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## Headache

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## Headache​​

Any type of discomfort in the head is referred to as a headache.
Headaches can be localized, radiate from a single place throughout the head, affect one or both sides of the head, or feel like a vice.

A dull discomfort, throbbing pain, or excruciating agony can all be signs of a headache. Headaches can last anything from an hour to many days, and they can occur gradually or suddenly.

Most people occasionally get headaches. But if headaches happen frequently, it’s an illness. An average headache rarely interferes with daily activity.

These considerations have led to an increase in the usage of tranquillizers and sleeping pills.

#### What causes the headaches??

Your doctor can diagnose and treat your headache based on the symptoms you’re experiencing.
The majority of headaches don’t have a significant cause, but others might be the result of a condition that needs emergency attention and is life-threatening.

#### Primary Headaches

##### Cluster Headache :

This type of headache only lasts a short duration; however it causes excruciating pain.

Cluster headaches are more common in men between the ages of 22 and 25. A headache may last anywhere from thirty minutes to three hours. severe throbbing pain on one side near the mouth and eye watering from the affected eye, drooping of the eyelashes, redness on the affected side of the eye, and shrinkage of the eyeball.

nasal swelling and drainage

vomiting as well as nausea.

sweating on the afflicted side of the face or forehead.Usually, the pain begins intensely and stops abruptly. But one experiences excruciating agony and exhaustion throughout that time.

##### Tension Headache :

It is the most common kind of headache that adults experience.

This kind of headache is experienced by almost everyone at some point in their lives.

Head and neck muscles contract (fatigue) as a result of chemical changes in the brain and its nerves, which causes headaches.

vomiting as well as nausea.

Furthermore, tension in a person’s social, familial, or professional life, as well as persistent anxiety, cause the muscles in their head and neck to tense up continuously. They have a persistent headache.

##### Headache symptoms :

- A headache may last for two to four days
- feels like there is a constant burden or weight on your head.
- Headache extending to the neck
- The degree of pain is modest to severe.
- Pain on both sides of the head
- Typically, this kind of headache begins in the evening.
- This kind of headache can be chronic (lasting more than 15 days in a month) or episodic (appearing as sporadic attacks).
- In addition, there are other symptoms like fatigue and trouble falling asleep.

#### Secondary Headaches :

This kind of headache is a sign of another illness affecting the body or brain.
Painkillers don’t work very well for this kind of headache.
This form of headache needs to be diagnosed as soon as possible

## The following are a few causes of secondary headaches :

- brain tumour
- brain clot made with blood
- stroke in the brain
- damage to the brain epilepsy
- meningitis, a viral infection of the brain
- elevated blood pressure
- overindulgence in addictive substances

## Secondary Headache Symptoms:

- headaches that are not relieved by medication
- severe and excruciating headache
- violent vomiting and headache (pain don’t stop after vomiting)
- Headache following strenuous exercise, moving large things, or straining moving large things, or straining symptoms include brain shock and pain induced fainting
- One side of the body experiencing weakness or tingling
- uncontrolled urination
- A specialist physician should be sought right once if someone exhibits any of these symptoms.

#### Sinus Headache

When you have acute sinusitis, the cavities in your nose, called sinuses, enlarge and become inflamed.

You may feel pain, tightness, swelling, or pressure in the area surrounding your eyes, cheeks, nose, or forehead as a result of blocked drainage and the ensuing mucus buildup.

Generally, soreness increases when bending forward.

The person also experiences nasal congestion and runny nose as a result of sinusitis.

#### Hypertension headache

People who have high blood pressure may also get headaches.

Headache caused by hypertension usually affects the back of the head and the neck muscles.

This particular sort of headache is more common among the elderly and is not relieved by painkillers.

##### Trigeminal neuralgia:

One side of the head and face might be affected by a type of pain called trigeminal neuralgia.

A person feels electric shock like discomfort that is acute, sporadic, and sharp. When pain gets too great, a person gets agitated and desperate.

The trigeminal nerve, which gives sensation to our head and face, is the source of this pain.

Most commonly observed in women over 50.

##### Signs of pain:

Pain that is electric and sharp, affecting the face and head muscles on one side.

Several routine tasks, such as brushing, eating, or washing one’s mouth, might cause this pain.

