Coughing can sometimes lead to a headache, a condition known as a cough headache. These headaches are usually harmless and go away on their own, but they can occasionally indicate a more serious underlying condition. Cough headaches can be classified as either primary or secondary. Primary cough headaches are caused by the act of coughing itself, while secondary cough headaches are triggered by an underlying illness or condition.
Characteristics | Values |
---|---|
Type | Primary or Secondary |
Cause | Strain, or an underlying condition such as a brain tumour |
Pain | Sharp, stabbing, splitting, bursting, dull ache |
Duration | A few seconds to 30 minutes, rarely up to two hours |
Location | Front and sides of the head (primary), back of the head (secondary) |
Age | Primary: Over 40, Secondary: Under 40 |
Gender | More common in men |
Treatment | Primary: Medication, Secondary: Surgery |
What You'll Learn
- Primary cough headaches are usually temporary and harmless
- Secondary cough headaches are more serious and require medical attention
- Cough headaches can be caused by a defect in the skull or brain
- Cough headaches can be treated with medication or surgery
- Cough headaches are uncommon and can be prevented by avoiding triggers
Primary cough headaches are usually temporary and harmless
Cough headaches are a type of head pain triggered by coughing and other types of straining. This may include sneezing, laughing, crying, singing, blowing your nose, bending over, or having a bowel movement. They are fairly uncommon, and there are two types: primary cough headaches and secondary cough headaches.
A primary cough headache is diagnosed only when a healthcare provider has ruled out possible causes other than coughing. It is important to see a healthcare provider to determine the cause of your headache and rule out secondary cough headaches, which can be more serious and may require treatment with surgery.
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Secondary cough headaches are more serious and require medical attention
Cough headaches are a type of head pain triggered by coughing and other types of straining. This may include sneezing, laughing, crying, singing, bending over, or having a bowel movement. Cough headaches are uncommon and there are two types: primary cough headaches and secondary cough headaches.
Primary cough headaches are usually harmless and are caused only by coughing. They get better quickly without treatment and do not require medical attention.
However, secondary cough headaches are more serious and require medical attention. They may be triggered by a cough, but they are caused by underlying problems with the brain or structures near the brain and spine. These can include:
- Defects in the shape of the skull
- Defects in the cerebellum, the part of the brain that controls balance
- Weakness in one of the blood vessels in the brain (cerebral aneurysm)
- A spontaneous cerebrospinal fluid leak
- Low cerebrospinal fluid (CSF) pressure
- Hydrocephalus, or an excess buildup of fluid in the brain
- Blood collecting outside of brain tissue (subdural hematoma)
Secondary cough headaches can last much longer than primary cough headaches, from a few seconds to several weeks. They can also be accompanied by more severe symptoms, such as:
- Dizziness or light-headedness
- Neurological symptoms such as weakness, sensory changes, vision changes, or difficulty speaking
- Changes in consciousness
- Fainting
- Loss of balance and coordination
- Numbness in the face and upper limbs
If you experience a sudden, severe, or persistent headache when coughing, it is important to seek medical attention to determine the underlying cause and receive appropriate treatment.
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Cough headaches can be caused by a defect in the skull or brain
Coughing, sneezing, laughing, or straining can all trigger a cough headache. These headaches are uncommon and usually harmless, resolving on their own within a few minutes to half an hour. However, in rare cases, they can last up to two hours.
Cough headaches are classified into two types: primary and secondary. While primary cough headaches are not linked to any underlying condition, secondary cough headaches are caused by issues with the brain or structures surrounding the brain and spine. These can be more severe and may require surgery.
Secondary cough headaches can be caused by a defect in the skull or brain. One of the most common causes is Chiari malformation type I (also known as Chiari type 1), a defect where the shape of the skull forces the cerebellum (the lower, rear part of the brain that controls balance) down into the spinal canal. This can occur when part of the brain is pushed through the opening at the base of the skull (foramen magnum), which should only house the spinal cord.
