Headache: First aid

    While most headaches are minor, some warn of a serious condition. Here's when to worry about a headache.

    Most headaches are minor, and you can treat them with a pain reliever. Some headaches, however, signal a dangerous or serious medical condition. Don't ignore headaches that aren't explained or headaches that steadily worsen.

    When to seek emergency help

    Get immediate medical attention if your headache:

    • Develops suddenly and is very painful.
    • Lasts for several days.
    • Causes mental confusion or loss of consciousness.
    • Happens with seizures.

    Immediate medical attention also is needed if your headache occurs with new:

    • Dizziness or loss of balance.
    • Weakness or not being able to move part of the body, such as the arms or legs.
    • Numbness.
    • Trouble speaking or understanding speech.
    • Reddened eye or droopy eyelid.
    • Fever, stiff neck or rash.

    Also seek medical attention if your headache:

    • Happens with changes in vision, such as blurring or seeing halos around lights.
    • Is serious and follows a recent sore throat or respiratory infection.
    • Begins or worsens after a head injury, fall, or bump.
    • Is triggered by changing the position of your head, coughing, sneezing, bending, or physical activity.
    • Is a different type of headache from your usual type and you're older than 50.

    Treatment

    While you wait for medical attention, taking these steps may help your headache:

    • Take a pain reliever, such as ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve), or acetaminophen (Tylenol, others).
    • Drink fluids.
    • Drink a beverage with caffeine, such as coffee, tea, or soda.
    • Try to avoid bright light if it makes your headache worse.
    1. Walls RM, et al., eds. Headache. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Elsevier; 2023. https://www.clinicalkey.com. Accessed Nov. 1, 2024.
    2. Approach to the patient with headache. Merck Manual Professional Version. https://www.merckmanuals.com/professional/neurologic-disorders/headache/approach-to-the-patient-with-headache?qt=headache. Accessed Nov. 1, 2024.
    3. Anderson CC, et al., eds. Neurology. In: The Harriet Lane Handbook. 23rd ed. Elsevier; 2024. https://www.clinicalkey.com. Accessed Nov. 1, 2024.
    4. Togha M, et al., eds. Approach to a patient with headache. In: Headache and Migraine in Practice. Elsevier; 2022. https://sciencedirect.com. Accessed Nov. 1, 2024.
    5. Signs and symptoms of stroke. Centers for Disease Control and Prevention. https://www.cdc.gov/stroke/signs-symptoms/. Accessed Nov. 1, 2024.
    6. Wijeratne T, et al. Secondary headache — Red and green flags and their significance for diagnostics. eNeurologicalSci. 2023; doi:10.1016/j.ensci.2023.100473.

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