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Dr. Al-Mahamudul Alam Mimo — Neurology Specialist logo
Headache

Types of Headache and the Red Flags You Must Not Ignore

How tension headache, migraine, cluster headache and sinus pain differ — and eight warning signs that make a headache an emergency.

Many people fear a brain tumour whenever they get a headache. Reassuringly, most headaches are primary headaches — they occur without any structural disease in the brain. Still, it is vital to recognise the red flags.

Common headache types

  • Tension-type headache: the most common. A pressing, band-like pain across the head or forehead; worse with stress, poor sleep and long screen time.
  • Migraine: throbbing one-sided pain, nausea, sensitivity to light and sound.
  • Cluster headache: excruciating pain around one eye, with a red, watering eye; at about the same time daily for weeks.
  • Medication-overuse headache: frequent painkillers paradoxically causing daily headache.
Did you know? Eyesight and sinuses are often blamed, but most recurrent headaches are actually migraine or tension-type headache.

Eight red flags — see a doctor without delay

  1. The worst headache of your life, sudden like a “thunderclap”
  2. Headache with fever, stiff neck or a rash
  3. Headache with a seizure, fainting or confusion
  4. Weakness, slurred speech or vision problems
  5. A new kind of headache starting after age 50
  6. Steadily worsening headache, especially on waking with vomiting
  7. Headache after a head injury
  8. New headache in someone with cancer, HIV or weak immunity

Daily habits that reduce headaches

  • Enough regular sleep
  • Regular meals and plenty of water
  • Rest your eyes every 20 minutes during screen work
  • Walk regularly and use breathing exercises to manage stress
  • Avoid painkillers on more than 10 days a month

If headaches are frequent, disrupt your work or change in pattern, see a neurologist. Once the type is identified, treatment becomes much easier.

This article is for awareness only. Do not start or stop any medicine on your own — consult a doctor.

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