Headache when bending down: exercises for neutralization, complex treatment. Headache when tilting head. Causes, treatment Pressure in the head when bending down

Patients with headaches are regular visitors to doctors of various specialties. Such complaints are among the most common in medical practice. They have a different source, and to determine it, a thorough examination is necessary. You will not be able to resolve this issue on your own. You can find out why your head hurts when you tilt, only after consulting a doctor and a full diagnosis.

The origin of headache is extremely diverse. This symptom has several mechanisms of development. Pain that occurs when bending is probably associated with the following pathophysiological moments:

• Accumulation of exudate in the paranasal sinuses.
• Increased CSF pressure in the ventricles of the brain.
• Difficulty in the outflow of blood from the venous sinuses.
• Irritation of the nerve roots of the cervical region.
• Tension in the muscles of the head and neck.

Most often we are talking about a local process that provokes headaches. But in some cases, you have to think about systemic disorders in the patient's body. With the involvement of the above mechanisms, the following states develop:

• Sinusitis (frontal sinusitis).
• Liquor hypertension.
• Vegetovascular dystonia.
• arterial hypertension.
• Pathology of the cervical spine (osteochondrosis, spondylarthrosis).

Pain during head movements can also appear with myositis - inflammation of muscle tissue. Some need only sit under a working air conditioner, especially after being in the heat - and such a pathology is already provided. For others, long-term uncomfortable postures or psycho-emotional overstrain become factors in the development of headaches. It cannot be ruled out that the symptoms may well have a mixed origin, being the result of a combination of several mechanisms in one patient.

The causes of headaches that occur when tilting the head are quite diverse. And you can deal with them only after differential diagnosis.

Symptoms

The first thing a doctor does to establish the source of the disorder is to examine the clinical symptoms. He evaluates the subjective signs that disturb the patient (complaints) and conducts an examination, and, if necessary, uses other physical methods (palpation, percussion and auscultation). This way you can get most of the information about the pathology.

If the head hurts when you bend over, then you need to understand what pathological mechanism is involved. The task is greatly facilitated by assessing the features of the symptom. Pain characteristics can vary:

1. Type: dull (bursting, aching, pulling) or acute (shooting, burning, pulsating).
2. Localization: in the frontal, zygomatic, parietal, temporal or occipital part, girdle (like a helmet).
3. Intensity: medium, strong, weak.
4. Duration: long or short term.

Pain can intensify not only during downward bends - sometimes any movement of the neck (for example, turning to the sides) provokes discomfort. Symptoms are often aggravated by coughing, sneezing, and straining. Physical activity and prolonged stay in one position also play a negative role.

But headache is only one symptom, although often the main one. The doctor receives important information when analyzing the remaining signs identified in the patient. This is the only way to form a picture of what is happening, sufficient for a preliminary diagnosis.

sinusitis

Inflammation of the paranasal sinuses is very common in the practice of an ENT doctor. And patients who complain that their forehead hurts while bending down should be examined for sinusitis. In this case, you can find the following signs:

• Nasal congestion.
• Discharge (mucous or purulent).
• Decreased sense of smell.
• Dry cough (mainly at night).

When the process is acute, it is accompanied by fever, malaise, fatigue. You can notice redness and swelling of the skin in the frontal (with frontal sinusitis) or zygomatic (with sinusitis) areas of the face. When tapping on them with fingers, the patient feels pain. A downward tilt provokes an increase in unpleasant symptoms and the appearance of heaviness in the head.

CSF hypertension

It must be said that CSF hypertension is not a diagnosis, but a pathological process that accompanies various diseases associated with a violation of the outflow of cerebrospinal fluid or an increase in its production. Its most common cause is dyscirculatory (vascular) encephalopathy, but it is worth remembering about others: tumors and hematomas in the cranial cavity, strokes, swelling of the brain lobes.

If there is an increase in intracranial pressure, then patients feel bursting headaches. They are aggravated by coughing or sneezing, straining, bending down, in a horizontal position. The pain is diffuse in nature, with a feeling of "squeezing out" the eyeballs. The presence of a local intracranial process is often accompanied by:

• neurological deficit.
• meningeal signs.
• Disturbances of consciousness.
• Convulsions.
• Vomit.

CSF hypertension is associated with fundus congestion and papilledema. With a pronounced displacement of the median structures, there is a possibility of a dangerous dislocation of the brain that threatens the life of the patient.

Bursting pains in the head when bending down is a typical sign of CSF hypertension. But this condition is not as harmless as it might seem.

Vegetovascular dystonia

Violation of venous tone and outflow of blood from the brain often occurs with vegetative-vascular disorders. Such patients often suffer from headaches that occur in the morning. They are localized mainly in the occipital region, but can spread to other areas. There is a feeling of "stale", "heavy" or "cast-iron" head. It is difficult for patients to bend down, the pain is aggravated by coughing and straining. At the same time, there are other signs:

• Cardiopalmus.
• Pain in the precordial area.
• Increased sweating.
• Coldness of extremities.
• Feeling short of breath.
• Anxiety and suspiciousness.
• Fatigue and poor sleep.

Often there is an increase in urination and acceleration of intestinal motility. Symptoms of vegetovascular dystonia are very diverse, but are only functional in nature. However, if they persist for a long time, then there is a possibility of organic disorders (mainly from the cardiovascular system).

arterial hypertension

Pain in the frontal part of the head is one of the signs of high blood pressure. It has a breaking and dull character, accompanied by dizziness, flashing "flies" before the eyes. When bending over, patients become even worse - the pain becomes diffuse, dizziness and nausea may appear. A sharp increase in blood pressure in the vessels is quite dangerous, because the wall can burst, unable to withstand such an impact. Most often, superficial capillaries in the nose suffer with the appearance of external bleeding. But if this happens in the brain, then a stroke develops.

Pathology of the cervical spine

When the back of the head and neck hurts when tilted, it is necessary to exclude the pathology of the spine. Osteochondrosis, spondylarthrosis, intervertebral hernia - these are the main culprits of this symptom. Pathological impulsation occurs when the nerve roots are irritated. Then there are shooting, stabbing or burning pains radiating to the head. They are aggravated by any movement in the neck or with a long uncomfortable position. There are also especially sharp backaches - cervical. In addition, there are other signs in the clinical picture:

• Tension of the neck muscles.
• Soreness of the paravertebral points.
• Feeling of numbness, tingling, crawling "goosebumps".

If compression of the vertebral artery occurs, then patients feel vascular disorders: dizziness, flickering of "flies" in the eyes, tinnitus. Sometimes there are so-called drop attacks: sudden falls with sharp turns of the head. And if an intervertebral hernia compresses not only the roots, but also the very substance of the spinal cord, then neurological symptoms appear (conduction disorders).

Problems with the cervical spine are also characterized by headaches that occur due to irritation of the nerve roots and muscle spasm.

Additional diagnostics

It is difficult to understand what caused the pain in the forehead or in other parts of the head, based on the clinical picture alone. The doctor needs to confirm his assumption with the help of laboratory and instrumental methods. Therefore, he will refer the patient for additional examination:

1. General blood and urine tests.
2. Blood biochemistry (acute phase parameters, lipid spectrum, coagulogram).
3. Rhinoscopy.
4. X-ray of the skull and cervical region.
5. Computed tomography.
6. Echo and rheoencephalography.
7. Electrocardiography.
8. Neuromyography.

Based on the individual clinical situation, it may be necessary to consult an ENT doctor, a neurologist, a vertebrologist, a cardiologist. And on the basis of the results obtained, a final diagnosis is formed, which represents the true cause of the headache. As you can see, there is no way to do without the intervention of a doctor. He will also prescribe appropriate therapeutic measures that can not only save the patient from unpleasant symptoms, but also eliminate the very source of the problem.

The following structures can become inflamed in the forehead area:

• Frontal sinuses. Inflammation of the frontal sinuses can occur against the background of various infectious diseases ( like the flu), against the background of acute rhinitis, as well as after trauma to the facial part of the skull.
• Meninges can also become inflamed and lead to severe pain in the frontal region. Inflammation of the meninges ( meningitis) is an extremely serious pathology that requires immediate hospitalization. It should be noted that meningitis can occur as an independent disease, as well as as a complication of some other pathologies ( toxoplasmosis, poliomyelitis, tuberculosis, etc.).
• Brain. Encephalitis, or inflammation of the brain, is a relatively rare pathology, which, however, can also lead to severe pain in the forehead.
• Vessels of the brain when pathogenic microorganisms enter them, they can also become inflamed. Often this inflammatory process is accompanied by thrombosis of the facial vein ( blockage of a vein by a thrombus) and then spreads into the ophthalmic vein and into the venous sinuses of the brain ( cavernous and sigmoid sinus). Sinus thrombosis, in turn, quite often leads to a cerebral stroke.

Causes of pain in the forehead

Pain in the forehead can occur against the background of inflammation of some structures localized in the frontal region, after traumatic brain injuries of varying severity, in case of poisoning with certain chemicals, due to increased, as well as for a number of other reasons.

