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Headaches: Patients
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The diet-related causes of headaches are numerous and include the following: Hypoglycemia Headache is one of the symptoms of low blood sugar, so diabetic patients taking high doses of insulin should carefully monitor their intake. A glass of orange juice or other simple carbohydrate may help alleviate both the low blood sugar and the headache. Caffeine Withdrawal Heavy caffeine users can develop withdrawal headaches when they abruptly cut caffeine out of their diets. Recently, researchers have demonstrated that even persons who drink as little as two-and-a-half cups of coffee a day can suffer headaches when they quit. If you want to give up caffeine and avoid withdrawal headaches, the best method is to slowly reduce your caffeine intake. Tyramine Tyramine, a substance found in foods such as aged cheese, yeast extracts, liver, and red wine, can ... bring on headaches.
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In most cases, headaches do not require medical attention. Serious or recurring headaches should be discussed with a physician. To determine the type of headache being experienced, a physician will take a patient’s medical history and perform a physical examination. Diagnostic tests such as MRI or CAT scan may be ordered to help identify the cause of the headache or rule out a serious underlying cause.
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REBOUND HEADACHES Continued use of some pain relievers or [A]ntimigraine drugs can lead to rebound headaches, which may be frequent or chronic and often occur in the early morning hours. Rebound headache can be avoided by using antimigraine drugs or analgesics under a doctor's supervision, using only the minimum dose necessary to treat symptoms. Tizanidine (Zanaflex) has been reported to be effective in treating rebound headaches when taken together with an NSAID; Botox has ... been used successfully in some patients.
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Patients with benign headaches must be reassured about the nature and proper management of their problems. This is difficult in patients with past episodes of meningitis, encephalitis and subarachnoid hemorrhage. Parents must be educated about the need to have children evaluated for fever, headache, or changes in mental status.
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"There have been substantial advances in the treatment of headaches over the past several years. Despite this, many patients end up taking many medications, which may have side effects. Botulinum toxin has the advantage of targeting the muscle spasms directly without causing systemic side effects. In most cases patients treated can decrease the
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Patients who have sought care for headaches but have n0t found relief should not be discouraged. At The Headache Center, experienced neurologists take a comprehensive approach to headaches. Educating patients is important, because it allows for shared treatment decisions between patient and physician.
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