Types of Headaches – Their Warning Signs and Symptoms

Most people experience pain in their head or face multiple times during their lifetime, and about 45% of people in the country report being affected by headaches every year. The pain intensity brought on by headaches can be constant, sharp, throbbing, or dull. People can deal with the condition through treatments, lifestyle changes, and natural home remedies. However, one should understand the types of headaches and their warning signs to get the right treatment.
Tension headaches
People with tension headaches may feel like a headband is slowly tightening and squeezing their forehead. The signs and symptoms of tension headaches include chronic fatigue, crankiness, trouble focusing, and general muscle aching. Tension headaches may also cause symptoms like headaches when the individual wakes up, mild sensitivity to light, and difficulty falling asleep or staying awake. Tension headaches are the most common form of headaches.
There are two types of tension headaches that a person may experience. The first is episodic tension headaches, where the pain ranges from mild to moderate and affects the front, sides, or top of the head. The pain progresses gradually, can be triggered in the middle of the day, and may last between 30 minutes to several days. The second type includes chronic headaches, in which a person experiences pain in the head throughout the day, but the intensity varies.
Cluster headaches
People experiencing this condition often wake up because of the pain caused by cluster headaches. Common warning signs and symptoms of this type of headache include severe pain on one side of the head. The pain is further described by patients as a constant, piercing, burning, throbbing sensation. One may also experience pain behind or around a single eye. Those with cluster headaches may experience pain for about 30 to 90 minutes, and the symptoms will return later in the day. As cluster headaches can occur at the same time every day, it can become difficult for an individual to sleep if the symptoms are triggered during bedtime.
Thunderclap headaches
Thunderclap headaches, also known as lone acute headaches, are severe types of aches that can occur suddenly. The condition may develop in less than 60 seconds and lead to extreme pain. One should look out for pain in any region of the head that may extend to the neck or areas of the lower back. The pain may also stick around for hours and lead to symptoms like nausea, loss of consciousness, and dizziness. Thunderclap headaches are caused by the aftermath of bleeding in the brain following a stroke, arterial aneurysm rupture, or other injuries. Other potential causes include brain tumors, meningitis, and encephalitis.
Migraine and its stages
Migraines are the second most common type of headache. The signs of this type progress over four stages. These are:
Prodrome: Prodrome is the first stage where people may notice slight changes one or two days before a migraine occurs. The common warning signs include food cravings, stiffness of the neck, and frequent yawning. Other symptoms of the prodrome stage are constipation, fluid retention, increased urination, and mood changes, such as shifts from depression to euphoria.
Aura: The symptoms in the aura stage may occur before or during a migraine attack. The signs of this stage are generally visual. A person might see various shapes, bright spots, or flashes of light that do not exist. They may also experience vision loss, weakness, or numbness in the face or a single side of the body. A pin-like or needle sensation in the arms or legs are other potential symptoms. While the symptoms occur gradually, they may last up to 60 minutes at a time.
Attack: When left untreated, a migraine can last between four hours to three days, known as the attack phase. The condition may occur on a rare occasion or several times in a month. During this time, one will experience symptoms like pain above the eyes, nausea, pounding or throbbing pain, vomiting, and sensitivity to light, odor, and noise. Lightheadedness and fainting are also signs that one can experience during this phase.
Postdrome: The postdrome phase occurs after the migraine stops. After a severe migraine attack, one may not feel well for up to a day. Common symptoms include sluggishness, confusion, and extreme tiredness. During this time, the affected person may also experience brief sensations of pain if they move their head too quickly.
Other warning signs
Apart from the ones listed above, some other signs and symptoms may indicate unusual headaches. One should pay close attention to headaches that develop after 50 years of age. Warning signs to watch out for are sudden changes in the frequency, severity, and location of the pain. One should also look for signs where the headaches worsen over time and those that lead to changes in personality. Other warning signs to look out for include headaches that make an individual weak and even those that affect vision and speech.
Treatment options
The first step in treating headaches is to assess the triggers, after which a healthcare expert can come up with a treatment plan to help one manage the symptoms of headaches. Stress management is one way to treat migraines, where the patient follows relaxation techniques to curb stress levels. Biofeedback is another option where sensors are connected to the body to assess involuntary physical responses to headaches, such as pulse, heart rate, temperature, muscle tension, and brain activity. Healthcare experts may also recommend pain relievers and triptans to stop migraine attacks.
An option recommended by experts is Qulipta (atogepant) for migraine headaches. Quilpta can prevent episodic migraine attacks in adults. However, its effects on children and chronic migraines are still not determined. Qulipta is an oral treatment option and is usually available in the form of 30mg tablets.