
What Causes Headaches?

Migraine headaches
Detailed Answer:
Thank you for asking
These are classic migraine headaches and many etiologies including coffee beans and all other stimulants and anxiety altogether trigger it.
I can understand your agony about its depressing effects. It needs modifications from diet , lifestyle, routine and preferences all put together to avoid triggers.
Its three way management.
1)Reduction of migraine triggers (eg, lack of sleep, fatigue, stress, certain foods)
2)Nonpharmacologic therapy (eg, biofeedback, cognitive-behavioral therapy)
3)Integrative medicine (eg, butterbur, riboflavin, magnesium, feverfew, coenzyme Q10)
I also want yout o know that When headache is episodic and recurrent and follows a well-established pattern, the patient likely has a primary headache disorder (ie, headaches with no organic or structural etiology). Differentiating migraine from other primary headaches (eg, muscle contraction tension headache, cluster headache) is important, as optimal treatment may differ.
Migraine may also may simulate or be simulated by secondary headache disorders or coexist with a secondary headache disorder. Any of the following features suggest a secondary headache disorder and warrant further investigation:
The first or worst headache of the patient's life, especially if rapid in onset
A change in frequency, severity, or clinical features of the attack
New progressive headache that persists for days
Precipitation of headache with Valsalva maneuvers (ie, coughing, sneezing, bearing down)
The presence of associated neurologic signs or symptoms (eg, diplopia, loss of sensation, weakness, ataxia)
Onset of headaches after the age of 55 years
Headache developing after head injury or major trauma
Persistent, 1-sided throbbing headaches
Headache accompanied by stiff neck or fever
Atypical history or unusual character that does not fulfill the criteria for migraine
Inadequate response to optimal therapy
Common dietary triggers which you need to avoid include the following:
Alcohol - Particularly wine and beer
Caffeine overuse or caffeine withdrawal
Chocolate
Aspartame - eg, NutraSweet and Equal
Monosodium glutamate (MSG) - May be found in Asian food, canned soup, frozen or processed foods, and the seasoning product Accent
Fruits - Citrus fruits, bananas, avocados, and dried fruit
Nuts - Peanuts, soy nuts, and soy sauce
Tyramine, a biogenic amine that accumulates in food as it ages, may provoke migraine. Sources include the following:
Dairy - Aged cheese
Meat - Bacon, sausage, luncheon meat, deli meat, pepperoni, and smoked or cured meat
Pickled foods
Heavily yeasted breads - Eg, sourdough
Vinegars - Especially wine vinegar
Some types of beans
Nutraceuticals shown to be effective in randomized clinical trials include the aforementioned vitamin B2, CoQ-10, magnesium, and butterbur (Petadolex)
Get a neurologist and let them help you in this regard. Biofeedback, cognitive behavioural therapies, acupressure also help. Pharmacotherapy is always an option.
I hope it helps. Take good care of yourself and dont forget to close the discusison please.
may the odds be ever in your favour.
Regards
Khan


:)
Detailed Answer:
Thank you for getting back.
Caffeine withdrawal may pertain to upto 2 weeks minimum so yes headaches after caffeine withdrawal is possible after 9 days.
If anxiolytics relieves the headache then it may be the reason as anxiety causes tension headaches and also anxiety itself triggers migraines.
Yiu are not compliant to the medicine yoh take one and then you stop for no reason. That is the bigger issue. It needs constant management.
And I am sorry I tried to be sympathetic and explained everything along the answer to your question. I guess I was wrong.
Here you go. Caffeine plus anxiety plus non compliance your issue of anxiety.
You are 55. Other etiologies need to be ruled out .
Good luck .

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