Fighting headaches starts with determining the features of the pain. The physician sometimes asks detailed and insistent questions that often bores the patient. Patients may think a headache is a simple symptom. But it is not just a simple symptom for the physician; and it should not be. Where does it hurt most? Is it one-sided? In the front or the back? Is it spreading? And the quality of the pain, that is, throbbing or not? Does it increase with head movements? Is it sinking or flammable? Are there internal and / or external factors that initiate, exacerbate, or alleviate pain? Is it accompanied by nausea, vomiting (or any other symptom)? There are great benefits in identifying many issues that are not normally considered.
The most important types of headaches: migraine, tension headache and headache due to increased intracranial pressure. The fact that a headache is unilateral and throbbing and comes in the form of crises is quite typical for migraine. Facilitating factors are usually present. Nausea and vomiting may accompany. Tension headaches are more continuous and common pain. It’s very likely that a psychopathology is a cause. Headaches may increase all types of pain as a result of increased intracranial pressure due to diseases or other causes. With these diseases, patients often state that this is the worst headache they have experienced in their life. Early diagnosis and treatment are life-saving in this group of emergency cases.