Causes of pain in the forehead

Name of the pathology	Mechanism of pain	Other symptoms of the disease
Inflammation of the frontal sinuses (front)	Pain occurs due to the accumulation of a large amount of mucus and / or pus in the cavity of the frontal sinuses. In the future, excessive pressure is created on the mucous membrane of the frontal sinuses, which contains pain receptors. It is worth noting that the most intense pain occurs in the morning. This is due to the fact that during the night in the cavity of the frontal sinuses there is stagnation of pus or mucus. As the outflow of pathological contents from the sinuses, the pain gradually stops ( pain is cyclical). Pain in the forehead may be mild or may be unbearable and become generalized ( pain occurs not only in the frontal, but also in the parietal, temporal and / or occipital region).	The appearance of a feeling of heaviness in the frontal sinuses. There is also difficulty in breathing. From the nasal passages quite often there is a discharge of a thick secret or even purulent contents. Often the body temperature rises up to 39ºС ( especially in children). In addition, there is a general malaise and weakness. In severe cases, pain in the forehead may be accompanied by photophobia and eye pain.
Inflammation of the maxillary sinuses (sinusitis)	The same as with the front.	The appearance of heaviness and pain at the site of the projection of the maxillary sinuses when the torso is tilted forward. Breathing through the nose becomes difficult. Often there is fever, general malaise, as well as coughing fits.
Inflammation of the cells of the ethmoid bone (ethmoiditis)	The same as with the front.	Often, the inflammatory process localized in the cells of the ethmoid bone extends to the maxillary and frontal sinuses, which makes the symptoms of ethmoiditis similar to the above-mentioned pathologies.
Acute respiratory viral infections	Headache and pain in the frontal region, in particular, occurs as a result of general intoxication of the body. The fact is that after the virus has entered the bloodstream, it is able to penetrate the central nervous system and negatively affect the functioning of nerve cells ( neurons). As a result, intoxication at the level of the brain is subjectively felt in the form of a headache of different localization.	As a rule, inflammation of the mucous membrane of the nose and / or pharynx occurs, body temperature can reach quite high values ​​( up to 39ºС), chills often appear. There are also muscle pains and joint pains. General intoxication of the body is manifested by malaise, disability and loss of appetite.
Viral tropical fevers	Headaches are usually generalized, but in some cases may occur only in the frontal region. Pain occurs due to general intoxication of the body with the decay products of viruses that disrupt the normal activity of nerve cells.	A two-phase increase in temperature is characteristic ( fever manifests itself in two stages). An increase in the number of white blood cells in the blood leukocytes). Often there are skin rashes of a hemorrhagic nature ( with bloody contents inside).
Inflammation of the meninges (meningitis)	Headache occurs due to increased intracranial pressure. The fact is that with meningitis, the production of cerebrospinal fluid increases, which leads to swelling of the meninges, which significantly increases intracranial pressure. In turn, the increased value ( more than 18 - 35 mm. rt. Art.) intracranial pressure excites pain receptors located in the meninges ( mostly soft shell). Pain in addition to the frontal region can most often spread to the parietal, temporal and occipital region ( depends on the involvement in the inflammatory process of sensory nerves of various lobes of the brain).	The tone of the muscles of the occipital region is significantly increased ( neck stiffness). There are specific meningeal symptoms ( symptom of Kernig, Brudzinsky). Body temperature can rise significantly ( up to 40 - 41ºС). In addition, nausea and/or vomiting occurs. Often there is a disturbance of consciousness ( delirium, hallucinations, stupor, stupor, coma). Seizures may occur.
Inflammation of the brain (encephalitis)	Headache in the frontal region can occur with damage to the frontal lobes of the brain. With encephalitis, headaches are permanent and are associated with degenerative-inflammatory processes in the cerebral cortex. In addition, edema and plethora of the brain are detected.	Also, encephalitis is characterized by the appearance of general malaise, fatigue, muscle pain, fever ( up to 38 - 39ºС), dizziness, nausea, vomiting and sleep disturbances. Often there is a violation of the sensitivity of the facial nerve ( paresis of the facial nerve), increased or decreased salivation, decreased muscle tone, visual hallucinations, chorea ( the occurrence of involuntary erratic movements resembling a dance) and meningeal symptoms.
Increased intracranial pressure (intracranial hypertension)	Increased intracranial pressure occurs with an increase in the volume of the contents of the skull - brain tissue, cerebrospinal fluid, with stagnation of venous blood, as well as with the appearance of a foreign body. Pain in this case is a consequence of irritation of pain receptors located in the meninges, as well as in the vessels.	Forced head position nausea and vomiting. There may be impaired consciousness, convulsions, and sometimes visual disturbances.
cluster headaches	Pain occurs behind the upper edge of the orbit. As a rule, attacks of pain last from 15 to 60 minutes. The mechanism of cluster headaches is still not fully understood, but many scientists suggest that this is somehow related to the inability of the hypothalamus to regulate the human biological clock. These headaches most often occur in the spring or fall and can last for days, weeks, or even months.	During an attack, the ears are blocked at first, and then an unbearable pain appears behind the eye. The eyes often turn red, and lacrimation also appears. It also increases sweating.
Eye diseases	Occurs due to constant eye strain. Pain is usually localized in one of the eye orbits, as well as in the frontal and temporal region.	Pain occurs not only in the eye socket itself, but also in the frontal region. In addition, visual acuity often decreases ( up to complete loss in glaucoma).
Osteochondrosis of the cervical spine (damage to the intervertebral discs)	Occurs against the background of overstrain of the muscles of the neck and / or head. Pain can occur in the frontal or occipital region and is usually permanent.	Consolidation and tension of the muscles of the cervical region. Pain most often occurs against the background of psycho-emotional stress, insomnia, depression or anxiety.
Migraine (bouts of severe headache)	Migraine pain is associated with a violation of the regulation of vascular tone. As a result, arterioles small caliber arteries) are excessively narrowed, which leads to an insufficient flow of blood rich in nutrients and oxygen to the brain cells.	Aura may be present the presence of neurological symptoms, which most often occur shortly before a headache attack). Often there is nausea or vomiting, photophobia, phonophobia, dizziness, excessive irritability or depression. Migraine attacks can occur on the background of stress, after physical overexertion, when eating certain foods or drinks containing alcohol.
Inflammation of the sphenoid-palatine node (Slader's syndrome)	Inflammation of the nerve node located in the pterygopalatine fossa very often leads to intense and sharp pains in the orbit and frontal region. The pain is usually unilateral and most often occurs at night. In most cases, this pathology occurs against the background of an already existing frontal sinusitis or sinusitis.	Attacks of pain can be accompanied by nasal discharge, sneezing, or lead to inflammation of the mucous membrane of the eye and pain in the orbit.
	Painful sensations occur when the ophthalmic branch of the trigeminal nerve is damaged due to its compression by altered vessels, a tumor, or injury. The pain is paroxysmal and very severe. Attacks of pain first last a few seconds, and then their duration gradually increases.	During attacks, the face turns red, the pupils dilate ( mydriasis), lacrimation occurs. Sweating increases on the affected side of the face. Often there is muscle spasm on the affected side.
allergic headache	It is a consequence of increased intracranial pressure. Allergic headache occurs due to cerebral edema ( meningeal) membranes of the brain, in which pain receptors are located. This pain usually resembles a migraine attack.	Urticaria, asthma, Quincke's edema may occur ( angioedema), allergic arthritis.
brain tumors	It occurs due to an increase in intracranial pressure against the background of a volumetric brain process. The headache is slowly progressive, unilateral, and most often occurs in the morning after sleep.	The headache is aggravated by coughing, bending the head forward, sneezing and defecation. There are mental disorders, complete indifference, verbosity, a penchant for jokes. Often these people lose their sense of shame.

A headache in the forehead can also occur against the background of a skull injury, with intoxication of the body with various chemicals, with a metabolic disorder, etc.

In addition to the above causes, a headache in the forehead can occur in the following cases:

• pathology of the cardiovascular system;
• traumatic brain injury;
• exposure to too high or low temperatures;
• puncture of cerebrospinal fluid;
• metabolic disorder;
• endocrine diseases;

Poisoning

In some cases, headache, which can also be localized in the frontal region, can occur with food poisoning, as well as general poisoning. When intoxicated, toxic substances can indirectly or directly affect the central nervous system and cause headaches of varying intensity and localization.

Ingestion in large quantities of the following substances leads to general poisoning:

• lead;
• arsenic;
• carbon dioxide;
• vapors of gasoline;
• chloroform;
• ether;
• acetone;
• some pesticides.

Ethyl alcohol poisoning can also lead to severe pain in the frontal region. Usually it is a bilateral pain of a pulsating nature. Alcohol poisoning is also characterized by very poor general well-being, as well as the presence of nausea and dizziness. In addition, alcohol can lead to a decrease in blood glucose concentration ( hypoglycemia), which also contributes to the appearance of headaches. It is worth noting that not only ethyl, but also methyl alcohol can lead to pain in the head and cause visual impairment.

In addition to general poisoning, headache in the frontal region can occur while eating foods high in nitrates and nitrites, some food additives ( monosodium glutamate), preservatives and dyes. In addition to headache, nausea, stool disturbance, and in some cases fever are also noted.

Pathology of the cardiovascular system

Sometimes headaches occur against the background of vascular disease, which leads to a strong increase or decrease in pressure. This type of headache is called vascular or vascular. This headache occurs due to excessive expansion and tension of arterial vessels ( especially the external branch of the carotid artery). In fact, this mechanism is similar to that of migraine.

Hypertensive headache, which occurs when blood pressure rises, is not constant, but most often paroxysmal. Quite often, a headache appears in the evening or even at night and is a consequence of fatigue. Also, hypertensive headache can occur early in the morning, while causing patients to wake up. The pain is localized in the frontal region, temples and in the back of the head. Most often, this is a bilateral headache, which greatly interferes with various daily activities. It is worth noting that any movement, coughing, tilting the torso or head increases the pain.

With a decrease in blood pressure ( hypotension) may also cause headaches. So, for example, a hypotonic headache occurs when there is a sharp change in the horizontal position to the vertical one ( orthostatic hypotension).

Another cause of headache may be atherosclerosis of the cerebral arteries. With atherosclerosis, the lumen of the arteries gradually decreases due to the deposition of cholesterol and other lipids on the inner wall of the vessels. In this case, headache may become the first symptom of this disease. You may also experience symptoms such as increased fatigue, decreased concentration, nervousness, sleep disturbance up to insomnia. Headache in atherosclerosis, as a rule, is not acute, but constant. Most often, it is accompanied by a feeling of stupor.

Traumatic brain injury

One of the causes of headaches can also be the presence of a traumatic brain injury in the past. If the injury occurred on the frontal bone, then a headache in this place can occur for many years.

With a concussion of the brain, pain can appear both at one point and spread to the entire head and have a diffuse character. Violent movements of the head and neck can exacerbate these headaches, as can coughing, sneezing, or straining. In this case, the cause of the headache may be cerebral edema, hematoma ( limited accumulation of blood), which is formed under the dura mater or fusion of the arachnoid and pia mater.

Post-traumatic increase in intracranial pressure can be observed with brain contusion ( damage to the brain tissue with the presence of a zone of necrosis of nerve cells). In this case, it can occur with cerebral hemorrhages due to cerebral hematoma ( limited accumulation of blood), meningitis, dropsy of the cerebral ventricles ( hydrocephalus), cerebral edema or abscess ( limited suppuration). Most often, such a headache is dull and diffuse ( spilled) character.

With a brain contusion, a headache is also characteristic, which, however, is of secondary importance, since focal symptoms come to the fore ( speech disorder, paralysis, convulsions, mental disorder, etc.). In this case, the pain in the head is diffuse and excruciating.

Exposure to too high or low temperatures

Headache can occur against the background of hypothermia or excessive thermal effects on the body.

With heat stroke, the headache is most often diffuse, but in some cases it can be localized in the frontal region. In the initial stage, compensatory mechanisms are activated, which are aimed at enhancing heat transfer. As a result, the skin becomes red, sweaty and hot. Overheating of the brain structures leads to headaches, which are also accompanied by a strong noise in the head. In addition, there is dizziness, general weakness, dry mouth ( xerostomia), shortness of breath, increased heart rate ( tachycardia). Hallucinations and scotomas may occur later ( dropping out of view). With the depletion of compensatory mechanisms, a collapse occurs, which leads to a sharp drop in blood pressure, which can cause a coma or even lead to death.

Excessive exposure to cold can also lead to headaches. With hypothermia, a local decrease in immunity occurs, which, in turn, can cause inflammation of the nerves located in the frontal region, as well as the meninges ( in this case, meningitis occurs). That is why it is extremely important to wear a warm hat in winter.

Puncture of cerebrospinal fluid

Sometimes after performing a puncture of the cerebrospinal fluid ( lumbar puncture) there is a throbbing headache, which can be localized, including in the forehead. This is due to a decrease in the pressure of the cerebrospinal fluid.

These headaches occur 10 to 20 hours after a lumbar puncture and may last for several hours or days ( no more than 2 - 3 days). It is worth noting that the pain increases when holding the head in an upright position ( standing), while in a horizontal position, the headache may disappear completely or almost completely.

Metabolic disorder

In some cases, headache appears due to various metabolic disorders. These violations, as a rule, are of a secondary nature, that is, they occur against the background of already existing serious diseases.

