessels and nerves even more. And when you wake up, you feel heaviness and squeezing on one side of your head.
Consumption of alcohol in the evening greatly contributes to the development of such a process. First, after drinking alcohol, you will fall asleep better and will toss and turn less. Sleep all night in one position. Secondly, alcohol disrupts the absorption of fluids and contributes to the occurrence of edema. In addition, alcohol adds to the bouquet a headache caused by intoxication of the body.
Another way to increase swelling is to drink plenty of fluids before bed.
But the greatest effect is achieved when the vertebral artery is squeezed due to the uncomfortable position of the neck during sleep.The vertebral artery is steamy, and, as a rule, it is also compressed on one side. And after sleeping, you feel a heaviness in the head and neck (on one side) and the pain intensifies when turning the head. Happy owners of cervical osteochondrosis are especially likely to get a headache after sleep.
The second cause of headache after sleep is oxygen starvation of the brain. After all, you often sleep in an apartment with closed windows. And since During sleep, the brain continues to work and needs energy, then due to a lack of oxygen, toxic substances are released, which affect the pain receptors of the cerebral vessels.
The third reason is that due to the horizontal position of the body, the venous outflow of blood from the head is impeded, and therefore, with prolonged sleep, intracranial pressure increases, which also causes a headache.
To increase your chances of having a headache after sleep, be sure to get a couple of extra hours of sleep in the morning. Thus, muscle tension will increase and brain intoxication.
In addition, everyone knows that it is very common to have a headache if you sleep at sunset.The fact is that after sunset, the level of electromagnetic radiation from the sun drops sharply, which affects all internal processes in the body. In a state of wakefulness, the body manages to adapt to new conditions, and during sleep, no changes occur and the electromagnetic balance of the blood is disturbed, which can cause a headache.
For several sessions in the OSTEOMED clinic, the osteopath will not only relieve muscle and intraosseous tension that contribute to some types of headaches, but will also significantly increase the protection of your body to external influences.The headache will not manifest itself, the pressure will normalize, and the mood will improve.
90,000 what is the muscle clamp associated with and how to deal with it
Most of the problems that spoil the reflection in the mirror are known to arise from hormones. The endocrinologist knows this very well and already at the first appointment takes the necessary measures if something goes wrong.
The level of estrogen decreases – age spots appear on the face. The progesterone level swings – there is swelling.The skin has become dry – clearly a disorder with sex hormones. In fact, everything that happens to us, including, of course, age-related changes, is regulated by hormones (even physical and emotional sensations – thirst, arousal, hunger, drowsiness).
Who’s in charge here?
Usually, when you feel tired, you blame it on the fact that you have not been on vacation for a long time. It is so?
If on vacation, instead of climbing a mountain peak or diving, you prefer to sleep in your room, it is possible that the reason is in the thyroid gland.It is a tiny gland (weighing no more than 25 g) at the base of the neck.
The doctor, knowing the hierarchical chain of the endocrine system (and she clearly put everything in its place), quickly establishes a causal relationship and identifies where the failure occurred.
Iodine is captured from food using a special protein transport system and delivered to the thyroid gland. There, the synthesis of the primary hormone T4, thyroxine, takes place. Further, the hormone regulator TSH (this is the abbreviated name for thyroid-stimulating hormone) acts – a very important component in the metabolic system.It is produced in the pituitary gland and controls the thyroid gland, stimulates the synthesis of triiodothyronine (T3) and thyroxine (T4), without which metabolism can take place. If, for some reason, T4 and T3 exceeded the norm, TSH turns on regulation and reduces their amount to an acceptable level. This is theory. Let’s move on to practice.
Hyper- and hypothyroidism: what is the difference
Today, women over 35 have a higher risk of developing thyroid disease, and it increases with age.Problems can cause menstrual irregularities to fail, reduce the chance of conception, or complicate pregnancy.
It happens that after childbirth, the risk of developing thyroiditis, an inflammation of the thyroid gland, increases. Postpartum thyroiditis affects more than 10% of women, causing fatigue and irritability. The risk of developing hyperthyroidism (overactive thyroid gland) also increases with age.
