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Cough headaches : Causes, Types, Symptoms, Diagnosis and Treatment

 What is Cough headaches?

Primary cough headache is harmless and isn't the result of alternative head or brain conditions. Headache pain goes away quickly, typically inside half-hour. However, as a result of symptoms square measure painful and turbulent, medicine to forestall this headache square measure generally thought-about.

Primary cough headaches square measure uncommon, harmless headaches that occur suddenly and square measure brought on by coughing, sneezing, processing your nose, straining (such as once having a viscus movement), or happy or crying smartly.


Primary cough headache means that the headache is caused by the cough itself, not by another condition. Once a headache is triggered by cough however the headache is found to cause a structural downside within the brain, the condition is named secondary cough headache. It’s vital to envision your doctor to see the reason behind your headache.

About one % of the population experiences a primary cough headache over their lifespan. Each man and lady will develop a primary cough headache; but, the condition is more common in men than ladies. Primary cough headache typically happens in people over forty years older.

What is Cough headaches


Explanation of medical terms and concept Cough headaches

Cough headaches square measure associate an uncommon variety of headache triggered by coughing and different varieties of straining — like from inborn reflex, processing your nose, laughing, crying, singing, bending over or having a defecation.

Doctors divide cough headaches into 2 classes. Primary cough headaches square measure typically harmless, occur in restricted episodes and eventually improve on their own. Secondary cough headaches, conjointly referred to as symptomatic cough headaches, square measure a lot of serious, as they will be caused by issues at intervals in the brain. Treatment of secondary cough headaches could need surgery.

Ever notice that if you cough a touch too laborious, your head hurts for a bit? That’s a cough headache. It may also happen once you laugh, sing, sneeze, poop, bend over, blow your nose, or otherwise strain yourself. It’s usually harmless and goes away quite quickly on its own, however it’s an honest plan to inform your doctor as a result of there may be a lot of serious causes.

Cough headaches can be triggered by the muscles in between your ears—your jaw, teeth , sinuses and nose. While there is no medication to treat a cough headache it can help to take some over-the-counter decongestants or allergy medications. But if you have frequent cough headaches, doctors advise seeking medical advice.

Cough headaches are a type of headache that is caused by coughing Coughing can cause the sphenoid sinus located in the skull behind the nose to press against other sensitive areas such as the eye sockets or even the brain itself Headaches caused by coughing usually appear suddenly and make life difficult for anyone who has them Fortunately these headaches do not last long and usually do not have any complications Most cough-related headaches occur when lying flat on your back because this position makes it easier for your head to jerk forward when you cough which rubs your sinuses against nerves that control pain perception.

Symptoms Cough headaches

Primary cough headaches

  • Begin suddenly with and just after coughing or other types of straining

  • Typically last a few seconds to a few minutes — some can last up to two hours

  • Cause sharp, stabbing or splitting pain

  • Are usually felt in the front of the head

  • Affect both sides of your head

  • May be followed by a dull, aching pain that lasts for hours

Secondary cough headaches

Secondary cough headaches often have symptoms similar to those of primary cough headaches, though you may experience:

  • Longer lasting headaches

  • Dizziness

  • Unsteadiness

  • Fainting

  • Numbness in the face or arms

When to see a doctor

Consult your doctor if you experience explosive headaches when coughing — particularly if the headaches area unit frequent or severe otherwise you have other distressful signs or symptoms, like imbalance or blurred or visual impairment. 

Causes Cough headaches

The exact explanation for primary cough headache isn't well understood. One theory is that coughing raises the pressure within the chest and abdomen, that successively, will increase the pressure within the brain.

Primary cough headache is harmless and isn't the result of different head or brain conditions.

Primary cough headaches

The cause of primary cough headaches is unknown.

Secondary cough headaches

Secondary cough headaches may be caused by:

  • A defect in the shape of the skull.

