Seeing the word [headache], my skull is a little tight.
Everyone (including Sun Wukong) has a deep understanding of the situation described by this term. Most people have basically summed up a set of [treatment plans] for headache after a long illness, which seems to be poor.
But! As a medical worker with moral integrity and self-cultivation, I must take a deep and multi-angle look at the headache for everyone.
Is headache a minor illness?
The headache can be big or small.
In less than a quarter of the time, I found the names of more than 300 diseases, including more than 90 kinds of headaches caused by bad brains, more than 180 kinds of diseases with brain diseases in other places, and then more than 30 kinds of discomfort that make people feel headache.
More than 300! [Headache] Is so capricious.
Don’t worry, in fact, many of these diseases are not enough.
Most headaches are minor problems.
- Stress and emotional cold and hot stimulation hysteria (no substantial pathological changes but think oneself is a headache) cold or rhinitis endocrine disorders
These should be the reasons that everyone is very familiar with.
Most of the [headaches] we see are basically [minor problems] of this kind. They are not afraid. As long as we pay attention to rest, keep warm, exercise moderately, find appropriate ways to relieve our pressure, and actively deal with the primary situation, I believe the headaches will pass soon.
A headache
There are very few such cases, but as long as there are, we must pay enough attention to them.
The skull (skull) has brain, water (cerebrospinal fluid), blood vessels and meninges outside the brain. Any problem with any of these things may lead to headache.
In principle, any change that can cause pressure inside the skull (intracranial), whether it increases or decreases, will cause headache. Blood or pus stimulates meninges and also causes headaches.
On top of these principles, let me first name a few names:
- Head trauma, migraine, intracranial infection, cerebrovascular disease, cerebral hemorrhage, hydrocephalus, tumor, intracranial pressure
In addition, some epilepsy, hypertension, anemia or some poisoning (such as organophosphorus pesticide poisoning) will also show symptoms of [headache]. It is necessary to recognize the cause and deal with it accordingly.
A headache is not necessarily a headache.
When you have a headache, feel it carefully. Does it hurt elsewhere on your head?
Some headaches are not necessarily real [brain kernel] pain, but the pain in other parts of the head may have fooled us.
- Eye pain: glaucoma or other eye diseases; Ear pain: otitis media and other ear diseases; Face pain or toothache: trigeminal neuralgia or other maxillofacial diseases; Pain in the back of the head: occipital neuralgia.
The pain of these [accessories] sometimes makes people feel [headache]. In fact, if you carefully distinguish them, there is still a difference.
This is like the difference between skin pain and meat pain. Sometimes the subjective feeling is headache, but in fact it is the pain in the adjacent part, which I cannot distinguish.
What about headache?
There is no such trouble. Just take some painkillers for headache.
This view is actually a big mistake.
The pain-relieving drugs or [headache powder] on the market basically belong to a kind of thing called [non-steroidal anti-inflammatory drugs], which is a very magical drug, but it does great harm to gastric mucosa. How many gastritis, gastric ulcer and gastric perforation are born with honor because patients take this drug.
The handling of minor problems has been talked about more or less in front. If the headache is not severe and there are no accompanying symptoms, you can rest at home and observe for a period of time.
Contempt strategically and attach importance tactically.
If the pain has reached the point where pain-relieving drugs need to be taken, isn’t it enough to attract our attention and go to the hospital to eliminate it?
Of course, the examinations conducted in the hospital should be targeted by doctors according to the specific conditions of patients, rather than [random checks].
- For people suffering from diseases such as hypertension and heart disease, Maybe a blood pressure test will be taken first, Because maybe the blood pressure is fluctuating, Causing headache. For headache with no obvious cause, the first choice should be brain CT. This kind of examination covers a wide range of diseases, Cerebral hemorrhage, cerebral infarction, most tumors, hydrocephalus and other CT can see the same. For some diseases, It is also possible to further select [enhanced CT]. Although some have symptoms, But CT can’t see the situation, Clinicians are required to make exclusion diagnosis based on experience. Or another check item. Generally speaking, CT is useful in outpatient screening. For patients suspected of epilepsy, EEG can be done to diagnose or exclude. MRI, The function of looking at tumor is very powerful, of course, the research and judgment of other problems in the brain is no worse than CT, such as cerebrovascular disease and hydrocephalus in what, but in addition to some tumors and some typical special diseases with symptoms, this examination is generally not used as outpatient screening items. For cerebrovascular malformation, according to different situations, DSA, CTA, MRA and other examinations can also be carried out.
The examination items listed above are not all necessary to be done, nor are they all done once to find out the cause of [headache]. Finally, we still need to arrange targeted examination by the receiving doctor according to the specific situation.
If you should pay attention to what in your life when headaches occur, it is to rest more. Generally speaking, headaches without [backstage backing] are difficult to last more than a week.
However, if the long-term persistent headache is not relieved, the pain degree is unbearable, the pain degree is rapidly aggravating, or other incomprehensible conditions have occurred, such as numbness of hands and feet, instability in standing, poor speech, nausea and vomiting, etc. A series of accompanying symptoms, then don’t waste it, walk in the hospital.