Headache in a horizontal position. Prevention of recurrence of dizziness. lying head hurts what to do

Cephalgia is a phenomenon familiar to everyone. Most of the population is faced with this unpleasant symptom in daytime. However, there are groups of people who similar discomfort worries at night, thereby disturbing sleep.

This is not a separate disease, but a symptom that can accompany various pathological conditions. This phenomenon is predominantly subjective, since each person describes such discomfort in the head area in his own way.

Cephalgia can sometimes be the only symptom latent disease. As for night headaches, their cause lies in various conditions.

Origin factors

Oxygen deficiency

The appearance of discomfort in the head area at night often provokes a lack of oxygen. The brain reacts sharply to hypoxia. If other organs can maintain their function in conditions of reduced oxygen levels for up to an hour, then the brain can survive without it for no more than five minutes. In response to the resulting hypoxia, the central organ of the nervous system reacts with a headache.

Lack of oxygen may be due to:

mental fatigue

Often cephalgia that occurs during sleep is associated with excessive mental activity. The need to overstrain the brain throughout the working day leads to the fact that during the night's sleep the main organ of the central nervous system continues to work and does not receive good rest. Such a phenomenon gives rise to discomfort in the head area at night and fatigue.

Hypotension

Normal blood pressure in an adult is 120/80 mm Hg. Art. For some individuals, lower pressures are comfortable. Often this is due to heredity, as well as to the characteristics of the physique.

For most people, blood pressure is below 100/60 mm Hg. Art. leads to the appearance of unpleasant sensations in the head, aggravated at night. This is due to the fact that in a horizontal position, blood flows from the brain, and if the pressure is low, then this process is more pronounced.

As a result of impaired blood supply, cephalgia develops. After waking up, this symptom may be accompanied by dizziness, as well as the flickering of flies before the eyes.

The causes of hypotension are:

prolonged fasting;
lack of glucose in the blood;
acute or chronic bleeding;
prolonged stay in a horizontal position.

On our website there was a detailed article about, you can read it.

Hypertension

The opposite situation is observed in those whose blood pressure exceeds 130/80 mm Hg. Art. For hypertensive patients, such blood pressure is comfortable. However, for those whose normal pressure falls within the standard numbers, a change in it upwards causes cephalalgia at night.

high blood pressure causes reflex vasospasm. At the same time, receptors located both in the walls of tubular formations and in the substance of the brain are irritated. An increase in blood pressure is usually observed in the evening due to overwork and emotional fatigue. During sleep, the vessels begin to react, which leads to the development of a pathological condition.

The factors that provoke hypertension include the following:

emotional and physical overwork;
acute stress reactions;
overheating of the body;
diseases characterized by high blood pressure.

We discussed in detail earlier.

Violation of cerebral circulation

The development of nocturnal headache may be the result of a deterioration in the circulation of the main organ of the central nervous system, in particular a stroke. The pathological process consists in acute spasm or obstruction of blood vessels central authority nervous system, resulting in the formation of an ischemic zone.

The cells of the gray matter of the brain in this area are in a state of hypoxia, which leads to the development of cephalalgia.

Sometimes headache can cause acute myocardial infarction. The mechanism of discomfort is associated with myocardial ischemia, as well as pain syndrome in the region of the heart. With a sensitive parasympathetic nervous system, unpleasant sensations spread to other organs, in particular to the head.

Pathologies of the spine

There are frequent cases of development of cephalalgia at night in people suffering from diseases of the spine, especially the neck and back. The immediate cause of the development of pathology in this case is excessive muscle tension.

Back pain makes a person take a forced position, sometimes different from the physiological one. This leads to a spasm of the muscles of the back and neck, resulting in the so-called. As a rule, such an ailment makes itself felt at night, when spasmodic muscles begin to relax.

Psychological problems

stress, melancholy, depressive states almost always accompanied by discomfort in the head at night. A similar phenomenon can also occur during the day, but it is at night that a person is left alone with his experiences, scrolls it all in his head, which leads to the development of pronounced cephalgia.

Metabolic disorders

Another cause of discomfort in the head during sleep is diabetes. The condition in this case is due to several factors, including the following:

insulin overdose;
nocturnal hunger;
defeat peripheral nerves;
pathology of the organs of vision: retinopathy, glaucoma.

Infectious diseases

The main symptom of such ailments is headache. It can occur at any time of the day, including at night. The appearance of discomfort is due to the following reasons:

intoxication with severe course influenza or adenovirus infection;
dehydration of the body with intestinal infections;
meningococcal infection, tick-borne encephalitis, meningitis, etc.

Migraine

Attacks of migraine headache most often occur in the evening and can last throughout the day. The pathogenesis is based on persistent vasospasm of the main organ of the central nervous system.

Diagnostics

An accurate diagnosis depends on the nature of the disease. If necessary, additional methods of identifying the disease are used.

Headache caused by fatigue, emotional and mental stress, and hypoxia has the following characteristics:

develops gradually, reaches a peak in the evening and at night;
accompanied by a feeling of weakness;
is dull, monotonous;
has moderate intensity.

Discomfort in the head with low blood pressure also develops gradually, accompanied by general weakness and dizziness, loss of consciousness is possible.

Cephalgia, provoked by hypertension, most often occurs suddenly. A person wakes up in the middle of the night due to pain and a feeling of throbbing in the head. With a fairly high blood pressure, cephalgia becomes more intense. In some cases, nosebleeds may occur.

Unpleasant sensations in the head area caused by a stroke or heart attack occur suddenly and are sharp. This condition is accompanied by impaired vision, flies before the eyes, paresis and paralysis.

Headache in pathologies of the spine appears during the day and intensifies in the evening. The condition is characterized by the appearance of a feeling of heaviness in the head, the inability to turn it or tilt it.

Cephalgia provoked by diabetes mellitus develops as suddenly as a hypoglycemic state. A similar phenomenon is accompanied by weakness, loss of a sense of balance, trembling of the hands and excessive sweating.

Discomfort in the head with infectious diseases occurs suddenly and is characterized by the following symptoms:

increased body temperature;
photophobia, redness of the eyes (with the flu);
severe pain accompanied by nausea and vomiting, hypersensitivity to bright light, impaired hearing; meningeal symptoms are often observed (with infections, causing meningitis).

Migraine headache is unilateral in nature, accompanied by visual impairment and lacrimation in the affected area. Such sensations can reach a high intensity.

In addition to clinical data, for the diagnosis of certain types of pathology, instrumental methods research including:

ultrasound dopplerography of the vessels of the head and neck;
electromyography (registration electrical activity back and neck muscles)
electrocardiography;
diagnostic lumbar puncture (for headache caused by infection).

Treatment

Therapeutic measures largely depend on the cause that caused discomfort in the head area. In most cases, pain medication alone is not enough.

With hypoxia

This condition is the easiest to deal with. To do this, it is necessary to ensure a constant supply of fresh air and take painkillers:

"Nurofen";
"Moment";
"Pentalgin".

With psycho-emotional and physical stress

In this case, the discomfort can go away on its own after a good rest. To reduce the intensity of discomfort, it is recommended to use the following drugs:

analgesics ("Nurofen", "Pentalgin");
sedatives (tincture of valerian or motherwort);
combined medicines ("Persen", "Novo-Passit", "Afobazol").

With jumps in blood pressure

Hypotonic cephalgia is treated with the reception the following funds, contributing to the increase blood pressure:

If hypotension has developed due to prolonged fasting, a full meal helps to eliminate discomfort in the head area even without the use of medications.

Hypertensive cephalgia disappears after lowering blood pressure with special drugs. Only a specialist is engaged in their selection and appointment. You can alleviate the condition on your own by taking a cool bath, rest, good sleep.

With pathologies of the spine

Here, the treatment should be comprehensive, aimed not only at eliminating the cephalalgia directly, but also at the pain syndrome in the spine. If the pathology remains untreated, it will not be possible to completely get rid of unpleasant sensations.

The methods of treatment of diseases of the spine include gymnastics for the back, massage, acupuncture, physiotherapy. With this disease, swimming and water aerobics have a good effect.

For infections

It is possible to get rid of a headache in such diseases only after the elimination of the pathogen. During etiotropic therapy, discomfort can be stopped with any painkillers: Diclofenac, Ibuprofen, Pentalgin.

In case of circulatory disorders

Stroke and heart attack - indications for emergency hospitalization in the department intensive care. Headache in such conditions cannot be treated independently.

For migraine

Migraine cephalgia is removed by a special group of drugs - sumatriptans. The pharmaceutical market has many trade names of this substance: "Amigrenin", "Sumamigren", "Nomigren", etc. In addition, to stop a migraine attack, it is necessary to create complete silence and a dark environment. To relax spasmodic vessels, hot compresses are applied to the forehead.

Prevention

Preventive measures for cephalalgia that occurs at night are as follows:

Conclusion

There are many factors that cause headaches at night. For correct diagnosis and prescription necessary treatment you need to see a doctor who will help you find out the root cause.

One of the most common complaints in medical practice. To find out its causes requires a lot of knowledge and experience.

This is one of the most common symptoms various diseases. Although painful, most headaches are not serious.But if you are worried about prolonged and recurring headaches, you should not neglect a visit to the doctor, as well as medical examination, since intense and chronic headaches can be harbingers of any serious disorders in the body.

On this page, we will try to briefly and understandably understand the mechanisms of vertebrogenic headache (associated with disorders in the cervical spine). Then we will list under what other conditions that are not directly related to vertebral problems, headaches may occur and what this threatens the patient with.

Vertebrogenic headache.

To understand the mechanism of headache in case of problems of the cervical region, one must imagine how it all works ...

In the transverse processes of almost all cervical vertebrae there are openings through which the vertebral arteries pass on the right and left sides.At normal ratios cervical vertebrae to each othertogether they form, as it were, a semi-open bone canal in their transverse processes. This canal can be compared to a subway tunnel.If everything is normal, then the tunnel is straight and nothing will interfere with the passage of blood through the artery. And if we imagine that the tunnelwinding or its deformation occurs ... When the "train" moves, problems will arise.

These vessels are very important for the body. They provide blood supply to the cerebellum. With a lack of blood flow in them, many so-called autonomic disorders or autonomic dysfunctions can occur. The main symptom, perhaps, can be called dizziness - an invariable companion of the so-called vertebrobasilar insufficiency (VBI).

The main and frequently occurring symptoms and syndromes:

changes in blood pressure accompanied by dizziness;
dizziness with vomiting;
nausea with dizziness;
dizziness and bouts of weakness;
frequent dizziness;
very severe bouts of dizziness;
mild dizziness;dizziness accompanied by headache;
constant dizziness;
nausea with dizziness and resulting weakness;
dizziness when lying down.

The vertebral arteries and their branches also supply blood to the brainstem - a structure in which the vital centers of blood circulation and respiration are concentrated. It is important to know this in order to understand the mechanism of the onset of symptoms in cervical osteochondrosis.

To a greater extent, the problems of lack of blood supply do not arise due to mechanical squeezing vertebral arteries, but because of their reflex spasm. The body protects important vessels. The guard includes a certain amount of fatty tissue around the arteries and a network of sympathetic nerve fibers like guarding the artery around the perimeter. Fiber serves as a certain buffer for the ability to avoid external pressure on the artery, and the nerve plexuses instantly report to the brain about possible compression or any other mechanical threat to the artery. The nerve that protects the vertebral arteries is called Frank's nerve. It departs from the lower sympathetic "star" node, which is located in the region of the cervicothoracic junction at the level of the 7th cervical vertebra and the first rib. Often vegetative dystonia It is connected precisely with problems of the spine in the area of \u200b\u200bthe transition of the cervical to the thoracic.