The patient is unable to even touch his mouth due to the extreme intensity of the pain. Redness will appear on the skin. gum and teeth pain.A few minutes to several hours may pass during these pains.

#### Migraine

##### Prodrome Phase:

This stage starts 24 to 48 hours before to the onset of migraine episodes

It is characterized by symptoms such as extreme thirst and hunger, tightness in the neck, unusual tiredness, yawning, exhaustion, and restlessness.

##### Aura Phase:

This stage starts one to two hours before the headache starts and is characterized by symptoms including bloating, dizziness, disorientation, heaviness, and blurred vision. It’s similar to early warning indicators of a migraine episode.

##### Headache Phase:

During this stage, the patient primarily has a moderate to severe throbbing headache over one side of the head (feels like the head is going to burst or like they are hitting a wall). radiating in the direction of the eye.

There is a 4–72-hour duration to this headache.

A person has nausea, vomiting, light, sound, and smell intolerance, as well as vertigo and anxiety, in addition to their headache.

agitation, inability to focus while working, and irritation or rage

Some people have low-grade fevers.

##### Post Drome Phase:

The headache progressively becomes better throughout this stage.
However, the patient is fatigued and lethargic.

#### Migraine Triggerst

- Migraine headaches are made worse by certain conditions. Those who have experienced migraines in the past should stay away from these triggers.
- Scientific studies have shown that migraineurs’ brains are more sensitive than those of healthy individuals.
- Thus, the causes or triggers that would not bother a healthy individual cause headaches to start in migraineurs.
- These kinds of triggers alter the molecules in the brain. Migraine headaches are caused by these chemical changes in the brain, which cause the blood arteries supplying the brain to widen and constrict.
- Each person with migraines has unique triggers, and these triggers evolve over time.
- prolonged exposure to sunlight, loud noises, and strong Odors.
- climate change and air pollution.
- Excessive physical exhaustion or mental tension, stress, or anxiety.
- Menstruation and hormonal fluctuations.
- certain medications
- eating irregularities and fasting practices.
- irregular sleep patterns.
- Addiction to (alcohol, cigarettes, gutkha, highly caffeinated cold drinks)
- Migraine pain can be caused by triggers such as eating (cheese, chocolate, fermented foods like idli dosa, idda, and khaman, Chinese food with MSG, fast food with artificial colors), etc.

#### Treatment of Headaches

The majority of headaches are only treatable with medication.

The type of headache you have will determine the course of treatment.

There are specific treatments for each type of headache, and these medications are frequently unsuccessful for treating other forms of headaches

Numerous medications have been created to treat headaches. There are two main categories of headache drugs.

##### Painkillers:

These prescription medications, which are also known as acute or abortive treatments, are given to patients to try and stop their headache symptoms.

These include caffeine, PCM, aceclofenac, triptans, ergotamine, aspirin or ibuprofen, and over-the-counter or prescription pain medications.

You should not use these medications for an extended period of time without consulting your doctor.

##### Preventive meds:

These medications are taken regularly to prevent headache episodes, thereby reducing the intensity or frequency of migraines and cluster headaches.

Among them are valproate, topiramate, antidepressants, and propranolol.

It is not advisable to take these drugs without consulting a physician.

## Treatment of Headaches

A headache is a normal part of existence. It is not possible to completely avoid headaches.

Avoids doing things that aggravate headaches. such as malnourishment, thirst, heavy lifting, etc.

Utilizing ice packs: You can reduce headache pain by placing an ice pack on your forehead and back of your head once a day.

Avoid anything that could exacerbate your headaches. like extended periods of time spent in the sun, loud music, wearing a lot of perfume, and traveling frequently.

Lack of sleep is one of the primary causes of headaches. It is recommended to have 8 hours of good sleep. Refrain from staying up late or using your phone or TV excessively.

Drink plenty of water throughout the day.

# How We Can Help!

ISHA hosts a unique headache clinic every Friday from 5 to 8 p.m.

We help you determine the causes of your headaches and how to avoid them.

Contact Us

## What Our Patients Say about us

Here's what our satisfied patients have to say about Samvedana Minds LLP and our experts. We are dedicated to seeing our patients smile. For privacy reasons, names have been changed.

"Dr. Pradip in Rajkot is an excellent psychiatrist. His compassionate and professional care, along with a well-maintained clinic, make for a highly positive experience. Highly recommended!"

