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Advertisement | Diagnosing A HeadacheDr. Mallika Marshall Sets Headaches Apart And Offers Treatment OptionsNEW YORK, Oct. 22, 2005 ![]() (CBS/AP) (CBS) Do you know the difference between a migraine and a cluster headache? On The Saturday Early Show, Dr. Mallika Marshall helps diagnose that throbbing in your head and has tips on the best ways to stop it. The following is her advice: Tension Headache Tension headaches affect up to 40 percent of people at some point in their lives. Most people describe a tension headache as a tightness around the head, as though there's a vice or tight band wrapped around their head. The neck and shoulder muscles may also be sore to touch.
Migraine The typical migraine headache is a throbbing or pulsating sensation in the head, usually on one side, but it can affect both. Patients usually report nausea, with or without vomiting, sensitivity to bright lights and loud noises. The cause is thought to be swelling in the blood vessels and nerves that surround the brain. Also, before birth, babies have a hole in their heart, which normally closes in childhood. But in about 25 percent of people, that hole remains open. As it turns out, people who suffer certain types of migraines are more likely to have this hole. If this hole is surgically repaired then the migraine symptoms often abate.
For an acute attack, over-the-counter medications can help some people — Ibuprofen, aspirin, acetaminophen or combinations that include caffeine can also work. However, many people require a prescription medication. Some of the most popular are the triptans, such as Imitrex and Zomig. There are also a number of medications available by prescription to help prevent future migraines such as anti-seizure medications, anti-depressants and blood pressure medications. Cluster Headache Cluster headaches affect about a million people in the United States and are much more common among men. The pain typically centers around one eye and often causes a runny nose and facial flushing on the affected side. Episodes may last for up to a few hours, but tend to recur several times during the same day for several weeks or months, hence the name "cluster" headaches. Once the headaches end, a patient may not get another episode for months or even years. The cause is not fully understood.
Sinus Headache People with sinus headaches usually complain of a pressure or pain in the forehead, cheeks, nasal area or behind the eyes. They are usually caused by swelling and fluid build up in the sinuses as a result of hay fever or a cold.
If you ever have a severe headache, such as the worst headache of your life, you need to get to an ER immediately. Also, if you have a headache that lasts longer than usual, or you have unusual symptom, you need to see your doctor to ensure you don't have a serious underlying medical condition causing your headache. ©MMV, CBS Broadcasting Inc. All Rights Reserved. | Advertisement Stakes High As Big 3 Return To CongressTop Dem Says Industry Collapse Would Be Like Playing "Russian Roulette With The Economy" |
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