How does everything happen?

In the presence of instability of the cervical spine or bone growths in osteochondrosis and spondylarthrosis, the altered structures have a mechanical effect on the vertebral artery. Her path becomes not straight but winding. So the artery adapts to new conditions with developing osteochondrosis. When the buffer from adipose tissue becomes insufficient, then the perimeter of the vertebral artery is irritated, as we discussed above. There is irritation of Frank's nerve and, as a response, a reflex spasm of the walls of the vessel. It seems to shrink and its diameter decreases. Therefore, less blood can pass through the vessel. But the heart continues to work, and as compensation, the speed of blood flow through the vessel can increase. At the same time, patients often talk about the emerging noise in the head, when turning or tilting the head back. This noise occurs when the blood flow swirls along tortuous, rather than smooth, arteries. Moreover, we paid attention to the fact that the vertebral arteries supply blood to the brainstem, where the vasomotor center is located. Reflex vasospasm is also observed in this area. The vasomotor center "sees" the problem, it lacks oxygen and nutrition. And he takes action, gives a command to all vessels, thus regulating microcirculation throughout the body, which invariably affects blood pressure. And then it all depends on the type of human nervous system. Who is he? Sympathetic or parasympathetic. What system prevails, such a reaction to irritation of the vertebral arteries will be. Or their spasm, or vice versa - expansion.
Both can cause headaches. Often we meet with a situation where irritation of the vertebraal artery occurs on one side. As a rule, the artery is compressed between the abnormal arch and the muscles of the neck. This occurs with certain head positions or excessive tension in the neck muscles. This happens with the so-called functional blockages of the intervertebral joints of the upper cervical region, where there are anatomical features of the passage of the vertebral arteries. For example, irritation of an artery by a tense, spasmodic muscle in the region of C-1; C-2(Fig. d) Anomalies of development are also found in the place where the vertebral arteries collide into one - basilar. The so-called anomalyKimerli (Fig.b) - additional bone arch of the first cervical vertebra, can compress the vertebral arteries that supply the brain with blood. Or high standing tooth of the second cervical vertebra(fig.c)

Instability of the cervical region (a kind of play in between the vertebrae) can lead to a formidable condition - slipping of one vertebra from another (listhesis). This condition can also occur after a neck injury. It must be remembered that instability is almost never isolated. Always with instability in the cervical region, there will be a limitation of mobility in the thoracic spine or cervicothoracic junction. Treatment must first be carried out where there is no movement. Otherwise, it will not be possible to redistribute the motor load, which is excessive for the cervical vertebrae and is the main damaging factor for the cervical region. It leads to early aging of vertebral structures, osteochondrosis, arthrosis, muscle tension and, as a result, to headache and dizziness.

Something like this, simplified, and looks like a mechanism for the occurrence of disorders in vertebrogenic headache.

Among other anatomical anomalies are known:

Arnold-Chiari anomaly- prolapse of a part of the cerebellum into a too wide occipital foramen;

Concretion of cervical vertebrae or Klippel-Feil syndrome(Klippel-Feil) - fusion of two or three cervical vertebrae with each other, often leads to compression of the vertebral arteries, overload and damage to the upper and lower intervertebral discs;

Basilar impression- "screwed" edges of the foramen magnum into the cranial cavity;

Platibasia- congenital defect of the occipital bone, leads to displacement of the cerebellum;

Atlantean assimilation- increment of the 1st cervical vertebra to the occipital bone, can cause compression of the vertebral arteries when turning the head;

Proatlant- additional, often unstable 1st cervical vertebra, often displaced and infringes on the spinal cord and vertebral arteries

Danger signs for headaches

A sudden onset of a severe headache, or a moderate headache that is rapidly increasing in intensity, is more likely to indicate a serious illness. It can be subarachnoid hemorrhage (stroke), meningitis, brain tumor and a number of other processes. Permanent or recurring headaches for a long time ne tak opasns, do not threaten life, but indicate that the aging processes of vertebrates structures and vascular reactions as a consequence, and they need to pay attention.

When do you need to "sound the alarm"?

1. A very formidable symptom is a sharply arisen, acute headache of the “hit in the head” type. Such pain is almost a sure sign of subarachnoid hemorrhage. In this case, you must immediately call an ambulance.

2. If the pain is moderate and increases in a horizontal (lying) position, and disappears within half an hour in vertical position, such a symptom may be a sign of a serious disease associated with impaired outflow cerebrospinal fluid and increased intracranial pressure (first of all, it is necessary to exclude a brain tumor, but this symptom can be a manifestation of other diseases, for example, those associated with the consequences of a severe traumatic brain injury).

3. If even a moderate headache is accompanied by loss of consciousness or inappropriate behavior, inability to rise and maintain a vertical position of the body, this is a sign of a serious illness and requires an immediate call for an ambulance.

4. If the headache suddenly arose against the background of high temperature and increases over time. If these symptoms are accompanied by photophobia or pain in the muscles of the neck, this may be a sign of meningitis. And even if this is not the case, it is always better to play it safe and see a doctor.

Causes of a headache

The causes of headache today can be about 46 diseases and pathological conditions. Moreover, many of these diseases are not directly related to the head.

Any inflammatory process in the human body, like an increase in blood pressure, can cause a headache. If a headache has a "causal" disease that causes it, it is symptomatic headache.

However, most often, the cause of a headache is the processes occurring directly in the head or on its surface and not having a basis in the form of a specific disease. In this case, headache is an independent disease and is called primary headache. Most typical causes headache occurrence:

1. Spasm of the head muscles. The skull is surrounded by muscles along the "perimeter"; there are muscles on the forehead, back of the head and temples. These muscles pull on the "tendon helmet", which is located just under the scalp. In addition, they are involved in the formation of facial expressions, and the temporal muscles are involved in chewing, helping the masticatory muscles.

2. Spasm of the vessels of the head. For the occurrence of a headache, it is not at all necessary that the vessels of the brain spasm. Enough spasm of the vessels located on the surface of the skull.

3. Compression of the meninges. It can be caused by a tumor, hemorrhage, increased intracranial pressure, swelling of the meninges themselves as a result inflammatory process and etc.

4. Violation of the "nutrition" of the brain. The reason for this may be insufficient blood supply, with reduced pressure, with blockage of blood vessels that feed the brain, with diseases of the lungs or heart, etc.

5. Poisoning- alcohol, drugs or drugs or poisoning with endogenous products formed during inflammatory processes in various tissues.

Headache is caused by irritation nerve endings vessels of the head or meninges. Depending on its cause, it has its own characteristics.

In vascular diseases, it is more often pulsating, aggravated by overwork, drinking alcohol, smoking, exposure to sharp stimuli (noise, smells, bright light).
Patients with hypertension are often worried about heaviness in the head and bursting pain in the back of the head after sleep. Sleeping in a ventilated room and doing some light exercise in the morning will usually relieve this pain.
Paroxysmal pain localized in one half of the head occurs with migraine.
A headache of a compressive nature can occur due to tension in the muscles of the head with a disease of the cervical spine (osteochondrosis), overstrain of the muscles of the neck, with wrong position heads while working.
The cause of a headache can also be eye strain, for example, when poor lighting, visual impairment that is not corrected by glasses, or an eye disease such as glaucoma.
"Shooting", "tearing" or "burning" pains in the face and neck occur with neuralgia of the trigeminal and occipital nerves.
A severe headache with vomiting and clouding of consciousness against a background of high temperature occurs with inflammation of the brain and its membranes.
Quite often, persistent headache is associated with inflammatory diseases. paranasal sinuses nose.
Headache may be the result of a traumatic brain injury, and often it accompanies infectious diseases, intoxications, neurotic disorders, diseases internal organs.

With persistent headaches, it is necessary to be examined by a doctor to determine their cause. Independent long-term use painkillers that do not address the cause can have adverse health effects. With timely access to a doctor, the treatment of the underlying disease prescribed by him, as a rule, eliminates or reduces the headache.

In the diagnosis of symptoms of dizziness and headache, an examination of the biomechanics of the cervical spine will help an experienced doctor. Muscle tone, range of motion, position of the vertebrae at rest and during movement (radiography with functional tests), vascular examination - Doppler ultrasound, rheovasography, MRI in the angiography mode will be determined.

Osteochondrosis, instability of the cervical spine, atherosclerosis of the vertebral arteries and resulting vertebrobasilar insufficiency require a systematic approach to treatment:

Applicable:

manual therapy and massage thoracic spine and collar zone;

physiotherapy (SMT, UHF, DDT, galvanophoresis with enzymes);

osteopathy;

reflexology (acupuncture, auriculotherapy);

therapeutic exercises (exercise therapy) - strictly according to the instructions of the doctor !!!;

dosed wearing of a cervical corset (Schanz splint);

medicines (nootropic, vascular, chondroprotective, antiarthrosis and restorative therapy).

local procedures - compresses and rubbing

Remember! Treating a headache is like walking on thin ice! Treatment must be carried out on time, competently, accurately and carefully.

Do not get sick and be healthy!

Trust your health to professionals!

Center for Vertebrology Dr. Vladimirov

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Diagnosis of simple and stress pain is based on the characteristic clinical picture: the headache is intractable in nature with a duration of pain episodes from 30 minutes to 7 days. The pain is squeezing, tightening (not pulsating), the intensity is usually average (pain impairs performance, but does not lead to cessation of activity). Localization is bilateral: frontotemporal, parietotemporal, "helmet", "helmet", "hoop", "hood". The pain is not aggravated by daily activities. physical activity.

Tension headaches are divided into episodic and chronic. In episodic forms, the number of days with a headache does not exceed 15 per month or 180 days per year. In chronic forms, the number of days with a headache exceeds these figures. Such a division is very conditional - for example, it is difficult to classify episodic or chronic headaches that occur 13 to 18 times a month.

In the formation of tension headache, mental disorders play a leading role: anxiety, depression, hypochondria, demonstrative personality traits. However, the leader among them is depression.

The cause of headaches is often a prolonged muscle tension in antiphysiological postures. Often this is associated with professional activities: working at a computer or a typewriter, with small details, driving a car, etc. At the same time, external eye muscles, muscles of the scalp aponeurosis of the head, neck muscles. A certain role can be played by awkward position head while sleeping. In this regard, one should not forget about such widespread methods as gymnastics, massage, physiotherapy.

Usage medicines with episodic headache, it is carried out in short courses or once. So, a headache can be stopped by a single dose of analgesics: aspirin, paracetamol, ibuprofen, combined analgesics (citramon, sedalgin) or tranquilizers, as well as their combination. However, one must remember about the inadmissibility of the abuse of analgesics and psychotropic drugs, as this leads to a decrease in their effectiveness, the transition of pain into a chronic form, the formation of chronic daily abuse headache. The best results are achieved with a single dose of muscle relaxants: mydocalm at a dose of 150-300 mg (1-2 tablets) in combination with 250 mg (1 capsule) of donalgin; sirdalud (2-4 mg).

