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How can I be sure it is not a more serious type of headache?

Average rating: 4 out of 5 star rating

With tension-type headaches, you are normally well between headaches, and have no other ongoing symptoms. A doctor diagnoses that headaches are tension-type by their description. Also, there is nothing abnormal to find if a doctor examines you. Tests are not needed unless you have unusual symptoms, or something other than tension-type headaches is suspected.

Compared to migraine (the other common type of headache that comes and goes), a tension-type headache is usually less severe, and is constant rather than throbbing. Also, migraine usually causes a one-sided headache, and many people with a migraine feel sick or vomit. In general, unlike migraine, you are usually able to continue with normal activities if you have a tension-type headache. Some people have both migraine and tension-type headaches at different times.

What are the treatments for tension-type headache?

Relaxation

A walk, some exercise, or simply taking a break from the normal routine may help. A neck and shoulder massage may help. A hot flannel on your neck or a warm bath may also help.

Painkillers

Paracetamol usually works well. It is best to take a full dose as soon as a headache starts. This may 'ward off' the headache better than treating it after it has fully developed. You can take a second dose after four hours if necessary. (For headaches, it is best not to use combination tablets that contain paracetamol and codeine such as co-codamol. They are more likely to cause 'medication headaches' as described above.)

Anti-inflammatory painkillers

are alternatives. For example, Ibuprofen which you can buy at pharmacies, but you need a prescription for other types. Anti-inflammatory painkillers may be more effective than paracetamol. However, some people develop side-effects such as stomach problems. Always read the leaflet which comes with the medicine packet.

You should not take painkillers for headache for more than a few days at a time. Also, do not take them for more than 15 days in any month. If you take them more often, you may develop medication headaches (see above). Do not take painkillers all the time to prevent headaches. Take each day as it comes. See a doctor if you need painkillers for headaches on most days.

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harrison, about 1 year

i have a headache ive had it for nearly 3 days now its comes extremely painfull somtime mild at times but i kind of dont notice it but i know its there and well im 15 my mum thinks its "growing up" but i wanted to do some reasearch pain killers dont work :-/ got any advice?

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