  • A defect within the neural structure, a part of the brain that controls balance. This could occur once some of the brain is forced through the gap at the bottom of the bone (foramen magnum), wherever solely the medulla spinalis is meant to be.
    Some of these kinds of defects are unit known as Chiari malformations.

  • A weakness in one of the blood vessels in the brain (cerebral aneurysm).

  • A brain tumor.

  • A spontaneous cerebrospinal fluid leak.

Risk factors Cough headaches

Primary cough headaches

Risk factors for primary cough headaches include:

  • Age. Primary cough headaches most often affect people older than age 40.

  • Sex. Men are more prone to getting primary cough headaches.

Secondary cough headaches

Risk factors for secondary cough headaches include:

  • Being younger than age 40

Prevention

Preventing the actions that trigger your cough headaches — whether or not that is coughing, physiological reaction or straining in the rest room — might facilitate the scale back of the amount of headaches you experience. Some preventive measures might include:

  • Treating lung infections, such as bronchitis

  • Avoiding medications that cause coughing as a side effect

  • Getting an annual flu shot

  • Using stool softeners to avoid constipation

  • Minimizing heavy lifting or bending for long periods

Diagnosis Cough headaches

Your doctor diagnoses a primary cough headache supporting your symptoms and also the results of brain scans (either by computed axial tomography [CT] or resonance imaging [MRI]) to rule out alternative causes of cough headache.

If the brain scan reveals a cause for the cough headache, this kind of headache is named a secondary cough headache. Secondary cough headaches square measure additional serious and square measure caused by such things as defects within the brain referred to as Chiari malformations, brain tumors, weakened brain blood vessels (cerebral aneurysm) and alternative

Your doctor may recommend brain-imaging tests, such as MRI or CT scans, to rule out other possible causes for your headaches.

  • Magnetic resonance imaging (MRI). During associate imaging, a field and radio waves are wont to produce cross-sectional pictures of the structures inside your head to work out whether or not any issues are inflicting your cough headache. 

  • Computerized tomography (CT) scan. These scans use a computer to create cross-sectional images of your brain and head by combining images from an X-ray unit that rotates around your body.

Treatment Cough headaches

Once they’ve dominated out secondary causes, your doctor could dictate medication to ease inflammation joined to primary cough headache pain. The drug of selection is Indocin. Doctors don’t understand precisely why it works, however it should relieve pressure around your brain and bone.

Your doctor may dictate medications created to treat alternative ill health off-label for a primary cough headache. These embody acetazolamide, propranolol, methysergide, naproxen, ergonovine, and others.

Primary cough headache events sometimes resolve on their own. For many individuals, a primary cough headache goes away fully within four years.

Because the headache pain goes away quickly, there's sometimes no need to be compelled to treat every incidence. However, as a result of symptoms that are painful and turbulent, current preventative treatment is usually thought-about. Indocin is the commonest drug prescribed to forestall primary cough headaches. alternative medicine which will be tried which are shown to be helpful embody topiramate, methysergide, acetazolamide, propranolol, NSAID and metoclopramide.

Treatment differs, depending on whether you have primary or secondary cough headaches.

Primary cough headache

If you've got a history of primary cough headaches, your doctor could advocate that you simply take daily medication to assist forestall or scale back the pain.

These preventive medications could include:

  • Indomethacin (Indocin, Tivorbex), an anti-inflammatory drug

  • Propranolol (Inderal, Innopran XL, others), a medication that relaxes blood vessels and reduces blood pressure

  • Acetazolamide, a water pill that reduces the quantity of humor, which might cut back the pressure within the bone
    Other medications accustomed treat primary cough headache embody Naprosyn (Naprelan, Naprosyn, others), Ergotrate Maleate (Methergine), endovenous dihydroergotamine (D.H.E. 45) and monoamine oxidase inhibitor (Nardil).
    Rarely, a lumbar puncture (lumbar puncture) could also be suggested. With this procedure, the doctor removes a number of the fluid that surrounds your brain and neural structure. it isn't clearly understood why this helps cough headaches, however the procedure might cut back the pressure within your bone which will be inflicting the headaches. 