The condition is accompanied by irritability, moodiness, nervous excitement, hyperactivity and anxiety, sweating, hypersensitivity to high temperatures, hand tremors, hair loss.
Over time, hypothyroidism (decreased thyroid function) may develop. In this condition, sleep problems are usually disturbed, concentration of attention decreases, a feeling of fatigue and depression arises, sensitivity to low temperatures increases, pains in the back and joints occur, skin and hair become dry.
If you do not start timely treatment and control hormonal status, the risk of developing heart disease increases. And in the case of hyperthyroidism, do not forget about the possible development of osteoporosis.
Myths and truths about the thyroid gland
Thyroid problems are more common in women than in men. Many people think that thyroid problems are directly related to taking oral contraceptives. This is not the case, oral contraceptives cannot affect the condition of the thyroid gland. In the pituitary gland there is a hormonal representation for the ovaries with the production of hormones: prolactin, follicle-stimulating hormone, luteinizing hormone. Contraceptives regulate the process and help maintain balance.However, you should only use contraceptives that are appropriate for your age group.
Also, contrary to popular belief, menopause does not affect the thyroid gland in any way. In menopause, the rate of the hormone estradiol may be disrupted. This occurs under the influence of factors such as age-related changes, the duration of climacteric changes, the level of other hormones. Because of this, sometimes there are problems associated with vascular tone, blood pressure may increase.
What really affects the functioning of the thyroid gland is seasonality – it is very sensitive to temperature changes.Therefore, the transition to winter or summer can be accompanied by painful symptoms. The fact is that the thyroid gland is involved in energy metabolism, the slightest waste of energy has a depressing effect on it.
That is, if you walk in cold weather in light clothes or sleep poorly and irregularly, wait for an alarm from the thyroid gland. Lifestyle and bad habits will immediately affect her condition.
Now, when we are smoothly moving towards summer, iron can also make itself felt.It is not for nothing that at this time there is a complete record in the endocrinologists’ offices. Patients come on their own or in the direction of a local therapist with complaints of increased irritability, tearfulness, resentment, sharp weight loss.
Hypothyroidism, or hypothyroidism, means that the gland does not produce enough hormones to do its job.
Another problem is Hashimoto’s thyroiditis, a condition that causes the body to produce antibodies that attack its own thyroid gland.Because of this, metabolism decreases, weight increases, cholesterol levels increase, and all this does not reflect in the best way on appearance.
At the first appointment, the endocrinologist will listen to your complaints, and then examine the neck to see if there are changes in the structure of the gland (induration or enlargement). If there is any suspicion of a thyroid problem, you will be given a blood test and an ultrasound (ultrasound) scan. What can the research show? Nodules in the thyroid gland.According to experts, they are formed from a lack of iodine in the body.
Other factors contributing to the appearance of nodes are hereditary predisposition. Gigi Hadid admitted that she has a thyroid disease, and this is the same case.
How are thyroid nodules treated? It all depends on what the node is. There are nodes that were at first colloidal, and then became independent, autonomous, and ceased to obey anyone.To understand these intricacies is the task of an endocrinologist. The decision on the choice of treatment, of course, also remains with the doctor.
Diagnostics according to the rules
Prevention of thyroid diseases is a consultation with an endocrinologist twice a year, starting at the age of 25.
Ultrasound of the thyroid gland and lymph nodes is the safest and most informative diagnostic method that does not require special preparation. Hormone tests for T3 and T4 hormones can give a more accurate picture of how the thyroid gland is functioning.You may also need hormone tests in order to recognize the signs of the disease in time, check the production of hormones and the functioning of the endocrine glands, a biochemical blood test.
It is important to understand that one size approach is unacceptable in the diagnosis of the thyroid gland. It is possible that the doctor will add other laboratory tests to your examination program, as well as consultations from specialists: a cardiologist, a gynecologist, a mammologist.