Managing Headaches: When to Use Pain Relievers and Seek Medical Advice

Headache and Medication Consultation

Hello, doctor.
Recently, I have been experiencing headaches that last almost all day.
When the pain is mild, I feel a slight pressure and pain around both temples and the sides of my eyes.
At its worst, the pain affects the entire right side of my head.
Since I am a computer science major, I often spend a lot of time in front of a computer.
I have adjusted my schedule, which has helped alleviate the symptoms, and I no longer experience severe pain.
However, even when I am not using electronic devices, I still feel mild symptoms.
Additionally, I have mild tinnitus.
Previously, an ear specialist prescribed me Secorin and Trenfylline, but since my tinnitus is not severe enough to affect my daily life, the doctor advised me to keep them as a backup in case it worsens.
I vaguely remember the doctor mentioning that these medications could also help with headaches.
I would like to know if my symptoms are suitable for taking these two medications, or if I should just take over-the-counter pain relievers like acetaminophen, or if I need to see a doctor for a prescription for something more specific.

Computer Science Student, 20~29 year old female. Ask Date: 2020/03/26

Dr. Jiang Junyi reply Neurology

Hello, based on your description, the headache you mentioned may initially be related to cervical nerve root compression, which is often associated with tightness in the cervical muscles and degeneration of the cervical spine.
Symptoms typically include pain at the affected site, discomfort, muscle stiffness, and possibly neurological sensations.
Symptoms may worsen upon waking or with changes in weather, but can be alleviated with stretching activities, and often recur.
During acute episodes, there may be localized muscle tension and spasms, leading to restricted movement.

Regarding the medications for tinnitus, OXAZOLAM (SECORIN TAB.
10MG) is primarily used for stabilizing emotional nerves.
Trenfyline can alter the permeability of red blood cells.
Neither of these medications has analgesic or muscle relaxant effects.

For medication treatment options: when nerves are compressed, an inflammatory response occurs, leading to symptoms such as pain, numbness, and weakness.
Non-steroidal anti-inflammatory drugs (NSAIDs) can be used for treatment as they have both anti-inflammatory and analgesic properties, which can reduce the inflammatory response and alleviate pain.
Muscle relaxants may also be added.

I recommend that you consult with a neurologist or a rehabilitation specialist to discuss examination and treatment options.
However, due to the recent COVID-19 pandemic, it is advisable to wait until the situation stabilizes before going to the hospital for examination.
Additionally, please ensure to implement self-protection measures and maintain cleanliness and disinfection before and after seeking medical care.
Wishing you good health, safety, and happiness.

Dr.
Jiang, Department of Neurology, Taoyuan Medical University, cares about you.

Reply Date: 2020/03/26

More Info

Managing headaches can be a complex issue, especially when they become a frequent part of your daily life. Based on your description, it seems you are experiencing tension-type headaches, which are often characterized by a dull, aching sensation all over the head, sensitivity to light or sound, and sometimes associated with neck stiffness. Given your background in computer science and the amount of time spent in front of screens, it’s not uncommon for individuals in your field to experience headaches due to prolonged screen time, poor posture, and lack of breaks.

When to Use Pain Relievers
Pain relievers, such as acetaminophen (commonly known as Tylenol), can be effective for managing mild to moderate headaches. They work by blocking the production of certain chemicals in the brain that cause pain. However, it’s important to use them judiciously. Overuse of pain relievers can lead to rebound headaches, where the headache returns once the medication wears off, creating a cycle of dependency on the medication.

In your case, since you mentioned that the headaches are mild and have improved with adjustments to your routine, it’s reasonable to continue using acetaminophen as needed. However, if you find yourself relying on it daily, or if the headaches worsen or change in pattern, it would be wise to consult a healthcare professional.

When to Seek Medical Advice
You should seek medical advice if:
1. Headaches Change in Pattern: If you notice a significant change in the frequency, intensity, or nature of your headaches, it’s essential to consult a doctor. This includes headaches that become more severe or are accompanied by other symptoms such as visual disturbances, nausea, or neurological symptoms (like weakness or numbness).

2. Persistent Symptoms: If your headaches persist for more than a few weeks or if they are not responding to over-the-counter medications, it’s time to see a healthcare provider. This is particularly important if you experience headaches that wake you from sleep or are worse in the morning.

3. Associated Symptoms: If you experience symptoms such as severe nausea, vomiting, confusion, or changes in consciousness, you should seek immediate medical attention.

4. Impact on Daily Life: If your headaches are affecting your ability to work, study, or engage in daily activities, it’s crucial to get a professional evaluation.

Other Considerations
Given your mention of mild tinnitus (ear ringing) and the medications you have been prescribed (Secorin and Trenfylline), it’s worth discussing these with your healthcare provider. While these medications are not typically used for headache relief, they may have side effects that could contribute to your symptoms. Secorin is primarily an anxiolytic, and Trenfylline is used for respiratory conditions, so their relevance to your headaches should be evaluated by a doctor.

Lifestyle Modifications
In addition to medication, consider implementing lifestyle changes that can help reduce the frequency and severity of your headaches:
- Ergonomics: Ensure your workstation is ergonomically set up to reduce strain on your neck and eyes. Use a chair that supports your back, and position your monitor at eye level.

- Regular Breaks: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This can help reduce eye strain.

- Hydration and Nutrition: Stay hydrated and maintain a balanced diet. Dehydration and skipping meals can trigger headaches.

- Stress Management: Incorporate stress-reducing activities into your routine, such as exercise, meditation, or yoga.

- Sleep Hygiene: Ensure you are getting adequate sleep and maintaining a regular sleep schedule.

In conclusion, while it’s okay to use pain relievers like acetaminophen for occasional headaches, it’s essential to monitor your symptoms and seek medical advice if they persist or worsen. A healthcare professional can help determine the underlying cause of your headaches and recommend appropriate treatment options tailored to your needs.

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