Chapter 4: Recognizing Symptoms & Contributing Factors

Red Flag Symptoms indicating headache may require further evaluation [3]


Contact your primary care provider if your headache meets any of the following criteria

• Persistent daily headache

• Older than age 50 with new headache

• A headache that never goes away

• Weakened immune system and new headache attacks

• Have fever, chills, sweating at night and new headache

• Headache attacks that happen when you exert yourself, even if you cough or sneeze

• Headache attacks that wake you up at night

• Headache attacks that happen going from laying down to standing up

• A new headache after head injury

• A headache that happens with fever, rash, weight-loss, neck stiffness, confusion, speaking problems, vision problems, weakness or dizziness.

• A sudden headache that quickly becomes severe

• A headache that is different from your usual headache attacks or does not resolve with your usual treatments


Headache and migraine may stem from many symptoms and combinations of contributing factors that should be evaluated in order to reduce frequency and intensity.

Head and Face
  • Facial sensitivity, pain
  • Scalp sensitivity, pain
  • Neck stiffness, aching or pain
  • Brain Fog
Body
  • Hormonal Changes
  • Increased Thirst
  • Increased Urination
  • Frequent Yawning
  • Fatigue
Vision
  • Blind spots with geometric designs
  • Shimmering stars or spots
  • Zigzag lines that slowly float
  • Flashes of light
  • Temporary vision loss
Sensory and Environmental Sensitivities
  • Light Sensitivity & Glare
  • Weather Changes
  • Sinus Issues & Allergies
  • Disruptions/Patterns
  • Loud Sounds
  • Certain Smells
  • Difficulty Reading or Speaking
Sleep, Mood and Activity
  • Stress & Tension – (we all have this)
  • Life Factors-Transitions
  • Family, Social, Work
  • Anxiety
  • Hyperactivity
  • Irregular Sleeping Patterns
  • Exercise, Physical Activity, Moving
  • Relaxation
Meal and Hydration
  • Irregular Eating Patterns
  • Dehydration/Hydration
  • Meal choices
  • Food Sensitivities
  • Caffeine
  • Alcohol
Management of Treatments
  • OTC
  • Acute to stop attacks
  • Preventive to reduce frequency