Women And Headache
Headache is one of the most common symptoms in adults- it ranks ninth among
causes for physician visits. Yet we usually dismiss headaches as simply results
of "stress". Often, we self-medicate with over-the-counter medications,
which may be sufficient. But when is a headache a more serious problem? What
are the differences between a simple headache and one that needs medical attention-
or one that is an emergency? How do you know what kind of medical attention
to seek? Dr. Donnica Moore discusses the different types of headaches, their associated symptoms, and when to seek medical attention sooner rather than later. Dr. Moore also discusses how to diagnose, treat and even prevent several of the more common types of headache, including the infamous "Not-tonight-dear-I-have-a-headache" headache.
Most adults have experienced a headache at some point. They range from mild
and fleeting, to severe and requiring hospital admission. As ninth on the list
among causes for physician visits, they command a great deal of medical attention,
much of which is spent in making a diagnosis. The causes of headache are numerous
and varied. Headaches can be disorders themselves (such as migraine, tension
headache, cluster or vascular headache) or they can be a secondary symptom of
another problem. Secondary causes include problems within the brain itself
(e.g. tumors, stoke, infection, injury); most headaches from secondary causes
are from problems originating outside the brain but in the head (e.g. sinus
infection; numerous problems in the eyes, ears or nose; etc.) or from systemic
conditions. These can include everything from high blood pressure to a low
blood count, to the flu to not getting enough sleep or to drinking too much
alcohol or not enough caffeine. Side effects of medications also often cause
headaches. Sometimes, no specific cause can be identified.
Generally the cause of the headache must be identified through a complete history
and physical exam. While laboratory and radiologic tests help to eliminate
some of the more serious possibilities, nearly 9 out of 10 patients with headaches
have either migraines or tension headaches, for which there is no specific diagnostic
test.
How many times have we said or heard others say, "Oh-it's
nothing-just a headache"? Yet, according to the National Headache Foundation,
migraine itself alone is such a pervasive problem, that 157 million workdays
are lost each year in the US, at a cost of $17.2 billion. This does not
factor in the social costs of migraine or the costs of other headache disorders.
Headache sufferers owe it to themselves, to their families, and to their
jobs to see a physician for proper evaluation and treatment, even if it means
taking a day off from work to do so. And if it is "just a headache" the reassurance
itself can be very comforting.