Exertional headache

Prickly heat rash sweat

Last Updated December 20th, 2021

An overview

Headache seems to be the most common problem faced by numerous people all over the world.  This can be caused due to various factors and activity related headache is one of the factors.  Any type of strenuous activity such as exercise, sexual activity, strenuous bowel activity, and even sneezing can lead to headaches.

Exertional headaches generally aggravate rapidly and can be quite severe.  Resting and over the counter medications can be helpful in managing exertional headache.  Majority of these headaches are benign but in some cases, exertional headaches could be an indication of some underlying health condition.  Studies have indicated that exertional headache is highly associated with people suffering from migraine.

Types of exertional headache

chronic fatigue syndromeExertional headaches are mainly divided into two categories depending on how it is caused.  These include:

Primary exertional headaches

This type of headache is also called benign type of headache.  They occur due to strenuous activity and are not related to any underlying health condition.

Secondary exertional headache

This type of headache occurs due to physical activity but is also associated with an underlying health condition such as problems with the heart or tumor growth.

What are the symptoms associated with an exertional headache?

Primary exertional headache

The symptoms associated with primary exertional headache include pain in the head that is throbbing, occurs during physical activity or after the physical activity, and affects both the sides of the head.  In some cases, a symptom of neck stiffness is also experienced.  This type of headache generally lasts for a short period of time ranging from few minutes to hours.

Secondary exertional headache

Secondary exertional headache symptoms are quite similar to primary exertional headaches and include throbbing pain on both sides of the head which may occur during physical activity or after the activity and associated neck stiffness.  Apart from these symptoms, additional symptoms of dizziness, double vision, and vomiting are also experienced.   Secondary exertional headaches can last for a long period of time and can even last for several days.

How are exertional headaches caused?

The exact reason that causes primary exertional headache has not yet been determined.  Studies have indicated that blood vessels in the head become dilated during physical activity and this may cause headaches.

On the other hand, secondary exertional headaches are generally caused due to an underlying health condition such as subarachnoid hemorrhage (bleeding within the brain), blockage of blood vessels connecting the brain, tumor growth in the head, blockage of cerebrospinal fluid, abnormalities related to the sinus, and structural damage of the skull, spinal cord, or the neck muscles.

Who is at risk?

Exertional headache can occur to anybody but there are some red flags that determine if you are at risk and these include suffering an underlying health condition, working outdoors in hot weather, performing physical activity at high altitude, and having a history of migraine headaches.

How to prevent exertional headaches?

Prickly heat rash sweatExertional headache can strike anybody and at any time.  As discussed earlier, there are certain risk factors associated with exertional headache.  It is believed that the following few precautionary measures can reduce the risk of exertional headaches.

Drink adequate amount of fluids

Studies have claimed that dehydration is one of the risk factors associated with exertional headache.  It has been found that exertional headaches may feel quite similar to hangover headache where dehydration plays an important role.  Studies have indicated that dehydration leads to shrinkage of the brain and hence can cause headaches.  Since physical activity can cause loss of fluids from the body, it may lead to headaches and hence adequately hydrating before performing any physical activity can reduce the occurrence of exertional headaches.

Eat a healthy diet

Hypoglycemia or low blood sugar can cause headaches.  Studies have claimed that strenuous physical activity can lead to a sudden drop in blood sugar levels.  This can be avoided by eating a healthy diet which provides the essential nutrients required for the body.  It is recommended that eating an hour before strenuous physical activity can help reduce the sudden drop of blood sugar levels and prevent exertional headaches.  Dieticians also recommend eating at least a fruit like banana just before initiating a rigorous physical exercise in order to avoid blood sugar drops that can trigger headaches.

Avoid overexerting during exercise regimen

If you are new to an exercise regimen, it is important to go ahead one step at a time.  Trying to overexert right from the beginning of your exercise regimen without any prior experience can lead to severe physical strain.  This physical strain on the body can lead to headaches and can slowly aggravate as time passes.  It is also important to warm up before strenuous exercise regimen where the heartbeat is appropriately adjusted so as to help n performing a rigorous exercise regimen.

Warm-up and cool down is a must

Warming up before any exercise and cooling down after the exercise regimen is important.  Performing this helps the body to get adjusted to the sudden change in a heartbeat.  A sudden change in heartbeat can be a serious issue.  This can cause immense pressure on the heart which in turn alters the blood pressure as well.  Due to these multiple changes in the body, it is quite possible to experience a headache during or after an exercise regimen.  Studies have claimed that spending just 5 to 10 minutes for warming up and cooling down can help reduce the occurrence of exertional headaches.

