Headache, I believe everyone has met. A lot of studies have found that a history of migraine stroke incidence was significantly higher than the control group, in young patients with thromboembolic stroke in 5% ~ 25% and the incidence of migraine related. A study of 14 studies found that the risk of stroke in migraine increased by two times. Recent studies have also found that headache, especially migraine, is associated with ischemic heart disease, hyperlipidemia, hypertension and diabetes.
Frequent or sudden severe headaches can cause vasoconstriction, which can cause blood pressure fluctuations and affect the circulation of the blood. On the other hand, brain bleeding, thrombosis and other lesions can stimulate the meninges, pull the blood vessels or nerves, causing pain. Clinically, 80%~90% is the first symptom of headache in patients with cerebral hemorrhage.
If there is no definite cold, fever, or the presence of adjacent organs, sudden severe headache, we should pay attention to consider whether there is a serious disease risk, especially cerebrovascular accidents and hypertension emergencies. Cerebrovascular accident is a common disease in the middle-aged and elderly, including ischemic stroke and hemorrhagic stroke in two categories. The elderly due to brain atrophy, decreased body reaction, cerebrovascular accident, does not necessarily exhibit a limb dysfunction or severe headache and nausea, vomiting and other symptoms, many elderly patients are often the first mild headache, location is fixed or diffuse, headache was persistent, may sometimes appear to intensified.
In addition, for young people and young people, often headaches, in sports, emotional excitement, etc. obviously, it is necessary to timely screening of cerebral blood vessels, in order to prevent intracranial artery or venous malformation. Therefore, in life, we should also pay attention to smoking cessation as soon as possible, so as not to aggravate or induce headaches; exercise properly, control weight, and actively prevent the "three highs"; appropriately reduce stress and avoid physical and mental overdraft".
Headache caused by hypertension: headaches caused by hypertension are characterized by persistent pain, persistent pain, or left or right or head. When the temperature drops, easy to attack, this is because in cold season, the contraction of the human blood vessels, blood pressure is higher than usual, patients with hypertension history often because the amount of medication is not enough, the blood pressure does not drop down and lead to a headache attack. Cardiovascular medicine should be seen.
Headache caused by Vertebrobasilar spasm: mostly occipital pain, straight up the head, accompanied by neck pain. The pain is persistent and distending pain mainly. Because of the degeneration of the cervical spine, the internal carotid artery blood flow velocity increases or decreases, and the vertebrobasilar artery spasm is the main cause of the pain. Look at Department of orthopedics or acupuncture and massage department.
Cerebral infarction and cerebral hemorrhage cause headache: headache caused by cerebral infarction and cerebral hemorrhage is called central headache, and it presents with distending pain and dull pain when attacked. In addition to headaches, there are also unilateral or bilateral limb numbness, fatigue, trance and other manifestations. If intracerebral hemorrhage, due to increased intracranial pressure and stimulation of blood stasis, these symptoms will be more serious. Cerebral infarction and intracerebral hemorrhage are usually diagnosed by CT scan.
Colds can cause headaches: colds can be caused by colds, viruses, and nervous systems. Headaches are painful and have a heavy weight. This headache accompanied by chills, fever, stuffy nose and other symptoms. If it is cold, most will have a fever, have a fever and symptoms in the cold, dry throat, yellow phlegm and other symptoms; cold, chills, chills and fever symptoms in both sputum, white, pale tongue with white fur. Cold and headache should be based on respiratory medicine.
Infection can cause headache: this kind of headache is caused by bacteria, viruses and other microorganisms invading the human body. It is more common in the lungs, urinary system and oral cavity. Most of them are heavy falling pain and accompanied by fever. If it is the infection of gram positive bacteria, generally there will be blood leukocytosis; and gram negative bacteria and virus infection, white blood cells can not rise. When this kind of headache attacks, the patient should pay attention to the abnormal reaction of each part of the body, find out the infection place, symptomatic treatment. Can see the general medicine, and then according to the doctor to see the corresponding department.
Headache: also called tension headache, paroxysmal tightness will head headache, local tenderness, by squeezing pain, dull pain, dull pain is characterized in the brain too much, the rest is not good or people with insomnia. People with this type of headache generally do not have fever symptoms.
Migraine headache: for the side headache, a small number of patients for bilateral or alternating alternating attacks, orbital (orbital), or forehead (temporal) throbbing throbbing pain, can be extended to the entire head. When serious nausea or vomiting, photophobia, phonophobia, do physical activity symptoms; menstrual cycle, climate change, noise, light and other factors such as stimulation can induce migraine. Neurology department.
Trigeminal neuralgia: the most severe headache, lightning or electric shock, accompanied by tears, headache, paroxysmal and intermittent attacks, ranging from several seconds to several minutes, over a period of time again. Is located in the head of the buccal branch, branch, eye irritation caused by temporal nerve stimulation, from a variety of sources, such as cold, heat, mental stimulation and other factors, and ear nose throat inflammation especially otitis media sequelae after recovery. When you brush your teeth and wash your face, you can cause headaches by touching areas of nerve distribution. In addition, the pain of the buccal nerve trunk is easily misdiagnosed as toothache or gingivitis, but the headache still can not be relieved after the removal of the tooth.
This kind of pain with general western medicine treatment ineffective analgesics, commonly used sedative method, such as oral carbamazepine, phenytoin or blocking therapy, but not radical; TCM syndrome differentiation and treatment with traditional Chinese medicine need, Quyu Tongluo or acupuncture treatment, can effectively reduce the number of attacks, some patients can even stop taking medicine. Can see neurology or acupuncture department.
Herpes zoster: headache caused by herpes zoster virus usually involving unilateral intercostal nerve or facial trigeminal nerve distribution area, and the waist, hips and upper limbs, caused by segmental damage, if the violation of cephalofacial will cause headache. Neurology department.
Headache caused by eye diseases: glaucoma, high myopia and retinopathy can cause headache. It is necessary to undergo a specialized examination and be treated under the guidance of an eye doctor.
Headache caused by head tumor: tumors including the brain, ear, nose and throat, such as nasopharyngeal carcinoma, can cause headache. The mechanism is that the tumor oppresses the central nervous system and the intracranial pressure increases, and the headache is severe. We should see neurology and oncology.
Headache caused by other factors: in addition to the above diseases can cause headache symptoms, other diseases, such as leukemia, if the symptoms transferred to the brain can also lead to headache.
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