Headache (cont.)
When should patients with headache seek medical care?
A patient should seek medical care if their headache is:
- The "worst headache of your life"
- Different than your usual headaches
- Starts suddenly or is aggravated by exertion, coughing, bending over, or
sexual activity
- Associated with persistent
nausea and vomiting
- Associated with fever or stiff neck
- Associated with seizures
- Associated with recent head trauma or a fall
- Associated with changes in vision, speech, or behavior
- Associated with weakness or change in sensation
- Not responding to treatment and is getting worse
- Requires more than the recommended dose of over-the-counter medications for
pain
- Disabling and interfering with work and quality of life
Headache At A Glance
- The head is one of the most common sites of pain in the body.
- The most common types of headache can be classified as 1) primary, 2)
secondary, and 3) cranial neuralgias, facial pain, and other headaches.
- The most common types of primary headaches are 1) tension, 2) migraine, and
3) cluster.
- Tension headaches are the most common type of primary headache and usually
are treated with over-the-counter medications for pain
- Secondary headaches are a symptom of an injury or an underlying illness.
- Patients should seek medical care for new onset headaches, fever, stiff
neck, change in behavior, vomiting, weakness or change in sensation.
References: International Headache Society, "The Classification," http://ihs-classification.org/en/02_klassifikation/
Previous contributing author and editor: Dennis Lee, MD and Harley I. Kornblum, MD, PhD
Last Editorial Review: 9/30/2008
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