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NEUROLOGICAL
Headaches and General
Pain
Common Headaches Almost any disturbance of the body
functions may cause a headache. A headache may be
either chronic or acute. It may be frontal, temporal
or confined to one side of the head or the region
immediately over one eye. The pain may vary from a
dull aching pain to a sharp, almost unbearable pain.
Chronic headaches may be caused by a variety of
conditions including physical, emotional,
psychosomatic factors. Acute transient headaches could
be due to problems with sinuses, teeth, eye ear or
throat. Acute infections or trauma to the head can
also cause this type of headache. The treatment for a
headache depends entirely on the cause, although most
often, an over-the-counter pain medication is
sufficient. However, if you believe your headache may
be a symptom of a serious disease, you should consult
your physician.
Migraine Headaches
Although migraine headaches are terribly painful,
it may be comforting to know that they are not
considered dangerous. Migraines can cause nausea,
dizziness and visual disturbances. If the headache is
particularly bad, it is advisable not to drive or
operate machinery. While doctors cannot cure migraine
headaches, they can prescribe pain killers to treat
the symptoms. Victims of migraines can be their own
best doctors, keeping a diary of what you eat, along
with your sleeping, work and recreational habits can
show when you are most likely to get a migraine.
Learning to deal with stress and time management
techniques can lessen the chance of suffering with a
migraine.
Brain Tumor
While tumors that develop in the brain are fairly
uncommon, cancer that begins in other organs, and
spread to the brain are relatively common. Brain
tumors, whether they are benign or malignant are
always serious because the cause pressure on the
brain. Symptoms include increased headaches which are
most painful when lying down or accompanied by nausea.
Double or blurred vision may occur, along with
unsteadiness, weakness on one side, or loss of memory
and confusion. A doctor should be consulted
immediately if these symptoms are present. Treatments,
including radiation therapy or surgery have proven
successful, and research for new treatment is ongoing.
Body Aches
Most common body aches can be relieved with drugs
or moist heat and a gentle massage of the aching
region. Normal use of the aching part of the body is
usually helpful and should allow better circulation
around the sore muscle or joint. However, using a sore
area can irritate it and cause increased discomfort.
Pain relief may also be found in aspirins or in
aspirin substitutes. For more information about
relieving body aches, please contact a doctor in your
area.
Relieving Pain
The first step in relieving pain is to interpret
what the pain stems from. Most common pains can be
temporarily relieved by an aspirin or aspirin
substitute. However, if the pain is related to a
recent injury such as a sprained ankle, relief can
often be found by applying ice to the injury. This
will show swelling and numb the area. If the pain is
simply a sore muscle or joint, such as a stiff neck,
heat treatments may relieve the soreness. For more
information about relieving pain, please consult a
doctor in your area.
Headaches - General
All of us suffer from an occasional headache. In
fact, twenty million Americans see their doctors each
year because of headaches. Although headaches can be
very uncomfortable and temporarily disabling, most are
not associated with serious illness and can be
relieved by resting in a quiet room or by taking a
non-prescription painkiller such as aspirin or
acetaminophen (aceta-mina-fen). Others, however, may
require stronger prescription medications and a few
are warning signs to seek immediate medical attention.
These warning signs can include: Severe, sudden
headaches that seem to come on like a "bolt out of the
blue". Headaches accompanied by confusion, visual
blurring, loss of consciousness, altertness,
sensation, or other neurological changes. Recurrent
headaches affecting one particular area such as an eye
or temple. Recurrent headaches of increasing intensity
or frequency. Headaches accompanied by neck stiffness
and fever. Headaches that wake you up and any
unexplained change in the nature or frequency of
headaches.
Tension Headaches
The most common headaches are those associated with
tension or muscle contractions and are directly
related to stress. The pain tends to be steady and
dull, rather than thobbing. It is usually felt in the
temples, forehead, neck or back of the head. Sometimes
the pain seems to encircle the head like a tight band.
Tension headaches may occur at any time but are most
commonly associated with periods of stress and worry.
Treatment involves relieving the tension through
massage, heat, a hot shower, relaxation techniques and
in short, putting aside the worries of the moment.
Non-prescription painkillers such as asprin or
acetaminophen (aceta-mina-fen) may also help. For
severe muscle tension headaches, other slightly more
potent drugs may be prescribed. These drugs may cause
drowsiness and slow reflexes and should be taken with
caution by people who work with machinery or drive.
