Most Headaches in General Practice are ordinary Tension Headaches and need just an analgesic and may be a transquiliser.

1. Tab. Disprin tds(analgesic) or proxyvon or paracetamol or analgesic-antiinflammatory combination. (3C).

2.Tab. Calmpose 5mg 1/2 -1 HS (Transquiliser)

3. Inj. Ketanov 1ml IM if pain is severe (3B-2) or Inj. Novalgin 2cc IM

4. Take rest in a dark, quite room. Massage and press the scalp Apply counterirritants like Vicks/ Amrutanjan to forehead.

In every patient of headache, you must test the following signs, as routine:

Check B.P - Control Hypertension of present.

Check sinus tenderness over maxillary and frontal sinuses, and look for focus of infection in teeth, tonsils and ears.

Check tenderness on nape of neck or pain on neck movements.

If associated fever, Check for neck stiffness.

If eye is painful or red. Palpate the eye after closing the eyelid. If it is firm to feel, Refer to opthalmologist for Galucoma.

If Headache is recurrent and Chronic

Check eyesight forst.

Check BP, sinus tenderness and spondilitis as above.

If it has started following Head injury, refer for X-ray skull and CT scans.

If patient is Diabetic, is he getting hypoglycemia?

If headache is severe and progressice refer for CT scan

If there is any neurological sign as weakness of cranial nerves or limbs, convulsions ets. Then refer immediately for CT sacn and Neurologist opinion.

Headache with fever= Meningitis. First test for neck stiffness. Malarial fever also gives headache.

Tension headache is the commonest headache. It is more towards evening and patient feels better on pressing over the scalp.

A young patient or child complaining of repeated headache wil usually have refractive error. Particularly cylindrical number even when very minor, give rise to headache.

Headache due to Alcohol Hangover

Take 2 glasses of water- Plenty of water and fluid intake.

Take Disprin or Proxyvon 1 stat.

Take fruit juice, tea or coffe with plenty sugar to counter hypoglycemia.

Have a full meal

Prevention of Hangover:

Avoid excess alcohol, stay within your limits. Avoid cocktails.

Do not drink on empty stomach. Eat something along

Take a glass of water after each drink.

Do not drink too fast.

Tab. Disprin 1 before sleep

Tab. B-long 100mg 1 tab.

Tab. Disprin      

Tab. Calmpose 

Inj. Ketanov      

Tab. Proxyvon   

Tab. Paracetamol          

Inj. Ketanov      

Inj. Novalgin