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23 years
I have a sudden strong headache sometimes...All the blood test were normal , and the doctor said it might be the blood pressure,but its a normal blood pressure while i am suffering from it.what to do?
Jul 8, 2013

Dr. Zakia Dimassi Pediatrics
To manage your headache, a correct diagnosis, based on the clinical picture, must be established. You may need more tests (maybe brain imaging) if all blood tests are normal.
The most common types are:
A/ Primary Headaches, including:
1. Migraine: starts on both sides but may shift to affect only one side. It starts gradually &becomes more intense, is pulsating (you feel it with the beats of your heart), becomes worse with physical activity; you usually prefer to lie ion a dark quiet room. It lasts from 1 up to 72 hours, & you feel nauseated &may even vomit, you'll be irritated from light &noises; an aura (a visual experience that warns you that the headache is about to happen).
2. Tension-type headache: it feels like pressure on both sides of your head and between your head and back of your neck. It doesn't pulsate, may last from 30 min to days. You me get irritated by light and noise, but you don't get nausea/vomiting and physical activity doesn't make it worse.
3. Cluster headaches: these always occur on ONE side &in the area of the forehead &around the eyes. The pain is severe, &usually accompanied by tearing, runny nose, red eyes, &occasionally Horner syndrome (you get drooping of the eye + pupil constriction + drying of half of the face on the same side as the headache).
4. Chronic daily headache: present for more than 15 days a month for more than three months in the absence of detectable organic pathology. It includes 4 subtypes of daily headache: chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua. Overuse of pain killers (analgesics) has been implied as an important reason for this type of headache.
B/ Secondary headaches: due to trauma, meningitis, high blood pressure, vision problems (myopia for ex.), bleeding in the head, or tumor. Produce also vomiting (projectile), neurologic symptoms (abnormal walk, dizziness...).
Also think of celiac disease (gluten sensitivity) if u also have GI problems.
Dr. Salim Saab Otolaryngology (ENT)
because of strong headaahe ill do an mri to rule outanevrysm if negatif taood pressure also think of migraine