On 16 June, 2012 by Dr Chohan

Headache is the most comon symptom. Every one has suffered from headache now and then. But sometmes it becomes incapacitating and affects social life and job.


Most headaches runs in the family. Other family members may also suffer from headache disorder and may also be sensitive to certain triggers that can lead to a headache attack.

Lessen the impact of a headache by identifying and avoiding specific triggers, such as:

  • External environment – weather, smell, sound and light
  • Emotion and stress
  • Food and drink

Keeping a headache diary will help to identify factors that have any relationship to the headache patterns.


  • There may be associated nasal blockage and postnasal drip
  • Site of headache depends on the sinus involved
  • Patint may be having cough and fever


  • Usually Pain begins or stay just on one side of the head
  • Pain is Pulsating and throbbing, of moderate to severe intensity
  • Activities, especially bending or coughing makes headaches worse
  • Sensitivity to lights, sound and smell
  • Nausea or vomiting
  • May be preceded by flash lights, visual symptoms, e.g. seeing  lines and tingling/numbness of limbs

Tension Headache

  • Patient feels like a tight band around the head
  • Pain is dull, steady and not throbbing
  • There is no nausea or vomiting associated with the headache

Cluster Headache

  • Headache attack often awakes patient from sleep at a similar time every night
  • Pain is always on the same side and usuallybehinde one eye which causes tearing and redness
  • Opposite side of the head is completely unaffected


There are several ways to prevent the onset of most headaches:

  • Avoid headache triggers  e.g. weather, smell and sound; emotion, stress and diet
  • Reduce Stress and Relax
  • Have regular meals and sleep even on holidays

Living with headache is a daily challenge. The goal is to take control of your headache and not let the headache take control of you, your job, or your loved ones.

          keeping a healthy lifestyle is important, e.g. having adequate sleep, regular meal times, regular exercises and avoidance of smoking. If you have known triggers, you should try to avoid them.


*   Dr Chohan’s ENT, Rafay Mall (1st floor), Peshawar Road Rawalpindi.    03315680471 , 03145118532

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