| Headaches
		
			| Topic OverviewHeadaches are one of the most
		common pain-related health problems in both children and adults. You may have a
		headache along with another minor health problem such as a sore throat, cold,
		or sinus problem. Types of headachesThe most common types of headaches
		  usually are not serious but may occur again and again. Tension headaches are the most common
			 type of headache and are often caused by stress and emotional strain. Most
			 adults have tension headaches from time to time, and everyone may have different areas of pain.Cluster headachesMigraine headaches. Approximately one-third of people who have migraine headaches
			 first began having them as teenagers.
 Common causes of headachesCommon causes of headaches
		  include: Alcohol, caffeine, or other drug use or
			 withdrawal.Changes in the levels of chemicals in the body (neurotransmitters).Coughing or
			 sneezing.Dehydration.Dental
			 problems or procedures, such as pain from grinding the teeth or from a root
			 canal.Eating or drinking cold foods and
			 fluids.Emotional stress.Exposure to smoke or fumes
			 from chemicals, including
			 carbon monoxide.Eyestrain.Fever.High
			 altitude. Lower oxygen levels at high altitudes can cause
			 headaches.High blood pressure (hypertension).Infection in the
			 sinuses, such as
			 sinusitis or an
			 abscess. Medical procedures, such as the
			 aftereffects of a lumbar puncture (spinal tap).Medicines. Many medicines can cause
			 headaches.Muscle strain in the neck, upper back, or shoulder
			 muscles.Upper respiratory infections.Premenstrual syndrome (PMS).
 Headaches with other serious symptomsAlthough rare,
		  a headache may be a
		  symptom of a serious illness. Other symptoms, such as
		  vomiting, dizziness, or changes in vision, may also be present. The following
		  serious illnesses or injuries can cause headaches. A head injury: 
			 Injury to the brain (concussion)Fracture of
				  the skullBleeding in or around the brain
Brain tumor, which causes swelling
			 within the brainInfection in the brain (encephalitis)
			 or of the membrane surrounding the brain and spinal cord (meningitis)Stroke, a
			 problem that occurs when a blood vessel (artery) that supplies blood to the
			 brain bursts or is blocked by a blood clotA rupture of a blood
			 vessel with bleeding in or around the brain (aneurysm)
 Check your symptoms to decide if and when
		you should see a doctor.Check Your SymptomsDo you have a headache problem?How old are you? 3 years or younger 3 years or younger4 to 11 years 4  to 11 years12 to 55 years 12 to 55 years56 years or older 56 years or olderDid the symptoms start after a head injury? Yes Symptoms began after a head injuryNo Symptoms began after a head injuryAre you pregnant? Yes, you know that you're pregnant. PregnancyNo, you're not pregnant, or you're not sure if you're pregnant. PregnancyDo you have a severe headache that started suddenly and is the worst headache of your life? This probably would not be like any headache you have had before. Yes Sudden, severe headacheNo Sudden, severe headacheHas there been a decrease in how alert or aware you are? Yes Decreased level of consciousnessNo Decreased level of consciousnessDo you have these symptoms right now? Yes Neurological symptoms now presentNo Neurological symptoms now presentHave you had the symptoms for 1 week or less? Yes Neurological symptoms for 1 week or lessNo Neurological symptoms for 1 week or lessDo you have a headache right now?Moderate Moderate dehydrationAre you having trouble drinking enough to replace the fluids you've lost? Little sips of fluid usually are not enough. You need to be able to take in and keep down plenty of fluids. Yes Unable to maintain fluid intakeNo Able to maintain fluid intakeHow bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain Severe pain5 to 7: Moderate pain Moderate pain1 to 4: Mild pain Mild painIs home treatment helping with the pain? Yes Home treatment is helpingNo Home treatment is not workingHow long have you had the headache? Less than 1 hour Headache for less than 1 hour1 hour to less than 12 hours Headache for 1 hour to less than 12 hours12 to 24 hours Headache for 12 to 24 hoursMore than 24 hours Headache for more than 24 hoursYes Symptoms of serious illnessNo Symptoms of serious illnessDo you think you may have a fever?Are your headaches caused or made worse by exercise, sex, having a bowel movement, coughing, or bending your head forward? Yes Headache is caused or made worse by activityNo Headache is caused or made worse by activityDo you think that a medicine  may be causing your headaches?Think about whether the headaches started after you began using a new medicine or a higher dose of a medicine. Yes Headache may be caused by medicineNo Headache may be caused by medicineHave you noticed a change in the usual pattern  of your headaches?Yes Usual headache pattern has changedNo Usual headache pattern has changedDo your headaches ever keep you from doing your daily activities, such as school or work? Yes Headaches interfere with daily activitiesNo Headaches interfere with daily activitiesHas your headache lasted or kept coming back for more than 2 weeks, despite home treatment? Yes Headache has continued or recurred for more than 2 weeks despite home treatmentNo Headache has continued or recurred for more than 2 weeks despite home treatmentMany things can affect how your body responds to a symptom and what kind
	 of care you may need. These include: Your age. Babies and older
		adults tend to get sicker quicker.Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
		disease, you may need to pay closer attention to certain symptoms and seek care
		sooner.Medicines you take. Certain
		medicines, herbal remedies, and supplements can cause symptoms or make them
		worse.Recent health events, such as surgery
		or injury. These kinds of events can cause symptoms afterwards or make them
		more serious.Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
		use, sexual history, and travel. 