Migraine

This type of headache is reported in the papyri of the ancient Egyptians: there are descriptions of migraine attacks, as well as prescriptions for medicines used to treat this disease. Despite this, much remains a mystery in the pathogenesis of migraine. Practitioners and patients suffering from migraine do not have a clear idea of whether it is curable. What modern medicines What is the most effective way to relieve migraine pain? Should all patients with migraine be treated and how?

Migraine is the second most common type of primary headache after tension headache.

The criteria for diagnosing migraine were defined by the International Headache Society in 1988:

Paroxysmal headache lasting from 4 to 72 hours.
Headache has at least two of the following characteristics: predominantly unilateral localization, alternating sides, less often bilateral, throbbing, moderate or severe headache intensity (impairs daily activities), aggravation with exercise.
The presence of at least one accompanying symptom: nausea, vomiting, phonophobia, photophobia.

Migraine is a hereditary disease, the course of which is influenced by a number of external and internal factors. The process of formation of migraine attacks is extremely complex, and many of its mechanisms are not fully understood. Modern researchers believe that cerebral mechanisms are leading in the occurrence of an attack.

Liquorodynamic type of headache

As is known, the cerebrospinal fluid produced by the vascular plexuses of the brain circulates in the system of the ventricles of the brain, cisterns and spaces of the brain and is directed further along the outflow pathways to the venous system.

Any pathological processes that interfere with the circulation of cerebrospinal fluid or cerebrospinal fluid entail a change in intracranial pressure (i.e., its increase or decrease).

With an increase in intracranial pressure, the headache is bursting in nature, patients experience a feeling of pressure "from the inside out" (as if "the brains crawl out"). Such pain is aggravated by straining, coughing, sneezing. Often the forerunner of severe persistent headaches of this type is a brain tumor.

Treatment is with diuretics and drugs that lower blood pressure.

With a decrease in intracranial pressure, the pain is pulsating in nature, combined with weakness and apathy.

Vascular type of headache

This type is associated with various options for changing the state of the arteries and veins of the brain and skull. So, the first variant of pain - arteriohypotensive - is due to a decrease in the tone of these arteries, the second - on the contrary, a spasm, and the third - venous insufficiency.

In the first case, due to a decrease in the tone of the craniocerebral arteries, they are overstretched by blood. Therefore, the pain is pulsating in nature, but in advanced cases, the throbbing pain is replaced by a dull, bursting pain.

In the second case, with an arteriospastic type of headache, the headache is of a aching, dull character, is perceived as a feeling of pressure and may be accompanied by lightheadedness, nausea, dizziness, and "flies" before the eyes.

Pain venous insufficiency due to increased blood filling of the venous vessels and difficulty in venous outflow. Patients experience heaviness in the head and a feeling of dull bursting. Most often, these sensations are limited to the occipital region. Headache of venous insufficiency occurs or worsens when lying down or when working with a low head. One of characteristic features such a headache is its morning manifestation - it occurs early in the morning "as soon as I opened my eyes", "a heavy head, as if I had been plowing all night."

Treatment vascular type pain is treated with xanthine drugs (eufillin), ergotamine, antispasmodics, vinpocetine, calcium antagonists (nifedipine).

Abusive headache

This term comes from English word"abuse" - abuse. The literature also uses the terms "drug headache", "analgesic-dependent headache", "withdrawal headache", "abuse headache" and others. Abuse headache is the third most common, following migraine and tension headache.

Abuse pain develops in patients suffering from primary headache, more often migraine - 3/4 of patients or tension headache - 1/4. Frequent use analgesics (daily or every other day) leads to chronicity of episodic pain and modification of its character. Patients note a background constant headache of low intensity and paroxysmal increased pain in the head.

The characteristic of pain is mixed: patients experience both throbbing migraine pain and tightening, squeezing, more typical of tension headache. The pain may be accompanied by nausea, vomiting, phono- and photophobia. The effectiveness of constantly taken analgesics decreases over time, which leads to an increase in dosages, and their cancellation causes an increase in pain in half of the patients. A vicious circle is forming:

pain - analgesic - pain

Most often, the reasons leading to the abuse of drugs are the psychological characteristics of patients. High level anxiety and depression, the illusion of high self-control of pain sensations with the help of an analgesic pill leads to the formation of an incorrect strategy for coping with pain and leads to drug abuse. It is believed that taking medication daily or every other day after three months can lead to the formation of an overuse headache.

The most important step in the treatment of abuse headache is the abolition of analgesics.

Before you guess about the disease and make yourself a non-existent diagnosis, you should learn to distinguish between headaches. A throbbing headache is characteristic of vascular diseases. Patients most often experience vegetovascular dystonia, in which it is two-sided. Unilateral headache is characteristic of migraine. This disease does not go away for a long time and is aggravated by bright light, loud noise and others annoying factors. If a person's headache worsens when lying down, and the face swells, then he may have venous cephalgia.

Other causes of persistent headaches:

protrusion of the intervertebral discs, scoliosis;
intracranial hypertension or hypotension;
swelling of the base of the skull;
brain tumors;
other neurosurgical ailments;
gynecological diseases;
neurological ailments;
ailments of the cardiovascular system;
lack of vitamins or oxygen;
increased fatigue;
neurosis;
incorrect posture during sleep or working posture;
pillow too hard or too high.

In fact, in addition to the above list of reasons why a headache can have chronic There are many more provoking factors. Diseases of the kidneys, liver, eyes, ears, smoking, hazardous work and other factors can always cause chronic headaches.

2 How does the behavior of cerebrospinal fluid affect the human condition

When a person goes to the attending neurologist or neurosurgeon, the doctor usually asks when the pain is unbearable: when you lie down or when you are in an upright position. In some cases, the patient reports that with such headaches it is better for him to lie down, then he begins to feel much better. Provided if given state caused by cerebrospinal fluid effects, most likely, the patient suffers from intracranial hypotension. If the headache intensifies in the supine position, then in this case there is pressure of the cerebrospinal fluid on the walls of the cranium, i.e. have intracranial hypertension.

Normally, the uniform distribution of cerebrospinal cerebrospinal fluid is carried out under pressure from 7 to 17 mm Hg. Art. (although some experts believe that the maximum value of normal intracranial pressure is no more than 15 mm Hg). This ensures excellent brain function without headaches. If a person has hypertension, his high blood pressure provokes vascular changes in the brain, resulting in an increase in intracranial pressure and, as a result, a prolonged headache.

With hypotension, the lack of CSF affects the brain in such a way that this organ performs not only a nutritional function, but also a shock-absorbing one. In this case, cephalgia, which is aggravated by walking or simply by being in an upright position, disappears only during rest, when the patient lies.

The danger of this disease is that the lack of cerebrospinal fluid has an extremely negative effect on the work of the brain and blood vessels of the head, as a result, a fatal outcome can occur. This is due to the fact that hypotension severely damages blood vessels and can provoke hemorrhage, dislocation of the structures of the hemispheres and the brain stem. As a result, cerebral edema, impaired brain stem substance and hemorrhage lead to best case stroke, and at worst, death.

The headache is often relieved by conservative therapy aimed at restoring water and electrolyte balance.

In this case, often resort to therapy using isoosmolar solutions. If the patient is sick with liquorrhea, most often he needs treatment in a hospital.

3 Why hypertension and tumors cause headaches and how to treat it

In the case of hypertension, headache often occurs due to excess fluid in the ventricles of the brain or fluid space. So that the patient does not worry about the headache, he is prescribed therapy aimed at the gradual normalization of fluid secretion. If the patient's condition is severe, he is referred for a consultation with a neurosurgeon in order to prescribe an operation for this disease. Then, to remove excess cerebrospinal fluid, which causes not only a headache, but also weakness, unsteadiness, dizziness, nausea and other symptoms, a shunt is operated.

However, if the outflow of CSF is too fast, this also leads to multiple bad conditions. In this case, cerebral edema, foci or hemorrhage may occur, which is fraught with serious harm to the patient's health or even death. If it is impossible to perform a bypass operation, the neurosurgeon performs a puncture of the cerebrospinal fluid. If the patency of the tract is preserved, the headache may temporarily disappear after spinal tap, in this case, the main thing is to start treatment on time and correctly.

From tumors at the base of the skull, removed with a cyberknife, the head can also hurt constantly and severely, the feeling of a drunken gait, fainting, facial pain and epileptic seizures are added to the symptoms. Such a neglected condition is most often fatal, therefore, if there are even some signs, it is necessary to urgently seek medical help.

Causes and treatments for throbbing pain in the head and neck

My head starts to hurt when I lie incorrectly. That is why I try to take a comfortable pillow and choose the right position. Then my head does not hurt and I sleep better.

When the pain in the head appears in the supine position, it is most likely neuralgia, perhaps in a certain position the nerve is pinched or the vessels do not feel very comfortable. I don’t have pain in the supine position, but when I do abdominal exercises, my head gets sick from tension, probably also neuralgia, but as soon as time passes after classes, my head stops hurting.

When I lie down my head hurts

Vascular view

Occurs when the tone of the vessels of the brain is disturbed. It is characterized by dull, aching, throbbing pain, accompanied by darkening in the eyes, a feeling of heaviness in the head and flashing "goosebumps".

Liquorodynamic view

Typical symptoms of headaches of the liquorodynamic type: confusion, bursting character, a feeling of pressure "outside-inside", sharp increase intensity in the supine position, while walking, coughing and turning the head.

Distinguished by the feeling of "a hoop squeezing the head", excessive sensitivity to bright light and loud sounds, irritability and tearfulness. Seen at:

My head hurts when I lie down

My head hurts for 8 weeks, maybe because I’m sitting at home, I’m lying! Yesterday my teeth ached today my head! What pills can I take for pain in my head ?!

There is still a little bit left. I gained about 11kg. Often one side of the back hurts. Summer is over - now a runny nose, then a cough appears. I'll go to the doctor soon. It is interesting whether he turned over as it should or just lies upside down. Also, I have now become officially married.) Oh, and I was on that day, well, nothing- physical training always needed) I hope we wake up a good family.

Save the girls. 10 weeks. The head hurts just terribly, right up to nausea. Neither an asterisk nor a wet towel helps. I lie all day! Picked up the phone for the first time in a day. What can you drink at such an early date? Well, you can't stand this pain.

Respond girls (Night and I’m lying, after we take a walk on the street, we have a fever now, my head starts to hurt a lot, it pulsates in a dark area, as if my heart is beating there and tearing my head to pieces. Lying down, my head hurts even more, even though howling 😢 What can I drink with HB? Has anyone encountered this?

I won’t stop being surprised at my son!))) He gives me something every day, you can not remove the pen from the notebook, but write down after him all the time))) I lay down on the sofa, took my head, I lie with my eyes closed. Danya comes up and asks: - wow, does your head hurt? -uh-huh.I answer -cho, are you dying? -yes. Hugs and laments: -Well, that's right, you're old, so you're dying. 😂😂😂😂 I even cried and went aside, my good son😁😁😁😁

Girls help please .. what to do with a sunstroke. . My head hurts, I feel sick .. weakness .. I'm lying.

I don't write and then I forget. I'm lying on the couch, I'm sick, Stina wants to kiss me: - I'll kiss your nose. - You can't kiss me, I'm sick. - (Then) I will kiss you on the brain (kisses on the head) and on the forehead.

I have a panic ((it has never happened before. But since yesterday I feel dizzy, even when lying down. It hurts a little on the right (if my head hurts at all, it’s only on the right and always, rarely when the pain is all over my head) the pain is barely sensitive, but not pleasant it’s hard for my head, what could it be?? it’s clear that you need to see a doctor, but I can’t yet, there are no numbers for a neurologist.