Headache in the frontal region can occur against the background of the following pathologies:

• hypoxia is a reduction in the supply of oxygen to the human body. Hypoxia will lead to depression of the central nervous system, since nerve cells are extremely sensitive to a decrease in oxygen supply. As a result, one of the symptoms of hypoxia is a headache, which can occur in the frontal region, and sometimes have a diffuse character. This pathological condition will lead to an increase in the frequency of respiration and pulse ( tachypnea and tachycardia), and prolonged hypoxia leads to disruption of the functioning of various organs and organ systems.
• Hypercapnia is a pathological condition in which an excessive amount of carbon dioxide accumulates in the blood. With the accumulation of carbon dioxide in the body, in addition to headaches, nausea and dizziness also occur. Breathing becomes shallow, sweating increases, and loss of consciousness is also possible. In fact, hypercapnia is a particular variant of hypoxia.
• hypoglycemia- Decrease in blood glucose concentration. If the brain does not receive enough glucose, then in this case the nerve cells are not able to function normally. As a result, there is a headache, dizziness, nausea, weakness, hunger. It is also possible a violation of consciousness, increased sweating, pallor of the skin.

Endocrine diseases

Some endocrine diseases can significantly deform the plate of the frontal bone, as well as cause closure of the holes through which the nerves pass ( especially the trigeminal nerve). As a result, patients with the following endocrine diseases experience severe headaches in the forehead, temple and back of the head.

The following endocrine diseases can cause headaches that are localized in the frontal region:

• Acromegaly- a disease of the endocrine system, which is characterized by an increase in the production of the anterior pituitary gland ( one of the highest centers of the endocrine system) growth hormone ( growth hormone). Acromegaly is manifested by an increase, as well as a thickening of the bones of the feet, hands, and the front of the skull. As a result, this pathology leads to headaches, decreased mental abilities, decreased vision, and also to a disorder in the genital area.
• Paget's disease ( fibrous osteitis) is a disease of a chronic nature, in which there is an abnormal growth of some bones. In the affected bones or in some of their areas, metabolic processes increase several times due to the increased functioning of the main cells of the bone tissue - osteoclasts and osteoblasts. It is worth noting, however, that the affected bone in Paget's disease becomes more massive and more fragile. If the frontal bone is affected, then the headache can be extremely intense, especially at night.
• Morgagni-Stuart-Morel syndrome ( internal frontal hyperostosis) is a rather rare pathology, which is characterized by the growth of the internal plate of the frontal bone ( hyperostosis). Headache in this syndrome is very strong, painful and rarely treatable. It should be noted that in addition to an increase in the size of the frontal bone, this syndrome also has virilism ( development of male secondary sexual characteristics in both women and men) and obesity.
• Van Buchem's disease generalized cortical hyperostosis) is a disease that most often begins at puberty ( puberty) and leads to thickening of the skull bones, atrophy ( replacement of nerve fibers by connective tissue) optic nerve, deafness and headaches. These pains slowly progress and become very severe over time.

Blood diseases

Some diseases of the hematopoietic system can cause quite intense headaches in the frontal region.

The following blood disorders can lead to headaches:

• Polycythemia or Wakez's disease characterized by an increase in the total number of cells in the blood ( platelets, erythrocytes and leukocytes). This disease is a malignant pathology of the hematopoietic system and very often manifests itself as dull headaches that have a pulsating character. These headaches sometimes get worse and can be somewhat reminiscent of migraine attacks. In addition, symptoms such as noise in the head and deafness quite often appear.
• Anemia is a pathological condition characterized by a decrease in the total number of red blood cells ( erythrocytes), as well as hemoglobin ( a protein molecule that is responsible for the transport of oxygen and carbon dioxide). Headache with anemia is usually pressing and dull. A feature of this pain is the fact that in a horizontal position it weakens or completely disappears.

Diagnosis of the causes of pain in the frontal part of the head

With inflammation of the frontal, maxillary or sphenoid sinuses ( sinusitis) you need to consult an ENT doctor. Diagnosis of frontal sinusitis, sinusitis or ethmoiditis, as a rule, is not a difficult task, since the usual history taking ( questioning the patient about the disease), together with a clinical examination ( examination of the nasal cavity, palpation of the sinuses and nose to identify painful points, etc.) allows us to judge the nature of the disease. To establish an accurate diagnosis, they almost always resort to an X-ray method for examining the paranasal sinuses in one or two projections ( straight and side). The detection of areas of blackout in the paranasal sinus indicates the accumulation of pathological contents in it ( pus). Also, in some cases, computed tomography or magnetic resonance imaging may be used. However, it should be noted that the results of the last two diagnostic methods do not differ much from radiography, although they are much more expensive.

Diagnosis of various tropical viral diseases, in which headache often occurs due to general intoxication of the body, should be carried out by an infectious disease doctor. When diagnosing dangerous tropical viral infections, they most often resort to collecting a general blood test and a general urinalysis. They also conduct a biochemical blood test. In addition, serological diagnostics is carried out to determine the causative agent of infection ( determination of the number of antibodies to a specific foreign antigen). No less important is the correct interpretation of clinical symptoms and information about the current epidemiological situation.

Benign and malignant brain tumors should be diagnosed by an oncologist. Accurate confirmation of the diagnosis is difficult, as it requires a biopsy ( taking brain tissue for examination). However, the results of computed tomography and magnetic resonance imaging most often help to fully assess the situation and make the correct diagnosis. The gold standard for diagnosis is contrast-enhanced magnetic resonance imaging ( the introduction of a contrast agent, which improves the quality of the resulting image).

Diagnosis of food poisoning, depending on the circumstances, can be carried out by a general practitioner or an infectious disease specialist. In case of serious food poisoning, after a carefully collected anamnesis, feces and / or vomit are taken for examination to identify pathogens in them ( pathogenic) microorganisms ( bacteriological culture).

If the headache occurs against the background of certain diseases of the heart or blood vessels, then a consultation with a cardiologist is necessary. In case of pathology of cerebral vessels, angiography is performed ( x-ray of blood vessels with a contrast agent), computed tomography or magnetic resonance imaging.

Various metabolic disorders, as well as endocrine diseases, require the consultation of an endocrinologist. For diagnosis, you will need to donate blood to determine the level of certain hormones.

Diagnosis of various blood diseases, which in some cases can lead to pain in the frontal region, should be carried out by a hematologist. The diagnosis is confirmed by a general blood test, which reveals significant changes in the hematological formula ( blood formula), as well as biochemical analyzes and specific clinical manifestations of this disease.

What to do with forehead pain?

Targeted treatment of pain in the frontal region should begin after finding out the cause of their occurrence. To do this, it is necessary to fully collect an anamnesis, and in some cases to conduct a neurological examination of the patient. In some cases, to make an accurate diagnosis and select the right treatment, you may need to consult an infectious disease specialist, cardiologist, ENT doctor, ophthalmologist, oncologist, traumatologist, allergist, etc.

