Do You Suffer from Headaches or Migraines?

Do You Suffer from Headaches or Migraines

Headaches or migraines are common medical problems. With characteristics like head pain, nausea, sensitivity to light, sound, or moving the head.

ENT or Ear Nose and Throat Problems That Cause Pain from Headaches or Migraines

ENT problems that can cause headache pain include sinusitis, ear infections, or tonsillitis. They can cause irritation to the nerves around the face and head contributing to headaches and or migraines.

At Colorado ENT and Allergy, our specialists are experts at dealing with problems in these areas.  The first course of action is a diagnosis.

A comprehensive headache treatment should always include management of ear, nose, and throat issues. Schedule Your Consultation Today!

Once we identify the problems, there are many treatment options. These range from dietary changes to surgical procedures and medications.

How Common are Migraine Headaches?

In the U.S. there are more than 37 million Americans that suffer from “classic” migraine headaches. In a room with 100 people, 13 are likely to have a migraine.

Although any person can have a migraine at any age, migraines are most common between ages 30 and 50.

Migraines can be a lifelong problem. They may start in childhood and disappear and reappear in new forms throughout an individual’s life.

Surveys show that only 48% of people with migraine headaches have had a diagnosis and are being treated for their headaches.

How are People with Migraines Different?

Migraines are an inherited problem of ion channels in the brain. This is due to a “sensitive brain”.

Most individuals exposed to loud noise, bright light, or excessive motion can adapt to these strong stimuli within minutes. But in the brain of someone who suffers from migraines, the continued stimulus can cause a migraine.

This lack of ability to adapt to strong sensory stimulation helps us understand why so many patients have migraine headaches.  Or other migraine symptoms caused by bright light, excessive noise, strong smells, excessive motion, and painful stimuli.

What Causes a Headache?

A headache trigger is anything environmental, dietary, or physiological that can provoke headache activity in the brain.

What are Environmental Triggers for a Headache?

Some examples of environmental triggers of a headache include odors, bright lights, noise, and other excessive sensory stimuli. Painful stimuli that trigger a headache usually occur in the head and neck.  Weather changes affect forty percent of people with headaches.

Food Triggers That Can Cause a Headache

There are many potential food triggers for a headache. In general, these foods fall into two main categories, byproducts of food aging and foods with chemicals similar to neurotransmitters our brains use.

You can find byproducts of food aging in fermented products like red wine, aged cheeses, and yeast in fresh bread and yogurt. Foods with chemicals like our own neurotransmitters which may aggravate migraine are coffee, chocolate, MSG, and the nitrates used as preservatives in many of our prepackaged foods.

Physiological Triggers

The most common trigger of headaches is stress. Patients report increased symptoms when tired and suffer lack of sleep. Many other physiologic stresses can also trigger migraines, such as hunger, exercise, and pain.

Subtle stresses, like eye strain, can trigger a headache. It is not uncommon for someone with new-onset headaches to find their eyeglass prescription has changed. Updating the prescription can have dramatic positive results.

How to Keep a Headache Diary

Keeping a headache diary may be one of the most important tools for you and your physician to make treatment decisions. The simpler the record-keeping, the better. Use two pencils or pens of different colors.

With one color, mark the days you have headaches. With the other color, mark the days you have dizziness or symptoms other than headache. Make a note of any possible physiologic, dietary, or environmental triggers that have been present in the past 24 hours before your symptoms.

Don’t forget to bring your diary with you to your appointments. It will allow you and your physician to see your symptoms at a glance.

Headaches and Inner Ear Disease

There is an increasing association between headaches and inner ear disease. Migraine-related ear symptoms may vary from patient to patient and may take the form of episodic vertigo, benign paroxysmal positional vertigo (BPPV), recurrent benign positional vertigo, Meniere’s disease, ear pain, aural pressure, tinnitus, fluctuating hearing loss, and sudden hearing loss.

Awareness of these possible associations is important because symptoms often respond to migraine treatments.

Headaches and Meniere’s Disease

There is an increasing connection between migraines and Meniere’s disease. Meniere’s disease is a disorder of the inner ear characterized by episodic fullness, tinnitus (ringing), hearing loss, and vertigo whose cause is not understood.

While the average number of people in the U.S. that suffer from migraines is 13%, the prevalence of migraines in patients with Meniere’s disease is 56%, and the prevalence of migraine in patients with bilateral Meniere’s disease is 85%.

Headaches and Vertigo

25% of people who suffer from migraines experience vertigo along with their other headache symptoms. In many patients, vertigo is the main feature of their migraines.

Most headache sufferers have a lifelong history of motion sickness and can relate a history of motion intolerance that includes car sickness, seasickness, or an inability to tolerate amusement park rides. New onset of motion intolerance in an adult is more commonly associated with migraine activity than any other vestibular disorder.

Headaches and Ear Pain

Up to 40% of headache sufferers report sharp ear pains which last only seconds. These may occur infrequently or spontaneously between headaches. Ear pain has many causes, including infections or eustachian tube problems in the ear, TMJ, and referred pain from the extensive lining of the throat.

Patients who present to the doctor with ear pains frequently complain that their ears are hypersensitive to touch, to wind, and cold.

Headaches and Sinus Pressure

There is a great deal of confusion about the source of symptoms for facial pressure. While facial pressure is a symptom of sinusitis, up to 45% of migraine patients report “sinus” symptoms, including tearing, runny nose, and nasal congestion.

Pain in the sinus area does not mean you have a sinus disorder.  Sinus and nasal passages can become inflamed leading to headaches. A headache is one of the most prevalent symptoms of patients diagnosed with acute or chronic sinusitis. Besides a headache, patients with sinusitis also complain of:

  • Pain or pressure around the eyes, cheeks, or forehead.
  • Achy feeling in the upper teeth
  • Fever and chills
  • Facial Swelling
  • Nasal Stuffiness
  • Yellow or green discharge

Ways to Relieve Headache or Migraine Pain

Sinus headaches happen when the sinuses become blocked and swollen. It is very common to experience facial pain and headaches when you have sinusitis. There are lots of different self-help techniques you can try at home to relieve symptoms, but in severe cases should go to an ENT specialist.

Breathing moist air, using hot and cold compresses to ease swelling, and taking over-the-counter medication can help. If your headaches do not improve, you may need more intensive treatments.

Types of Headaches

There are many different types of headaches.

  • Tension headaches
  • Cluster headaches
  • Migraine headaches
  • Allergy or sinus headaches
  • Hormone headaches
  • Caffeine headaches
  • Exertion
  • Hypertension
  • Rebound
  • Post-traumatic headaches

Everyone experiences a headache once in a while.

Headaches with throbbing pain are something that many people experience. The pain can vary from region to region in the head and is often accompanied by other symptoms such as nausea or sensitivity to light/sound. But if a migraine doesn’t respond to pain medication you should report it to your doctor.

The type of severe headache one experiences varies depending on where they feel their pain, how long it lasts, and how intense the sensation feels.

If you suffer from persistent headaches and you have more symptoms, such as a blocked nose, sore ears, or facial or dental pain, you need to see an ENT specialist. Your doctor will carry out tests and assessments to identify possible causes and confirm a diagnosis. They can then discuss treatment options with you, and put a stop to painful headaches.

If you experience tension headaches on a regular basis or you suffer from chronic sinusitis, it’s beneficial to see an ENT specialist. A doctor with expertise in treating and managing conditions and infections that affect the ears, nose, and throat.

In rare instances, neurological disorders could be causing headache pain.

If you suffer from Headaches or Migraines, Contact Us Today for a Consultation!


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