I don’t know if this is connected somehow or not - with the weather, but this is the only way I can explain my condition. Yesterday we had +3 all day, and at night it hit 23. I got up in the morning. The head is spinning, it hurts inside, it makes me sick. I lie like a vegetable all day. Well, I have no strength, my head hurts and is spinning. Could this be affected by the temperature difference? And what can I do about the headache in my situation?

Tell me, weeks of pregnancy, my head hurts, the second day, my entire forehead. I sit, I lie, it hurts, I have no strength, as if hammers are knocking! What to do, what medicine or remedy will help? Tell me from your experience! Thank you save (((((

Today, in the morning, suddenly in my head the thought through the dream “I’m pregnant” shuddered, woke up, my hand was on my stomach! All day this thought haunts me, especially after yesterday’s sharp cutting fleeting pain in the uterus! it burns, the nipples seem to hurt and at the same time they don’t hurt when I press, it hurts somewhere inside under them. Poor appetite, appatija!)

I was always very dependent on the weather, I often had headaches, painkillers never really helped, and now I don’t know what to do at all, I can’t move, I can’t move, there are hammers in my head 🙁 Girls, what should I do?

It's already 1 month of pregnancy, it's terribly sick. Can there be any product that reduces nausea? Who knows how and how to alleviate this feeling? I’m lying in bed, I get up even more sick, my head already hurts from this bed, but I can’t get up in any way

I'm lying, nothing foretold. And then it poured, without stopping. For the first time in my life, my nose bled. I put in a turunda and I lie down, I didn’t measure the pressure, but my head doesn’t hurt. What happened is unclear. The reasons for this, maybe something is wrong with the baby? I measured the pressure, 90 to 50. Low, of course, it can drop sharply and such a reaction

Hi all. 4.5 years ago, my son was born with the help of a CS, anesthesia was in the back. Then my back hurt for a very long time: backaches, my hands were taken away, it gave to my head, etc. Now I have a second pregnancy 37 weeks and have begun terrible pain! The pain is like an electric current. and straight to the head (the head begins to tear), just horror, then it passes. At the same time, the pain is increasing: I just lie or sit and understand that now this horror will again happen. What it is. A second cop is coming up and I don't.

I’m lying straight and I understand what’s covering .. Previously, I drank Coldrex at such moments and was as good as new in the morning. And now coldrex is impossible like? We are on GW. The snot flows and the nose is blocked at the same time😨. My throat is tickling, my head hurts .. How not to infect Melissa?😣😧

For the second day now, mine has been lying in the bedroom with a headache, closed the curtains, the children annoy him, and drank all the painkillers in the house. He describes almost a migraine, makes him feel sick, the floor of his head hurts. In short, it dies ... Is it like that with you too?

Girls! What do you drink for a headache? I’m lying and I can’t tear my head off the pillow, my head hurts a lot (((I drank paracetamol yesterday, I let go a little

Something completely boring .. tired and my head hurts .. pressure 80/60. I've been in bed all day today. We decided to have some fun with our son.

The law of meanness 2. I lie with a temperature of 38.3, the temperature does not go astray, my head hurts, my teeth hurt, my joints ache and the tail falls off. Tin, in short. And I think a thought unusual for me - "if only this cycle were fleeting" Because it is not known what will happen if it works //. I'm afraid to be treated, but without paracetamol, I just do the cover. The whole family was ill, even though you don’t leave the house, but I distinguished myself - I have a very high temperature. I can't sleep for days, the headache is hellish. Today is 7dpo if she was in.

Here's the mummy. we bathe in the shower and the rug lies in the bath, and the son took a little water, the rug swam, I was distracted for a second, and he slipped and fell ((like first on the ass, and then with my head, I don’t remember how fast everything is ((I’m in last moment grabbed her hand, but still hit her head .. here’s my experience for the night .. I cried a bit and that’s it, then either my head hurts, or it doesn’t hurt anything .. oh .. now I’m already sleeping (I missed a quiet hour in the afternoon), and I .

Today is 15 dpo, just like yesterday, my stomach hurts, nothing helps, not even a load of papaverine, in short, I lie down and die. Yesterday at 14 dpo I passed hCG, today I got a result of 599. Isn't it too small for 14 dpo? I’m worried, there’s also this belly, all sorts of cocoa climbs into my head.

Girls, panic again! Today 4 dpo cryo 2 five days! For 2 days, the lower abdomen has been pulling, increased mucous secretions, today my head hurts a lot, mostly I lie down, went to the toilet and a little blood came out with crinon, while the pain is nothing. I don't know, implantation or something.

I'm on prenatal for 2 days. The pressure was brought down, the swelling does not go away, they do not let go home. Today the cork started coming off. My stomach hurts when I walk. Strongly presses his head down. Even the crotch pulls. I hope we'll start soon. 🤞🤞🤞 It's very hard to lie down, stuffy, boring, I want to move.

The third day I have a headache, at first I thought it would pass, but no, it bothers me from time to time. Today I drank a noshpu, but it did not help. At home lies Citramon and paracetamol or what would you advise?

I went to the hospital to G, for the first time to this one, and so she told me that my uterus was strongly turned to the right side, it almost lies on the pelvis, as she said so. She scared me to the fullest, with all sorts of presumptive diagnoses. Not one G has ever said such a thing to me before. She also had a pap smear and an infection test. So that's why it's all dangerous that the uterus is now with right side. Next week there will be an ultrasound and an answer to the mvzok, my head hurts from everything

I'm 25 weeks and my back hurts a lot. I want to buy a bandage, but I read that it cannot be worn if the baby is not lying head down, we are just sitting on the priest, according to the last ultrasound. I don’t know what to do, this is my first pregnancy, so I really don’t know anything. Can you tell me?

Girls, good afternoon. I am 8 weeks pregnant and for the third day the headache is throbbing and very sharp pain like a migraine. When I lie down, my head almost does not hurt, as soon as I get up, the pains begin, I can’t even go outside. Seeing a doctor on Wednesday. I thought that the pressure, but no - 100/60 is the norm. Who was saved? The pharmacy advised tablets - paracetamol, but helped only for 20 minutes.

I want to take a nap. It is not clear how my body behaves. Either everything is fine (well, within the limits of reason), then it vomits all day, and I lie like a vegetable. Sometimes my head hurts, every day, sometimes it doesn’t hurt at all for several days. I don't know what to do. Today, I’m vomiting and feeling sick again, and before that, I didn’t have anything like that for almost a week after the hospital: I ate normally, slept normally. Just a terrible state of affairs. I understand that I need to go outside, but I can’t go out - I feel sick or my head is spinning We were waiting for this child, but this is the state.

Girls, help me out. My head hurts a lot, mostly the back of my head. I’ve been lying down for 2 hours, it doesn’t help. What can we drink? How to relieve pain? We are 26 weeks

Hello girls, I want to share with you my find. Last week I had a very bad headache, I had no strength to endure this pain and I went to the pharmacy. There I was advised to purchase the drug Next http://www.nextpainkiller.ru/ As it turned out, this remedy really fights pain very well, and not only with a headache, my husband’s toothache, the drug eliminated in just a couple of minutes. In general, Next turned out to be an excellent drug and now I always have it in my first aid kit.

I can't write down. Anyutik, 8 years old, time 21:54, lies in bed, almost fell asleep - Mom, is the seed tasty? - Which? - Well, which a man gives to a woman to have a child. Curtain! It's good that it's very late and I said that this is a figurative expression. time to sleep. and tomorrow I will tell you more, and in general. I have a headache!

I’m 6dpo, 3 days ago I had a terrible hysteria, although there was no such special reason, and on the same night I started to tingle in the area of \u200b\u200bthe right ovary, then my stomach pulled for 2 days, today I didn’t pay attention like everything is fine. And I think it was ovulation or something going on. And now I'm lying and my head hurts. I really want to get pregnant.

Happy beautiful day everyone! If only I could go for a walk and celebrate Victory Day, but I sent my husband away, and I myself lie down and can’t even walk. We are 31 weeks old. For the third day I just barely move, my eyes are watery as my head hurts! And I have never suffered from headaches. I get up and it seems like it “drains” from my head, almost to the point of losing consciousness. I’m lying, I can live more or less, but I feel sick. I attribute it to the weather, we had almost at first.

Which is unbearable. It feels like the pressure is under 200. I’m lying all right for 3 days, I’m just starting to get up while sitting or when walking, my head hurts terribly terribly, I don’t have the strength to endure. I lie down-120/80 I get up immediately 130/140-90. Doctors say everything will pass, but why not even get better

Everyone good evening. I have a question about my state of absolute non-standing, in the truest sense of the word. I’ve been lying like a corpse for two days now, my head hurts very badly, today, at least not to the point of vomiting, like yesterday, but when I try to get up, it gets dark in my eyes. I move in small dashes around the house, from bed to sofa, from sofa to bathroom, after a shower, again, I lay on a chair for more than half an hour. I can’t eat almost anything, but at least I don’t vomit. Feeling like someone hit me hard.

I can't help it.. I rinse, I lie in bed, I drink tea, a lot of tea! And the throat is just awful! And snot and sneeze. Yesterday I almost threw up from the snot .. and my head hurts from all this. What to do.

Good evening girls everyone! Well, tell me what pills from the head can I take in the first trimester ?? Very often I suffer from headaches ((pills? I don’t drink any, I’m afraid !! I endure with a wet towel on my head ((

He himself began to raise his head in a column position or on his tummy on the second day in the maternity hospital for 5 seconds))))) now in the prone position on his tummy, leaning on his elbows for a long time, he can hold his head (30 seconds, if not more). he himself is already crawling away slowly, also lying on his tummy))) something in our tummy hurts, we sleep badly because of this. While we are saved folk remedies and sisey))))))) The daughter does not move away from her brother, she tries to babysit)))))) even sometimes gets up at night, shakes the rattle to him)))))

hello everyone. It’s 9 weeks, and I’ve become like an amoeba, I can’t call myself anything else: I don’t want anything, I’m in a state of not standing, I don’t have an appetite at all, I don’t eat almost anything, and if we sing it feels like at 9 months, almost always I lie, constantly hall.

Little girls, tell me!! Term weeks. The baby is moving very violently. A week ago I had an ultrasound, they said that everything is fine and the baby is head down. That's when the ultrasound still, there was a sharp pain in the pubic area. The pain is somewhere inside. Lying and sitting does not hurt. But when I get up, or I go, it’s generally a kapets! Don't bend over. Even when I read or cough, the same thing hurts, or rather, the pain is sharply pressing. What could it be? Maybe someone had it? Terrible for the baby doll. Signed up for a doctor.

Before that, I didn’t really ride the hills. So I think what to order - a cheesecake (and which one - 70, 80 cm ??) or an ice cube (round, rectangular?). And there is also such an option at the May shop, I'm not sure, for 3 years, probably, it will be too late already ?? Or is it ok for solo riding?

I went to the second ultrasound today, hoping to hear that everything is fine and find out the gender of the baby, but I heard “stomach hurts?”. The tone and the baby strongly lowered his head. could not look at the head with an external sensor, because. low. An ultrasound was prescribed in a week, but for now, maximum bed rest and papaverine .. Here I am, thinking, I have a cough chest days five, from it there can be a tone? What can be done besides papaverine and magnesium to relieve the tone and raise the baby? Maybe someone could recommend something. I lie down, everything is ok, I get up, I walk, pulling the lower abdomen.