First aid and treatment of headaches localized in the frontal region

Name of the pathology	Treatment
sinusitis (sinusitis, frontal sinusitis, ethmoiditis )	Antibacterial medications and sinus drainage are the main treatments for sinusitis ( antibiotic therapy is not needed if sinusitis is caused by viruses). Drainage of the paranasal sinuses is carried out by surgical puncture with further removal of pus or conservatively by increasing the outflow of contents with the help of medications. Antibacterial therapy should be carried out taking into account the sensitivity of microbes to certain antibiotics ( based on antibiogram). Allergy-related sinusitis is treated with antihistamines ( medicines that significantly reduce the severity of allergic manifestations).
Acute respiratory viral infections (influenza, parainfluenza, rhinovirus, adenovirus, etc.)	Influenza treatment is limited to the use of antiviral drugs ( Tamiflu, rimantadine), which can inhibit the activity of some components of the virus, as well as interferons ( fluferon, ingaron, kagocel) to stimulate the immune system. In addition, symptomatic treatment is carried out ( relief of symptoms), aimed at lowering body temperature, eliminating nasal congestion and rhinorrhea ( copious discharge from the nose). Bed rest is also prescribed. Treatment of parainfluenza is aimed at eliminating cough and sputum, lowering body temperature. For adenovirus, eye drops or prednisolone ointment are usually used to treat inflammation of the mucous membrane of the eye ( conjunctiva). Often prescribe antihistamines and multivitamin complexes.
Viral tropical fevers (dengue fever, Lassa fever, yellow fever, etc.)	Strict bed rest is required. Painkillers, antihistamines, and multivitamin complexes are often prescribed. It is essential to drink plenty of fluids to avoid severe dehydration. In severe cases, a blood transfusion is necessary ( blood transfusion) or its components, intravenous administration of glucocorticoids ( adrenal hormones). Sometimes antibiotics are needed when secondary infections occur).
Inflammation of the meninges (meningitis)	Treatment depends on the pathogen that caused the meningitis. In most cases, antibiotic therapy is carried out with broad-spectrum drugs with a further transition to antibiotics to which the pathogenic microorganism is sensitive. Viral meningitis is treated symptomatically. To reduce cerebral edema, some dehydration of the body is carried out by administering diuretics ( furosemide, mannitol). They also resort to detoxification therapy aimed at maintaining a normal level of water-salt metabolism ( introduction of colloid and crystalloid solutions).
Inflammation of the brain (encephalitis)	In most cases, gamma globulin is prescribed ( protein responsible for humoral immunity), which facilitates the course of this extremely dangerous disease. Glucocorticoids are prescribed if cerebral edema is diagnosed. Also in this case, diuretics are administered. Quite often resort to oxygen therapy ( introduction of oxygen into the body). Diazepam, droperidol, hexobarbital, or other anticonvulsants should be given to prevent seizures. In addition, antihistamines, vitamins are prescribed, and if necessary, antipyretics, broad-spectrum antibiotics ( inhibiting and neutralizing most pathogens), cardiotropic drugs ( stabilizing the work of the heart muscle).
Increased intracranial pressure	Treatment depends on the cause that led to the increase in intracranial pressure. First aid for this pathology is the use of such diuretics ( diuretic drugs) as mannitol or furosemide. Glucocorticoids are prescribed only when it comes to brain tumors. With a significant increase in intracranial pressure, they resort to artificial ventilation of the lungs using hyperventilation ( enhanced ventilation).
cluster headaches	The treatment of cluster pain is an extremely difficult task, since the attacks are quite short-lived, and the effect of medical medications begins after the attack ends. Under the supervision of medical personnel, these headaches can be stopped with the help of drugs such as ergotamine, somatostatin or lidocaine.
Eye diseases (astigmatism, myopia, glaucoma, hyperopia)	Laser vision correction for astigmatism is by far the most effective method of treatment. If for some reason the operation is not possible ( there is a pathology of the retina, thinning of the cornea, cataracts, etc.), then resort to the selection of lenses or glasses. Nearsightedness and farsightedness are treated with laser therapy, as well as the selection of contact lenses or glasses. In turn, the treatment of glaucoma ( increased intraocular pressure) can be carried out by using special eye drops, which can to a certain extent affect the various structures of the eyeball and reduce pressure in it. The key to successful conservative treatment is a periodic visit to a competent ophthalmologist. Surgical treatment is necessary for congenital glaucoma or when medical treatment fails. At the moment, there are several different types of operations, but recently laser therapy is most often used. With the help of a laser, access to various structures of the eye ( trabecular meshwork, Schlem's canal) and by improving the drainage system of the eye, a decrease in intraocular pressure is achieved. It is worth noting that at the moment neither drug treatment nor surgery can fully cure this disease.
	In most cases, the treatment of osteochondrosis is reduced to the use of conservative methods. These methods of treatment include physical therapy, massage, therapeutic blockade ( the introduction of medications that significantly reduce pain), spinal traction, physiotherapy ( the use of physical factors to improve tissue trophism and reduce pain), reflexology ( impact on acupuncture and reflex zones). If conservative treatment fails, then surgical treatment is resorted to.
Migraine	Various types of medications can be used to treat migraine. The most commonly used painkillers and antipyretics ( aspirin, paracetamol, analgin, ibuprofen, diclofenac, naproxen), antiepileptic drugs ( valproic acid, maxitopyr), calcium channel blockers ( diltiazem, verapamil) and antidepressants ( amitriptyline, clomipramine, imipramine). In addition, it is necessary to avoid factors that can lead to migraine attacks ( stressful situations, mental or physical strain, certain foods, too much or too little sleep, taking certain medications).
Inflammation of the sphenoid-palatine node	Pain relief is carried out by introducing turundas ( small gauze swab) in the nasal passages, which are previously moistened with novocaine or lidocaine. Extremely severe pain is relieved with ganglionic blockers ( benzohexonium or pentamine), capable of inhibiting impulse conduction in nerve nodes and tissues. If this pathology is caused by an infection, then antibiotics are prescribed. In addition, it is most often necessary to take antiallergic drugs ( suprastin, diazolin, loratadine).
Neuralgia of the ophthalmic branch of the trigeminal nerve	Anticonvulsants have shown good results in the treatment of trigeminal neuralgia. The most commonly used is carbamazepine. In addition, antispasmodic drugs may also be prescribed along with this medication ( relieve spasm of smooth muscle tissue) or muscle relaxants ( reduce muscle tone). In addition to conservative treatment, minimally invasive ( less traumatic) surgical treatment aimed at eliminating the compression of blood vessels that feed the branches of the trigeminal nerve or partial removal of the trigeminal nerve.
allergic headache	Treatment of allergic reactions is based on taking antihistamines, which inhibit the production of histamine, which is a mediator ( a biologically active substance that accelerates and enhances some specific processes in the body) allergic reaction. It is extremely important to avoid contact with the allergen. If the allergy is caused by any product, then it is necessary to completely exclude it from the diet. In anaphylactic shock ( immediate allergic reaction), which is accompanied by an excessive drop in blood pressure ( collapse), adrenaline should be used as first aid in the first minutes ( subcutaneously or intravenously). followed by glucocorticoids ( hormones produced by the adrenal cortex), which effectively and quickly suppress the allergic reaction. If necessary ( occurrence of respiratory failure) perform tracheal intubation ( insertion of a special tube into the larynx to provide air access).
brain tumors	The type of treatment is selected purely individually and depends on the type of tumor, stage, size, presence of metastases ( penetration of the tumor into other tissues and organs), the age of the patient, as well as the presence of concomitant diseases. Conservative treatment involves the use of medications such as glucocorticoids ( reduce cerebral edema), sedatives ( relieve anxiety and are able to reduce the severity of some cerebral symptoms), painkillers ( relieve pain of varying severity), antiemetics ( often with brain tumors, as well as after chemoradiotherapy, vomiting occurs). In most cases, radiotherapy is necessary ( method of treatment using ionizing radiation) and/or chemotherapy ( the use of toxic substances that stop the growth and division of cancer cells). Sometimes they resort to the method of cryosurgery, during which the tumor is destroyed under the influence of low temperatures ( cryoprobes and applicators). Surgical treatment is the most radical, but at the same time, the most effective way to remove a brain tumor. However, the operation can be carried out only if the tumor does not affect particularly important areas of the brain, and its size is not too large.
Traumatic brain injury	First aid and treatment for traumatic brain injury is provided depending on its severity. Even a mild form of traumatic brain injury ( concussion) can have serious consequences. That is why it is always necessary to seek the advice of a neurologist. The most commonly prescribed painkillers for concussions are: pentalgin, analgin, baralgin, etc.), as well as sedatives, depending on the degree of sleep disturbance. With a brain injury, first aid should be aimed at maintaining the functions of vital organs. When breathing stops, it is urgent to do artificial respiration mouth-to-mouth or mouth-to-nose, and in case of cardiac arrest, an indirect heart massage. In addition, an ambulance should be called from the very beginning. It is worth noting that the victim should not be in a sitting or standing position, only a prone position is acceptable. Treatment involves normalizing the level of oxygen in the blood ( oxygen therapy), the use of medications that are able to restore the integrity of brain cells to a certain extent ( ceraxon, erythropoietin, progesterone) and normalization of intracranial pressure ( most commonly used intravenous blood components to restore normal circulating blood volume). If there is compression of the brain tissue, as well as during dislocation ( marked change in position) of some brain structures, surgery is indicated ( trepanation). During this operation, dead brain tissue is excised and, if necessary, decompression is performed ( eliminate compression of the brain by traumatic edema).
Hypothermia of the body	In case of hypothermia, the victim should be quickly changed into warm and dry clothes. In addition, he should be allowed to drink sweet hot tea, since quite often, when hypothermia, the level of glucose in the blood decreases markedly ( hypoglycemia). Also, for the victim, you can warm the bathroom, in which the water temperature will constantly be at least 41 - 42ºС. With excessive hypothermia of the body, namely with the appearance of such signs as severe pallor or cyanosis of the skin, drowsiness, slow speech, confusion up to its absence, a pronounced decrease in the frequency of breathing and heart rate, it is important to call an ambulance as soon as possible. In this case, it is necessary to deliver the victim to a warm room as soon as possible in order to avoid heat loss. In this case, you should constantly monitor breathing and cardiac activity. In the hospital with hypothermia ( excessive hypothermia of the body) use inhalation of humid oxygen heated to 42ºС. Peritoneal and pleural lavage can also be used ( introduction of preheated solutions into the abdominal and pleural cavities), which increase body temperature by 2 - 5ºС per hour.
Overheating of the body	First aid for heat stroke is to bring the body of the victim to a horizontal position. In addition, you need to call an ambulance as soon as possible. It is worth noting that if a person feels nauseous or vomits, the head should be tilted to one side to avoid getting vomit into the respiratory tract. It is also important to be with the victim in the shade or under a canopy before the arrival of doctors. If possible, apply cold compresses to the forehead or use a special package against hyperthermia ( overheating), which, for example, is an integral part of the driver's first aid kit.
Puncture of cerebrospinal fluid	Headache caused by a puncture of the cerebrospinal fluid usually does not need treatment. Within 2 to 3 days, this headache disappears on its own.
Metabolic disorders
hypoxia	Treatment depends on the form of hypoxia ( lack of oxygen in the blood). If hypoxia increases acutely, then there is a need to monitor and constantly maintain the functioning of the respiratory and cardiovascular systems. In addition, they often resort to hyperbaric oxygenation, during which the patient is placed in a pressure chamber, where oxygen is supplied under high pressure. As a result, a person inhales enough oxygen to saturate arterial blood with it. Medicines can also be prescribed that improve the functioning of the microvascular bed of the brain, antioxidants ( neutralize the effects of free radicals), as well as drugs with a neuroprotective effect ( increase the protective properties of nerve cells). If hypoxia occurs gradually ( chronic form), then you should find out the reason that caused this pathology. Often this is caused by a disease of the respiratory system ( bronchial asthma, chronic bronchitis, bronchiectasis). Anemia can also lead to chronic hypoxia ( anemia), atherosclerosis and some other diseases. If the treatment of these diseases and control over the general state of health is carried out in a timely manner, then the degree of hypoxia can be reduced to a certain extent.
Hypercapnia	Hypercapnia, like hypoxia, can occur against the background of various diseases of the respiratory system. Treatment of this pathological condition should be carried out in a hospital, since an increase in the concentration of carbon dioxide in the blood can further lead to respiratory failure, and sometimes death ( as well as acute hypoxia). Treatment of acute hypercapnia is carried out with pure oxygen, which is supplied through a mask. The chronic form of hypercapnia should be eliminated with the help of adequate treatment of the underlying disease.
hypoglycemia	Mild hypoglycemia is corrected by eating foods or drinks that are particularly rich in fast-digesting carbohydrates. These products include cookies, bread, juice from various fruits, etc. In addition, there are special tablets that contain dextrose, a carbohydrate that is absorbed into the blood immediately at the beginning of the digestive system, namely, in the oral cavity. When a low blood glucose level is detected in a hospital, they resort to intravenous administration of a 40% glucose solution. A less effective way is the intramuscular injection of the hormone glucagon, which can cause the breakdown of glycogen ( a complex carbohydrate made up of glucose residues) in the liver and thereby leads to the release of a sufficient amount of glucose into the bloodstream.
Endocrine diseases
Acromegaly	Treatment of this endocrine disease can be both conservative and surgical. Conservative therapy includes irradiation of pituitary adenoma ( benign tumor) ionizing radiation ( radiotherapy and telegammatherapy). This method gives positive results in about 70 - 80% of cases, however, the level of somatotropic hormone production ( a growth hormone) is still elevated. In recent years, irradiation of the adenoma with a high-energy beam of proton particles or heavy alpha particles has shown a good result. This irradiation has practically no effect on the surrounding tissues ( skin, skull bones, brain tissue). Medications that can lower the level of somatotropic hormone are also used - bromocriptine, parlodel, quinagolid, and somatostatin. The basis of surgical treatment is the removal of an adenoma, if its size is small ( microadenoma) or its maximum excision in macroadenoma. It is the surgical operation that allows you to quickly relieve headaches, as well as compression of the optic nerve by the tumor.
Paget's disease	Slowing the progression of Paget's disease is carried out with medication. The most commonly prescribed is calcitonin ( thyroid hormone), which relieves pain, and also normalizes bone growth. Relief of headaches is carried out with the help of paracetamol and other non-steroidal anti-inflammatory drugs. With significant deformity of the joints, their surgical treatment is indicated.
Morgagni-Stewart-Morel syndrome	Strict adherence to a diet is required, which is an analogue of a diet for diabetes mellitus. The diet should consist of animal proteins, a large amount of mineral salts, vitamins, while the content of lipids and carbohydrates, especially easily digestible ones, should be significantly reduced. In addition, symptomatic treatment is carried out. If symptoms of heart failure occur, cardiotonic drugs are used ( digoxin, strophanthin-K), diuretics ( furosemide, lasix).
Van Buchem's disease	Hearing impairment, which quite often occurs with this pathology, is corrected by the selection of a hearing aid. Pain, which is a consequence of squeezing the facial and optic nerves, is eliminated by surgical treatment. During the operation, the hole through which the facial nerve passes is subjected to decompression ( expansion).
Blood diseases
Polycythemia	Treatment consists of taking medications that can thin the blood ( anticoagulants). The main treatment for this pathological condition is bloodletting, or phlebotomy. Thanks to phlebotomy, the volume of circulating blood decreases to a certain extent, and the number of red blood cells decreases, which predominate in polycythemia in most cases. An alternative to bloodletting is erythrocytapheresis - the removal of only red blood cells from the bloodstream. It is worth noting that with polycythemia it is very important to deal with the consequences of this disease. Itchy skin is treated with antihistamines ( loratadine, cetirizine), with the development of anemia, glucocorticosteroids are used ( prednisolone), and for gout ( deposition in tissues and joints of uric acid) – anti-gout drugs ( allopurinol etc.).
Anemia	In the treatment of anemia, drugs are used that compensate for iron deficiency ( sorbifer, heferol, globiron, hemostimulin) and/or vitamin B12 in the body. It is extremely important to get enough protein, vitamin B12 and iron from food. If anemia has developed against the background of massive bleeding, then a blood transfusion is performed. Depending on the form of anemia, iron preparations can be administered both intravenously and orally ( orally in the form of tablets), while vitamin B12 is administered to the body mainly by intravenous route.

