Headache In Adults

There are several different types of headaches. Each one can feel a bit different and have different causes. Here are some of the most common types:

Tension headaches: These are the most common type of headache. You might feel a dull, aching sensation all over your head. It is often described as feeling like a tight band around your forehead or the back of your head. They are often caused by stress, lack of sleep, or poor posture.

Migraine headaches: Migraines are a more severe type of headache, often described as a throbbing pain on one side of the head. They can last for hours or even days, and can also cause other symptoms like sensitivity to light and sound, nausea, or seeing flashing lights or spots.

Cluster headaches: These are intense, painful headaches that can cause pain around one eye or one side of your head. They’re called “cluster” headaches because they tend to happen in groups, or “clusters”, often at the same times of day or night, and then disappear for a period of time.

Sinus headaches: These headaches are often caused by an infection or inflammation in the sinuses (the spaces behind your forehead, nose, and cheeks). They cause a deep, constant pain in your cheekbones, forehead, or the bridge of your nose. They often come with other sinus symptoms like a runny nose, fever, and swelling in your face.

Rebound headaches: Also called medication-overuse headaches, these are caused by the frequent or excessive use of pain-relief medicine. These headaches usually start early in the morning, and can persist throughout the day. They may improve with pain relief medication, but then return as the medicine wears off.

Exertion headaches: These headaches are triggered by intense physical activity like running, weightlifting, or even sexual intercourse. They usually have a short duration, but they can be very intense.

Remember, these are just a few of the many types of primary headaches that exist. It’s advisable to speak to a doctor if you’re concerned about your headache, to evaluate for secondary causes of headache, in which the headache can be manifestation of other underlying medical condition.

Treating headaches depends on their cause and severity, but there are non-medication, lifestyle management that can help to improve the headache:

  1. Rest and relaxation: Sometimes, a good sleep or simply lying down in a quiet, dark room can do wonders for a headache.
  2. Hydration: Not drinking enough water can sometimes lead to headaches. In these cases, simply drinking more fluids can help.
  3. Healthy diet: Some people find that certain foods or skipping meals can trigger their headaches. Maintaining a regular eating schedule and a balanced diet may reduce the frequency of headaches.
  4. Regular exercise: Physical activity can help reduce stress, improve sleep, and decrease the frequency and intensity of headaches. But remember, it’s important to warm up properly because sudden, intense exercise can cause headaches.
  5. Stress management: Techniques like yoga, meditation, and deep breathing can help manage stress levels, reducing the occurrence of tension headaches.
  6. Trigger identification: It helps to keep a diary, what are call a headache diary, where one record down their frequency of headache, intensity, medication usage, menstruation cycle (if applicable), as well as triggers. Headache diary is a very good tool to allow one to view trend and triggers in their headache to allow better trigger identification and avoidance.

If headaches continue to be a problem, it might be useful to see a doctor, so that more appropriate medications can be prescribed. For example, in the case of migraines, there are migraine specific medications like triptans, or CGRP treatment that can be used.

While most headaches are usually not cause for concern and can be relieved with remedies like rest, hydration, or over-the-counter pain relievers, they can sometimes be a symptom of a more serious condition.

A sudden and severe headache, often described as “the worst headache of your life,” could indicate underlying sinister medical or brain conditions.

In some cases, chronic or recurring headaches might be linked to conditions like migraines or tension headaches, but they could also be a sign of more serious issues, like brain tumors or brain infections. These cases are pretty rare, but they do happen.

Headaches can also occur alongside other symptoms, like fever, stiff neck, confusion, seizures, double vision, weakness, numbness, or difficulty speaking. If you or someone else experiences these symptoms along with a headache, it’s crucial to get medical help right away.

So, while a one-off headache is usually not something to worry about, if you’re getting headaches frequently, if they’re very severe, or if they’re accompanied by other symptoms, it’s a good idea to be evaluated by a dotor to rule out underlying sinister causes.

Common triggers include stress, dehydration, skipped meals, irregular or insufficient sleep, hormonal changes, certain foods and drinks, and excessive screen time. Keeping a simple headache diary – noting when headaches occur, what you ate, how you slept, and what you were doing beforehand – is the most reliable way to spot your own personal triggers.

Migraine is a type of headache that is characterized by a pulsating or throbbing pain on one or both sides of the head. Migraine headaches are typically accompanied by other symptoms such as sensitivity to light, sound, or smells, nausea, vomiting, and changes in vision.

Migraine headaches can last for several hours to several days and can be so severe that they interfere with daily activities. Some people experience warning symptoms before a migraine, such as a visual disturbance or an aura.

The exact cause of migraines is not fully understood, but it is believed to involve abnormal activity in the brain, which can be triggered by various factors such as stress, hormonal changes, certain foods or drinks, lack of sleep, or changes in weather.

Migraines can be treated with medications such as pain relievers, triptans, and preventive medications. Lifestyle changes such as getting enough sleep, reducing stress, and avoiding triggers can also help prevent migraines.

It is recommended to see a doctor for headaches if:

  1. You have frequent headaches that interfere with your daily activities.
  2. Your headaches are severe and sudden, or they start to occur more frequently.
  3. Your headaches are accompanied by other symptoms such as fever, neck stiffness, confusion, or loss of consciousness.
  4. Your headaches are different than your usual pattern of headaches, or you experience a new type of headache.
  5. Your headaches are triggered by physical activity, coughing, or sneezing.
  6. Your headaches are becoming progressively worse over time.
  7. Your headaches are affecting your vision or hearing.
  8. Your headaches are accompanied by numbness, tingling, or weakness in your arms or legs.
  9. You have a history of head injury, seizures, or other neurological disorders.

In general, it is important to seek medical attention if you are concerned about your headaches, or if you are experiencing any other concerning symptoms. Your doctor can help you determine the cause of your headaches and recommend appropriate treatment options.

Cluster headaches are severe, one-sided headaches typically centred around one eye, often with tearing, nasal congestion, and restlessness. They occur in clusters or bouts over weeks or months, with remission periods in between – and are frequently mistaken by patients for an especially bad migraine, which can delay proper treatment.

Intense, one-sided pain around or behind one eye, tearing and redness of that eye, nasal congestion or a runny nose on the same side, and restlessness or agitation during an attack – unlike migraine, where lying still is common.

Treatment combines identifying and avoiding individual triggers with medication for immediate attack relief, plus a preventive strategy to reduce how often and how severely attacks occur. Because cluster headaches are frequently mistaken for migraine, getting a confirmed diagnosis first is what makes the treatment plan effective.

A cluster headache is a severe, one-sided headache typically centred around one eye, often with tearing, nasal congestion, and restlessness, occurring in clusters or bouts over weeks or months with remission periods in between.

Headache in adults

FAQs

A: Common triggers include stress, dehydration, skipped meals, irregular or insufficient sleep, hormonal changes, certain foods, alcohol, and excessive screen time. Keeping a headache diary helps identify individual triggers.

A: A cluster headache is a severe, one-sided headache typically centred around one eye, often with tearing, nasal congestion, and restlessness, occurring in clusters or bouts over weeks or months with remission periods in between.

A: Cluster headaches are shorter but more intense than migraines, strictly one-sided, and occur in clustered bouts rather than as isolated episodes. Many patients initially mistake them for severe migraines, which can delay proper treatment.

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This content reflects the perspective of a Headache Society of Singapore vice-president and former SGH Headache Service lead — read more on the About page. For headache in children or pregnancy specifically, see Headache in Pregnancy and Headaches in Children.