Priya Patel

[Name has been changed]

"My wife was suffering from depression for few months back . Someone recommended dr pradip. Sir has good counseling skill and gave minimum medicine. Now she is better and out of depression."

Haresh Mehta

[Name has been changed]

"Dr. Dalsaniya Saheb tackled my erectile dysfunction and low sexual desire with a holistic approach, focusing on therapy rather than just medication. His blend of therapy and couple counseling was incredibly effective. I strongly suggest his services!"

Amit Kumar Shah

[Name has been changed]

"Good hospital with great staff and outstanding care and also He is good at counseling, gives only necessary medicine, and listens well. Highly recommended and Yes Definitely worth considering!"

Nilesh Parmar

[Name has been changed]

"Dr. Pradip sir is really nice and caring. He listens well and genuinely cares about his patients. I definitely recommend him!"

Jalpa Patel

[Name has been changed]

"I had headaches for a year and saw many doctors, but Dr. Pradip in Rajkot helped me feel better in just one month."

Vrunda Joshi

[Name has been changed]

## Frequently Asked Questions

- ### Who is psychiatrist, and what do they do ?

  Psychiatrists are specialists in mental health who use various techniques to diagnose, treat, and support individuals with mental illnesses. They can prescribe medications, unlike other mental health professionals who mainly offer talk therapies and support.

- ### When should you consult a psychiatrist?

  If any negative mood state, anxiety, insomnia, appetite change, emotional disturbance, substance dependence, or any other symptom affecting thought, mood, or sleep persists for more than two weeks, you should consult a psychiatrist. Conversely, any symptoms causing acute distress should not be ignored and should be discussed with your doctor.

- ### Are psychiatric medicines addictive ?

  It's a myth that psychiatrists prescribe medicines to make patients sleep throughout the day and that these medicines will cause dependence that patients can never overcome. Barring a few exceptions, most psychiatric medications are non-sedative. Irregular treatments, self-modulation of doses, and irregular lifestyles can hamper your treatment. Psychiatric medications taken under the supervision of a psychiatrist are not addictive.

- ### Is lifelong medication necessary once I initiate treatment?

  Treatment duration is influenced by various factors, including your diagnosis, the seriousness of your condition, how long you've experienced symptoms, any other medical conditions you have, and how consistently you adhere to treatment plans. It's important not to stigmatize psychiatric illnesses and to actively seek the help you need.

- ### Is it wise to seek professional advice from a psychiatrist regarding sexual concerns?

  Seeking help from a psychiatrist for sex-related issues is important because over 75% of such problems stem from psychological stress, performance anxiety, or fear of failure. Only a qualified psychiatrist can provide proper treatment, unlike unqualified practitioners or self-proclaimed experts. It's crucial to opt for scientific solutions rather than falling prey to quacks, fake hakims, or babas.

- ### What treatments options do psychiatrist offers ?

  Psychiatrists offer a range of treatment options including pharmacotherapy, psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), as well as other empirically supported therapies. They may also recommend support networks, coping strategies, and lifestyle adjustments. In some cases, treatments such as Deep Transcranial Magnetic Stimulation Therapy, biofeedback therapy, and Virtual Reality Therapy might be suggested as well.

- ### Why choose Dr. Pradip Dalsaniya as psychiatrist?

  Dr. Pradip Dalsaniya stands out as one of the youngest consultant psychiatrists in Rajkot, holding an M.D. degree in psychiatry. With over a decade of experience across various regions of Gujarat, he has effectively addressed numerous chronic and challenging psychiatric cases. Dr. Dalsaniya is renowned for his exceptional counseling abilities, humility, enthusiasm, and attentive listening skills.

- ### Is gaming or using smartphone too much, an issue?

  Social media, online games, gambling, texting – a smartphone has put up on our fingers too many options to explore. Commonly screen time should not be more than 1 hour/Day.

  Our use of smartphone is an addictive behaviour & in generations to come this will be for sure a bigger addicted to this than any substance.

- ### Is marriage in a person with mental illness possible?

  There are more than 300 psychiatric diagnosis. As per the severity, available treatment and good rehabilitation of patient they can lead a normal life. Most of the psychiatric illness have no issues in marriage. But if you are suffering from any such illness or your chosen partner is found to be suffering, contact your nearby psychiatrist to understand the viability.

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