Features of pain in the forehead

One of the distinguishing features of pain in the frontal region is that pain quite often occurs not only in the forehead, but also in adjacent areas of the face or skull. This is due to the fact that various pathological processes that cause these headaches can quite easily spread to other structures and tissues. Most often, pain can also occur in the eyes, temples, or back of the head.

Why does my forehead and eyes hurt?

Pain in the forehead is often accompanied by pain in the eye area. Such pain, depending on the cause, may appear acutely ( for example, with migraine or cluster headaches, with a sharp increase in blood pressure, etc.) or gradually - with the development of an infectious process, with overwork and overstrain. Pain can have both unilateral and bilateral localization, as well as a different characteristic and intensity. In the absence of timely appropriate measures, pain can negatively affect sleep, performance and quality of life, and the pathological process can lead to very serious consequences.

The main causes of pain in the forehead and eyes are the following pathologies:

• Migraine- the most common cause of pain in the frontal region and eyes. Migraine usually causes pain on one side. Migraine pain can be described as throbbing, squeezing. The onset of pain may be preceded by a short prodromal period ( period before illness) - an aura, which is more often manifested by blurred vision. The duration of the pain attack itself can reach from several hours to several days. Appears mainly in females aged 10 to 30 years. Pain in the forehead and eyes with migraine may be accompanied by symptoms such as photophobia ( photophobia) or sound phobia ( phonophobia). Often, with the implementation of various movements, there is an increase in pain.
• Overwork, excessive psychological stress and stress can lead to tension headaches tension type). This type of headache is bilateral. The pain is pressing, quite often patients describe it as a feeling of a "helmet or hoop" on the head. The duration of the pain attack varies from several minutes to several hours and even days. Predominantly females are affected. It is worth noting that tension headaches can occur in people of any age group. It is worth noting that with a tension-type headache, a trigger or trigger factor is almost always present ( stress or overwork), which acts for a long time and, ultimately, causes this pain syndrome.
• . The nature of the headache with an increase in increased intracranial pressure is pressing, bursting and compressing. These headaches most often occur in the morning, after waking up. The pain is accompanied by a noise in the head and is practically not stopped by taking painkillers. Initially, the pain is episodic, and then, if left untreated, becomes permanent.
• Increased intraocular pressure, or glaucoma. Symptoms of increased intraocular pressure are manifested by acute pain in the eyes, superciliary arches and in the forehead. These symptoms are accompanied by a progressive deterioration in vision. Also, other pathologies of the visual analyzer can lead to pain in the forehead and eyes.
• Spasm of accommodation, or false myopia is a disease that is caused by a malfunction of the ciliary muscles of the eye ( muscles involved in focusing vision) due to prolonged fatigue. Spasm of accommodation is accompanied by rapid fatigue, deterioration of visual acuity, headache and pain in the eyeballs.
• Inflammatory diseases of the paranasal sinuses. A characteristic sign of sinusitis is initially a feeling of heaviness in the frontal, paranasal region, and then pain in the projection of the paranasal sinus, the bridge of the nose or above the eyes. Localization of pain depends on the spread of the inflammatory process. If the inflammation is only on one side, the pain is one-sided. It is worth noting that increased pain is noted in the evening. On percussion ( finger tapping) frontal or paranasal areas of pain intensify.
• Cluster headaches ( beam). Cluster pains have strictly unilateral localization. The pain is burning, boring. The duration of pain can vary from 15 minutes to 3 hours. Men are predominantly ill. Basically, cluster pain appears at night, and, often, does not allow you to sleep. Cluster pains are accompanied by lacrimation and redness of the eyes.
• Head injury. Injuries in this area can also lead to headaches in the forehead and eyes. For example, a bruise, abrasions, fracture, concussion or contusion of the brain. In this case, pain can appear both immediately after the injury, and after a while and last for months and even years.
• Tumors. The tumor process can occur or metastasize ( cancer cells are able to invade other organs and tissues) in the frontal lobes of the brain, the frontal bone or the vessels of the brain. Pain can be of a different nature and depends on the location, size of the tumor, its stage, and it can also be affected by concomitant diseases. Increased pain is observed with the progression of the tumor, when it becomes malignant.
• infectious process. In addition to the above causes, these headaches can cause meningitis and encephalitis. With these extremely dangerous pathologies, the pain has a bursting character. Due to the increased sensitivity of brain cells, pain can be provoked even by touching the scalp, light or sound.
• Neuralgia of the facial nerve can also lead to headaches in the forehead and eyes. When the ophthalmic branch of the trigeminal nerve is affected, pain occurs suddenly, and even a light touch of fingers on the lower or upper part of the orbit and forehead, chewing food, talking or brushing your teeth can provoke this pain. In addition to the pain syndrome, some redness of the frontal region and lacrimation may also occur.

Why does the forehead hurt and there is a feeling of pressure?

Often, patients with pain in the frontal region also complain of a feeling of pressure. Migraine in this case is one of the most common causes. Also, often pain in the forehead, a feeling of pressure and fullness in the eyeballs occurs with an increase in intraocular pressure.

In addition to the above reasons, there are other reasons for the feeling of pressure and pain in the forehead:

• Hypertensive crisis. Subjective symptoms of high blood pressure are headaches in the forehead or neck. Usually the pains appear at night or early in the morning, are not very intense and are bursting in nature with an accompanying feeling of pressure.
• Vegetative-vascular dystonia ( VSD) also accompanied by bouts of severe pain localized in the frontal and temporal region. As a rule, the pain is unilateral. Pain may be preceded by a feeling of pressure in the eye or frontal region. As a rule, the pain appears in the morning, it can last all day, while night pains are not typical for this pathology.
• ENT diseases ( sinusitis, frontitis ). Pain and a feeling of pressure are aggravated by pressure on the skin in the area of ​​​​the location of the inflamed sinuses.
• Common inflammatory diseases ( influenza, SARS). In these diseases, headache is a consequence of intoxication of the body. And by eliminating the causes of its appearance, pains with a feeling of pressure are automatically eliminated.
• Eye diseases ( conjunctivitis, keratitis, optic neuritis, iridocyclitis, etc.). These conditions, in addition to damage to the organs of vision, are almost always accompanied by pain in the frontal region, as well as a feeling of pressure.

Why does my forehead and temples hurt?

Pain in the temporal and frontal regions is a phenomenon that is quite common among the adult population. Often these pains arise from excessive stress.

Also, pain in the frontal and temporal region may appear as a result of the following reasons:

• In this case, the pain is acute, sudden, especially with a sharp increase in blood pressure. It also covers the occipital region.
• Temporal arteritis is a rather rare pathology in which arteries of medium and large caliber are affected, supplying arterial blood to the eyes, optic nerves and temporal region. With temporal arteritis, the localization of pain is often unilateral. The pain is burning and aching in nature and begins suddenly. It is worth noting that these pains are quite long and difficult to relieve. Headache can appear at any time of the day. Most often, temporal arteritis occurs in people over 50 years of age, both in men and women.
• Trigeminal neuritis. Pain in trigeminal neuralgia, as a rule, is unilateral and occurs from the side of the affected nerve. Pain can last from 10 - 15 seconds to several minutes and they are paroxysmal in nature. During an attack, patients try not to perform any movements, since any change in body position can provoke or increase pain. Localization of pain sensations is limited to the zone of innervation ( location of nerves) branches of the trigeminal nerve. In most cases, the forehead and temples, as well as the zygomatic region, are affected.

Why does my forehead hurt and feel sick?

Symptoms such as frontal pain and nausea may seem insignificant at first glance. However, these symptoms can indicate very serious diseases, being their first symptoms. Most often, headache and nausea are signs of a disease of the nervous system.

Headaches and nausea can be caused by the following reasons:

• Food poisoning. Extremely often with food poisoning, severe headaches occur in the forehead and temples, which are accompanied by nausea, vomiting and diarrhea. Headaches are caused by the action of toxins on the cells of the central nervous system, which enter the bloodstream from the gastrointestinal tract. Depending on the cause of the poisoning, symptoms may appear within a few hours or less often than a few tens of minutes ( when staphylococci enter the gastrointestinal tract).
• Pregnancy. Headache during pregnancy appears due to hormonal changes in the body of the expectant mother. It should be noted that these two symptoms, when combined with an increase in blood pressure, may indicate eclampsia ( a type of late toxicosis of pregnancy, in which blood pressure rises excessively) is a serious condition that directly threatens the life of both mother and child.
• Head injury. Pain after a head injury can persist for quite a long time. In some cases, they can last for months and years, and in rare cases, a lifetime. Most often, headaches resulting from a traumatic brain injury are accompanied by memory impairment, cognitive decline ( orientation in time and space, the speed of perception of various external stimuli, etc.) and increased fatigue. It is worth noting that the pain in this case quite often increases against the background of physical exertion.
• Infectious diseases of the nervous system. Most often, headache and nausea can be caused by meningitis and encephalitis, which can be both viral ( tick-borne encephalitis virus) and bacterial nature ( meningococcus). The pain is bilateral, bursting in nature, often dull and almost always accompanied by nausea, which does not bring a feeling of relief after vomiting. These diseases also present with symptoms such as fever and positive meningeal symptoms ( symptoms of Kernig, Brudzinsky, Gillen) and increased tone of the occipital muscles.
• Increased intracranial pressure characterized by severe arching pain, which can often be accompanied by nausea or even vomiting. The most common headache occurs in the morning. Most often, the pain is quite strong and noticeably interferes with daily activities. It is worth noting that with an increase in intracranial pressure, symptoms such as dizziness, visual impairment, decreased attention and memory impairment are also characteristic.
• Menstrual pain. The so-called menstrual migraine occurs against a background of hormonal imbalance and is usually experienced during premenstrual syndrome ( a complex of symptoms that occur 2 to 10 days before the menstruation itself). Headache is concentrated in one area - frontal or temporal and is accompanied by nausea, vomiting and high fatigue. In addition, emotional lability is characteristic ( mood swings), pain in the heart, itching of the skin, and sometimes an increase in body temperature.
• Climax. Headache with menopause menopause) is one of the most common symptoms. Pain that is compressive in nature is usually localized in the occipital or frontal region. In addition, nausea and a feeling of a flush of heat are quite often noted.

