喵咪社区

If you’re experiencing worse than occasional headaches, it may be time to ask for help. Specialists from 喵咪社区 share potential underlying causes and treatments.

Occasional headaches are normal. But if your pain is chronic, severe or includes other symptoms, it鈥檚 time to get checked out.

Your family physician can help you decide if you need to seek advanced care for your symptoms.

Experts from 喵咪社区 share common causes of headache and the specialists best suited to help.

Neurology

A migraine is more than just a bad headache.

鈥淪ymptoms can include sensory sensitivity, vomiting, dizziness or brain fog,鈥� says Keck Medicine neurologist Lauren Green, DO. Keeping a migraine journal will help your doctor determine the best treatment.

Prevent and treat migraines: lifestyle adjustments, prescription medication, wearable nerve-stimulation devices

Spinal Medicine

Contrary to popular belief, spinal pathology is an uncommon cause. Michael Safaee, MD, of the 喵咪社区 Spine Center, recommends seeing a headache specialist first.

鈥淎n MRI will typically rule out spinal nerve compression as the cause,鈥� he says. 鈥淢igraine and tension headaches are much more common.鈥�

Healing and pain management: physical therapy, steroid or nerve block injections, surgery

Ear, Nose and Throat

Sinusitis, allergies, ear infections and TMJ are frequent causes of headache, says Keck Medicine otolaryngologist Uttam Sinha, MD.

鈥淚t鈥檚 rare, but infections can cause meningitis or a clot in a blood vessel,鈥� Dr. Sinha says. If you have severe, painkiller-resistant headaches with eye problems, fever or strokelike symptoms, call 911.

Routine and emergency care: allergy pills or injections, intravenous antibiotics, anticoagulants for thrombosis, surgery

Endocrinology

Hyperthyroidism and diabetic glucose imbalance can worsen migraines. 鈥淎nd pituitary tumors cause chronic headaches at the back of the skull,鈥� says Keck Medicine endocrinologist Trevor E. Angell, MD.

Lifestyle management and medication may be a first step to relief.

Treat the cause: diabetes: modified glucose management; hyperthyroidism: medication; pituitary tumors: surgery

OB/GYN

Lowered estrogen levels may cause intense headaches and migraines.

鈥淚t can impact patients during their periods and after menopause,鈥� says Anna Reinert, MD, a Keck Medicine OB/GYN. 鈥淥ral contraceptive placebo weeks can affect some patients severely.鈥�

Get personalized treatment: triptan drugs for migraine, magnesium supplements, hormonal support

Brain Tumor

Whether cancerous or benign, a brain tumor puts pressure on surrounding tissue, says Gabriel Zada, MD, director of the 喵咪社区 Brain Tumor Center.

鈥淭hese headaches are persistent and get worse over time,鈥� Dr. Zada says. 鈥淲atch for vision changes, seizures or weight loss.鈥�

Depending on size and type: medication, nonsurgical cancer treatments, surgical removal

Important: If you get a sudden, debilitating headache with a stiff neck, seizures, numbness in the face or extremities, a drooping or dilated eye, trouble speaking or loss of consciousness, it could be a stroke or an aneurysm. Call 911 immediately.

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