How is exertional headache diagnosed?

sleep disordersExertional headaches generally get noticed when they tend to occur in a pattern.  Since headache is quite common among people, it takes some time to realize the fact that frequent headaches that are affecting you actually are associated with activity.

When you present to your doctor’s office with a complaint of headache, your doctor would first try to assess the cause of your headache.  This is achieved by assessing your symptoms, medical history, and family history.  Some of the most common questions your doctor would ask include duration of the headache, does you headache follow a particular pattern, if your headache occurs suddenly, is your headache associated with other signs and symptoms such as nausea or vomiting, etc.  Once all these aspects are assessed, further diagnostic studies may be ordered depending on the findings from the medical history and symptoms.

Some of the common diagnostic tests ordered include:

  • MRI scan or magnetic resonance imaging scan. This diagnostic test helps in creating cross-sectional images of the brain to find any abnormalities.
  • MRA scan or magnetic resonance angiography scan. This diagnostic test helps in monitoring the blood vessels which are connecting the brain.  Any blockage or rupture in these blood vessels can be found by performing this test.
  • CT scan helps in determining recent bleeding from or around the brain. This scan is performed in a scenario when you have experienced a headache in the last 48 hours.

If the above diagnostic exams are not conclusive, a spinal tap or lumbar puncture is ordered to check the cerebrospinal fluid.

The common treatment for exertional headache

Treatment for exertional headache mainly depends on the cause of the headache.  If your headache is only related to activity and is not related to any underlying health condition, your doctor would generally prescribe some nonsteroidal anti-inflammatory drugs to manage the symptoms.  In certain cases, your doctor can also prescribe blood pressure medications to prevent headaches.  In some cases, your doctor could prescribe medications that need to be taken in advance before initiating physical activity.  This method is generally followed when your headaches occur in a specific pattern.

Natural remedies for headache

Certain natural headache remedies can be tried which provide better relief without any side effects.

Consume magnesium-rich foods

Eating foods rich in magnesium can help reduce the occurrence of headaches and reduce the intensity of headaches.  Studies have claimed that people who regularly suffer from headaches generally have reduced levels of magnesium.  It was also found that people suffering from medical conditions such as diabetes and heart disease generally have low levels of magnesium and are more prone to headaches.  Magnesium levels can be increased by consuming magnesium-rich food such as leafy greens, nuts, broccoli, chocolate, coffee, etc.

Avoid gluten in your diet

Studies have indicated that people suffering from gluten sensitivity can experience frequent headache symptoms when they tend to consume food containing gluten.  It has been found that eliminating gluten completely for at least three weeks can reduce the frequency of headaches.

Use of essential oils

Essential oils such as lavender oil and peppermint oil can provide relief from headaches.  Peppermint oil helps in increasing the blood flow to the head.  This helps in reducing the contractions of head muscles and provides a cooling effect on your mind.  On the other hand, lavender oil works as a mood stabilizer due to its sedative effects.  The benefits of these essential oils can be gained by rubbing few drops of this essential oil on the forehead, neck, temples, and back.

Improving posture

Spending long hours in front of the computer screen is definitely not advisable.  This posture seems to cause immense pressure on the whole body including the eyes.  This causes stress to your eyes and brain due to the emission of blue light from the computer screen.  You can work on reducing the stress on the body by following certain instructions.  This can be achieved by first placing both the legs firmly on the ground when sitting.

Place your shoulders back and avoid sitting in a hunch back position.  Make sure to place the computer screen at the eye level.  Similarly, certain postural changes may be required when standing.  Distribute the body weight equally on both the legs and avoid hunching your back while standing.

Massage and acupuncture therapy

Both acupuncture and massage therapy help in reducing stress levels.  Massage therapy involves relieving stiffness and tension associated with the muscles.  Studies have indicated that undergoing massage therapy regularly for a couple of weeks can help reduce the frequency of headache as well as the intensity of the headache.

Acupuncture involves transferring the energy that has become stagnant at a particular part of the body.  This involves inserting thin needles on the skin to help transfer the energy.  It is believed that acupuncture can provide pain relief as well as relieves stress.

Detox bath

Detox bath not only helps in cleaning your body but also can remove the unwanted toxins from your body.  Reduced toxin levels can help reduce the frequency of headaches in the future.  A detox bath can be performed by submerging the body in hot water which brings the toxins to the surface of the skin.  This is followed by submerging the body in cold water which helps in removing the toxins from the body easily.

