Headache is a common symptom in daily life. Headache can be caused by a cold or fever, a lack of sleep, or anger or annoyance. Most headaches are nonspecific and have a good prognosis. For example, cold headache, cold heal after the headache disappears naturally. However, some headache symptoms can be a sign of serious illness. For example, many patients with brain tumors are clinically diagnosed because of headaches.
The causes of headache are intracranial disease, extracranial disease, systemic disease, neurosis.
Intracranial diseases mainly include meningitis, encephalitis and other intracranial infection diseases and cerebrovascular accidents, cerebral thrombosis, cerebral blood supply and other cerebrovascular diseases. In addition, there are brain tumors, tumor brain metastases, cerebral cysticercosis and other intracranial space-occupying lesions and craniocerebral trauma and other diseases.
Extracranial diseases include bone diseases such as cervical spondylosis, neuralgia such as trigeminal neuralgia, and diseases of the eyes, ears, nose, and teeth.
Systemic diseases include: (1) acute and chronic systemic infections, such as cold and headache; ② Cardiovascular diseases, such as hypertension and headache; ③ Poisoning, such as alcohol, gas poisoning after headache; ④ Others: anemia, menstrual headache, hypoglycemia.
Neurosis includes: ① neurasthenia, that is, headache caused by bad sleep; (2) the hysteria.
The symptoms and symptoms of headache
Acute infection is common in patients with acute headache and fever. Headache suddenly occurred with a full headache, severe pain and persistent aggravation, accompanied by fever, nausea, projectile vomiting, neck stiffness, severe people can have cranial nerve paralysis, limb paralysis, consciousness disorder, this is the manifestation of encephalitis. Chronic recurrent headache is more common in migraine, neurovascular headache.
The site of headache distinguishes the disease
(1) Total headache is more common in acute infectious diseases, such as cold and encephalitis; Neurasthenia, arteriosclerosis, insufficient cerebral blood supply.
(2) forehead pain is more common in eye and nose diseases. Among them, headache caused by eye disease is mostly around the eye area, with decreased vision and eye discomfort. Rhinitis and sinusitis have forehead pain, but in most cases with suborbital pain, purulent nose and other symptoms. In Traditional Chinese medicine, forehead pain is mostly related to the lesions of Yangming meridian.
(3) Cephalic pain is mostly related to ear diseases such as otitis media, mastoid inflammation and migraine. In Traditional Chinese medicine, lateral headache is related to shaoyang meridian disease.
(4) Pain in the top of the head is more common in neurasthenia. In Traditional Chinese medicine, Daiguing pain is related to foot jueyin and liver meridian.
(5) Back head pain is more common in colds, hypertension, cervical spondylosis, etc. In Traditional Chinese medicine, back headache is related to lesions of the sun meridian.
The nature and degree of headache distinguish disease
(1) Jump pain is more common in hypertension, vascular headache, acute febrile disease, brain tumor, neurofunctional headache.
(2) Electroshock pain is more common in primary trigeminal neuralgia, and the pain radiates along the trigeminal nerve.
(3) Burst pain is more common in subaural hemorrhage. Patients often experience a blow to the head, followed by a burst of pain, nausea, vomiting, neck stiffness, and restlessness.
(4) Tight hoop headache suggests tension headache. When the headache attacks, the head is heavy, with a tight hoop feeling, like wearing a heavy hat. A hot compress and massage on the head can relieve the pain.
(5) Severe headache is more common in trigeminal neuralgia, migraine, subadabachial hemorrhage, meningitis and other diseases.
(6) Mild and moderate headaches are more common in the pain caused by eye, nose and tooth diseases, while the pain caused by brain tumors may be mild and moderate and ignored for a long time.
Timing and duration of headache distinguish disease
(1) Headache in the morning after the head, especially in the morning pain is severe, with the passage of time, gradually improved, may be a sign of hypertension. Deep, dull pain that worsens in the morning can be seen in intracranial space-occupying lesions. Regular morning headaches can be seen in sinusitis.
(2) Nocturnal headache occurs at night and relieves spontaneously after several weeks to months, suggesting cluster migraine. The headache worsens at night and even closes the eyes, suggesting acute iridocyclitis headache.
(3) Headache about 3 hours after a meal Headache occurs intermittently more than 3 hours after a meal and is relieved after eating. Most headaches are hypoglycemic.
(4) Headache after reading for a long time headache after reading is mostly related to eye diseases.
(5) Menstrual headache is more common in migraine, anemia caused by headache.
(6) Long-term headache Neurofunctional headache is characterized by long course of disease, obvious fluctuation and variability. The headache of brain tumor shows chronic progress sex more, early but between with or long or short remission period.
Headache is accompanied by symptom differentiation
(1) Neurosensory headache with insomnia and anxiety is often accompanied by other neurotic symptoms, such as insomnia, anxiety and inconcentration.
(2) Accompanied by vomiting headache accompanied by nausea, vomiting, diarrhea, fever, can be seen in acute gastroenteritis. Increased intracranial pressure is common in headache accompanied by severe ejection vomiting. Migraine is characterized by headache accompanied by vomiting, but the vomiting is not severe and the headache is significantly relieved after vomiting.
(3) Patients with dizziness and headache with dizziness were found in cerebellar tumors, cerebellar pontine Angle tumors, vertebrobasilar artery insufficiency, hypertension.
(4) with psychiatric symptoms psychiatric symptoms refer to dysphoria, consciousness disorders, epileptic convulsions, gibberish and other symptoms. When acute infectious disease, subarachnoid hemorrhage is often accompanied by psychiatric symptoms. Patients with chronic progressive headache with psychiatric symptoms must pay attention to brain tumors. Chronic progressive headache if the sudden intensification, gradually blurred consciousness, indicating the risk of cerebral hernia.
(5) Headache with visual impairment may be associated with some eye diseases (such as glaucoma) and some brain tumors. Transient vision loss can be seen during episodes of vertebral – basilar insufficiency and the onset of migraine.
(6) headache with seizure with seizure, seen in cerebrovascular malformations, brain parasite cysts, brain tumors, etc.
Factors that stimulate, aggravate and relieve headache distinguish disease
(1) Aggravation in the upright position is more common in headache after lumbar puncture.
(2) The relief of the upright position is more common in cluster headache.
(3) Turn the head, lower the head, cough aggravation is more common in brain tumors, meningitis caused by headache.
(4) The headache caused by acute inflammation of the cervical muscles is aggravated with cervical movement.
(5) Relieve headache caused by excessive tension of neck muscles associated with occupation with neck movement.
In short, to sum up the reasons for headache are various, generally speaking, as long as the cause of headache for treatment, relieve the cause of headache can be cured. Therefore, when a headache occurs, the patient must not be treated in a simplistic way and take painkillers. Chronic headache should not be ignored, should be timely to the hospital treatment, clear cause, appropriate medicine.