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Compliments of American Academy Of  Family Physicians

Headaches

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Pain in one area or multiple areas of the head sometimes is accompanied by other symptoms. There are many causes for headaches.
SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Do you have a fever, aches, chills, cold symptoms, nausea, vomiting or diarrhea? Yes --> It's likely you have the flu, a bad cold or a stomach virus. The medical terms for these problems are INFLUENZA, UPPER RESPIRATORY TRACT INFECTION, and GASTROENTERITIS. --> Use over-the-counter medicines for cold symptoms, flu symptoms or for diarrhea.
No, go down        
2. Do you have a severe headache, stiff neck and vomiting, and does normal light hurt your eyes? Yes --> You may have MENINGITIS, a serious infection around your brain and spinal cord, or SUBARACHNOID HEMORRHAGE, bleeding inside the brain. --> EMERGENCY
See your doctor or go to the emergency room right away.
No, go down        
3. Have you injured your head or been knocked out recently? Yes --> You may have a serious problem called SUBDURAL HEMATOMA, caused by blood pushing on your brain, or a less serious bruise of the brain, called a CONCUSSION. --> URGENT
Call your doctor right away.
No, go down        
4. Do you have numbness, tingling, or weakness in the arms and legs, and a history of high blood pressure? Yes --> Your symptoms may be from bleeding or possibly a blood clot in the brain. Both STROKE and BLEEDING are dangerous possibilities. --> EMERGENCY
See your doctor or go to the emergency room right away.
No, go down        
5. Do you have pressure around your eyes, or do you have thick nasal discharge? Yes --> Your symptoms are likely to be from a sinus infection, SINUSITIS. --> If a 48-hour trial of cold medicine doesn't help, or if you have a persistent fever or severe pain, see your doctor promptly for testing and treatment.
No, go down        
6. Does your pain feel like a vise, squeezing both temples and extending into your neck, or do you get headaches after working in one position for hours or after driving a car, or do you find that your headaches are related to stress or anxiety? Yes --> MUSCLE TENSION is probably the cause of your headaches. --> Relax. Apply a warm compress to your head. Analgesics can help the pain.
No, go down        
7. Do you have intense, throbbing, one-sided headaches often with nausea or vomiting, and is the pain preceded by seeing flashing lights or spots? Yes --> These are symptoms of MIGRAINE headaches. Often there's a family history of migraines. --> Make an appointment to see your doctor. A number of prescription medicines can be used to stop these headaches before or after they start.
No, go down        
8. Do your headaches occur after you read or watch a video screen closely? Yes --> These headaches may be related to EYE PROBLEMS. --> See an optometrist or ophthalmologist for an eye exam to see if you need glasses.
No, go down        
9. Do you get headaches, weakness or shakiness if you miss a meal? Yes --> Your headaches may be from HYPOGLYCEMIA (low blood sugar). --> Eat six small meals a day and avoid foods containing a lot of sugar.
No, go down        
10. Are you trying to cut down on caffeine, alcohol or some other drug? Yes --> WITHDRAWAL headaches will usually last a few days. --> Use simple analgesics for the discomfort. The symptoms should fade. Don't restart your habit.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians
 


 
 
 

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