 

Dos and Don'ts

Dos
  • Make a note of headache pattern.
  • Eat a healthy diet.
  • Avoid smoking.
  • Limit the use of over the counter pain medications.
Don'ts
  • Perform high-intensity physical exercise when you have a history of exertional headaches.
  • Delay medical treatment.
  • Eat high fat and gluten-rich foods.
  • Indulge in chronic alcohol abuse.

 

 

 

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Black Seed Oil: What secret benefits could it bestow on your health? Black seeds or nigella seeds are tiny packets of health brimming with amazing benefits. Find out why should…
Shilajit: A miracle Himalayan herb for an active and happy life The Himalayas contain more wonders than you thought. Shilajit is a miracle herb that is widely used in…
GM Diet: The fastest way to lose weight or yet another hoax diet? General Motors started this trend of extreme dieting for 7 straight days to ensure its employees were able…
CLA: A breakthrough weight loss supplement with minimal side effects Tried every weight loss supplement in the market with no substantial gain? Why not try CLA supplements, derived…
Psyllium Husk: More than just an effective natural laxative Psyllium husk, or isabgol, is a popular natural laxative . But did you in addition to regulating bowels,…
Goji berry: A traditional Chinese berry that packs the best of antioxidants Goji berry is an ancient berry that is considered to be power-packed with nutrients and antioxidants. Which means…
Tart Cherry: The healthiest excuse for taking that second serving of pie Tart cherry has been traditionally used in delectable desserts such as pies. Recent studies have revealed that its…
blood elements analysis
Blood Element Analysis Test A blood element analysis is a blood test performed to measure the level of toxic elements such as…
amylase test
Amylase Test Amylase test is done by checking the level of this protein in the blood sample and also in…
fructosamine test
Fructosamine Test A fructosamine test measures blood sugar glucose content. Fructosamine level can indicate blood sugar level in past 2-3…
Rubella IgM test
Rubella IgM Test The Rubella IgM test is a blood test that is performed to diagnose the presence of the rubella…
antiHEV IgM test
Anti hepatitis E virus (Anti HEV) IgM Test Anti HEV IgM test determines the level of the IgM antibodies in the blood, The disease is often…
sodium blood test
Blood Sodium Test A blood sodium test measures the amount of sodium (an important electrolyte) in your body. It is also…
leptospira Igm test
Leptospira-IgM Test A Leptospira-IgM test is a blood test which is carried out to detect anti-Leptospira IgM antibody. Leptospirosis is…
blood ketone test
Blood Ketone (D3HB) Test The Blood Ketone Test measures and monitors the levels of ketone in the blood which is usually performed…
iron deficiency profile
Iron Deficiency Profile An iron deficiency profile is a battery of blood tests which are performed in order to determine the…
Diabetes blood test
Diabetic Profile The diabetic profile is a set of tests used for testing and monitoring the various kinds of Diabetes…
Hymenoplasty
Hymenoplasty Read on to find out all about hymenoplasty, the procedure, post-surgery care, the risks, and the benefits.
hidden benefits walking
9 benefits of walking we bet you didn’t know! Did you know walking can be the miracle pill for eternal youth? Everyone knows walking is good for…
Dragon Fruit – Blessing from Nature’s Basket Dragon fruit is packed with nutrients but low on calories. It is the dream food that can help…
gallbladder diet tomato
Gallbladder surgery :Tips on post-operative care and diet What to eat post a gallbladder surgery? What are the key things to avoid if you had a…
How can berberine supplements help you live longer and healthier? Berberine is a turmeric look-alike herbal extract that is credited with numerous health benefits ranging from diabetes cure…
How to correctly perform nasal irrigation using a Neti Pot? Neti pot has been a part of Ayurveda since centuries. This ancient tool is extremely effective in treating…
How can Kegels help you overcome weak pelvic muscles & incontinence? Kegel exercises are pelvic floor strengthening exercises that can help you overcome incontinence issues that rise out of…
What to eat, what not to eat in the South Beach Diet? The South Beach Diet is one among the most popular weight loss programs that have been the talk…
Experts reveal the safest ways to perform an enema at home The idea of pushing some up your rectal area might make you queasy but an enema could actually…
Quinine: How gin and tonic came to be known as a potent health elixir The discovery of quinine-containing tree bark is sometimes considered the most serendipitous medical discovery of the 17th century.
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
Bloodtestalbumin
Albumin Test Albumin test or blood serum test is a liver function test that measures the amount of the protein…