Girls tell me how you coped with the headache. wake up in the morning with a terrible hangover. the main thing when I lie down it doesn’t hurt is to stand up as if they are hitting the head with a frying pan))) I drank paracetamol once. but I don't feel like taking pills.

Girls, I have low blood pressure all day, my head hurts, I can’t get up (((What can I drink to increase

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lying head hurts what to do

Headache when lying down

Headache in the supine position is the result of many different pathological conditions, ranging from banal overwork and ending with a malignant brain tumor.

Depending on the characteristic symptoms and causes, physicians distinguish several genetic types of headache, the definition of which is of paramount importance for its drug therapy.

Vascular view

Occurs when the tone of the vessels of the brain is disturbed. It is characterized by dull, aching, throbbing pain, accompanied by darkening of the eyes, a feeling of heaviness in the head and flickering #171; goosebumps #187;.

Vascular pain increases significantly when the head is lowered and in the supine position. The group of vascular headaches includes:

pain in arterial hypertension;
with migraine and atherosclerosis of cerebral vessels;
in acute cerebrovascular accident (stroke);
premenstrual and menstrual headaches;
pain with hypotension and seasonal headaches.

Liquorodynamic view

It is formed due to imbalance between the outflow of cerebrospinal fluid and secretion, resulting in intracranial pressure either going down or going up.

Typical symptoms of liquorodynamic headaches are: confusion, bursting character, feeling of pressure #171; outward-inside#187;, a sharp increase in intensity in the supine position, while walking, when coughing and turning the head.

Diseases that provoke liquorodynamic headaches:

brain abscess, benign and malignant brain tumors;
swelling of the brain due to inflammation or injury.

Muscle tension headaches

They arise against the background of painful pathological impulses during the processes of local localization, as well as as a result of a high tone of the nervous system.

They are distinguished by the feeling of #171;a hoop squeezing the head#187;, excessive sensitivity to bright light and loud sounds, irritability and tearfulness. Seen at:

hormonal changes, neurosis, stress;
infectious-toxic diseases;
organic lesions of the paranasal sinuses and eyes.

Why do you feel dizzy when you get up or lie down

Not so often people experience dizziness when getting up and when lying down. In such cases, a person has a distinct feeling that the objects around him are moving, rotating, staggering. severe seizures cause weakness, a feeling of nausea, loss of control over the position of the body, orientation in space. The person may even fall. In medicine, dizziness is referred to by the term vertigo, and its treatment does not require special procedures unless it is a symptom of a serious illness.

Most cases of such dizziness arise from severe overwork, sleep disturbances or strict diet. They are not dangerous to humans and disappear immediately after the normalization of the daily regimen, the rejection of the diet. A change in the weather can also be dizzying for people suffering from low blood pressure, then pressure treatment is prescribed. However, some cases of vertigo require increased attention, as they can serve as the primary symptoms of any of the serious diseases. Strong and frequent dizziness requires timely seeking medical help, the appointment of appropriate treatment.

If you stand up abruptly

It happens that sudden rises from a bed or a chair lead to short-term dizziness. Some of these attacks are accompanied by darkening, circles before the eyes, a feeling of nausea, tinnitus. They last, as a rule, not for long, about a few seconds, but the frequency of their occurrence manifests itself differently in everyone. This may be one attack per month when getting up, or several a day. Depending on the frequency of attacks, diagnosis of the disease, the doctor prescribes treatment.

Sudden standing up can be caused orthostatic hypotension. when blood pressure drops sharply and cerebral circulation decreases. It makes me dizzy even fainting, darkening in the eyes. Common seizure symptoms:

severe weakness;
feeling of nausea;
vagueness before the eyes;
hearing disorder;
cardiopalmus;
there is tinnitus;
convulsions.

Orthostatic hypotension occurs when a person has problems with the vascular system, atherosclerosis, against the background of the use of diuretic drugs, diabetes and more.

Reveals real reasons only a doctor, after which he performs the right treatment. In case of hypotension, it is recommended not to get up abruptly, slowly move to a semi-vertical position and only after a few minutes get out of bed. Preventive treatment in mild cases, it consists in walking in the air, morning exercises, changing the diet and taking various herbal infusions.

Why does your head spin when you lie down

Slight dizziness when taking a prone position appears due to deviations in vertebral department namely in the neck. Changing the position of the body changes the position of the vertebrae of the neck, and this limits the flow of blood to the brain.

Useful information: Headache, coupled with shortness of breath - a reason for examination

Often, when taking a horizontal position, ear diseases appear, they can also cause dizziness. When they are identified, they are treated.

There are cases in which dizziness when taking a horizontal posture can be the cause of old injuries, such as a concussion. Head turns, osteochondrosis of the neck can also be accompanied by dizziness when you lie down, slight nausea, pain in the cervical region. Any such case requires special diagnostics (radiography, MRI). Only after identifying the causes and making the correct diagnosis, individual treatment is prescribed.

Dizziness can occur with any movement. The main thing is to distinguish the symptoms and note in what situations an attack occurs. This will allow doctors to make a more accurate diagnosis. Read also:

Other triggers for vertigo

Dizziness in itself cannot be a diagnosis, only as a concomitant factor of another disease. Also, do not confuse with visual disorders, in cases of flickering midges or the appearance of fog before the eyes. Real vertigo causes a disturbance, not a disorder vestibular apparatus. In moments of dizziness, the patient feels unstable, it seems to him that not he, but everything around him rotates and staggers.

The list of factors that provoke vertigo includes a variety of life aspects, deviations, diseases. Here is some of them:

stroke conditions;
infections;
vegetative-vascular dystonia;
multiple sclerosis;
various tumors;
cervical osteochondrosis;
brain injury;
ear diseases;
seasickness;
severe stress;
mental disorders;
lack of nutrition;
low hemoglobin;
taking medications.

There may be bouts of dizziness, accompanied by nausea in case of disruption of the brain activity, problems with blood pressure. With a decrease in pressure, they often experience nausea, dizziness. With a jump in pressure upwards, sticky sweat and vomiting are added to nausea, dizziness. When similar symptoms, need examination and treatment of pressure. Women experience frequent dizziness in early pregnancy, during menstruation, or during the onset of menopause.

Useful information

Why do you feel dizzy when you lie down

Very dizzy unpleasant symptom, the appearance of which should not be ignored, it develops as a result of a malfunction in the system responsible for the orientation of our body in space. Very often, patients at the doctor's office complain: "I feel dizzy when I lie on my back."

Causes of dizziness

Diseases of the inner ear (various inflammatory processes, atherosclerosis, circulatory disorders, malfunctions of the vestibular organs).
Changes in the process of transmission of impulses to the brain, as a result of alcohol or nicotine poisoning. Also due to injury.
Incorrect processing of incoming impulses by the central nervous system, provoked by ischemia, intoxication, the consequences of trauma, and a failure in the delivery of nutrients to nerve cells.

The most common situations requiring medical examination

Dizziness is not independent disease but rather its harbinger. You should immediately consult a doctor if you have:

Head spinning combined with tinnitus.
Severe headaches with partial or complete hearing loss.
Against the background of dizziness, nausea and vomiting begin.
If at sharp turn Heads are experiencing a pre-fainting state.
Dizziness ends with loss of consciousness.
Double vision, weakness of the limbs, impaired sensitivity.

Diseases accompanied by dizziness

The causes of dizziness in the supine position are very diverse, but the most common is circulatory failure in the brain. This violation provokes a number of neurological and internal diseases. Among them:

Osteochondrosis in the cervical spine leads to squeezing of the artery, and, accordingly, blood circulation and nutrition of the brain suffer. Dizziness can be almost constant, leading to blackouts, loss of orientation in space, and sometimes to fainting. You can help in such a situation by laying the patient down with his head down. Osteochondrosis is the most common cause of dizziness in the supine position.

It is necessary to address to the neuropathologist and to pass or take place inspection. Non-steroidal anti-inflammatory drugs, physiotherapy, massage, special gymnastics and diet.

Insufficient supply of oxygen to the brain nutrients as a result of hypotension (low blood pressure). It is necessary to consult a therapist, he will prescribe drugs that normalize vascular tone and general strengthening therapy (vitamins).

Inflammatory diseases of the vestibular nerve are characterized by sudden, severe circling of the head, which disappears after sleep. This problem is dealt with by an otolaryngologist (ENT). The survey must include computed tomography to exclude stem stroke, the manifestations of these diseases are very similar. Treatment is aimed at eliminating dizziness, stopping vomiting and nausea, and anti-inflammatory drugs are also used.

Vegetovascular dystonia with its inadequate response of blood vessels, they either narrow, raising pressure, or expand, losing tone. Due to improper operation, cerebral circulation suffers, and dizziness may appear accordingly. The neurologist will prescribe medications that normalize vascular tone, recommend observing the daily routine, having a good rest, spending more time in the fresh air and doing physical education.

Swelling of the canals of the labyrinth of the inner ear. caused by inflammation of the nasopharynx. You will need a visit to the ENT doctor and appropriate anti-inflammatory and blood circulation-improving treatment.

Hernias of the spine. can proceed completely painlessly and will be detected only during a medical examination. Their treatment can be conservative (medication, special exercises, physiotherapy, etc.), as well as operational. The principle of treatment is determined after a thorough medical examination and depends on the severity of the patient's condition, location and number of hernias.

Tumor processes in the brain. Their sign may be dizziness with hearing loss on the affected side. Tumors are either benign or malignant. The sooner the patient seeks medical help, the greater the chance of successful completion of treatment. You have to visit an oncologist.

Prevention of recurrence of dizziness

Learn to do without sudden movements. Make smooth turns in bed. Do not jump up abruptly in the morning, turn on your side and stand up smoothly.
Get quality deep sleep.
Be outdoors more.
Go in for sports (running, walking, swimming, morning exercises, etc.). Physical activity strengthens vascular tone, improves blood circulation, and forms a sufficient muscle corset.
Don't go on restrictive diets. Lack of nutrients in the body is dangerous to health.
Timely cure inflammation in the nasopharynx.

Be sure to undergo a medical examination. to find out the cause of dizziness in the supine position. Take good care of your health.

Single episodes do not pose a danger to the human body, but if they are regularly repeated when turning or tilting the head, changing body position (turning in bed, getting up in the morning and going to bed in the evening), you cannot do without going to the doctor, treatment will significantly improve the quality of life .

Vascular view

Liquorodynamic view

Typical symptoms of headaches of the liquorodynamic type are: confusion, bursting character, a feeling of pressure "outside-inside", a sharp increase in intensity in the supine position, while walking, when coughing and turning the head.

They are distinguished by the sensation of a “hoop squeezing the head”, excessive sensitivity to bright light and loud sounds, irritability and tearfulness. Seen at:

Causes of headaches when lying down

Often, when visiting a neurologist, patients, when asked in what position the pain intensifies, answer that their head hurts more when I lie down. Based on the combination of headache with other signs, the doctor makes an appropriate diagnosis and explains why the headache (cephalgia) bothers the patient.

1 What diseases can be indicated by the presence of cephalalgia

Not always people are in a hurry to diagnose the disease due to various reasons. So why does the headache get worse when a person is lying down?