Why does the forehead and neck hurt?

Pain in the occipital and / or frontal region is a common complaint of those seeking medical help. It is often very difficult to determine whether pains are localized in the cervical spine and at the same time they radiate to the back of the head, or these are headaches of a different etiology. Quite often, such pains appear as a result of mental or physical overstrain. There are a number of reasons that can cause pain in the forehead and neck.

The following pathologies can cause pain in the forehead and neck:

• Increased blood pressure. The most typical localization of headaches with an increase in blood pressure is the occipital and frontal region. The risk of high blood pressure increases with age. Risk factors are smoking, alcohol, stress, hereditary predisposition, etc. Pain, as a rule, occurs in the morning and may be accompanied by dizziness, nausea, memory impairment, and a feeling of fatigue.
• Osteochondrosis of the cervical spine is a very common cause of headaches in the occipital region. This pathology can cause vertebral artery syndrome, in which one or two vertebral arteries are squeezed at once, as a result of which blood supply to the brain is reduced to a certain extent. With vertebral artery syndrome, in most cases, severe or throbbing pain occurs, which is localized in the back of the head, and can also capture the frontal, parietal and superciliary region. As a rule, the pains are permanent and increase significantly with sudden movements of the neck. If the vertebral arteries are completely compressed, then, as a rule, this leads to nausea, and then to loss of consciousness ( oxygen starvation of the brain occurs). Symptoms such as hearing loss, tinnitus, decreased visual acuity, eye pain, and impaired coordination may also occur ( dysfunction of the vestibular apparatus).
• Head and neck trauma. Often the consequence of serious traumatic brain injury is the occurrence of diffuse and girdle headache. Most often, this pain is temporary and with well-chosen treatment gradually disappears. Also, injuries of the cervical spine can cause the aforementioned vertebral artery syndrome.
• tumor process. If the tumor affects several lobes of the brain, the headache loses its localization and becomes diffuse. In this case, the pain is quite strong and often throbbing. There is pain during sleep or immediately after waking up. Often this phenomenon is accompanied by the occurrence of nausea and / or vomiting, and in some cases, loss of consciousness. As a rule, various visual impairments begin to occur - doubling in the eyes ( diplopia), the appearance of blind spots in the visual field ( scotomas), etc. Headache can increase significantly with moderate or intense physical exertion, as well as with a change in body position.

Why does my forehead and nose hurt?

The main cause of pain in the forehead and nose is sinusitis. Sinusitis is an inflammatory process that is localized in one or more paranasal sinuses ( sinuses). Sinusitis can affect the maxillary ( maxillary), frontal and wedge-shaped ( are part of the sphenoid bone of the skull) sinuses, as well as cells of the ethmoid labyrinth of the ethmoid bone. This disease is quite common and often occurs against the background of various SARS ( like the flu) or with acute rhinitis.

It is worth noting that the presence of some anomalies in the development of the anatomical structures of the nasal cavity, such as curvature of the nasal septum, increases the likelihood of sinusitis. In addition, allergic rhinitis is also a predisposing factor ( inflammation of the nasal mucosa of an allergic nature), frequent hypothermia and the presence of polyps in the nasal passages ( mucosal overgrowth).

This pathology can be caused by both bacteria and viruses, and microscopic fungi. In addition, the use of certain medications can also contribute to sinusitis.

One of the most important symptoms of sinusitis, and in particular frontal sinusitis ( inflammation of the frontal paranasal sinuses) or sinusitis ( inflammation of the maxillary sinuses), is the appearance of heaviness and pain in the frontal and paranasal region. This symptom occurs due to the accumulation of a large amount of mucopurulent secretion in the sinuses, which is able to compress pain receptors located in the sinus mucosa. It should be noted that in the morning the pain is more pronounced than in the evening. This is due to the fact that in the morning in the sinuses the amount of pus, as a rule, reaches its maximum amount, while in the evening and at night the amount of pus in the sinuses decreases to a certain extent.

Other symptoms of sinusitis include:

• Runny nose. The presence of thick discharge from the nose is one of the leading symptoms of inflammation of the paranasal sinuses. Most often, nasal discharge is purulent ( green or yellow), but sometimes it is whitish or transparent mucous discharge. It is worth noting that nasal discharge may or may not be present. This occurs when severe nasal congestion occurs along with difficulty in the outflow of pathological secretions from the sinuses.
• sneezing, in fact, is a protective mechanism and occurs due to irritation of the nasal mucosa.
• Nasal congestion. With unilateral sinusitis, congestion occurs in only one sinus, but most often the process affects both sinuses. The nose is stuffed up almost always, which makes it difficult for the process of outflow of thick pus from the sinuses.
• Increase in body temperature almost always occurs with an acutely developing process ( acute sinusitis). In some cases, the temperature can reach 38 - 39ºС. In chronic sinusitis, body temperature practically does not rise.

In addition to sinusitis, pain in the frontal region and in the nose can provoke a number of other reasons.

The following causes can lead to pain in the forehead and nose:

• Head and face trauma often causes intense pain in these areas. Depending on the cause and severity of the injury, pain can be unilateral or bilateral, and also occur with a certain frequency or be permanent ( with severe brain injury). The duration of pain can also vary greatly - from several days to several months and even years.
• trigeminal neuralgia is a pathology in which one or more branches of the trigeminal nerve ( is the main nerve of the mouth and face) are strongly compressed ( most often by vessels or tumor). With the defeat of the trigeminal nerve of a traumatic or inflammatory nature, extremely intense pain occurs. The pain can be so severe that it forces patients to completely stop their normal daily activities. This is due to the fact that even the slightest movement can increase pain or provoke its reappearance. In addition to pain, facial muscle spasm may also occur ( pain tic).

What to do if the forehead hurts and the temperature rises?

The most likely cause of forehead pain in combination with fever is an acute respiratory viral infection ( influenza, parainfluenza). In addition, this symptomatology may also precede inflammation of the frontal paranasal sinuses ( frontitis). It is worth noting, however, that in addition to the above reasons, these symptoms can also occur with many other pathologies. The treatment of each of these pathologies can vary significantly, and that is why it is important to consult a doctor in a timely manner for the correct diagnosis of the disease.

Non-steroidal anti-inflammatory drugs (NSAIDs) are usually used to control pain ( NSAIDs), which have moderate pain relief ( analgesic) action.

The following medicines are most commonly used to reduce the severity of headaches:

• paracetamol;
• aspirin;
• diclofenac;
• ibuprofen;
• naproxen.

Also, these drugs can lower body temperature to a certain extent ( relieve fever and chills). It is achieved due to the fact that these medicines are able to act on the center of thermoregulation and raise the point of normal body temperature to a higher one.

It is worth noting that only two drugs can be given to children to reduce body temperature - paracetamol, as well as ibuprofen. Unlike other representatives of this drug group ( NSAIDs) these two drugs have virtually no side effects and are therefore relatively safe.

Why does my forehead hurt when I have a cold?

In some cases, a runny nose may be accompanied by a headache, which is localized in the frontal region. Most often, this is due to the fact that acute rhinitis ( runny nose) became the cause of another disease - frontal sinusitis.

Frontitis is an inflammation of the mucous membrane of the nasal sinuses. This pathology is most often caused by pathogens ( pathogenic) bacteria and/or viruses. Acute rhinitis creates all the prerequisites for the penetration of pathogenic microorganisms into the frontal sinuses, after which frontal sinusitis occurs. The most specific symptom of this disease is pain in the frontal region, as well as a feeling of heaviness at the site of projection of one or two frontal sinuses. This symptom occurs due to the fact that a large amount of purulent content accumulates in the sinus, which compresses the nerve endings and receptors located in the mucous membrane of the frontal sinuses.

Pain with frontal sinusitis is most often very severe, especially in the morning. The fact is that during sleep, pus gradually accumulates in the sinuses, and the outflow of this pathological content does not occur. The pain subsides only when there is a partial or complete emptying of the sinuses. It is worth noting that in advanced cases, in addition to pain in the forehead, there is also photophobia and pain in the eye sockets.

Another cause of forehead pain may be the flu or another acute viral infection. In this case, after the onset of a runny nose, the body temperature rises, chills, sore throat and cough may appear.

In some cases, headache and runny nose may be due to seasonal allergies ( hay fever). In this case, the headache is dull, most often diffuse, but can also occur in the frontal region. In addition, seasonal allergies are characterized by inflammation of the mucous membrane of the eyes ( conjunctivitis), cough, dermatitis.

Why does pain occur in the forehead when the torso is tilted forward?

This symptom is a highly specific sign of a disease such as frontal sinusitis ( inflammation of the mucous membrane of the frontal paranasal sinuses). With this pathology in the frontal sinuses ( sinuses) accumulates a large amount of viscous secretion ( most of the time it's pus). When the torso is tilted forward, this secret presses on the anterior wall of the frontal sinuses, in which a large number of pain endings are located, which causes a feeling of heaviness and pain.

It is worth noting that the pain at the site of the projection of the frontal sinuses is most pronounced in the morning than in the evening or at night. The thing is that during the night a large amount of pus accumulates in the frontal sinuses, and in the morning, when the horizontal position is changed to a vertical one, the entire pathological secret begins to put pressure on the front wall. The peculiarity of these pains is that with a partial outflow of pus from the sinuses, the pain gradually subsides, and if the outflow is impossible, the pain becomes extremely strong and even unbearable. The headache becomes diffuse and causes severe inconvenience. In this case, eye pain, photophobia, and a violation of the sense of smell also quite often join.

In addition to frontitis, this symptom can be caused by inflammation of the anterior or posterior cells of the ethmoid bone ( ethmoiditis) or inflammation of the sinuses of the sphenoid bone ( sphenoiditis). The mechanism of pain in this case is similar to that in frontal sinusitis. It is worth noting that these diseases are more complicated, since the pathological process in this case extends to both the frontal and maxillary sinuses.

Headache when bending down, why does this happen? The etiology of the process can be varied. In most cases, such severe pain can indicate serious damage to the body.

That is why pain when bending over should not be ignored. When they appear, it is important to consult a doctor for examination.

Medical indications

If your head hurts when you bend over, don't panic right away. Sometimes the process is based on non-medical factors, including:

• frequent, intense nervous strain;
• stressful situations;
• prolonged depression;
• chronic fatigue.

If your head hurts, the reason for this may be the presence of alcohol or drug addiction. Certain medications can cause pain. In this case, pain is a side effect of therapy.

Medical etiological factors

Throbbing pain often worries patients. The etiology of headache may be related to:

• with allergic reactions;
• with neoplasms of the nasal cavity;
• with asthmatic syndrome;
• with seasonal exacerbations;
• with the effects of migraine;
• with spondylosis;
• with osteochondrosis.

Throbbing pain is the most common. It can be provoked by sinusitis and other pathologies of the paranasal sinuses. Sinusitis is a severe inflammation of the paranasal sinuses.

The process often occurs due to untreated influenza or a viral pathology that has become more complicated.

Sinusitis can manifest itself in the form of sinusitis, sinusitis or sphenoiditis. At the same time, throbbing pain in the head always develops.