anoscopy
Anoscopy Anoscopy is an invasive diagnostic procedure where a small device known as anoscope will be inserted in the…
malarial antigen test
Malaria Antigen Test A malaria antigen test is a rapid diagnostic test (RDT) that can detect malarial antigens (proteins) in your…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…
avocado benefits
Avocado: 15 reasons why this fruit should be a staple in your diet Did you know that the word avocado literally means "testicles". Don't get grossed out as this power-packed fruit…
Cayenne: The remarkable benefits of these red hot chili peppers These may make you rush for a glass of water, but cayenne pepper is actually a healthy additive…
Kava: Is it the healthy substitute for alcohol you have been waiting for? Native to the beautiful South Pacific islands, Kava is a famous beverage rooted in the local culture. It…
How seitan proved to be a blessing in disguise for vegans worldwide Can only meat-eaters enjoy delicious juicy steaks and burgers? With seitan, the best meat substitute available today,even vegans…
Mood swings
The real reasons for your mood swings and how to overcome them Are you prone to heated moods frequently? Do you also feel bouts of depressive feeling creeping up on…
What is the right way to take a pregnancy test? A pregnancy test is undertaken to determine if you have conceived. A home pregnancy test is the most…
Urologist: When should you visit one and why? A urologist can treat not only genitourinary problems of both men and women but also can treat various…
Inhale oxygen, exhale worries: The top breathing exercises and how to perform them Performing the breathing exercise is like becoming mindful of how you breathe.  Here is a list of breathing…
glucose-tolerance
Oral Glucose Tolerance Test – GTT Glucose tolerance test (or Oral GTT) is used to detect the onset of diabetes or prediabetes conditions. It…
LFT-test
Liver Function Test – LFT LFT or Liver Function Test is a blood test used to determine the levels of hepatic enzymes which…
ASTtest-liver
AST- Aspartate Aminotransferase Test AST test is a blood test that is used to measure the level of a particular liver enzyme…
ANTIPHOSPHOLIPIDANTIBODY(APL)_IgG
Antiphospholipid (APL) antibody-IgG The Antiphospholipid Antibody testing is a blood test used to determine an autoimmune disorder called Antiphospholipid syndrome linked…
Strep throat pain
Anti-Streptolysin-O Test The ASO or Anti-Streptolysin-O is a blood test designed to check for the presence of streptococcus bacterial infection…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…
Period sanitary napkin-menstruaion-blood-colors
Period blood – what it says about your health Your period blood color and consistency indicate what is happening in your body. Is your blood bright red…
Hepatitis A virus infected liver
Hepatitis A Virus (HAV) Total Blood test to look for IgM antibodies to know if you are infected with Hepatitis A virus (HAV),…
liver detox facts
7 liver detox facts and why ignoring these could kill you! Are you taking care of this organ that handles over 500 different vital functions in your body? Your…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…
High Fiber Diet – Fire up your fiber intake for these health benefits! Regular bowels, healthy detox, higher immunity, and guaranteed weight loss - a high fiber diet can bring all…
Agave nectar: The bitter truth about this sweetener revealed Agave nectar is considered to be sweeter than the normal table sugar and even contains higher amounts of…
gout diet purines
Gout Diet : Get relief from painful joints by eating these foods Are you a victim of this painful condition? Are medications providing only short relief? Find a list of…
DHEA wrinkles
DHEA: Now get unbelievable age defiance with this wonder hormone! DHEA is known popularly as the age-defying hormone. This supplement is widely used to slow down aging and…
Oil of Oregano: The one-stop essential oil you’ve been looking for Are you plagued by a weak immune system? High body inflammation accompanied by pain and infections? Why not…
Pescatarian Diet 101: What are the inherent health advantages of this diet? People opt to become a pescatarian in order to enrich their bodies with the essential health benefits that…
Appendix pain: Recent findings on this not-so vestigial organ The exact function of the appendix is still not clear. Some consider it as an organ that once…
hemoglobin variant analysis
Hemoglobin Variant Analysis Hemoglobin variant analysis is a blood test that is used to detect the presence of hemoglobin variants which…
cystatin C
Cystatin C Test Cystatin C is a specific single-chain protein that is found in body fluids and is a biomarker for…
stress depressed anxiety
Are you depressed or just stressed? Know when to see a doctor Why are some people more anxious than others? Is being depressed the same as feeling sad? Have you…

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