Ashish Jain asked:




What a variety of headaches and what a variety of treatment patterns!

Strictly speaking, any medicine that is administered for a particular disease, must cure it without giving scope for any side effects!And cure it fully, not in parts, not with ifs and buts!

How many types of medicines have been tried to treat this simple looking ailment of headache? Individual headache treatments, traditional headache treatments, alternative headache medicine, drug and non-drug therapies for headache relief! Yet, breathes there a soul who will not get attacks of headaches in one form or the other-one or two times in a year or several times?

How brain, the most intelligent part of the human system, has kept itself away from this headache? Nothing happens to the brain, even if you have a worst attack of the headache. But most of the parts around it, are desperately attacked., like head, face, mouth or neck. The pain can be mild or severe enough to disrupt your daily activities. Headache involves the network of nerve fibers, in the tissues, muscles and blood vessels, located in the head and at the base of the skull.

Inderal for headache—how does it work?

Inderal does two important functions in its effort to control headache. It reduces the heart rate and lowers the blood pressure.

How this is done? It is a beta-blocker medication which blocks the action of the sympathetic nervous system. As a natural corollary, blood pressure and heart rate are checked. Rightly, therefore beta blocker drugs like Inderalk are used in the treatment of high blood pressure. Some studies have also shown that they also have a role to play in preventing the migraine attacks. Migraine is one of the severe forms if headaches!

But, certain side effect are cited. They are dizziness, changes in the mood of an individual, trouble with sleep, plus those who have asthma are likely to suffer more!

A local medicine is believed to the job of Inderal, but without any side effects. Bishop’s weed (Ajwain): The seeds are useful in the treatment of migraine and delerium. They should either be smoked or sniffed frequently to obtain relief.



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Mary Betz asked:




Many women who have migraines and headaches seem to watch their head pain disappear during pregnancy. Almost 70% of women with a history of migraine headaches improve during this time. Unfortunately, 30% don’t improve. They stay the same or get worse. Let’s be clear..I am talking about moderate to severe headaches that are not relieved by Tylenol.

The headache in pregnancy may become more frequent and more severe as estrogen levels rise in the first trimester. If you are one of these women, you might improve if under the care of both your OB/GYN and a neurologist.

If this is a new onset of headaches or migraines then this could be an emergency. Please call your doctor and tell them if you have headaches you’ve never had before. A moderate to severe headache in pregnancy should be taken seriously. High blood pressure during pregnancy can be serious and could cause a bad headache. Conditions such as this are bad for the mother and the baby.

Treatment of Migraine in Pregnancy

As mentioned, these headaches can be severe. If accompanied by nausea and vomiting that should be treated too to avoid stress on the baby. Tylenol with codeine is the drug of choice during the first trimester, to be used at the onset of the migraine. Additionally, you can be on daily medication during this time. We usually place our patients on Inderal (propranolol) low dose, 10-20mg per day to start. Usually a low dose like this is sufficient. Rarely, we do use low doses of an anti-seizure drug and although these medications are not recommended for pregnancy, once again the risk to the both the mother and baby must be weighed.

Can you have triptans, like Imitrex, while you are pregnant? We get this question alot and generally speaking NO you cannot take your triptan during this time. Most OB/GYN’s and primary care physicians would agree.

HOWEVER…if your headaches are so severe the Tylenol with codeine, or even Lortab, is not working, then you should see a headache specialist. ONLY A NEUROLOGIST, working with your OB/GYN should determine if you can have a triptan during pregnancy.

Although medication should be avoided during pregnancy, if the risk to you is greater then the condition should be treated. Severe pain of chronic headache increases adrenaline levels. This increases the baby’s heart rate and your blood pressure rises.

Occasionally, we do prescribe daily medication for mothers who have severe pain with nausea and vomiting. This should be guided by both your OB/GYN and your headache specialist.

MRI and CT Scans During Pregnancy

Many people ask me about MRI’s, CT scans and being pregnant. You should not have a CT of the brain while pregnant. This is a form of X-Ray and is not good for the forming fetus.

But, if a doctor deems it is necessary you can have an MRI or MRA of the brain. MRI’s use magnetic fields. MRA’s are similar but only look at the arteries in the brain, not the brain itself, like MRI’s. MRI’s are not generally done when you are pregnant and we do not do them if the diagnosis is clear cut..such as a recurrence of migraines. But if needed, we do them right away. Rarely, I have seen brain tumors and aneurysms (out pouching of arteries) in pregnancy. Remember, medical intervention is warranted if the health of the mother is at risk. If you are in trouble, the baby is in trouble.

Speak to your provider about your headaches. Headaches and pregnancy is not something to just be endured. This should be one of the happiest times of your life, not one of the most miserable.



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While it’s true that all types of headaches may cause us some type of discomfort, not all are alike as the pain may range from the mild to the excruciating. There are several types of headaches, some caused by underlying medical conditions, while others are due to stress or environmental causes.

There are quite a few different reasons for a headache to occur. Basically, anything that causes the pain receptors in the neck and head area to be stimulated will cause the sensation of a headache.

Some of the most common causes of headaches include:

- Straining the eyes.

- Neck or head injuries.

- Dental problems.

- Muscle tension.

- High blood pressure.

- Sinus disorders.

- Certain medications.

There are several different types of headaches, all of which can be grouped into two major categories; primary or secondary. Primary headache disorders include migraines, tension, cluster, and the ordinary, average headache that most of us have experienced at one time or another.

Primary headaches may include:

Migraines: Affecting women nearly three times more often than men, migraines are believed to be caused in part by the hormone estrogen and may be more intense near menstruation. There are numerous symptoms of a migraine headache, some more severe than others, that may include mood changes, a stiff neck, loss of appetite or nausea, fatigue, and sensitivity to light and sound.

