Headache, Geriatrics 100, Headaches, Geriatrics

Headaches are mostly caused by the invasion of wind and cold into the meridians of the head, or due to phlegm, salivation, wind and fire, stagnation of the meridians, resulting in stagnation of qi and blood. Divided into true headache, migraine, cerebral pain, the treatment of headache should be based on traditional Chinese medicine **, the real headache is due to wind, cold and dampness all year round, deep into the brain, can be used to disperse with fine puncture, Chuanxiong, Angelica Angelica, and then use Chuanxiong, Angelica Angelica, Rehman, peony, angelica, Chuanxiong, dogwood, Mai Dong, replenish qi and blood, and heal. Cerebral pain is the wind, cold, dampness, and evil entering the gallbladder meridians, and the gallbladder should be in the brain, so that the brain suffers.

With traditional Chinese medicine Xinyi, Yuren, Platycodon, Licorice, Chuanxiong, Sha Shen, Vitex, Asarum Xin, migraine is the wind and cold to violate the sun meridians, with Angelica Angelica, Chuanxiong, Asarum Red Peony, Licorice. Bupleurum chinensis, half summer, licorice clears the liver fire, disperses wind and cold, and heals. Don't worry, with Chinese medicine**, you can quickly recover your health.

For vascular neuropathic headache caused by vigorous liver fire, please refer to: Zhengtian Pill or Gentian Liver Soup.

Nowadays, many elderly people start to have headaches without paying attention, which is very distressing. The headache was very uncomfortable and made them feel very distressed. In fact, headaches can be prevented, and there must be **, let's talk about headaches in the elderly.

1.First: tension headaches.

This type of headache, also known as muscle contraction headache, is the most common type of chronic headache. It is mainly due to the degeneration of muscle fibers and the decline in structure, metabolism and function in the elderly. It can be divided into primary and secondary, the former due to psychiatric factors or persistent contractions of the head and neck muscles caused by a special head position.

The latter is mainly caused by diseases of the skull, facial features, cervical spine and other diseases.

2.Second: cerebrovascular headache.

Many older people suffer from arteriosclerosis and high blood pressure, so they are more likely to have headache symptoms. For example, headache is the first symptom of intracerebral hemorrhage, and severe headache is the only clinical manifestation of ischemic stroke caused by cerebral vascular stenosis or occlusion. If the subarachnoid hemorrhage occurs, it can cause a severe headache that feels like a knife or a knife.

3.Third: headache caused by cervical spondylosis.

Headaches caused by this cause are also more common in older people. Bone lesions of the cervical spine such as hyperostosis and hypertrophy cause compression of blood vessels in the brain and restriction of neck movement, thus causing headaches. The type of pain is usually stretching, sometimes stabbing or dull.

It is intermittent at first and can develop into a persistent one. The pain is mostly felt in the neck and posterior occipital region. Head movements and neck posture can affect the severity of headaches.

Precautions. There are many headache factors for the elderly, and they are all more complicated, so you must go to a regular hospital to receive ** in the treatment, and try to eat less painkillers, otherwise it will cause some damage to the body.

Some elderly people are often prone to migraine symptoms, so we need to pay attention. Because it can be a reaction to some disease. So what are the specific conditions that cause migraines?

Hypertensive emergencies

These include rapidly progressive hypertension, hypertensive crisis, and hypertensive encephalopathy. The three are not the same, but there is an internal connection, high blood pressure usually has a relatively mild headache, but the faint pain is mixed with a dull pain. However, when the above three emergency mutations occur, there will be obvious headache symptoms, and often accompanied by dizziness, tinnitus, nausea and vomiting, palpitations, dizziness, and even limb weakness and numbness, mental abnormalities, etc., at this time, the headache is unbearable, there is a burst of heaviness, a total headache, a sudden rise in blood pressure, and even can become a precursor to stroke.

Brain tumors

When the elderly suffer from brain tumors, due to the quantitative change of tumor somatic cells in the early stage, it can compress the brain, block the cerebrospinal fluid pathway, cause hydrocephalus, increase intracranial pressure, and even damage cranial nerves. At this time, there will be a sudden severe headache or sudden pain in the whole head, as well as blurred vision, unsteady walking, epilepsy, projectile vomiting, hemiplegia, mental disorders, etc. At this time, headache is the first priority, and it is characterized by gradually worsening swelling pain and general-head pain.

Chronic hematoma

Refers to a chronic large subdural hematoma. Although this disease is mostly caused by a slight trauma to the head, the elderly often ignore the history of trauma that passes by in this moment, and when symptoms such as headache, head swelling, gradual loss of the contralateral limb, and convulsions appear 1 to 2 months or more afterwards, the symptoms are already very serious.