Before you guess about the disease and make yourself a non-existent diagnosis, you should learn to distinguish between headaches. A headache of a throbbing type is characteristic of vascular diseases. Most often, it is experienced by patients with vegetovascular dystonia, in whom it is bilateral. Unilateral headache is characteristic of migraine. This disease does not go away for a long time and is aggravated by bright light, strong noise and other irritating factors. If a person's headache worsens when lying down, and the face swells, then he may have venous cephalgia.

Other causes of persistent headaches:

protrusion of the intervertebral discs, scoliosis;
intracranial hypertension or hypotension;
swelling of the base of the skull;
brain tumors;
other neurosurgical ailments;
gynecological diseases;
neurological ailments;
ailments of the cardiovascular system;
lack of vitamins or oxygen;
increased fatigue;
neurosis;
incorrect posture during sleep or working posture;
pillow too hard or too high.

In fact, in addition to the above list of reasons for which a headache can be chronic, there are many more provoking factors. Diseases of the kidneys, liver, eyes, ears, smoking, hazardous work and other factors can always cause chronic headaches.

2 How does the behavior of cerebrospinal fluid affect the human condition

When a person goes to the attending neurologist or neurosurgeon, the doctor usually asks when the pain is unbearable: when you lie down or when you are in an upright position. In some cases, the patient reports that with such headaches it is better for him to lie down, then he begins to feel much better. Provided that this condition is caused by cerebrospinal fluid effects, most likely, the patient suffers from intracranial hypotension. If the headache intensifies in the supine position, then in this case there is pressure of the cerebrospinal fluid on the walls of the cranium, i.e. have intracranial hypertension.

The danger of this disease is that the lack of cerebrospinal fluid has an extremely negative effect on the work of the brain and blood vessels of the head, as a result, a fatal outcome can occur. This is due to the fact that hypotension severely damages blood vessels and can provoke hemorrhage, dislocation of the structures of the hemispheres and the brain stem. As a result, cerebral edema, impaired brain stem substance and hemorrhage lead, at best, to a stroke, at worst, to death.

Often, headache is eliminated with conservative therapy aimed at restoring water and electrolyte balance.

In this case, often resort to therapy using isoosmolar solutions. If the patient is sick with liquorrhea, most often he needs treatment in a hospital.

3 Why hypertension and tumors cause headaches and how to treat it

However, if the outflow of CSF is too fast, this also leads to multiple bad conditions. In this case, cerebral edema, foci or hemorrhage may occur, which is fraught with serious harm to the patient's health or even death. If it is impossible to perform a bypass operation, the neurosurgeon performs a puncture of the cerebrospinal fluid. If the patency of the pathways is preserved, the headache may temporarily disappear after a spinal puncture, in this case the main thing is to start treatment on time and correctly.

You suffer from episodic or regular headaches
Presses the head and eyes or "hit with a sledgehammer" on the back of the head or knocks on the temples
Do you sometimes feel nauseated and dizzy when you have a headache?
Everything starts to enrage, it becomes impossible to work!
Throw out your irritability on loved ones and colleagues?

Stop tolerating it, you can't wait any longer, delaying treatment. Read what Elena Malysheva advises and find out how to get rid of these problems.

If you have a headache, seek advice immediately.

You can receive a headache questionnaire free of charge by sending an e-mail to:

Headache is a painful, unpleasant sensation in the area from the level of the orbits to the suboccipital region, one of the most frequent and universal complaints. Its presence often reflects not so much trouble in the head itself, but in the body as a whole.

Headaches are primary and secondary.

Primary headaches, which are effectively treated in the sanatorium "Koncha-Zaspa", are characterized by the fact that even the most thorough examination does not reveal any organic causes.

Secondary (symptomatic) arise as a result of various diseases of internal organs, injuries, metabolic disorders, poisoning, taking certain medications.

It should be remembered that the substance of the brain does not have pain sensitivity. Pain sensations occur when the receptors of the dura mater, arteries, veins, muscles, and skin are irritated.

In only 5% of cases, serious organic diseases can be the cause. But it is to their identification that priority attention should be paid.

Diseases that are accompanied by a headache:

Sudden, severe, diffuse headache is characteristic of a cerebral hemorrhage. It is accompanied by vomiting and sometimes loss of consciousness. Paralysis of the limbs may also occur.

Vascular diseases of the brain is one of the most common reasons.
Hypertonic disease. Pain usually originates in the back of the head and often occurs early morning. There is usually no clear relationship between the appearance of a headache and the degree of pressure increase. It usually occurs with a rapid rise in pressure.
Inflammation of blood vessels (vasculitis). Constant headache. In the temporal and frontal region in older patients, it occurs against the background of general weakness, constantly elevated temperature, and weight loss. The pain often worsens at night, especially if the patient touches the painful area by rubbing his head on the pillow.
Increased intracranial pressure. Headache can be an early sign of a brain tumor and abscess intracranial hematoma and other volumetric formations, as well as dropsy of the brain. The pain is often diffuse, but at first it may occur in the area of the location of the tumor or other formation. Headache occurs intermittently, but then becomes constant. It may depend on the position of the body. Accompanied by vomiting. It is aggravated by coughing, sneezing, tilting the head. Wakes up in the middle of the night.
Decreased intracranial pressure. Occurs less frequently. The reason is the leakage of cerebrospinal fluid (intracranial fluid) through defects in the tissues of the head. Headache worsens when standing up and is accompanied by nausea, vomiting, dizziness, tinnitus.
Orgasmic (coital). Temporarily sudden onset throbbing headache that occurs in men during intercourse. It usually lasts a few minutes, but if it first occurred during intercourse, it persists for several hours, it is necessary to exclude cerebral hemorrhage.
Compression of the nerves of the cervical spine. Inflammation or osteochondrosis of the spine. Occurs in the cervical-occipital region, can spread to the forehead, temple, shoulder, arm. May appear on one or both sides. The side of the pain usually does not change. It intensifies when moving the head, staying in an uncomfortable position for a long time, when touching the neck, the back of the head.
Inflammation of the airways of the skull (sinusitis). Sinusitis, frontal sinusitis, ethmoiditis. Pain in the forehead, around the eyes. Accompanied by fever, nasal congestion, redness of the skin and pain when tapped in the area of the affected sinus. There is almost always purulent discharge from the nose. The pain is aggravated in the supine position, after sleep, decreases when standing.
Inflammation of the joint of the lower jaw. Pain occurs near the ear, in the muscles when chewing, yawning, wide opening or squeezing the mouth.
Acute increase in intraocular pressure. Acute angle-closure glaucoma. The pain is throbbing, in the eye, in the orbit, with redness of the eye, blurred vision, nausea, vomiting.
Irritation of cold receptors in the throat. When hypothermia of the head or swallowing cold food there is a short-term severe pain near the eyes, in the nose, in the throat.
Pain after a head injury. It may last for several months, several years. Accompanied by a decrease in memory, attention, mental disorders, dizziness, nausea, increased fatigue, sleep disturbance. The pain is diffuse, dull, aggravated by physical exertion.
Infectious diseases. Pain occurs with any infection. accompanied by an increase in temperature. There may also be pain in the muscles, joints, general weakness.
Poisoning, metabolic disorders. Constant dull pain with nausea, sweating, diarrhoea, muscle pain.
Headache when taking medication. When you receive vasodilators, hormones, antibiotics. Headache rebounds with an overdose of painkillers. Reduction of headache after drug withdrawal is the main symptom of drug headache.
primary headaches- Tension headache and migraine. cluster headache. Indomethacin sensitive headache.

Tension-type headache is the most common variant, affecting more than 50-80% of the population. More often in women. The pain is mild or moderate, lasts from several tens of minutes to several days, does not increase with physical activity. The pain is bilateral, in the back of the head, in the forehead, pressing, squeezing, without vomiting. It is difficult for patients to describe their feelings. Often - not pain, but a feeling of heaviness or pressure of a helmet, a hoop on the head.

Migraine - occurs in adolescence. Paroxysmal. Unilateral or bilateral headache in the frontal, temporal region, in the eye socket. The pain is intense, throbbing, with nausea, vomiting, photophobia, phonophobia, desire for rest and isolation.

Cluster headache - occurs at a later age (30-50 years). It is characterized by a cluster occurrence of a pain cycle - 1-3 attacks per day, lasting minutes, for 6-8 weeks. Then the attacks resume after 4-6 months, with a certain cyclicity, seasonality. The pain is strictly unilateral, periorbital, extremely intense (“suicidal”). Accompanied by redness of the eyes, nose, lacrimation. The patient is constantly moving, cannot find a place for himself.

Indomethacin-sensitive headache is a form of primary headache that responds positively to indomethacin. The pain is usually short-lived, recurring for several hours a day. It can be unilateral or bilateral, spontaneous or provoked by straining. Some patients may not respond to indomethacin, and other drugs may have a positive effect, so the allocation of this group of headaches is very conditional.

DIAGNOSTICS

Diagnosis of the type of headache is carried out by the method of pupillometry. Indirect sign headache is the reaction of the pupils of the eyes. Pupils can expand, narrow, have a different diameter. The subjects are asked to perform a series of test exercises and movements, during which pupilometry is performed (video recording of the reaction of the pupils with high-precision video cameras). The data obtained on the reaction of the pupils are analyzed by a special computer program that determines the type and nature of the headache. This provides an opportunity to individually prescribe the necessary and effective treatment.

Types of headaches

Tension headaches

Diagnosis of simple and stress pain is based on a characteristic clinical picture: the headache is intractable in nature with pain episodes lasting from 30 minutes to 7 days. The pain is squeezing, tightening (not pulsating), the intensity is usually average (pain impairs performance, but does not lead to cessation of activity). Localization is bilateral: frontotemporal, parietotemporal, "helmet", "helmet", "hoop", "hood". The pain is not aggravated by everyday physical activity.

In the formation of tension headache, mental disorders play a leading role: anxiety, depression, hypochondria, demonstrative personality traits. However, the leader among them is depression.

The cause of headaches is often a prolonged muscle tension in antiphysiological postures. Often this is associated with professional activities: working at a computer or typewriter, with small details, driving a car, etc. At the same time, the external eye muscles, the muscles of the scalp aponeurosis of the head, and the neck muscles are in a tense state. An uncomfortable position of the head during sleep can also play a certain role. In this regard, one should not forget about such widespread methods as gymnastics, massage, physiotherapy.

The use of drugs for episodic headache is carried out in short courses or once. So, a headache can be stopped by a single dose of analgesics: aspirin, paracetamol, ibuprofen, combined analgesics (citramon, sedalgin) or tranquilizers, as well as their combination. However, one must remember that the abuse of analgesics and psychotropic drugs is unacceptable, as this leads to a decrease in their effectiveness, the transition of pain into a chronic form, and the formation of chronic daily abuse headache. The best results are achieved with a single dose of muscle relaxants: mydocalm in dozemg (1-2 tablets) in combination with 250 mg (1 capsule) donalgin; sirdalud (2-4 mg).

Migraine

This type of headache is reported in the papyri of the ancient Egyptians: there are descriptions of migraine attacks, as well as prescriptions for medicines used to treat this disease. Despite this, much remains a mystery in the pathogenesis of migraine. Practitioners and patients suffering from migraine do not have a clear idea of whether it is curable. What modern drugs are most effective in relieving migraine pain? Should all patients with migraine be treated and how?

Migraine is the second most common type of primary headache after tension headache.

