Jack is an NGO worker. Age 32 years. Working in NGO for last 7 years. There is no communication with the office boss for some time. Almost arguing with him. 2 boys and girls. He does not dare to quit his job at this time. That's why the mind is very sad. Unable to concentrate on work due to various thoughts and tension. After a long time passed like this, he noticed that his head was getting heavy. Always mild pain. The day is always feeling the same pain. He is feeling pain like when a rope is tied around his head. There is no sleep disturbance. Felt pain again after waking up. No nausea or vomiting. There is no pain in the eyes. As per the advice of the village doctor, pain killers such as paracetamol are often taken but there is no relief.
On the advice of relatives, he was taken to a specialist doctor in the city. The doctor took a good look and examined him and said that the name of his disease is Tension Headache.
The first cause of headaches in our society is tension headaches and the second cause is migraine. People who are over-stressed and over-worried usually get a tension headache. More women are affected than men.
Tension Headaches usually involve the entire head. This pain is mild in nature. Pain is always there. The patient is never pain-free. It can be similar to the feeling of being tied with a band around the head. Tension Headache does not have nausea, vomiting, difficulty seeing light, etc.
The most prominent feature of tension headaches is that they are present at all times of the day, every day, and last for a long time. There will be no disturbance of sleep and the headache starts shortly after waking up.
Tension headache patients suffer from anxiety, depression, and human stress along with the headache. All these mental illnesses are not short-term, but long-term suffering increases the possibility of getting affected by a tension headache. It is believed that the muscles of the skull are more contracted in tension headaches. Although this idea has not been proved to be 100% true.
Tension Headache 4 CT Scan of brain 4 PNS X-ray does not show anything. The most notable feature of tension headache treatment is that pain killers do not work well for this headache. Anti-depression medication like Amytriptilin medication works best for tension headaches. Besides, some relief from a tension headache can be obtained through head massage, relaxation, and meditation.
Headache due to idiopathic intracranial hypertension:
As a ball contains air and air pressure causes the ball to be inflated and playable. If air leaks out for any reason, the ball becomes silent and unplayable. If the pressure is too high, the ball may burst. Our brain has stress that keeps the brain in a normal state and functioning. Normal brain pressure is 2-12 mm of blood pressure. This pressure of the brain is called ICP (Intracranial Pressure). Elevated ICP for any reason can cause a variety of symptoms. Common causes of increased ICP are brain tumors and hemorrhagic stroke. There are other rarer causes. If one's ICP is elevated but no cause is found, it is called idiopathic intracranial hypertension. This disease mainly affects young and middle-aged women. Women who are overweight have more. Studies have shown that people who take more birth control pills, vitamin A and drugs like tetracyclines are more likely.
Headache is a common symptom of increased ICP. In addition, there may be problems with the eyes. There may also be vomiting and one can see two things.
Here the cause is unknown so a CT Scan / MRI of the Brain is normal. However, if the doctor examines the eye with an Ophalmoscope, this disease can be easily detected. Because papilloedema is found in both eyes.
Proper treatment should be given after diagnosis of the disease. If not treated properly, the patient may become blind. The patient should be given painkillers to relieve the headache. The patient should lose weight in order to draw CSF from the waist by continuous LP. Acetazolamide should be taken. If the patient does not improve after this Ventriculo Peritoneal shunt is done i.e. a tube is connected between the CSF and the abdomen so that the CSF can flow into the abdomen and the ICP is reduced.