Tension Headaches: Tension headaches, unlike migraines, do not cause sensitivity to light or severe symptoms such as nausea or vomiting, but they are one of the most common types of headaches. Described as a squeezing sensation or a band of pressure around the head, tension headaches can be linked to stress and will affect about two out of every three people at least once during their lifetime.

Cluster Headaches: Cluster headaches are a relatively rare, but very painful type of headache that is far more common in males than females. Generally affecting one side of the head, cluster headaches cause a sharp, piercing pain that usually originates behind the eye causing nasal congestion or even symptoms such as nausea or sensitivity to light.

Secondary headaches are triggered by some other cause such as an injury, infection, tumor, allergies, or following surgery. Secondary headaches may include:

Chronic Headaches: Chronic headaches are diagnosed by the length of their duration, usually 15 or more days per month for three consecutive months, and are most often caused by stress and tension, or from certain medications.

Sinus Headaches: Sinus headaches are characterized by a dull, aching pain that’s usually in the front of the face or forehead that may last for days or weeks a time.

Sinister Headaches: The name ‘sinister headache’ is given to the type of headache that is associated with a serious condition such as a brain tumor, meningitis, or an aneurysm.

Treatment for headaches largely depend on the type of headache and its cause. Some of the methods used for controlling the pain and discomfort caused by headaches include:

- Over-the-counter medication such as ibuprofen or acetaminophen.

- Prescription medication.

- Stress management and relaxation techniques.

- Dietary changes.

- Alternative therapies such as acupuncture, aromatherapy, or chiropractics.

- Treatment for the primary cause of the headache if it is secondary in nature.



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Nowadays headache are very common in our day to day life. Sometime headache get healed within few hours but sometimes it take days to heal. For the people who experience headache very frequently, the best feeling is how to get rid of it. They really find themselves plagued with Chronic Headache and have to deal with it on a constant basis. These chronic headaches can be as close together as every few hours with little break in between, or spread out over a week.

Besides obvious ailments such as brain tumors and other serious head injuries, chronic headaches can affect anyone for a multitude of reasons. The following information will impart know how about chronic headache, its causes and its remedy.

What Causes Chronic Headaches

There are many causes for Chronic Headache; some are very easy to change while others are really difficult to tackle. Bad Diet is the most common causes of headache. Some people are allergic to some food items, they consume it unknowingly and as result they experience chronic headache (a symptom of these allergy).

Headaches are also caused by wide variety other reasons too such as stress, muscle tension, high blood pressure, medication usage, and spinal misalignment. While the causes of headache vary person to person that’s why it’s very necessary to first analyze the cause and then go for medication. Thanks to studies and medical perseverance, there are several remedies for headaches and various ways to avoid chronic headaches.

Avoiding and Dealing With Chronic Headaches

There are different ways of handling chronic headache. Following the same remedy for chronic headaches which you follow, may also help you to eliminate future incidents. Changing your diet is probably the easiest way to avoid and remedy headaches, as it only takes simple changes and is primarily in your control.

Many people have unknown allergies to dairy, chocolate products, processed food such as lunch meats, and wheat or white flour and avoiding these products on daily basis can make headaches disappear almost instantaneously.

Practicing relaxation methods like meditation, yoga and massage can really help you when headache are caused by stress and subsequent muscle tension. High blood pressure resulting from stress, tension and particular medication can also cause headaches, as it increases the pressure in the blood vessels putting pressure on the head.

Spinal misalignment can easily be taken care of by getting treated by a chiropractor. They try to keep your back and thus your neck in alignment, making sure that misaligned vertebrae do not affect your head.

Put simply, you need to find out what is the main cause of your headaches and the right remedy for it. There are umpteen causes of headaches but few simple steps and care can help you in long way.

If you are interested to know more please visit Chronic.



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Any pain to the makeup of the neck and head can lead to a person experiencing a headache. Additionally, the feeling of pain can be transmitted through associated nerves to other parts of the body such as a neck pain that can cause a person to suffer from a headache as well. No doubt, everybody is likely to have suffered from a headache at some point of time in their lives since it is indeed a very common illness.

Fight Or Flight Responses

The types of headaches are many and so too are the causes of headaches, and this is the reason why headaches come about so often and there are also instances of frequent headaches that are caused by many different factors. Perhaps the most common cause of headaches is stress which can cause a person to feel a fight or flight feeling that usually is accompanied by shallow breathing as well as raised heart rate as well as high blood pressure. Even adrenaline amounts will shoot up and cause a person to experience a headache.

If you do not eat the proper food you will be more likely to suffer a headache as diet as well as sensitivity to food is another chief cause of headaches, especially the migraine headache. You may suffer from a headache because of variations in the blood sugar levels, or because of withdrawal of caffeine, or because of food additives.

Sometimes a dental sore can be the cause of headache, especially following extraction when an infection may appear and there may be difficulty with your jaw joints that will cause local pain that is then transmitted to the face and head causing a headache. Even when your teeth are not properly aligned, you will still be at jeopardy of getting a headache; so you need to get a dentist to look into this matter and find a proper treatment for it.

Hormones are what allow a person to experience pain, and sex hormones are believed to play an important role in causing a headache, especially in women before, or immediately after their menstrual period. If the sex hormone levels are low when menstruation is taking place, women may suffer a headache.

People with impaired vision will also be at jeopardy of having a headache as this is a common cause of headache, especially when they need to squint, or strain their eye muscles in order to focus their eyes. Even glaucoma which is an eye disease can be a cause of headaches as they refer pain into the head structure.

You can also find that headaches come about due to a disorder in the ear, nose or throat and common causes of headaches including sinus headaches, labyrinthitis, infections and traumas. Even damage to a persons nerves can be considered to be a cause of headaches.



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