Chronic Headaches: Causes, Symptoms, and Solutions - Physical Fitness

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Dizziness, headache?


Hello: I often experience headaches, almost daily, and sometimes I wake up in the middle of the night due to the pain.
I have undergone an EEG, but the doctor said there were no abnormalities.
However, I occasionally experience sudden temporary blindness for nearly 15 minutes, during which I remain conscious and break out in a cold sweat.
Recently, I have had little appetite and have been unable to eat, which may be contributing to my frequent dizziness.
Despite this, I have no desire to eat.
The doctor suggested that my symptoms might be due to high stress and advised me to talk to someone about my feelings, but I don’t feel that I am under stress.
Therefore, I am uncertain whether I should see a doctor again.
I have already consulted with doctors three or four times, and they found no issues.
Additionally, the doctor mentioned that I might be experiencing sleep deprivation, but even after sleeping for 10 hours, I still have headaches.
Sometimes the pain becomes unbearable, and I am unsure if I can take pain medication.

Xiao Le, 10~19 year old female. Ask Date: 2005/07/06

Dr. Huang Jianling reply Physical Fitness


Xiao Le: Common causes of headaches are as follows: (See which type you resemble.)
1.
Tension Headache: The headache feels like a tight band around the head, with a dull, tight sensation in the frontal area on both sides.
Some individuals may also experience pain in the back of the neck.
The pain may originate from muscle tension and can be exacerbated by stress, referred to as stress-type headache, also known as muscle contraction headache or cervicogenic headache.
Generally, patients experience headaches in the afternoon, with less occurrence in the morning.
Stress-type headaches typically do not accompany other symptoms (such as nausea, vomiting, or aura), thus distinguishing them from migraines.
2.
Cluster Headache: This type of headache predominantly occurs in middle-aged men, with a male-to-female ratio of 5:1.
It is particularly common among young men aged 20-30.
The headache is usually unilateral, centered around the eye, and is characterized by sharp, severe pain.
It often occurs at the same time each day, causing patients to be restless and unable to sit still, often walking around.
Symptoms may include conjunctival injection, ptosis, tearing, nasal congestion, rhinorrhea, and edema.
Another characteristic is its seasonal occurrence, commonly seen in late autumn or early spring, lasting about 30-60 minutes.
This type of headache can persist for months and may recur after spontaneous resolution, hence the term "cluster."
3.
Migraine Headache: There is a strong correlation with family history.
Migraines often begin during adolescence and tend to worsen with age; however, in women, symptoms may lessen after menopause, and some may experience relief during pregnancy, indicating a significant relationship with female hormones.
The pain is usually unilateral, pulsating, and worsens with physical activity.
Patients often experience photophobia, phonophobia, nausea, and vomiting.
Aura symptoms, such as visual disturbances, dizziness, or altered taste, may precede the headache.
Migraines can be classified into two types based on the presence or absence of aura.
Additionally, various triggers can provoke migraines, including stress, fatigue, menstruation, contraceptive use, insomnia, smoking, and exposure to certain organic solvents.
Certain foods, such as processed meats, cheese, monosodium glutamate, chocolate, and red wine, can also trigger migraines.
Xiao Le's headache accompanied by visual disturbances may be caused by a migraine, and it is recommended to seek treatment at a family medicine clinic.

Respectfully, Dr.
Huang Jian-Ling, Family Medicine, Taoyuan Hospital, Department of Health, Executive Yuan.

P.S.
(Headaches are not a fitness issue; please choose family medicine next time.
Thank you!)

Reply Date: 2005/07/06

More Info


Chronic headaches can be a debilitating condition that significantly impacts your quality of life. Understanding the causes, symptoms, and potential solutions is crucial for managing this issue effectively. Based on your description, it seems you are experiencing frequent headaches, sometimes severe enough to wake you from sleep, along with episodes of transient vision loss and cold sweats. These symptoms warrant careful consideration and further evaluation.


Causes of Chronic Headaches
Chronic headaches can arise from various underlying conditions. The most common types include:
1. Tension-Type Headaches: Often triggered by stress, poor posture, or prolonged periods of sitting (especially in front of a computer). Symptoms typically include a dull, aching sensation all over the head, sensitivity to light or sound, and tenderness in the scalp, neck, and shoulder muscles.

2. Migraine: Characterized by intense, throbbing pain, often on one side of the head. Migraines can be accompanied by nausea, vomiting, and sensitivity to light and sound. Some individuals experience aura, which can include visual disturbances like temporary blindness.

3. Cluster Headaches: These are severe headaches that occur in cyclical patterns or clusters. They are often described as a burning or piercing pain, usually around one eye.

4. Medication Overuse Headaches: Frequent use of pain relief medications can lead to rebound headaches, where the headache returns as the medication wears off.

5. Secondary Headaches: These are headaches caused by other medical conditions, such as sinus infections, high blood pressure, or neurological disorders. Given your symptoms of transient vision loss and cold sweats, it is essential to rule out any serious underlying conditions.


Symptoms to Monitor
Your symptoms, including the transient loss of vision and cold sweats, are concerning and should not be overlooked. While the absence of abnormalities in your previous tests is reassuring, the persistence of your headaches and the new symptoms suggest that further evaluation may be necessary. It’s crucial to monitor:
- The frequency and intensity of your headaches.

- Any accompanying symptoms, such as nausea, vomiting, or changes in vision.

- Triggers that may exacerbate your headaches, such as stress, lack of sleep, or dietary factors.


Solutions and Management Strategies
1. Medical Evaluation: Given your symptoms, it may be beneficial to consult a neurologist for a comprehensive evaluation. They may recommend imaging studies, such as an MRI or CT scan, to rule out any structural issues in the brain.

2. Lifestyle Modifications:
- Sleep Hygiene: Ensure you maintain a regular sleep schedule, aiming for 7-9 hours of quality sleep each night.

- Stress Management: Even if you don’t perceive stress, consider techniques such as mindfulness, yoga, or counseling to help manage potential underlying stressors.

- Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can help prevent headaches. If you have a reduced appetite, try small, frequent meals.

3. Medication: While over-the-counter pain relievers like acetaminophen or ibuprofen can be effective, it’s essential to use them judiciously to avoid medication overuse headaches. Consult your doctor about the appropriate use of these medications and whether prescription options might be more suitable for your condition.

4. Physical Therapy: If tension-type headaches are suspected, physical therapy focusing on posture correction and muscle relaxation techniques may be beneficial.

5. Alternative Therapies: Some individuals find relief through acupuncture, chiropractic care, or biofeedback. These therapies can help manage pain and reduce the frequency of headaches.


Conclusion
Chronic headaches can be complex and multifaceted, often requiring a tailored approach to treatment. Given your symptoms, it is essential to seek further medical advice to explore potential underlying causes and appropriate treatment options. Keeping a headache diary to track your symptoms, triggers, and responses to treatment can also provide valuable information for your healthcare provider. Remember, you don’t have to manage this alone—reaching out for help is a crucial step toward finding relief.

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