Cough Headaches

Cough headaches are a type of headache that occurs in conjunction with coughing. They are also known as cough-induced headaches or primary cough headaches.

Causes and Mechanism

The exact cause of cough headaches is not fully understood, but it is believed to be related to the sudden increase in intracranial pressure that occurs when a person coughs. This increased pressure can lead to pain and discomfort in the head and neck region.

Types of Cough Headaches

There are two types of cough headaches: primary and secondary. Primary cough headaches are benign and occur without any underlying condition, while secondary cough headaches are caused by an underlying condition such as a tumor, cyst, or other structural abnormality in the brain.

Symptoms

The symptoms of cough headaches include:

• Sudden, severe headache that occurs with coughing
• Pain and discomfort in the head and neck region
• Increased intracranial pressure
• Photophobia (sensitivity to light)
• Phonophobia (sensitivity to sound)

Diagnosis

The diagnosis of cough headaches is based on a thorough medical history and physical examination. Imaging tests such as MRI or CT scans may be ordered to rule out any underlying conditions that could be causing the headaches.

Treatment

The treatment for primary cough headaches typically involves avoiding triggers that can cause coughing, such as colds, allergies, and sinus infections. Medications such as indomethacin or other nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to help manage the pain and discomfort.

Prognosis

The prognosis for primary cough headaches is generally good, with most people experiencing relief from symptoms with treatment. However, secondary cough headaches can have a more serious prognosis, depending on the underlying condition that is causing the headaches.

Frequently Asked Questions (FAQs)

What are cough headaches
Headaches triggered by coughing, typically caused by increased intracranial pressure.

What are the symptoms of cough headaches
Sudden, severe headache immediately after coughing, often accompanied by pain in the head and neck.

Are cough headaches a distinct medical condition
Cough headaches are considered a type of headache disorder, possibly related to other conditions such as Chiari malformation or sinusitis.

Can cough headaches be primary or secondary
Both, primary cough headaches have no identifiable cause, while secondary cough headaches are caused by an underlying condition.

How common are cough headaches
Relatively rare, estimated to affect less than 1% of the population.

What triggers cough headaches
Coughing, sneezing, straining, or other Valsalva maneuvers that increase intracranial pressure.

Can cough headaches be treated
Possibly with medication, lifestyle modifications, and treatment of underlying conditions if present.

Are cough headaches usually serious
Often benign but can be a symptom of an underlying condition that requires medical attention.

How are cough headaches diagnosed
Through physical examination, medical history, imaging tests such as MRI or CT scans, and possibly lumbar puncture.

Can cough headaches be prevented
Possibly by avoiding triggers, managing underlying conditions, and maintaining a healthy lifestyle.