Secondary cough headache

If you have got secondary cough headaches, surgery is commonly required to repair the underlying downside. Preventive medications typically do not facilitate those that have secondary cough headaches. However, responding to medication does not essentially mean that you simply have a primary cough headache.

Preparing for your appointment

You're probably starting out by seeing your GP. However, in some cases once you decide to line up an arrangement, you will be referred to a brain doctor.

Because appointments will be temporary, and since there is typically heaps of knowledge to debate, it is a sensible plan to be ready for your appointment. Here's some info to assist you make preparations for your appointment and grasp what to expect from your doctor.

What you can do

  • Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.

  • Write down key personal information, including past illnesses and operations, major stresses or recent life changes, and any medical problems that run in your family.

  • Make a list of all medications, vitamins and supplements that you're taking.

  • Take a family member or friend along, if attainable. Typically it is often troublesome to recollect all of the knowledge provided to you throughout an arrangement. somebody World Health Organization accompanies you'll bear in mind one thing that you just incomprehensible or forgot. 

  • Write down questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. For cough headaches, some basic questions to ask your doctor include:

  • What's the most likely cause of my headaches?

  • Are there any other possible causes?

  • What kinds of tests do I need?

  • When will these headaches go away?

  • What treatments are available?

  • Are there any alternatives to the primary approach that you're suggesting?

  • I have other health conditions. How can I best manage these conditions together?

  • Should I see a specialist?

  • Is there a generic alternative to the medicine you're prescribing me?

  • Are there any brochures or other printed material that I can take home with me? What websites do you recommend?

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:

  • When did you first begin experiencing cough headaches?

  • Have your cough headaches been continuous or occasional?

  • Have you had a similar problem in the past?

  • Have you had other kinds of headaches? If so, what were they like?

  • Has anyone in your immediate family experienced migraines or cough headaches?

  • What, if anything, seems to improve your headaches?

  • What, if anything, makes your headaches worse?

General summary

When head and neck pain is accompanied by a cough, you likely have sinus problems, and there are three main causes of a persistent cough headache: acute sinusitis, adenoids, or chronic sinusitis. Your body fights invading bacteria. Nasal polyps are small growths on the walls of your sinuses that block airflow, causing a persistent coughing headache. Chronic sinusitis can occur with allergies and other respiratory diseases; This condition persists for longer than four weeks but less than 12 weeks, a headache from coughing is usually not serious.

Are cough and headache symptoms of covid?

One of the most common side effects of taking Covid is a cough and headache. Common underlying causes include allergies (such as a reaction to dust or pet dander), colds, sinus infections, dry air, and even stress. If symptoms are making nighttime sleep difficult, try using a humidifier in your bedroom.

How long does a COVID headache last?

How long does a COVID headache last? Symptoms of a carotid artery dissection usually disappear within three weeks, however the severity and frequency of headaches associated with it can persist for months or longer.

How quickly does infection occur after exposure to COVID?

COVID is contagious as soon as symptoms appear according to the Centers for Disease Control and Prevention Symptoms of COVID include a headache fatigue dizziness and nausea They usually appear in three stages During stage one which lasts from one to six hours after exposure there may be mild flu-like symptoms such as muscle pain and shivering After 12 hours have passed since the patient was exposed COVID virus appears at stage two with moderate to severe flu-like symptoms including vomiting and fever Stage three only occurs if the person survives stage two even though it can occur before or after stage two sets in It may last.

How long does it take for symptoms of Covid-19 to appear after exposure?

Symptoms of exposure to Covid-19 usually appear within two to three hours after contact, but some people can have immediate symptoms that include rapid heartbeat in the chest that may spread to the arms and neck, shortness of breath and coughing up blood.

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Cough headaches : Causes, Types, Symptoms, Diagnosis and Treatment

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