How to suspect the development of sinusitis? There are a number of specific signs that are characteristic of sinusitis:

• feeling of pressure in the forehead, temples or eyes;
• mucous discharge from the nose, especially in the morning, often with impurities of pus;
• increased body temperature;
• throbbing pain in the face on palpation;
• sharp pain in the head when bending over;
• aching attacks of pain when lying down;
• malaise;
• chills;
• fever.

Sinusitis almost always accompanies viral infections. It all starts with a runny nose, there is a throbbing pain when bending down.

With a lesion, an intense inflammatory process occurs in the nasopharynx. Swelling of the tissues in the nasal region develops, which interferes with the normal movement of air.

Mucus has a tendency to stagnate - microbes accumulate in it, and purulent contents appear. Because of this, there is pressure in the nasal region, unpleasant sensations appear.

This provokes pain when tilting the head. Soreness can be given to the upper jaw, to the teeth.

With excessive accumulations, severe soreness and pressure develop in the area of ​​the maxillary sinuses. That is why self-treatment in such cases is unacceptable.

Why does forehead pain occur? The most common cause of such discomfort in the forehead is the defeat of the sinuses.

It occurs due to excessive accumulation of pus in the affected areas of the nose area. At the same time, only specialized medical care is required to normalize the condition.

Self-treatment will not bring the slightest result. Ignoring medical care will only lead to a deterioration in well-being, will translate the pathology of the nasal region into a chronic form.

The standard list of medical appointments includes:

• an antibiotic that works against this infection;
• drugs against swelling (their use can lead to increased pain in the head and nose, so they should be used only on the advice of a doctor);
• antihistamines that reduce swelling.

In some cases, an additional anesthetic drug is used, a remedy to minimize headaches and constriction of blood vessels.

Do not ignore the benefits of physiological procedures, treatment with mud, inhalations.

It has been proven that timely treatment of sinusitis will not cause a number of complications, including swelling of the brain, meningoencephalitis, meningitis.

Successful therapy is possible only after a comprehensive examination. Complex therapy of sinusitis has individual characteristics.

Hypertension is another reason that provokes the clinic in question. It is characterized by a chronic course, a tendency to relapse.

The clinic of the disease includes sharp jumps in blood pressure:

• shortness of breath;
• the patient has a headache in the back of the head;
• possible dizziness;
• weakness, malaise.

Hypertensive patients more often than others have problems with being overweight. If the head hurts from increased pressure, therapy should not be delayed.

In severe cases, the disease can provoke a stroke or be fatal.

Hypertensive patients suffer from constant pressure surges. Moreover, the slightest tension provokes severe headaches when bending over. Tilts cause pain in the back of the head.

Often, discomfort begins to disturb immediately after waking up. To prevent seizures, it is useful to walk in the fresh air, to normalize weight.

Specific drug treatment is selected by the doctor on an individual basis. A number of factors are taken into account, the response to previous therapy.

Migraine develops against the background of stress, overwork, hereditary predisposition. In addition to pain in the head when bending over, patients complain of lacrimation, photophobia, nasal congestion.

Additionally, the patient complains:

• for thirst
• on puffiness due to the use of a large amount of liquid;
• to irritation.

This pathology provokes episodic pains in the head, the head hurts when bending over. During the attack there is intense thirst, the patient drinks a lot of fluids.

Therefore, a clinic of severe puffiness appears.

Migraine, etiological factors include:

• stressful situation;
• burdened heredity;
• overwork;
• a radical change in weather conditions;
• long or too short sleep;
• the use of certain products - chocolate, nuts, smoked meats, beer, wine, cheeses.

Therapy of pathology should be carried out under the supervision of a neurologist. Only then can we talk about effective treatment. Self-medication can only aggravate the condition.

Osteochondrosis of the cervical vertebrae occurs due to a sedentary lifestyle or sedentary work. Provokes:

• crunch in the neck;
• in patients with pain in the head when bending over or physical activity;
• aching pain in the head that radiates to the shoulders and arms.

The nature of pain is episodic, protracted, chronic.

To minimize the frequency and intensity of pain, physical exercises are used: the head is turned in different directions, tilts are used from the right side to the left, and they look up.

Allergic reactions provoke pain in the neck, head at the slightest tilt. Deterioration occurs almost immediately after the use of a dangerous product for him.

Any contact with an allergen provokes an attack. If a person has a headache due to an allergy, then soon lacrimation also joins, there are pains in the eyes, swelling of the larynx.

Rashes almost always occur with allergies. Only timely medical care can normalize the condition.

An allergy headache comes on suddenly. Headache when bending down in the forehead. The duration of the attack is several days.

First aid for allergic disease:

• absolute peace;
• bed rest;
• dairy and vegetable diet.

For prevention, it is important to exclude any contact with allergens. On the recommendation of the doctor, procedures are prescribed: the introduction of calcium chloride, the modeling of mustard plasters on the neck area, hot foot baths.

The defeat of the cervical elements is a fairly common reason why the head hurts when bending over.

Mostly pain develops in the presence of spondylitis, subluxations, stretch marks of the muscular or ligamentous apparatus.

Drafts, various curvature of the spine also become a common cause of pain in the head.

Every year the process will only progress, causing more and more attacks and more intense pain at the slightest inclination.

Staying in one position for a long time is an important reason why it hurts in the head. This is due to poor blood flow, severe numbness in the body.

Such poisoning is very harmful to the body. First of all, the elements of the nervous system suffer, there are pains in the head at the slightest inclination.

Tension disorders are considered a separate factor in the development of pain when bending over. They arise against the background of prolonged stress, experiences.

In this case, there are frequent pre-fainting states that occur suddenly. For the treatment of this condition, sedatives are required, sometimes antidepressants.

An important etiological factor is an inflammatory lesion of the vascular elements of the brain, an atherosclerotic lesion.

Temporal arteritis associated with severe damage to the vascular apparatus is a common reason why the head hurts when bending over.

Severe depression, weight loss, sleep problems, and high blood pressure also occur. Mostly the disease develops in the elderly or in those who often suffer from infectious diseases and weakened immunity.

This is a periodic disease, which is always accompanied by shortness of breath and runny nose. Pronounced loss of strength, which often leads to loss of consciousness.

If the head hurts when bending over, high intracranial pressure can be suspected. It is localized in one of the areas of the brain.

In addition, there are problems with speech, impaired coordination of movements. Vision worsens, in some cases even nausea and indomitable vomiting develop.

What is the divers problem

People in this profession are often prone to developing headaches. All changes and damage to the body occur during a sharp change in atmospheric pressure.

If there are pains in the head, something has gone wrong. Pain with dizziness occurs due to damage to the sinuses.

Sudden rises or falls can lead to ruptured eardrums, embolism and death of the diver. In such a profession, following the rules is an important condition for a safe rise to land.

After the first episode of headache, it is better to immediately undergo an examination. First of all, you need to consult a neurologist, cardiologist, ENT.

Only after a detailed survey, examination, a specialist will be able to make a preliminary diagnosis and prescribe a set of diagnostic procedures to clarify the diagnosis.

In most cases, complex diagnostics are prescribed, including instrumental, laboratory research methods.

Therapy is selected based on the final diagnosis. A comprehensive course of treatment is selected for each patient individually, taking into account all its features.

Useful video

- an unpleasant symptom associated with various diseases. In this state, a person cannot think normally and do most of the usual things. There are a large number of causes of pain in the head. In order not to miss a dangerous moment, you need to know what the symptoms should be in different situations of pain.

It often happens that the head hurts just when bending down. Such a process indicates possible pathological processes in the body. There are factors that can influence the occurrence of unpleasant sensations in the brain:

In addition, the tilt of the head, accompanied by pain, can be observed with the development of certain diseases:

1. - the inflammatory process develops in the sinuses near the nose. It is caused by a poorly treated respiratory illness or the flu. The following forms of sinusitis are distinguished: sinusitis, frontal sinusitis, sphenoiditis.
2. Hypertension is characterized by a sharp increase in blood pressure. The disease proceeds chronically, throughout life. The disease cannot be ignored, due to the lack of treatment in a neglected form, hypertension can provoke a stroke.
3. Severe intoxication of the whole organism with harmful vapors or own toxins as a result of intestinal constipation - in most cases it is manifested by pain in the head.
4. Temporal arteritis is often observed in elderly people with reduced immunity.
5. - accompanied not only by pain, but also by loss of coordination of movement, problems with speech, clarity of perception of the world.

If the problem that arises takes on a periodic nature, constantly intensifying, it is urgent to contact a specialist for advice and diagnosis. The first thing to do is to see a therapist. When examining and collecting an anamnesis, he will forward to a narrower specialist.

Sinusitis as a cause of headache

It is a sign of acute sinusitis. The latter takes place to occur with protracted diseases of a catarrhal and infectious nature. Patients unsuccessfully treat rhinitis for a long period, unaware of the growing disease.

With sinusitis, pain in the head is observed when a person bends down. This suggests that a large amount of internal secretion of purulent content has accumulated in the cavity of the maxillary sinuses.

The developing disease captures not only the sinuses, but also the nasal mucosa, provoking swelling inside the nasal passages. The lower the slope is made, the stronger and more clearly the pain grows, which is localized in the temples and frontal area.

In what diseases does the head hurt on the left: factors that cause pain

With a long absence of treatment, sinusitis, growing, covers large areas. The patient, no longer bending over, feels pain above the eyes, in the facial muscles and on the bridge of the nose. Stoically tolerated sensations at the beginning of the disease become sharp and unbearable as it progresses.

As a result, a large accumulation of pus from the maxillary sinuses begins to flow into the throat, the nose is completely stuffed up, and taste is lost. There is an increase in body degrees. In such a situation, home treatment is not effective. You should get an appointment with a doctor, take tests and start therapy.

Types of pain

The pain that occurs when the torso is tilted forward varies. Their manifestation speaks of various ailments that form in the body:

Thus, the pain can be different. Most importantly, when examining a doctor, you need to carefully tell all the signs of the pain that occurs - in which area, under what conditions and how intensely.

When immediate medical attention is needed

Cases of pain in the head have a different character. Sometimes the cause of discomfort is simple fatigue or a banal lack of sleep. An ordinary tablet of Analgin, Aspirin, Citramon or Citropack will quickly relieve such a state. Spazmalgon or another medicine aimed at stopping the ailment can also help.

It is necessary to highlight the signs in which one dragee is not enough, you need to urgently seek immediate medical help:

1. Spasmodic attacks in the head, which not only do not go away with the medicine, but tend to increase.
2. Constant aching pain.
3. High fever, accompanied by nausea, vomiting.
4. Unpleasant sensations in the eyeballs and facial muscles.
5. Malaises with attacks of vertigo, blurred consciousness, loss of coordination and general weakness.
6. Painful feelings of an intense nature with a frequency of occurrence.

What to do if you constantly have a headache: first aid

Diagnosis and treatment

When fixing persistent pain in the brain, you must first remove the pain syndrome with the help of any analgesic type of drug. After that, you should visit a doctor for a consultation.

