Headache

 

There are several types of headaches, generally categorized into primary and secondary types:

Essence:- Headache in the evening are usually simple tension headache, if patient feel relieved by pressing over the temporal region.

If patient has cold :-press over the maxillary ethmoidal & frontal sinuses for tenderness if there is sinus tenderness,So,ask about symptoms of sinusitis, 

-Does the headache increase on the bending forward?

-has patient get foul smell in the nose?

If patient get headache after reading/ seeing movie refer to opthalmologist to check refractive error.

- headache with fever is suspected meningitis or malaria.

-Always check the blood pressure who complaines of headache if it is high then probably the cause.

For more knowledge check the below 👇

*Primary Headaches

These occur on their own, not as a symptom of another condition:

1. Tension Headaches

Most common type

Mild to moderate, dull, aching pain

Often feels like a tight band around the head

Triggered by stress, fatigue, or poor posture

2. Migraine

Intense, throbbing pain (often one-sided)

May include nausea, vomiting, and sensitivity to light/sound

Can last hours to days

Sometimes preceded by an aura (visual disturbances)

3. Cluster Headaches

Severe, piercing pain around one eye or temple

Occur in cyclical patterns or clusters

May include watery eyes, nasal congestion, or restlessness

Usually short (15 minutes to 3 hours) but frequent

4. New Daily Persistent Headache (NDPH)

Sudden onset

Daily and continuous, often resistant to treatment

5. Exertion Headaches

Triggered by physical activity or exertion

Typically short-lasting

*Secondary Headaches

These result from an underlying condition (can be serious):

1. Sinus Headaches

Pressure or pain in cheeks, forehead, or around eyes

Associated with sinus infection (fever, congestion)

2. Medication Overuse Headache

Caused by frequent use of painkillers

Chronic daily headache that gets worse with more medication

3. Head Injury-Related Headaches

Follows trauma

Can develop into chronic post-traumati

4. Hormonal Headaches

Linked to menstrual cycle, pregnancy, or menopause

5. Caffeine-Withdrawal Headache

Occurs when regular caffeine use is suddenly stopped

6. Thunderclap Headache

Sudden, severe headache (peaks in seconds)

May indicate a serious condition like aneurysm or stroke

Requires immediate medical attention.