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
		able to take care of this problem at home. Try home treatment to relieve the
		  symptoms. Call your doctor if symptoms get worse or you have any
		  concerns (for example, if symptoms are not getting better as you would expect).
		  You may need care sooner.
Neurological symptoms—which may be
	 signs of a problem with the nervous system—can affect many body functions.
	 Symptoms may include: Numbness, weakness, or lack of movement in your
		face, arm, or leg, especially on only one side of your body.
		Trouble seeing in one or both eyes. Trouble speaking.
		Confusion or trouble understanding simple statements.
		Problems with balance or coordination (for example, falling down
		or dropping things). Seizures.
Pain in adults and older children Severe pain (8 to 10): The pain
		is so bad that you can't stand it for more than a few hours, can't sleep, and
		can't do anything else except focus on the pain. Moderate pain (5 to 7): The pain is bad enough to disrupt your
		normal activities and your sleep, but you can tolerate it for hours or days.
		Moderate can also mean pain that comes and goes even if it's severe when it's
		there.Mild pain (1 to 4): You notice the pain,
		but it is not bad enough to disrupt your sleep or activities. 
You can get dehydrated when
	 you lose a lot of fluids because of problems like vomiting or fever.  Symptoms of dehydration can range from mild to severe. For
	 example: You may feel tired and edgy (mild dehydration), or
		you may feel weak, not alert, and not able to think clearly (severe
		dehydration). You may pass less urine than usual (mild
		dehydration), or you may not be passing urine at all (severe
		dehydration).
Many prescription and nonprescription medicines and
	 supplements can cause headaches. A few examples are: Medicines that contain hormones, such as birth
		control pills and hormone therapy for menopause.Medicines for
		erection problems.Caffeine (because of caffeine
		withdrawal).Some heart and blood pressure
		medicines.Vitamins.
Severe dehydration means: Your mouth and eyes may be extremely
		dry.You may pass little or no urine for 12 or more
		hours.You may not feel alert or be able to think
		clearly.You may be too weak or dizzy to stand.You may
		pass out. 
 Moderate dehydration means: You may be a lot more thirsty than
		usual.Your mouth and eyes may be drier than usual.
		You may
		pass little or no urine for 8 or more hours. You may feel dizzy
		when you stand or sit up. 
 Mild dehydration means: You may be more thirsty than usual.
		You may pass  less urine than usual.
Symptoms of serious illness may
	 include: A severe headache.A stiff
		neck.Mental changes, such as feeling confused or much less
		alert.Extreme fatigue (to the point where it's hard for you to
		function).Shaking chills.
Here are some examples of possible changes in your usual pattern of headaches:  Headaches are worse than usual.You get
		headaches more often.The pain is in a different
		area.The pain feels different.The medicines you
		usually take for headaches no longer seem to work.
Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care.Call your doctor now to discuss the symptoms and
		  arrange for care.If you cannot reach your doctor or you don't have
		  one, seek care in the next hour.You do not need to call an
		  ambulance unless: 
		  You cannot travel safely either by driving
				yourself or by having someone else drive you.You are in an area
				where heavy traffic or other problems may slow you down.
