Dr David Djan
0
loading...
Conditions we treat
Migraines & Headaches
Migraines & Headaches

Headaches are one of the most common pain conditions in the world with the main symptom being a throbbing, constant, sharp or dull pain in the head or face. However, just because they are common does not mean they do not disrupt a person’s quality of life - especially if they are a regular occurrence or turn into migraines. For some individuals, a continuous battle with headaches could lead to anxiety and even depression.

What are the types of headaches?

Interestingly, there are over 150 different types of headaches which are divided into two main categories: primary and secondary headaches/

Primary headaches

Primary headaches are those that are not due to another medical condition. These include:

  • Cluster headaches
  • Migraines
  • New daily persistent headaches (NDPH)
  • Tension headaches

What causes a headache?

The pain you experience from a headache are the result of signals interacting among the brain, blood vessels and surrounding nerves. When you have a headache, an unknown mechanism activates specific nerves that affect muscles and blood vessels. These nerves send pain signals to the brain.

What is a migraine?

A migraine is a headache that causes severe throbbing or a pulsating sensation, usually on one side of the head. They are usually accompanied with nausea, vomiting, and extreme sensitivity to light and sound. They can last for hours or even days, and the pain could even interfere with daily activities.

What are the stages of a migraine?

There are four stages of migraines: prodrome, aura, attack, and post-drome, Not everyone will experience all of the stages as some people will start to experience a migraine quite rapidly.

Stage 1: Prodrome

This stage happens about one or two days before a migraine. You might pick up on subtle changes that might warn you of an oncoming migraine. These signs include:

  • Constipation
  • Mood changes, from depression to euphoria
  • Food cravings
  • Neck stiffness
  • Increased urination
  • Fluid retention
  • Frequent yawning

Stage 2: Aura

An aura usually occurs before or during a migraine. They are reversible symptoms of the nervous system and are usually visual but can include other disturbances. Symptoms of a migraine aura will begin to build gradually over several minutes and can last as long as 60 minutes.

Examples of migraine auras include:

  • Visual phenomena, such as seeing various shapes, bright spots or flashes of light
  • Vision loss
  • Pins and needles sensations in an arm or leg
  • Weakness or numbness in the face or one side of the body
  • Difficulty speaking

Stage 3: Attack

A migraine usually lasts for about 4 to 72 hours if left untreated. During a migraine, you might experience the following symptoms:

  • Pain usually on one side of your head, but often on both sides
  • Pains that throbs or pulses
  • Sensitivity to light, sound, and sometimes smell and touch
  • Nausea and vomiting

Stage 4: Post-drome

After a migraine, you may feel drained, confused or even washed out for about a day. Making sudden movements with your head may bring the pain back briefly. However, some people have reported feeling elated after an attack.

When should you see a doctor?

If you have a history of headaches and experience a change in the pattern or they start to feel different, you should see a doctor.

People who suffer from migraines are always advised to keep a record of the attacks and how you treated them so that if you need to see your doctor, they will be able to pick up on any recurring patterns.

If you have any of the following signs or symptoms, you should see a doctor or neurologist immediately as it could be an indication of a more serious condition:

  • An abrupt, severe headache like a thunderclap
  • Headache with a fever, stiff neck, confusion, seizure, double vision, numbness or weakness in any part of the body
  • Headache after a head injury
  • A chronic headache that is worse after coughing, exertion, straining or a sudden movement
  • New headache pain after age 50
VIEW
Close