HEADACHE
 

Headaches happens for different reasons or it’s an upheaval.  This is due to a tension on the neck muscles, shoulders and head.  This tension can be originated in the use of incorrect positions, stress and exhaustion.  The serious causes of headache are very rare.  Most persons with headaches can feel much better making changes in their life style, learning how to relax, and taking medicines occasionally.  We must be careful of these headaches because sometimes it can be indicator of serious diseases. 
Even if they headaches are too strong, it’s probable that its character is benign and its effects not continuous.  The most usual cases are produced by some kina of tension which commits the muscular tissues, the head or neck blood vessels, producing unusual efforts, but it usually goes away.
The sensitiveness of the head only exists in the swing and the muscles that cover the brain, in the numerous nerves that communicate the skull with the head and the face, and in the meninges, or membranes that cover the brain and the spinal cord.  The brain doesn’t have sensorial nerves, that’s why the cerebral tissues are insensitive, they never hurt.

A)  Types of headaches:
There are 4 principal types of headache:  Tensional, migraine, in piles, and sinus.  In general, everyone has a headache at some point, tensional type; but only 20% of women have chronic headaches (migraine) which in men is only 5%; and the headache in piles only affects 1% of the population (80% in men).  The sinus headache, which affects the persons with respiratory system illnesses. The headaches produced by illnesses are not taken into consideration on this list.  There is an amount of books about headache and where they are qualified.  In this book about headaches exist a series of information like different homemade treatments, even if it’s treated with natural medicines or with chemist medicines.

Tension Headache:

Is the headache that only lasts few hours without presenting any other symptom.  It’s not a serious problem most of the time.  It’s the most common of headaches (90%), being frequent in women.  Sometimes it is hereditary and it can be a problem for the rest of the person’s life.  The tension headache se it’s a pain associated with stress and muscular contraction, which can also be chronic.  Some tension headaches are so constant that appear everyday with a variable intensity.  The patient feels a pressure which intensity can be slight or moderated.  The pain can be deaf or opressive, even due to bands on the head that are too tight.  It is posible to feel pressure on the shoulders, neck and jaw.  There are tension headaches that are ocasional, other last for hours or even for days; others ar chronich and can even last 15 days (2 times a week at least, during some months) and very few have a headache that lasts the whole day, every day.  Tension headache can happen at any age, being more frequent in adults and teenagers.  Some patients present tension headaches and migraine all together.
a)  Causes, incidence and risk factors:
The tension headaches are temporary and happen in any part of the head.  They are the result of a contraction (tension) of the muscles of the neck and of the scalp, originated as a response to the stress, depression, skull traumatism or anxiety.  Other causes of the tensional headache are working too much, not sleeping enough, being in an unusual position, avoid meals; develop activities that make the head stay in a determined position all the time without moving it (spending time in front of the computer, meticulous jobs that imply focusing on just one thing, etc); also sleeping in a cold room, or an awkward position of the neck can cause these pains.
Other causes for tension headache include ocular tension, exhaustion, consuming alcohol, allergic reactions, consume of hallucinogens, arterial hypertension, excessive consume of cigarettes, excessive consume of caffeine, infection of the paranasal breasts, nose congestion, otitis, hormonal changes (period), excessive effort, the flu.  Tension headaches are not associated with structural injuries of the brain. There are also foods that can cause tensional headache, like chocolate, cheese or monosodic glutamate.  People that consume caffeine can present headaches when they don’t drink the enough amount they are already used to. 
b) Symptoms of the Tension Headache:
The most important symptoms of tension headache are:  Constant pain, monotonous, in any part of the head; accompanied with tense muscles in the neck and head.  It can even feel as if you had a very tight band on your head.  When you wake up, you can feel this bothering or you can’t sleep due to it.  Your headache will get worse when you stay close to bright lights or strong sounds, and it unleashes due to stress, fatigue, noise or too much light.  There are also headaches that are used for the use of analgesics.
When the tension headache is slight and moderated and respond to homemade or natural recipes in few hours, it is not necessary to take tests. When a neurological tests is taken (nervous system), for the headache problems, these don’t unveil and kind of anomaly and there sensitiveness in the nerves and the nuscles close the skull we can confirm that it is a tension headache.
When the tension headache becomes severe, persistente (no desaparece) o está acompañado de otros síntomas, como una perturbación del sueño, dolores repetitivos o crónicos, debe consultarse con el neurólogo.
c) Diagnostic of the tension headache:
The tension headache diagnose made by a neurologist happens necessarily after elaborating the clinic history of the patient and take a test for the head, the eyes, the ears, the nose, the throat, the neck and the nervous system.
The clinic history is the history of the symptoms; it’s the “diary of the headaches” the important information of this condition can be registered there, during a determined period. The doctor might make the following questions to make a diagnose of the tension headache:
¿Is the pain located on the forehead or around the eyes, on the back of the head, near the temple, behind the eye or does it affect the whole head?
¿Does the pain affect only a side of the head?
¿Is this a new type of headache?
¿Can you describe the headache as pulsating?
¿Is there a pressure sensation, like when you have a tight band around your head?
¿For how long have you been having headaches? ¿How long is very episode? ¿When does it usually present?
¿Does the headache wake you during your dream? ¿Does the headache worsen during the day but gets better at night?
¿Do you present other symptoms apart from the headache? ¿Do the headaches present in a repetitive way?
¿Does the headache reach its maximum level in 1 or 2 hours?
¿Does the pain get worse when you try to bend over or lay down? ¿Or does it get worse when you try to stand up?
¿Does it present in a specific time in relation with your menstrual period?
¿What treatments (medicines, remedies) have you been using? ¿To what point have they been effective?
Some of the text that the doctor might indicate are the following:
TC of the head
IRM of the head
Paranasal breasts radiography
Temporary artery biopsy
Lumbar puncture
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