Seek Care TodayBased on your answers, you may need care soon. The
		problem probably will not get better without medical care.Call your doctor today to discuss the symptoms
		  and arrange for care.If you cannot reach your doctor or you don't
		  have one, seek care today.If it is evening, watch the symptoms and
		  seek care in the morning.If the symptoms get worse, seek care
		  sooner.
Make an Appointment Based on your answers, the problem may not improve without medical
		care.Make an appointment to see your doctor in the
		  next 1 to 2 weeks.  If appropriate, try home treatment while you
		  are waiting for the appointment.If symptoms get worse or you have
		  any concerns, call your doctor. You may need care sooner.
Call  911  NowBased on your answers, you need
		emergency care.Call911or other emergency services now.Pregnancy-Related Problems Head Injury, Age 4 and Older Head Injury, Age 3 and YoungerHome TreatmentMost of the time headaches get
		better or go away with home treatment and do not require a visit to a doctor.
		Home treatment for headaches can often help reduce the severity of pain and the
		length of time the pain is present. Home treatment may also relieve other
		symptoms, such as fever, nausea or vomiting, anxiety, or muscle aches. Start
		home treatment as soon as you can. Be sure to review the home treatment
		information for any other symptoms you may have. If your doctor has
		prescribed a specific treatment for your headaches, begin treatment as soon as
		a headache starts. Be sure to follow his or her instructions when taking any
		prescription medicine for your headache. For
		mild pain without other symptoms, try the
		following: Rest in a quiet, dark room.Place a
		  cool compress on your forehead.Do not smoke, drink alcohol, or use
		  illegal drugs.
 Medicine you can buy without a prescription| Try a nonprescription
			 medicine to help treat your fever or pain: | 
|---|
 | Talk to your child's doctor before switching back and
				forth between doses of acetaminophen and ibuprofen. When you switch between two
				medicines, there is a chance your child will get too much medicine. |  Safety tips| Be sure to follow these
				safety tips when you use a nonprescription medicine: | 
|---|
 | Carefully read and follow all directions
					 on the medicine bottle and box.Do not take more than the
					 recommended dose.Do not take a medicine if you have had an
					 allergic reaction to it in the past.If
					 you have been told to avoid a medicine, call your doctor before you take
					 it.If you are or could be pregnant, do not take any medicine other
					 than acetaminophen unless your doctor has told you to.Do not give aspirin to anyone younger than age 20 unless your doctor tells you to.
						
 |  Reduce headachesYou may be able to reduce the frequency and severity of your
		headaches by trying: Headaches in childrenWhen your child has headaches: Talk to your child. Let him or her know you care.
		  Extra attention and quiet time may be all that is needed to relieve the
		  pain.If your child's doctor has prescribed a specific treatment
		  for his or her headaches, begin treatment as soon as your child complains of
		  the pain.Let your child rest quietly in a darkened room with a
		  cool compress on his or her forehead.If your child's headache pain
		  is mild, encourage him or her to go on with normal activities.Let
		  your child do his or her usual activities if he or she feels like it unless the
		  headache pain is moderate to severe. 
 Medicine you can buy without a prescription for children| Try a nonprescription
			 medicine to help treat your child's headache: | 
|---|
 | Talk to your child's doctor before switching back and
				forth between doses of acetaminophen and ibuprofen to treat a fever. When you
				switch between two medicines, there is a chance your child will get too much
				medicine.  |  Safety tips for children| Be sure to follow these
				safety tips when you use a nonprescription medicine: | 
|---|
 | Carefully read and follow all labels on
					 the medicine bottle and box.Give, but do not exceed, the maximum
					 recommended doses.Do not give your child a medicine if he or she
					 has had an
					 allergic reaction to it in the past.Do not give aspirin to anyone younger than age 20 unless directed to do so
					 by your child's doctor. 
						Do not give
					 naproxen (such as Aleve) to children younger than age 12 unless your
					 child's doctor tells you to.
 |  Symptoms to watch for during home treatmentCall your doctor if any of the following occur during home
		  treatment: Pain increases or other symptoms develop, such as fever, confusion, vision changes, or vomiting. Symptoms become more severe or frequent.