Initially, it is recommended to seek help from a therapist, then you can consult an ENT doctor, neurologist, cardiologist or allergist. The primary diagnosis will be revealed by the method of collecting a complete anamnesis about the patient's vital activity.

To confirm and disclose the completeness of the established disease, it is recommended to undergo the following examinations:

• allergic reaction test
• general urine and blood tests
• magnetic resonance imaging
• computed tomography
• ultrasound examination of the abdominal organs
• cardiogram

After all the test results are collected, the doctor can confirm the previously made diagnosis or refute it by determining a new one. After determining the final version of the disease, which constantly causes discomfort in the head, an effective treatment is established.

There are the following methods of treatment for various diseases:

for inhalation of vapors with essential oils, the introduction of corticosteroids for the sinuses (Beclomethasone, Fluticasone), the introduction of nasal sprays and nebulizers, which include antibiotics, the use of antihistamines (Zirtek, Diazolin). In addition, it is recommended to install a humidifier in the house. If conservative methods fail, surgery is required.
1. Tension pain - analgesics and oral anti-inflammatory drugs are administered. With this type of ailment, you should be more in the fresh air and start exercising.
2. Temporal arteritis requires treatment in the form of steroids to restore plasma permeability in the capillaries and relieve the inflammatory process in the affected area.
3. Intracranial pressure can only be cured with surgery. This is the only way to get rid of the formed hematoma.
4. maintained at an optimal level by certain vascular medications.
5. In the event of an allergic reaction that causes severe pain, the patient should be urgently protected from irritants and antihistamines should be started.

If the patient has received a neck or spine injury, which makes itself felt with severe pain, it is recommended to do relaxing massages. It is constantly required to perform therapeutic exercises and undergo various physiotherapy procedures.

More serious damage should be treated with strong anti-inflammatory and chondroprotective medications.

Thus, you should first find out the cause of the pain syndrome that has arisen. Only after that to be taken for treatment. Therapy is prescribed individually for each patient, based on the indications and signs of the problem.

Headache Relief Exercises

If the drugs do not help or the discomfort is just beginning to have a negative impact, you can try to fix the problem. For these purposes, a large number of different procedures have been developed:

1. You need to sit on a chair, straighten your back, and tilt your head, reaching your chin to your chest. Stay in this position for up to 20 seconds. Then exhale and relax for 0.5 minutes. Then repeat the exercise a total of 15 times.

   

2. After examining the skull, you need to find pain points. They are located between the first vertebra and the skull. Gently press them with the thumbs of both hands, massaging thoroughly, moving in a circle. Rotate your fingers clockwise at least 15-17 times. After completing the exercise, it is recommended to press them, holding in this state for 1-2 minutes.
3. It is convenient to sit on a chair, with the palm of one hand you need to grab your head from the side where the throbbing pain is most felt. The index finger is placed at the level of the beginning of the auricle. Straining your arm, turn your head in the "healthy" direction. The second palm is placed on the chin and cheek, which is not covered by the palm. After inhaling, you need to look at the floor for 10-12 seconds. After relaxing for 6-10 seconds, looking at the ceiling. Slightly turning your head to the side, repeating the exercise 5 times.

Drink tea that contains mint. This will save your nerves from stressful situations.

In hypertensive diseases, it is necessary to control blood pressure. When it increases, immediately take action to reduce it.

Introduce healthy and balanced foods into your diet. Heavy, spicy, sour, fried foods negatively affect the digestive system, forcing it to work harder, especially at night.

Avoid diets that require you to stop eating after 6 p.m. Or go to bed until the stomach gives a signal about the desire to eat food.

To refuse from bad habits.

Ventilate your home more often and longer.

Separate hours of active work and productive rest.

The frequent manifestation of pain syndrome indicates the occurrence of any disease in the body. Unfortunately, this disease affects not only the elderly, but also young people and even children.

To prevent pain when tilting your head down, you need to carefully monitor your own health and consult a doctor at the first symptoms of malaise.

Oct 16, 2017 Violetta Doctor

Headaches are a frequent companion of a person in modern hectic life. Types of pain are different, with different intensity and localization. Today we will consider the situation when the head hurts when bending down. The primary sources of such a condition can be different cases, which for the most part signal some kind of long-term illness. It may turn out to be a banal runny nose, which was not cured and turned into sinusitis. And there may be problems with the spine. Therefore, it is important to consult a specialist in case of frequent pain in the head when bending over and find out the cause of the discomfort.

Causes of pain

The causes of headaches are often associated with the main center of the human body - the brain. Pain is a signal of malfunctions in its work, which can be caused by:

• fatigue, stress;
• malnutrition with a lack of vitamins and minerals;
• drinking alcohol, smoking;
• problems with blood pressure and blood vessels;
• inactive lifestyle and lack of oxygen.

Quite often there are cases when the headache manifests itself only in a certain position.

Pain in the back of the head is associated with problems of the spine and, in particular, the cervical region. The root cause of the situation, when the back of the head hurts, may be hiding in a long-standing spinal injury or disease. Often, an occipital pain attack occurs after a long stay in an uncomfortable position, for example, with the head thrown back.

If pain occurs in the back of the head, it is necessary to change the position of the body in order to restore blood flow in the occipital region. If the pain occurs regularly, then this is an occasion to visit a neurologist or traumatologist.

Headache when tilting the head down can vary in type and location of the pain syndrome:

• When leaning forward, first of all, pain occurs in the forehead, then it spreads to the eye area and is given in the back of the head. If a similar condition occurs in the evenings, then its cause probably lies in fatigue and accumulated stress. To alleviate the condition, it is recommended to drink herbal tea and observe a sleep and rest regimen: at least 8 hours of sleep for full recovery.
• Pain when bending over, accompanied by nausea, indicates the expansion of cerebral vessels. As a result, the activity of all brain functions increases, and in an inclined state, irritation of the visual and auditory nerves occurs. It seems that the light has become unbearably bright, and the sounds around are deafening.
• The previous type of pain may be caused by a migraine. In this case, the headache, intensifying in the slope, does not recede in other positions.

Headache when walking often takes a person by surprise. When accelerating the step, it becomes painful in the temples, the pain presses on the forehead and in the back of the head, but the sensations stop when you stop. The cause of such pain is most likely problems with high blood pressure and blood vessels. With a quick step, they intensify, as the body immediately signals the appearance of pain.

Maybe you have sinusitis?

The answer to the question of why the head hurts when bending down is often the same: sinusitis. It in most cases discourages patients. Indeed, what is the connection between a runny nose and a headache? It turns out it's straight.

Sinusitis is characterized by the filling of the sinuses with purulent masses, which are located on both sides of the nose and on the forehead. This is a form of runny nose, when the pus did not find a way out. As a rule, with sinusitis, even in the usual position, the head hurts in the forehead, there are bursting sensations in the sinus area. If you tilt your head, then the pain increases many times over.

The head with sinusitis also begins to hurt in the temples. Therefore, often even experts suspect that the patient is not running a runny nose, but a migraine. However, pain in the head due to sinusitis does not cause painful reactions in bright light, loud sounds. And even strong odors that also provoke migraine attacks are inaccessible to the sense of smell of a patient with sinusitis. He simply cannot feel them because of sinus congestion.

Often a similar clinical picture, when the head hurts when bending over, is characteristic of various kinds of allergic reactions. As with sinusitis, the sinuses are clogged, but the causative agent is not an infection, but an allergen.

Sinusitis and allergies with similar symptoms require immediate medical attention. Inflammation in the head area and accumulation of pus in the sinuses are serious phenomena that are life-threatening to start.

If you become ill, it is important to immediately seek medical help, without waiting for the worsening of the clinical picture.

Diagnostic methods for headaches

We've found that there are a number of different causes of bending over headaches. Therefore, when a patient comes to the doctor with a complaint - his head hurts when I bend over, the specialist is obliged to conduct a full range of studies. It is not always possible to identify the reason why the head hurts when bending over only from the words of the patient and during a visual examination. The study of head tissues is performed using medical equipment:

• Ultrasound examination (ultrasound) of the brain in order to identify foci of circulatory disorders, indicators of the amount of fluid in the brain, the volume of the ventricles. This study allows you to track the activity of the brain and possible deviations in it, which are the cause of headaches.
• Magnetic resonance angiography (MRA) of the brain is a modern study of cerebral vessels. The principle of the study lies in the introduction into the blood of a special drug that is harmless to humans, which contrasts the blood vessels during the study.
• Magnetic resonance imaging (MRI) provides a series of images of the brain, in which it is possible to examine its structures and foci of inflammation.
• Blood pressure monitoring allows you to create a complete picture of pressure changes over a certain period of time and correlate these indicators with the patient's complaints of pain in the head.

Treatment for a headache that occurs when bending over can be started as soon as basic research has been carried out and the causes of unpleasant sensations have been identified.

Treatment Methods

Having found out the causes of headaches, the specialist will build on them when prescribing treatment. In different cases, these will be the following methods:

• With stress and overstrain, painkillers and antispasmodics are prescribed to relieve pain symptoms and eliminate spasms of muscles and blood vessels. In such situations, the best drug treatment will be the prevention of a proper lifestyle: a balanced diet, sound sleep, walks in the fresh air, moderate exercise. They will help not only to cope with bouts of pain, but also allow you to forget about it for many years.
• If the causes of headaches are associated with nasal congestion, then the treatment is carried out with the use of antibacterial and vasoconstrictor drugs. With advanced forms of sinusitis, it is often necessary to clean the sinuses surgically. Therefore, it is so important to treat this dangerous disease in a timely manner.
• For problems with pressure, doctors recommend oxygen therapy, which gives a good effect and a long-term effect without taking medication.
• If the cause of headaches in the back of the head lies in problems with the spine, then they are eliminated in the first place. Excellent results are given by therapeutic massage of problem areas and gymnastics.

Headache prevention

Any disease is better not to treat, but to prevent. Headache is no exception. The basis of a healthy life without pain is the constant adherence to a set of measures, such as:

• Proper nutrition, balanced with vitamins, minerals and trace elements.
• Exclusion of harmful foods such as fast food, fatty and fried foods, excessive amounts of sweets and coffee, etc.
• Refusal of bad habits: smoking, drinking alcohol.
• Compliance with sleep and rest. For good health, the body needs at least 8 hours of sleep in a dark, cool room without external stimuli. With mental and physical work, it is important to take a short break every 45 minutes - 1 hour and change activities. Every day you need to spend at least an hour in the fresh air: go through an extra stop on foot and the body will be satisfied!
• Sport is an excellent disease prevention. Moderate exercise is good for the spine, pressure, heart and blood vessels. People involved in sports are better able to withstand stress and seasonal diseases, therefore, they are not at risk for headaches associated with these causes.

A good alternative or addition to the medical treatment of headaches will be the use of medicinal herbal preparations. Mint, verbena, chamomile, brewed at night in the form of weak tea, will allow you to relax the body and remove all muscle clamps that provoke the appearance of pain. To normalize pressure, natural honey is useful in small quantities.

Pain in the head when bending down is a signal of the body that it sends in the hope of help. The causes of this kind of pain are often very serious, they require an urgent visit to a specialist and examination of the whole body. Be attentive to your body and do not bring the disease to such stages, which the pain in the head begins to indicate.