Cerebral aneurysm

Most of them are congenital, usually hidden in the base of the skull deep in the brain, if there is no rupture and bleeding, the condition will take a sharp turn, the first thing to appear is a sudden severe headache, nausea and vomiting, unbearable head swelling, and even coma, convulsions, accompanied by a drop in one eyelid or blindness.

For headaches in the elderly, it is necessary to find out the headache, vascular headache, cerebral insufficiency, neuropathic headache, etc., which will cause headaches for the elderly and need to go to the neurology department.

What are the causes of frequent headaches in older adults? According to experts, headache is a syndrome and is one of the clinical manifestations of many diseases. Headaches are commonly caused by the following:

1. Cold: Sometimes a cold may be accompanied by headache symptoms. 2. Neurological lesions:

Such as cerebral ischemic lesions, cerebellar lesions, brain lesions, traumatic brain injuries, certain types of epilepsy, etc. In addition, patients with autonomic dysfunction and certain neuroses often experience headaches. 3. Internal diseases:

Such as hypertension, hypotension, various cardiovascular and cerebrovascular diseases, anemia, infection, poisoning, hypoglycemia, etc. 4. Ear diseases: such as diseases in the ear that affect balance and cause headaches.

5. Anemia: If there is a headache accompanied by fatigue and paleness, the possibility of anemia should be considered. In a healthy state, the presence of hematopoietic tissues in the elderly, as well as the quality and quantity of hematopoiesis, have declined, and the aging of red blood cells themselves makes their utilization rate of iron much less than before.

Therefore, if the elderly do not pay attention to nutritional care, they are prone to anemia. Furthermore. Anemia can occur in patients with dyspepsia, peptic ulcers, gastrointestinal bleeding, and chronic inflammatory diseases.

6. Cervical vertebrae degeneration: due to long-term posture or poor sleeping posture, resulting in cervical spine hyperplasia, deformation, degeneration, neck muscle tightening, arterial blood supply obstruction and cerebral blood supply is insufficient, which is the main cause of headache. It is often accompanied by neck tightness, limited flexibility, occasional pain, numbness and coldness of the fingers, and a feeling of heaviness.

7. Cerebral arteriosclerosis: patients feel dizzy, and often suffer from insomnia, tinnitus, emotional instability, forgetfulness, and numbness in their limbs. Cerebral arteriosclerosis makes the inner diameter of cerebral blood vessels smaller, and the blood flow in the brain decreases, resulting in insufficient blood supply and oxygen supply to the brain, causing headaches.

8. In the early stage of heart disease and coronary heart disease, the symptoms are still mild, and some people may not have significant discomfort such as chest tightness, palpitations, shortness of breath, etc., but only feel headache, dizziness, weakness of limbs, difficulty concentrating, tinnitus or forgetfulness. The main cause of dizziness at this time is atherosclerosis of the coronary arteries of the heart, and the lumen becomes thinner and narrower, which makes the heart ischemia and hypoxia. Insufficient blood supply to the heart can cause insufficient blood supply and cause headaches.

9. Insomnia, which causes about 65% of migraine patients. There are many causes of headaches, such as facial problems, abnormal blood pressure, head disorders, constipation, gas poisoning, alcohol poisoning, and nervous fatigue. Early manifestations of these disorders can cause headaches.

Therefore, it is reminded that if there are elderly people in the family who often have headaches, they must not be ignored. The cause of the headache must be found in order to fix the problem.

It may be that there are some conditions in the body, it is recommended that you take the elderly in time** Western medicine*** is larger, you can try Chinese medicine**.

(1) Hypertensive headache, often waking up in the early morning when the headache is severe, the headache is located in the back occipital or forehead, dull pain, swelling pain or throbbing pain, accompanied by a feeling of refreshment. Controlling your blood pressure can help relieve headaches.

2) Cerebrovascular headache. In particular, hemorrhagic strokes such as cerebral hemorrhage and subarachnoid hemorrhage can often cause severe headache, vomiting, hemiplegia or neck stiffness, etc., and severe cases can quickly enter a coma or even die. And ischemic strokes such as:

When cerebral embolism or cerebral thrombosis causes a large infarct in the brain, headache can also be caused by ischemia, hypoxia, cerebral edema, and increased intracranial pressure, but it is not as common and severe as hemorrhagic stroke, and the headache can often be relieved after the use of drugs to reduce intracranial pressure.

