A STUDY ON HEADACHE AND ITS TREATMENT :A HOSPITAL BASED STUDY

Abstract

Hippocrates 470-410 BC described headache as a shining light in the right eye with violent pain arising in the temples and spreading to the entire headand neck area being triggered by exercise and intercourse and relieved by vomiting.
Methodology: Patients presenting with headache for more than 1 month of all age groups and sexes were selected. Selected patients were subjected to detailed history and complete examination accordingto a defined proforma. According to clinical diagnosis.Patients with Migraine and Tension headache features were consulted with neurologist and psychiatrist. Treatment is given accordingly.
Results: Most common type of headache is Tension headache. Majority of the patients were of age group21-50 years and it is more predominant in males. Next Most common type of headache is migraine. It’s is more common in females in 1:2 ratio. Third common type of headache is sinus headache and it is more predominant in males. Headache was localized more than one site (59%) in majority of cases and 22% in forehead region. Patients who were having mucosal contact points headache, underwent FESS and 88.89% of patients were relieved from headache. T.Propranalol 80 mgs and Amitriptyline 50 mgs were given for migraine patients. Most of the patients had subjective relief of headache. Patients diagnosed with tension headache were treated with relaxation techniques, physical exercises and Amitriptyline 10 mgs once a day in evening and most of the patients had subjective relief of headache.
Conclusion: Headache is nearly a universal human experience. The lifetime incidence of headacheis estimated to be at least 90%. A carefully taken history is key to accurate diagnosis and the majority of patients will not have sinogenic pain. Accurate diagnosis will be helpful for successful treatment.