Dr.M.K.Mishra ( Consult For Homeopathic Treatment)

HEADACHE



It is definedas a pain in head and upper neck region which can arise from many disorders ormay be a disorder in and of it. It is one of the most common locations of painin the body. Most of the times a headache are more of a nagging nuisance thanan indicator of a serious problem. But, in some cases the headache does warrantmore serious attention as it can be the indicator of some significant problem.

Types:
1.Primary Headache or idiopathic headache

Those headaches in which no pathology is present. This includes:
a.Tension type headache- the most common type of primary headache; as many as90% of adults have had or will have tension headaches. Tension headaches aremore common among women than men. They are often brought on by stress,overexertion, loud noise, and other external factors. The characteristicfeature is that, this is the only type of headache which persists continuouslythroughout the day and night without any relief in between with sensation offullness or lightness in the head.
b.Migraine- the second most common type of primary headache. There is intensethrobbing pain occurring on one or both sides of the head and is accompanied byother symptoms such as nausea, vomiting, blurred vision, and aversion to light,sound, and movement. People having migraine often get prodromal symptoms (features which occur before the actual onset of headache ) like seeing flashesof light, nausea, tingling on the face, etc. They should then immediately takethe medication prescribed by their doctor because it is easier to control theheadache before it comes on full blown rather than after it has occurred.Before puberty, boys and girls are affected equally by migraine headaches, butafter puberty, more women than men are affected. An estimated 6% of men and upto 18% of women will experience a migraine headache. For women, a hormonalconnection is likely, since headaches occur at specific points in the menstrualcycle, with use of oral contraceptives, or the use of hormone replacementtherapy after menopause.
c.Cluster Headache- a rare type of primary headache, affecting 0.1% of thepopulation, most of the sufferers is men. The average age of cluster headachesufferers is 28-30 years of age, although headaches may begin in childhood. Itcauses excruciating pain. The severe, stabbing pain centers around one eye,become red, inflamed, and watery like a hot poker, and eye tearing and nasalcongestion occur on the same side. The headache lasts from 15 minutes to fourhours and may recur several times in a day.  Heavy smokers are more likelyto suffer cluster headaches, which are also associated with alcoholconsumption.
Unlike patients with migraine headaches, patients with cluster headaches tendto be restless. They often pace the floor, bang their heads against a wall, andcan be driven to desperate measures.

2.Secondary headache
Secondary headaches are those that are due to an underlying structural problemin the head or neck. There are numerous causes of this type of headache.
The International Headache Society lists eight categories of secondaryheadache. A examples in each category are noted (this is not a complete list):

a. Head and neck trauma

b. Blood vesselproblems in the head and neck

c. Non-bloodvessel problems of the brain

d. Medicationsand drugs (including withdrawal from those drugs)
e. Infection

f. Changes inthe body's environment

g. Problemswith the eyes, ears, nose throat, teeth and neck
h. Psychiatric disorders

Pathophysiology:
The brain in itself is not sensitive to pain, because it lacks nociceptors.However, several areas of the head and neck do have nociceptors, and can thussense pain. These include the extracranial arteries, large veins, cranial andspinal nerves, head and neck muscles, the meninges, raised intracranialpressure, disturbance of the intracerebral serotonergic levels.

Diagnosis
While, statistically, headaches are most likely to be primary (harmless andself-limiting), some specific secondary headache syndromes may demand specifictreatment or may be warning signals of more serious disorders. Differentiatingbetween primary and secondary headaches can be difficult.
As it is often difficult for patients to recall the precise details regardingeach headache, it is often useful for the sufferer to fill-out a "headachediary" detailing the characteristics of the headache.

Imaging
When the headache does not clearly fit into one of the recognized primaryheadache syndromes or when atypical symptoms or signs are present then furtherinvestigations are justified. Neuroimaging (noncontrast head CT) is recommendedif there are new neurological problems such as decreased level ofconsciousness, one sided weakness, pupil size difference, etc or if the pain isof sudden onset and severe, or if the person is known HIV positive. People overthe age of 50 years may also warrant a CT scan.
When to see the doctor:

Treatment:
1.In cases of secondary headaches, underlying cause has to be finding out andtreatment must be according to that only.
2.In conventional medicines- treatment of primary headaches are simpleanalgesia (painkillers) such as paracetamol/acetaminophen or members of theNSAID class (such as aspirin/acetylsalicylic acid, diclofenac or ibuprofen).
3.Homoeopathy- Homeopathy is meant to enhance the body's natural healing andencourages your body's own ability to heal itself. It aims to cure the diseaseand not just palliate the symptoms like pain. Homeopathic treatment usesdiluted quantities of various plants, mineral or animal substances to focus onthe root cause of an illness. It treats the person as a whole. It means thathomeopathic treatment focuses on the patient as a person, as well as hispathological condition. The Homeopathic Treatment are selected after a fullindividualizing examination and case-analysis, which includes the medicalhistory of the patient, physical and mental constitution etc.



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