Most doctors also recommend that they be used for only
short periods -- not more than a few days at a time.
Sinus Headaches
Sinus headaches are associated with a swelling of
the membrane lining in the nasal passages. The pain
tends to be dull and may shift if ou move your head in
a certain way. Sinuse headahes may be relieved by
simple painkillers, or in some cases, a decongestant
to relieve the swelling.
Migraine
Headaches
Migraine Headaches
Although migraine headaches are terribly painful,
it may be comforting to know that they are not
considered dangerous. Migraines can cause nausea,
dizziness and visual disturbances. If the headache is
particularly bad, it is advisable not to drive or
operate machinery. While doctors cannot cure migraine
headaches, they can prescribe pain killers to treat
the symptoms. Victims of migraines can be their own
best doctors, keeping a diary of what you eat, along
with your sleeping, work and recreational habits can
show when you are most likely to get a migraine.
Learning to deal with stress and time management
techniques can lessen the chance of suffering with a
migraine.
Cluster
Cluster headaches are a type of migraine that
begins on one side of the head, and usually centers
around one eye. It affects men more often than women.
The pain lasts for several hours and then suddenly
disappears, only to return a few hours later. This can
go on for several days and then stop. Sometimes the
headaches do not return for several years but you
should seek the advice of your physician as these
headaches could be the sign of an underlying disease
such as glaucoma.
Migraines vary from person to person, but
typically, they are throbbing headaches affecting one
side of the head. They are often accompanied by a
number of other symptoms, which also vary. Some people
have very little head pain but suffer from distorted
vision and hearing, or feelings of intense anxiety.
Others may suffer from incapacitating pain lasting for
several days. Most fall between these two extremes.
Many people are warned of an impending migraine attack
by bizarre distortions of size, position, time, and
place -- the so-called "Alice in Wonderland" syndrome.
Others see flashing lights or bright colors in unusual
shapes. Nausea, vomiting, chills, fever, dizziness,
diarrhea, abdominal, arm or leg pain, and sensitivity
to light are still other symptoms that may accompany a
migraine. Regardless of the differing symptoms, all
migraines are related to changes in the blood vessels
of the head and neck. This is why migraines are often
referred to as vascular headaches. Early warning
symptoms of a migraine are thought bo b caused by a
narrowing of these blood vessels, while the head pain
is a result of the subsequent expanding or dilating of
the vessels. What causes these changes is unknown,
although many researchers now believe that chemical
produced in the body that act on the blood vessels may
be responsible.
Triggering Factors
Dozens of factors appear to trigger migraines in
susceptible individuals, but again, these vary from
person to person. Common precipitating factors include
hormonal changes, particularly those associated with
menstruation or use of birth control pills, sudden
changes in weather or temperature, emotional factors,
certain foods or additives especially preservatives in
cured meats, MSG or caffeine, chocolate, cheese and
corn products, drugs, glaring lights, strong odors and
cigarette smoke. Avoiding these triggering factors can
solve the problem for many people. Others however,
require treatment.
Treating Migraine
Unfortunately, there is no cure for migraines,
although most can be controlled through a combination
of avoiding factors that trigger them, drugs and other
therapies. Aspirin may help some migraine patients,
especially children, but most adult sufferers require
additional or alternative medications. The most
successful treatments are those that either prevent an
attack, or stop it in its earliest stages. Ergotamine
(er-gat-e-men) or drugs related to ergot (er-get)
derivatives may be prescribed to be taken at the first
warning signs of a migraine. These drugs constrict or
narrow the arteries, thus relieving the pain from the
expanded cranial vessels. These drugs should not be
taken by people who have hardening of the arteries,
high blood pressure, angina, coronary disease, or
other circulatory problems, sever infection, or
disorders of the kidney or liver. And since they
narrow the blood vessels, they should be used with
caution by anyone who will be exposed to the cold,
which further reduces blood flow to the arms and legs.
Another treatment involves giving a beta-blocking
drug, which prevents the expanding of the cerebral
arteries and thus prevents migraine attacks. Since
these drugs slow the rate of heartbeats, they are
often not advised for heart patients. They also should
not be used by people with asthma or diabetes. Only
your doctor knows your particular medical needs and
can determine treatment. |