The criteria for diagnosing migraine were defined by the International Headache Society in 1988:

Paroxysmal headache lasting from 4 to 72 hours.
Headache has at least two of the following characteristics: predominantly unilateral localization, alternating sides, less often bilateral, throbbing, moderate or severe headache intensity (impairs daily activities), aggravation with exercise.
The presence of at least one accompanying symptom: nausea, vomiting, phonophobia, photophobia.

Liquorodynamic type of headache

Any pathological processes that interfere with the circulation of cerebrospinal fluid or cerebrospinal fluid entail a change in intracranial pressure (i.e., its increase or decrease).

Treatment is with diuretics and drugs that lower blood pressure.

With a decrease in intracranial pressure, the pain is pulsating in nature, combined with weakness and apathy.

Vascular type of headache

This type is associated with various options for changing the state of the arteries and veins of the brain and skull. So, the first variant of pain - arteriohypotonic - is due to a decrease in the tone of these arteries, the second - on the contrary, a spasm, and the third - venous insufficiency.

Pain in venous insufficiency is due to increased blood filling of the venous vessels and difficulty in venous outflow. Patients experience heaviness in the head and a feeling of dull bursting. Most often, these sensations are limited to the occipital region. Headache of venous insufficiency occurs or worsens when lying down or when working with a low head. One of the characteristic features of such a headache is its morning manifestation - it occurs early in the morning "as soon as I opened my eyes", "a heavy head, as if I had been plowing all night."

Treatment of vascular type of pain is carried out with xanthine drugs (eufillin), ergotamine, antispasmodics, vinpocetine, calcium antagonists (nifedipine).

Abusive headache

This term comes from the English word "abuse" - abuse. The literature also uses the terms "drug headache", "analgesic-dependent headache", "withdrawal headache", "abuse headache" and others. Abuse headache is the third most common, following migraine and tension headache.

Abuse pain develops in patients suffering from primary headache, more often migraine - 3/4 of patients or tension headache - 1/4. Frequent use of analgesics (daily or every other day) leads to chronicity of episodic pain and modification of its nature. Patients note a background constant headache of low intensity and paroxysmal increased pain in the head.

pain - analgesic - pain

Most often, the reasons leading to the abuse of drugs are the psychological characteristics of patients. A high level of anxiety and depression, the illusion of high self-control of pain sensations with the help of an analgesic pill leads to the formation of an incorrect strategy for coping with pain and leads to drug abuse. It is believed that taking medication daily or every other day after three months can lead to the formation of an overuse headache.

The most important step in the treatment of abuse headache is the abolition of analgesics.

Headache worsens when lying down

Subarachnoid hemorrhage (emergency) should always be suspected in the event of a sudden severe headache.

A patient with a newly appeared, gradually increasing headache that occurs in the morning or during exertion should be referred for additional examination.

When complaining of a headache, it is necessary to measure blood pressure.

It should be remembered that in the elderly, headache may be due to temporal arteritis or chronic subdural hematoma.

Irritation of the meninges:

- acute and chronic meningitis.

Dystonia of intracranial blood vessels:

– Volumetric processes (tumor, hematoma, abscess);

- an increase in intracranial pressure (ICP) (blockade of the cerebrospinal fluid pathways, venous thrombosis, intracranial hypertension, malignant arterial hypertension);

- decrease in ICP (after lumbar puncture, less often spontaneously).

Dilation of intracranial vessels and metabolic disorders:

- generalized infectious disease;

- violation of cerebral circulation of an ischemic nature;

- headache after injury or seizures;

- the use of drugs and foods that expand venous vessels;

- a significant increase in blood pressure;

- headache with physical stress, sexual intercourse;

- hypoxia and hypercapnia;

- anemia or polycythemia;

- headache caused by analgesics.

– Ordinary (simple) migraine (“temporal artery migraine”).

- Bunching headache.

Tension headache:

– primary (psychogenic mechanisms);

- secondary (damage to the neck, "whiplash" injuries, malocclusion, bruxism1, improper organization of the workplace).

- trigeminal neuralgia;

- neuralgia of the glossopharyngeal nerve;

- atypical neuralgia of the facial nerve.

- damage to the ears, eyes, paranasal sinuses, oral cavity and bones.

daily headache

Daily headache can be due to various concomitant causes. There are many types of headaches, and identifying the causes of headaches can be as difficult as treating them. In addition, prolonged use of analgesics can paradoxically lead to the development of headache.

Examination and diagnostics

Anamnesis data are of great importance. Pay special attention to the following points.

Patient's age at first headache attack

If the headache occurred after 35 years, a thorough examination of the patient is necessary (migraine and tension-type headache usually develop at a younger age).

Duration and frequency of headache attacks

Prolonged or recurrent headache is often vascular in origin or due to muscle tension.

Acute onset headache different nature may be caused by severe disease (eg, subarachnoid hemorrhage).

Gradually (over days/weeks) worsening headache may be a sign of a brain tumor.

Migraine attacks rarely develop more than 2 times a week. Daily attacks for migraines are uncommon.

Features of a headache

Vascular headache is usually throbbing in nature.

Tension headache - compressive, squeezing, like a hoop.

Headache in the morning (including early hours) is characteristic of migraine or increased ICP.

Migraine headache is usually unilateral; cluster headache is always unilateral.

Tension headache usually evenly covers the forehead or back of the head (sometimes localized only on the "crown" of the head).

Pain in the temporal region can be caused various reasons(for example, pathology of the mandibular joint). Be aware of the possibility of development in older people temporal arteritis.

Classic migraine is often preceded by various prodromal symptoms. Typical manifestations include photopsias, scotomas, transient visual disturbances (blurred figures), visual field defects, sometimes paresthesias, or short-term speech disturbances.

- If a prodromal signs persist after the onset of headache, the diagnosis of migraine is uncertain.

- Diplopia is not characteristic of migraine, its occurrence is considered as an indication for further examination.

Nausea and vomiting are characteristic of migraine, but if they are present, differential diagnosis is necessary, for example, with ischemic cerebrovascular accidents, hemorrhages, and increased ICP.

Somatic and neurological status

Although at general examination headache patients usually do not find any abnormalities, it remains an important step for diagnosis.

BP needs to be measured.

It should be remembered that an ophthalmological examination is necessary (edema of the optic discs and the absence of venous pulsation of the vessels indicate an increase in ICP).

Measurement of intraocular pressure is necessary at least in cases where the pain is unilateral and localized in the eye area.

Additional research methods

The diagnosis of migraine and tension-type headache is usually based on the history, in such cases there is no need for further research.

Ultrasound of the maxillary and frontal sinuses is necessary if there are signs of an infectious disease.

To detect temporal arteritis, it is necessary to determine the ESR in patients older than 50 years.

CT and MRI are the first-priority research methods for suspected volume processes.

If a subarachnoid hemorrhage is suspected, the primary research method is CT.

Sometimes no abnormalities are found on CT, but the study of the cerebrospinal fluid allows you to confirm the diagnosis.

If meningitis is suspected, a cerebrospinal fluid examination is necessary.

Based on the data of the anamnesis and physical examination, selectively carry out: general analysis blood, determination of fasting glucose concentration, serum concentration of sodium and potassium ions, creatinine, TSH and T3, as well as others

enzymes and hormones in blood serum.

Indications for specialist consultation or special research methods

Acute severe headache.

Recent severe or continuously worsening headache.

Constant headache, aggravated by lying down.

Headache in the morning.

Headache provoked by coughing, physical exertion.

The onset of headache in patients over 50 years of age.

Decrease in body weight.

Physical examination data

Fever and violation of the general condition (in order to exclude meningitis).

Edema of the optic discs.

Soreness of the temporal arteries on palpation or an increase in ESR (biopsy of the temporal artery).

Recently developed gait disturbance.

Focal neurological symptoms, including visual disturbances.

Migraine headache that always develops on one side or first occurs after age 40.

Headache that does not respond to treatment.

Can a doctor treat cluster headache? general practice subject to the exclusion of the diagnosis of trigeminal neuralgia.

Chronic paroxysmal hemicrania (reminiscent of a cluster headache and manifests itself in the form of short, frequent attacks in women).

Situations where advice may be needed

Patients with chronic pain syndrome, not amenable to treatment (in this case, a trial treatment with antidepressants is necessary).

If there is a suspicion of a connection between the occurrence of a headache and a neck lesion.

Why does headache occur at night

Headache is a symptom that is familiar to everyone. Most people experience headaches during the daytime, working time. However, there are groups of people who are bothered by heaviness in the head at night. This condition is more difficult already because the headache at night disrupts sleep.

What is a headache

Such an ailment is not a separate disease, but a symptom that can accompany various pathological conditions. This symptom has a predominantly subjective characteristic - each person feels discomfort in the head in his own way and describes it with different concepts.

Headache can sometimes be the only symptom of a latent disease. As for night headaches, their cause lies in various conditions.

Causes of nighttime headaches

Oxygen deficiency

The most basic cause of discomfort in the middle of the night is lack of oxygen. The brain reacts strongly to oxygen starvation. If other organs can maintain their function in conditions of reduced oxygen for up to an hour, then the brain is not able to survive without it for more than five minutes. In response to the resulting hypoxia, the brain reacts with a headache.

Lack of oxygen may be due to:

Being in a stuffy room without an influx of fresh air.
Diseases of the upper respiratory tract, accompanied by difficulty in nasal breathing.
Anomalies in the development of the nasal passages, which also prevent free nasal breathing.

mental strain

Often a headache during sleep is associated with intense mental work during the day. The need to overstrain the brain throughout the working day leads to the fact that during the night's sleep the brain continues to work and does not get proper rest. This leads to discomfort in the head at night and feeling tired after waking up.

Hypotension - low blood pressure

The average blood pressure in an adult is 120/80 mm Hg. Art. For some people normal pressure, at which they feel comfortable, are lower numbers - this is due to heredity, with the features of the physique.

For most people, blood pressure is below 100/60 mm Hg. Art. leads to unpleasant sensations in the head. They are especially pronounced at night. This is due to the fact that in a horizontal position, blood flows from the brain, and if the pressure is low, then this process is more pronounced.

Due to lack of blood supply, night headaches develop. After waking up, dizziness, a feeling of flies before the eyes, may join her.

Why hypotension may occur:

Prolonged fasting.
Lack of glucose in the blood.
Acute or chronic bleeding.
Prolonged stay in a forced horizontal position.

On our website there was a detailed article about headaches in hypotensive patients. You can check it out.

Hypertension - high blood pressure

The opposite situation is observed in those whose blood pressure exceeds 130/80 mm Hg. Art. Again, in hypertensive patients, such pressure is comfortable - pathology may not occur. But for those whose comfortable pressure falls within the standard numbers, changing it up becomes the reason why the head hurts at night.

High blood pressure on the walls of blood vessels causes their reflex spasm. At the same time, receptors located both in the wall of blood vessels and in the substance of the brain are irritated - a headache occurs. An increase in pressure is usually observed in the evening: overwork accumulates, emotional fatigue. During sleep, the vessels begin to react - this condition develops.

Why pressure rises:

Emotional and physical overwork.
Acute stressful situation.
Overheating.
Diseases characterized by high blood pressure.

Circulatory disorders - heart attack and stroke

The development of discomfort in the head at night may be the result of an emerging cerebrovascular accident - a stroke. The pathological process in stroke is an acute spasm or obstruction of the cerebral vessels. As a result, an ischemic zone is formed.

