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The article is professionally consulted by Master, Doctor Huynh An Thien - Neurologist - Department of Medical Examination & Internal Medicine - Vinmec Danang International Hospital.Persistent daily headache that begins without warning and persists for 3 months or longer. The distinguishing feature of this type of headache is that the patient remembers the circumstances of the pain, sometimes the exact date and time of the first headache.
1. Symptoms
The pain in a daily nagging headache will stabilize within 24 hours of the headache's onset, the patient often feels a headache similar to a tension headache or a migraine. Then, the person will have a headache that feels like a stabbing, dull ache, tightness or burning pain on either side of the head, sensitive to light or sound.
There are other serious causes of headaches that can lead to sudden headaches. Your doctor may order imaging tests such as an MRI or CT scan to rule out other dangerous conditions that require immediate treatment such as:
Changes in pressure or fluid volume in the spine. This symptom can sometimes be caused by a procedure such as a lumbar puncture. Meningitis . The infection causes swelling of the membranes covering the brain and spinal cord. Head injury. A blow to the head can cause a sudden, severe, and long-lasting headache. It can also cause bleeding in an area of the brain, called a subdural hematoma, and an epidural hematoma, which causes headaches. Blood clot . Cerebral sinus thrombosis is a condition in which a blood clot forms near the brain, causing chronic headaches and other dangerous complications.
2. Cause
Doctors do not yet understand exactly what causes persistent daily headaches. Some small studies have linked the disease to certain viruses and other infections, but more research is needed to confirm these factors.3. Treatment
To treat such severe and persistent headaches, your doctor may prescribe pain relievers. However, doctors also need to try a number of pain relievers before knowing exactly which drug is suitable for the patient. Medications for daily persistent headaches include:
Anticonvulsants or anticonvulsants including gabapentin (Neurontin), topiramate (Topamax), and valproic acid (Depakote). Muscle relaxants, including baclofen (Lioresal) and tizanidine (Zanaflex). Antidepressants, especially selective serotonin reuptake inhibitors, fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft). Tricyclic antidepressants Migraine medications are called triptans. NSAIDs (non-steroidal anti-inflammatory drugs). Physical therapy can also help relieve the pain of daily nagging headaches. For some people, a nagging daily headache can persist for several years or longer, but for others, it can go away faster. Researchers are still looking for new and better ways to treat persistent daily headaches.
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Articles refer to sources: webmd.com, NCBI, healthline.com