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Chronic Daily Headaches

What causes headaches, or rather, these chronic daily headaches? These headaches occur at least 15 days a month for more than 3 months. This is an almost debilitating type of headache because you always experience it.

It is divided into 4 sub-types:

  • Chronic migraine. This usually affects just one side of your head. You experience a throbbing pain in your head that starts out moderate but eventually progresses in severity, and is exacerbated by physical movements. At this point, your sensitivity to light and sound is heightened, and you may be experiencing nausea or dizziness.

  • Chronic-tension-type headache. Both sides of your head hurt. Mild to moderate pressing or tightening pain, this may also include and increased sensitivity to light.

  • New daily persistent headache. This type starts without warning and occurs everyday for the next 3 days after the first headache episode. Both sides of your head hurt. You experience a tightening or pressing pain that may be mild to moderate in severity, and may or may not include some feeling of nausea and sensitivity to sound or light. I can totally relate to this one as I get this monthly, just a couple of days before my monthly period.

  • Hemicrania continua. One side of the head is the only one affected and the pain never shifts position. You experience daily and consistent moderate pain. You could also have redness of the eye on the affected side of the head, nasal congestion and swelling or drooping eyelid. This has no pain-free periods – the type of headache migraine that has no pain-free times.

There may be underlying medical problems which contribute to headache migraines. Infections (such as meningitis), pinched nerves in the neck (where sometimes, you can’t fully turn your neck to the left or the right), inflammation or blockages of the blood vessels in and around the brain, a sudden brain injury (possibly from an accident, etc.) and a brain tumor may be possible causes of the pains.

So if you see your headache described in any of the scenarios above, it would be wise for a doctor or health care provider to run a few tests by you and to be thoroughly checked to rule out any possible medical problems.

Often though, people experiencing these headaches may be taking too much pain medications. If you are taking pain relievers more than 2 days a week, you may be exposing yourself to be at risk of having headaches discussed above.
If you are having more than 5 headaches a week, you take a pain reliever everyday, your headaches are getting worse by the day and you feel that your medicine isn’t working for you anymore, then you should definitely get yourself checked by your doctor.

Call a doctor immediately if you are having migraine headaches in combination with a fever, blurred or double vision, rashes, stiff neck, numbness, seizures or difficulty in speaking as this may be a prelude to a stroke. If it gets worse even with pain medications and sufficient rest, see your doctor as well. It is best that you have yourself subjected to tests just to rule out any possible serious illnesses.

Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or mefenamic acid to ease some of the pain, if not all of it. Antidepressants, beta-blockers, anti-seizure medications and injectibles (like local anesthetics and surprisingly, sometimes even Botox) are usually given to manage migraine pain

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