PreventionPrevent headachesYou may be able to prevent headaches by
		changing your daily routine. Identify possible causes of your headaches using a
		headache diary(What is a PDF document?). Eat regularly. Do not skip meals. Choose
		  nutritious foods. Do not fill up on salty foods or carbonated
		  beverages.Keep a regular sleep schedule. Set a bedtime and time to
		  get up, and stick to them, even on weekends. This will help your body get used
		  to a regular sleep time. Avoid oversleeping.Physical therapy may
		  help you strengthen your neck muscles, improve your posture, and increase your
		  mobility. 
		  Exercise regularly. Walking, cycling,
				jogging, swimming, or even dancing or gardening are great ways to relieve
				stress. If you tend to hold tension in your neck and shoulders, walking may be
				especially helpful. The swinging motion of the arms seems to relax those
				muscles.Practice a
				relaxation exercise once or twice a day for 10 to 20
				minutes. Try
				massage, which can reduce muscle tension, especially in
				your neck and shoulder muscles. Muscle tension can cause headaches or make them
				worse.
Practice good posture and body mechanics at home
		  and at work: 
		  Sit straight in your chair with your lower
				back supported. If you sit most of the day, take breaks once an hour to stretch
				your neck muscles. There are some specific neck exercises you can do during your
				breaks.If you work at a computer, adjust
				your monitor so that the top of the screen is at eye level. Use a document
				holder to keep the copy at the same level as the screen.If you
				frequently use the telephone, consider a headset or speakerphone. Do not cradle
				the handset between your shoulder and your ear.
Have frequent dental checkups and yearly eye
		  examinations.
 Headaches can often be prevented by avoiding things that may
		cause, or "trigger," the pain. Although these triggers may be
		different for different people, generally avoid: Alcohol and caffeine (coffee, tea, or soda
		  pop).Sudden caffeine withdrawal.Foods, such as very
		  salty foods or foods that contain the preservative MSG.Poor eating
		  habits, including missing meals, extreme diets, and fasting.Dehydration.Changes in usual sleep
		  patterns, not getting enough sleep, or oversleeping.Stress,
		  anxiety, or
		  depression.Medicines, such as
		  heart medicines, blood pressure medicines, and hormones.Poor posture and body mechanics.Smoking cigarettes or cigars, or
		  breathing
		  secondhand smoke.Glare from sunlight or
		  artificial light.Exposure to strong odors.Strain in
		  the muscles of the jaw from grinding or clenching teeth or chewing
		  gum.Herbal remedies, such as ginseng or St. John's wort. 
 To prevent a child's headache: Make sure your child gets enough
		  rest.Offer frequent nutritious snacks and beverages during the
		  day. Do not allow your child to fill up on salty foods or carbonated
		  beverages.Do not allow your child to skip meals.
Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. Questions to prepare for your appointmentYou can help your
		doctor diagnose and treat your condition by being prepared to answer the
		following questions. When you go to your appointment, be sure to bring your
		headache diary(What is a PDF document?). What medicines do you take, either weekly or
		  monthly, depending on the severity of your headaches? What is your response to
		  the medicine? Make a list to help you remember your medicines and your
		  response. For a headache that started suddenly (acute): 
		  When did the headache start?What
				were you doing when the headache started?
For ongoing headaches (chronic): 
		  When did your headache problems
				start?How often do you have headaches?How long do
				your headaches usually last?Where is your headache pain
				located?Describe your headache pain (stabbing, throbbing, dull,
				sharp), and how you would
				rate the pain?How do your headaches
				usually begin or evolve?Do you have other symptoms with your
				headaches?Are your headaches related to your menstrual
				cycle?What do you think causes your headaches?What
				home treatments have you tried, and how well did they work?What
				prescription medicines have you been given? Did they work?What
				prescription or nonprescription medicines do you take?Are you
				using an alternative or complementary medicine or treatment (including herbal
				remedies)?Have you recently had a dental procedure, such as a
				filling or a root canal?When was your last eye examination? Do you
				wear corrective lenses?Do you have any
				health risks?
Other Places To Get HelpOrganizationAmerican Headache Society: ACHE www.achenet.orgCreditsByHealthwise StaffPrimary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine
 Adam Husney, MD - Family Medicine
 Kathleen Romito, MD - Family Medicine
Current as ofMarch 20, 2017Current as of:
                March 20, 2017 Last modified on: 8 September 2017  |  |