The cells of the brain substance in this zone are in a state of acute hypoxia - as a result, discomfort develops.

Sometimes a headache at night can also appear due to acute infarction. The mechanism of pain here is associated with a sharp myocardial ischemia, pain in the region of the heart. With a sensitive parasympathetic nervous system, sensation can spread to other organs, in particular, to the head.

Pain in the pathology of the spine

There are frequent cases of nighttime discomfort in the head in people suffering from diseases of the spine, especially the neck and back. The immediate cause of the appearance of pathology in this case is excessive muscle tension.

Back pain makes a person take a forced position, sometimes different from the physiological one. This leads to tension in the muscles of the back and neck - a so-called tension headache occurs. It appears in the evening and at night, when tense muscles begin to relax.

Psychological problems

Perhaps this is one of the main reasons for the appearance of nighttime discomfort in the head. Negative stresses, melancholy, depressive states are almost always accompanied by the appearance of unpleasant sensations at night. Of course, it can also occur during the day. But at night, such a person is left alone with his experiences, scrolls it all in his head - a combination of this with sleep disturbance leads to a severe headache.

Metabolic disorder - diabetes mellitus

Another organic cause of unpleasant pain at night is diabetes. The condition in this case is due to several factors:

Glucose deficiency due to insulin overdose.
Night hunger also leads to a decrease in glucose levels - brain cells are very sensitive to this.
With diabetes, pathology of the peripheral nerves develops - this also leads to the appearance of a headache.
The late stage of diabetes is characterized by pathology of the organ of vision - retinopathy, glaucoma. These conditions are always accompanied by a headache at night.

Infectious diseases

There are some infections, the main symptom of which is a headache. It can occur at any time of the day, including at night. The appearance of discomfort in an infectious disease may be due to the following:

As a symptom of intoxication in severe influenza or adenovirus infection.
As a consequence of dehydration in intestinal infections.
As a lesion directly to brain structures in meningococcal infection, tick-borne encephalitis, meningitis and encephalitis of other infectious etiology.

Migraine

This is a particular cause of headache. Migraine attacks tend to occur in the evening and can last throughout the day. The pathogenesis is based on persistent spasm of cerebral vessels.

Diagnostics

The diagnosis of nocturnal headache depends on its characteristics. If necessary, additional research methods are applied.

Discomfort in the head with fatigue, emotional and mental stress, hypoxia has the following characteristics:

It develops gradually, reaching a peak in the evening and at night.
Has a dull, monotonous character.
Moderate intensity.
Accompanied by a feeling of fatigue, weakness.

Discomfort with low blood pressure also develops gradually, accompanied by general weakness and dizziness, loss of consciousness is possible.

Discomfort with high blood pressure often occurs suddenly, a person wakes up in the middle of the night due to pain and a feeling of throbbing in the head. If the pressure reaches very high numbers, the headache becomes more intense, nosebleeds may occur.

Pain in strokes and heart attacks occurs suddenly, a person wakes up from a sharp headache. Such a sensation is accompanied by impaired vision, flies before the eyes, signs of paresis and paralysis.

Headache in the pathology of the spine is formed throughout the day, and in the evening and at night it becomes as intense as possible. It is characterized by a feeling of heaviness in the head, the inability to turn it or tilt it.

Pain in diabetes occurs suddenly - just as a hypoglycemic state occurs. It is accompanied by severe weakness, dizziness, trembling hands and sweating.

Discomfort in the head with infectious diseases is characterized by the following symptoms:

Abrupt, sudden onset.
associated with an increase in body temperature.
Headache with influenza is combined with photophobia, redness of the eyes.
With infections that cause meningitis, the headache will be pronounced, combined with nausea and vomiting, photophobia, hearing loss. There are meningeal symptoms.

Migraine pain occurs in one half of the head, accompanied by visual impairment and lacrimation from this side. Can reach high intensity.

In addition to clinical data, instrumental research methods are used to diagnose certain types of pathology:

Doppler ultrasound of the vessels of the head and neck;
Electromyography - a study of the electrical activity of the muscles of the back and neck;
electrocardiography;
For headaches caused by infection, a diagnostic lumbar puncture is performed.

Pain treatment

Therapeutic techniques largely depend on the cause that caused the discomfort. In most cases, pain medication alone is not enough.

Treatment of pain caused by hypoxia

This condition is the easiest to manage. It is enough to provide a constant flow of fresh air and prescribe painkillers:

These measures are sufficient to eliminate the pain caused by hypoxia.

Treatment of pain during psycho-emotional and physical stress

In these cases, the headache can go away on its own - after a good rest. To reduce the intensity of sensations, you can use the following drugs:

Analgesics - Nurofen, Pentalgin;
Sedatives - valerian, motherwort, combined preparations(Persen, Novo-passit, Afobazol).

Pain management for fluctuating blood pressure

Hypotonic headache is treated with drugs that can increase blood pressure:

If hypotension has developed due to starvation, a full meal can eliminate discomfort even without painkillers.

Hypertensive headache will pass after lowering blood pressure with special drugs. Only a specialist is engaged in their selection and appointment. You can alleviate the condition on your own by taking a cool bath, resting, and getting a good night's sleep.

Treatment of the head in diseases of the spine

Here, the treatment should be comprehensive, aimed not only at eliminating the headache itself, but also at the discomfort in the spine. If the pathology of the back remains untreated, the head will not go away after any painkillers.

Gymnastics for the back, massage, acupuncture, physiotherapy methods will be useful. good effect renders swimming and water aerobics.

Treatment of pain in circulatory disorders

Stroke and heart attack are indications for immediate hospitalization in the intensive care unit. Headache in such conditions should not be attempted to be treated independently.

Treatment for infectious diseases

Headache in infectious diseases will completely disappear only after the elimination of the pathogen. During etiotropic therapy, discomfort can be stopped with any painkillers - Diclofenac, Ibuprofen, Pentalgin.

Migraine treatment

Migraine pain is treated with a special group of drugs - sumatriptans. At the moment, there are many trade names for this substance in pharmacies - Amigrenin, Sumamigren, Nomigren. In addition to taking these drugs to stop a migraine attack, it is necessary to create complete rest, a dark environment. Hot compresses are applied to the forehead to relax spasmodic vessels.

Prevention of headaches

Preventive measures for headaches are as follows:

Complete physical activity.
Sufficient exposure to fresh air.
Airing the room before going to bed.
Blood pressure control.
Timely treatment infectious diseases and diseases of the nasopharynx.
Proper nutrition.
Treatment of spinal pathology.

Conclusion

Headaches at night have many causes. Often, to eliminate this sensation, you first have to act on the original cause.

Headache when lying down

Diagnosis of headaches

Identification of the causes of headache or its diagnosis is important in relation to treatment tactics. After all, it is on causal factor or at least one of the links in the developmental mechanism should be directed to therapy. To detect the primary or secondary nature of a headache is the first task of doctors. Primary headache occurs during pathological processes that develop in the brain itself. And the secondary type is formed as a response to distant foci of pathology.

Specialists of the Kyiv "Clinic of Dr. Ignatiev" are trying to determine the cause of the pain of a distant type. Their competence includes pathologies of the spine, and it is they who often cause a symptom complex, accompanied by a headache. Therefore, it is possible that one of the parts of the body that must be subjected to detailed diagnostics may be the spine and its individual sections. The vertebrologists of the clinic conduct daily consultations after an appointment.

Headache Mechanisms

To correctly diagnose, it is important to understand the mechanism of the syndrome:

Vascular mechanism - may have the character of a vasomotor reaction, when a headache occurs in response to a violation of vascular tone. The venous type is a consequence of an increase in blood filling of the veins. Ischemic-hypoxic type of pain is more often associated with deposits of cholesterol plaques inside the walls of blood vessels in atherosclerosis or arterial hypertension.
Neuralgic mechanism - gives a reflected type of headache, for example, when the nerve roots are compressed by a protrusion of the disc between the vertebral bodies during protrusion or hernia in the cervical region.
The mechanism of muscle tension - in this case, the so-called tension headache appears. It occurs when nerve fibers or supply vessels are compressed by spasmodic muscles.
Liquorodynamic mechanism - associated with deviations in intracranial pressure. Liquor is one of the body fluids, located in the ventricles of the brain and in the spinal canal, along with blood and lymph, it plays important role in the metabolic processes of the nervous tissue.
Psychological mechanism - headache occurs as a result of psycho-emotional overstrain.

Thus, having understood the mechanism of headache formation, it is already possible, without hesitation, to establish a preliminary diagnosis.

Symptoms of different types of cephalgia (headache)

In diagnostics great importance has a recognition of the characteristic symptoms of a particular type of headache. So, vascular pain is detected in the form of pulsating cephalalgia. Unilateral pain indicates the presence of migraine, and bilateral character indicates the phenomena of vegetovascular dystonia. Venous cephalgia is aggravated in the supine position and is accompanied by swelling of the face and eyelids.

Tension headache has a compressive type, the patient's condition is relieved by kneading the cervical-collar zone and with rhythmic movements of the shoulders. intracranial hypertension gives a bursting headache, which increases in a horizontal position. On the contrary, a decrease in pain in the supine position indicates a reduced pressure of the cerebrospinal fluid.

Diagnostics and treatment in Kyiv

Neuralgic cephalgia usually has a paroxysmal character and has the appearance of shooting short-term pain. In this case, the sources of pain are determined, which correspond to the exit points of the branches of the trigeminal nerve.

Diagnostic techniques such as computed tomography and magnetic resonance imaging confirm a preliminary diagnosis, but usually they give comprehensive results with more obvious reasons cephalgia, for example, brain tumors, hematomas and other volumetric formations.

Doctors of the "Clinic of Dr. Ignatiev" advise not to neglect the manifestations of cephalalgia. Pathology is best treated at the very beginning of its development, so timely therapy is essential condition for a full recovery.

Headache when lying down

Headache in the supine position is the result of many different pathological conditions, ranging from banal overwork and ending with a malignant brain tumor.

Depending on the characteristic symptoms and causes, doctors distinguish several genetic types of headache, the definition of which is of paramount importance for its drug therapy.

Vascular view

Vascular pain increases significantly when the head is lowered and in the supine position. The group of vascular headaches includes:

pain in arterial hypertension;
with migraine and atherosclerosis of cerebral vessels;
in acute cerebrovascular accident (stroke);
premenstrual and menstrual headaches;
pain with hypotension and seasonal headaches.

Liquorodynamic view

It is formed due to imbalances between the outflow of cerebrospinal fluid and secretion, as a result of which intracranial pressure either decreases or jumps.

Typical symptoms of liquorodynamic headaches are: confusion, bursting character, feeling of pressure #171; outward-inside#187;, a sharp increase in intensity in the supine position, while walking, when coughing and turning the head.

Diseases that provoke liquorodynamic headaches:

brain abscess, benign and malignant brain tumors;
swelling of the brain due to inflammation or injury.

Muscle tension headaches

They arise against the background of painful pathological impulses during the processes of local localization, as well as as a result of a high tone of the nervous system.

They are distinguished by the feeling of #171;a hoop squeezing the head#187;, excessive sensitivity to bright light and loud sounds, irritability and tearfulness. Seen at:

hormonal changes, neurosis, stress;
infectious-toxic diseases;
organic lesions of the paranasal sinuses and eyes.