3) Temporal arteritis, more common in middle-aged and elderly people over 55 years old, the incidence of women is 4 times that of men, and the incidence of elderly people over 80 years old is 10 times higher than that of people under 55 years old. In addition to headache, patients often have a cord-like thickened and hardened blood vessel in the temporal artery (at the temple) and have significant tenderness. At the same time, it may be accompanied by symptoms such as general malaise, fatigue, low-grade fever, muscle aches and stiffness, weight loss, and vision loss in the affected eye, and a significant increase in blood sedimentation rate is one of its characteristics.

4) Headache caused by intracranial tumors. Elderly people over the age of 60 are prone to intracranial tumors, such as gliocytoma, meningioma, neurofibroma, etc., or brain metastases from tumors in other parts of the body that metastasize to the skull such as lung cancer, gastrointestinal cancer, prostate cancer, breast cancer, etc. Headache can be caused by increased intracranial pressure due to intracranial mass occupancy, and compression and traction of pain-sensitive structures such as blood bamboo, cranial nerves, and meninges.

It is a headache that is obvious before waking up in the morning and worsens when straining and lowering the head, and is a persistent, gradually worsening headache.

Many elderly people suddenly have unexplained headaches are often the precursors or initial symptoms of serious diseases, but they usually think that it is just the usual uncomfortable symptoms of the body, which generally does not attract the attention of the elderly, they often think that it will be better to take painkillers and rest, so today it is necessary for us to tell the elderly some serious causes of headaches, and hope that they should be more vigilant about this. The main reasons are as follows: One is cerebrovascular accident.

Cerebrovascular accident is a common disease in the elderly, including ischemic stroke and hemorrhagic stroke. When cerebrovascular accidents occur in the elderly due to cerebral atrophy and decreased body reactivity, they do not necessarily show limb dysfunction or severe headache and nausea, vomiting and other symptoms. The second is an intracranial hematoma.

Refers to a chronic large subdural hematoma. Although this disease is mostly caused by minor head trauma, the elderly often forget this fleeting history of trauma, and do not remember what happened until 1-2 months or more when symptoms such as headache, head swelling, gradual loss of the contralateral limb, and convulsions appeared. Therefore, trauma should also be examined promptly.

In addition, cerebral aneurysms, neck diseases, temporal arteritis, and other common headache diseases may occur.

The third is hypertensive emergency. These include rapidly progressive hypertension and hypertensive encephalopathy. The three are not the same, but they are intrinsically linked.

Headaches are relatively rare in high blood pressure, and headaches are also a feeling of faintness mixed with dull pain. However, when the above three emergency mutations occur, there is obvious headache, often accompanied by dizziness, tinnitus, nausea and vomiting, palpitations, dizziness, and even limb weakness, numbness, mental abnormalities, etc. At this time, the headache is unbearable, there is a feeling of bursting heaviness, a total headache, a sudden increase in blood pressure, and even a precursor to a stroke, so you must seek medical attention immediately.

Fourth, intracranial tumors. Headaches with this disorder often occur in the morning.

At four or five o'clock, I am often woken up in deep sleep, and after getting up and moving, it is the morning.

At 8 or 9 o'clock, the symptoms will gradually lessen and disappear. This is because intracranial tumors can partially obstruct the spinal fluid circulating in the brain, and the flow of cerebrospinal fluid slows down after falling asleep, so patients with intracranial tumors are most likely to develop cerebrospinal fluid obstruction after falling asleep, resulting in hydrocephalus. In the early morning, due to the increase in hydrocephalus, the patient has a severe headache.

After waking up, the patient's cerebrospinal fluid circulation is accelerated, and the headache symptoms can be temporarily relieved. In addition to morning headaches, symptoms such as nausea, vomiting, epilepsy, and focal neurologic deficits are common. Therefore, when older people often experience symptoms of early morning headaches, the possibility of intracranial tumors should be considered.

Mood is very important, in fact, mental activity has a great impact on the body, so don't be depressed, be happy. Also, it's natural to exercise more. Do you want to practice Tai Chi? Or dancing or something.

Measure blood pressure, high blood pressure is common in the elderly, and headaches can also occur when blood pressure is high.

There are many causes of headaches in the elderly:

1.Blood pressure fluctuations in hypertensive diseases: mostly in the bitemporal side, mostly described as vascular fluctuating pain, dull pain, throbbing pain, often accompanied by dizziness and dizziness, often without vertigo.

2.Cerebrovascular disease (including vasospasm) causes cerebral ischemic pain3Neuropathic headache: such as greater occipital neuralgia, located in the posterior occipital region, and tenderness at the exit of the greater occipital nerve4Eye diseases: such as glaucoma.

5.Drugs: such as nitrates, including heartache, Xinkang, etc.

6.Others, such as intracranial infections and the common cold, can also cause headaches.

The above is for your reference, it is recommended to visit the hospital after a clear diagnosis**!