Internist Questions Neurologist

What are the treatment options for headaches?

I get headaches too often. What are the treatment options for headaches?

2 Answers

InternistNeurologist
There are several ways to treat headaches, and the best option really depends on the type of headache youre experiencing. Some simple, non-medication treatments include resting in a quiet, dark room, using a cold compress on your forehead, staying hydrated, or practicing stress-relief techniques. Over-the-counter medications like aspirin, Tylenol (acetaminophen), or ibuprofen can also be effective for many common headaches. However, some types of headaches need more specific treatment. For example, cluster headaches may require 100% oxygen therapy for relief. Migraines often need prescription medications, and there are newer options available like Ubrelvy and Nurtec, which are designed to stop a migraine once it starts. The key is identifying what type of headache youre having so we can find the most effective treatment for you. If youre experiencing frequent or severe headaches, its important to talk to your doctor for a proper evaluation.
Headaches are a common condition that affect a large portion of the population. Unfortunately, when headaches do occur, the symptoms can be debilitating. There are, however, some things that can be done to prevent or lessen the severity of the symptoms. They are as follows:
1. Stay hydrated. Be sure to drink plenty of water every day.
2. Address any allergy issues. Take a non-drowsy allergy pill daily.
3. Reduce stress. This is easier said that done! Assessing the types of stressors in your life and attempt to reduce any unnecessary stress.
4. Get plenty of rest. Sleep is your body's way of resetting every day. Without sufficient rest, the brain and circulatory system is overworked and this will cause what will feel like increased pressure in your head.
5. Eye health. It is important to get your eyes checked by an optometrist yearly to assess whether or not vision deficiencies exist. Trying to read or "squint" while reading will definitely cause headaches.
6. Reduce screen time. In a high technology world, screen time increases daily. Taking breaks or even practicing in "screen free" time will help significantly.

If a headache is already present, there are some things that will help with the symptoms such as:
1. Take an NSAID or Acetaminophen.
2. Rest in a dark environment that is cool in temperature. Increased warmth can worsen the pain.
3. Do not lie flat. If possible, rest in a reclined position. The increased blood flow when in a supine position will worsen the pain.
4. Apply a soft, gel ice pack to your forehead for 30 minutes.
5. Take Diphenhydramine 50mg if possible and not allergic.
6. Address any nausea symptoms.
7. Sometimes having a fan on in the room that you are resting in will help.
8. Be compliant with prescribed medications.

There are situations in which the symptoms are so severe that they can't be controlled. Seek immediate help from the closest emergency department should you experience any of the following:
1. Uncontrolled hypertension.
2. Vomiting that is not controlled.
3. Severe nausea.
4. Severe pain that is not controlled after taking NSAID or Acetaminophen.
5. Changes in vision.
6. Dizziness.
These symptoms can be severe and could mean that something else needs further testing and attention such as a stroke, brain injury, or uncontrolled migraine.
I hope this information was helpful!
Jamie Silvey, RN, BSN, MHA, CIC