Other potential causes of secondary cough headaches include:
- Defects in the shape of the skull
- Weakness in a blood vessel in the brain (cerebral aneurysm)
- Leak or blockage of cerebrospinal fluid, leading to increased pressure around the brain
- Low cerebrospinal fluid (CSF) pressure
- Hydrocephalus, or a buildup of excess CSF in the brain
- Blood collecting outside of brain tissue (subdural hematoma)
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Cough headaches can be treated with medication or surgery
Coughing, sneezing, laughing, singing, or even bending over can cause some people to experience sudden, sharp, and excruciating headaches. These are known as "cough headaches" and they can be divided into two types: primary and secondary. The former is usually harmless and goes away quickly without treatment, while the latter is more serious and may be caused by underlying problems with the brain or structures near the brain and spine.
Primary cough headaches are typically treated with medication. Doctors may prescribe anti-inflammatory drugs such as indomethacin (Indocin) to ease inflammation and relieve pressure around the brain and skull. Other medications used to treat this type of headache include propranolol (Inderal LA), a drug that relaxes blood vessels and reduces blood pressure, and acetazolamide, a diuretic that reduces the amount of spinal fluid and, consequently, the pressure inside the skull.
Secondary cough headaches, on the other hand, often require surgery to fix the underlying problem. This type of headache may be caused by a defect in the shape of the skull, a weak blood vessel that balloons out and pushes on tissue around the brain (cerebral aneurysm), or a leak or blockage of cerebrospinal fluid that builds pressure around the brain. Treatment options for the underlying causes of secondary cough headaches include surgery, radiation, and chemotherapy.
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Cough headaches are uncommon and can be prevented by avoiding triggers
Coughing can lead to a painful headache due to the pressure caused by the coughing itself. This type of headache is known as a "cough headache" and is uncommon. It can often resolve on its own and is nothing to worry about. However, in some cases, it may be a symptom of a more serious underlying condition.
There are two types of cough headaches: primary and secondary. Primary cough headaches are usually temporary and harmless, while secondary cough headaches are more serious as they are linked to issues with the brain or structures near the brain and spine. Secondary cough headaches can be caused by conditions such as Chiari malformation, cerebral aneurysm, or changes in cerebrospinal fluid pressure.
To prevent cough headaches, it is important to avoid triggers such as coughing, sneezing, laughing, or straining. Here are some tips to help prevent cough headaches:
- Treat conditions that cause coughing, such as bronchitis or other lung infections.
- Avoid medications that have coughing as a side effect.
- Get an annual flu shot to reduce the risk of developing a cold or the flu, which can cause coughing.
- Use stool softeners to avoid constipation and reduce straining during bowel movements.
- Minimize heavy lifting or bending for long periods, as these activities can increase abdominal pressure and trigger a cough headache.
- Stay hydrated and rest when you have a cold or the flu to help reduce coughing and related headaches.
- Try over-the-counter cough medications or pain relievers, such as ibuprofen, to reduce coughing and relieve headache pain.
If you experience frequent or severe cough headaches, it is important to consult a healthcare provider. They can help diagnose and treat the underlying cause of your headaches.
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Frequently asked questions
Coughing can cause what is known as "cough headaches". These are usually harmless and go away on their own but can be indicative of a more serious problem.
The exact cause of a primary cough headache is not well understood. Experts think coughing raises the pressure inside your chest and abdomen (belly), which increases the pressure in your brain. Secondary cough headaches are caused by underlying conditions such as a brain tumour or a defect in the structure of the skull.
A primary cough headache typically lasts a few seconds to 30 minutes, but can last up to two hours in rare cases. It causes sharp, stabbing pain, usually on both sides of the head, and begins suddenly after coughing or straining. A secondary cough headache will last longer than a minute and can last for hours or weeks. The pain is usually at the back of the skull and may be accompanied by dizziness, fainting, loss of balance and coordination, and numbness in the face and upper limbs.
Primary cough headaches usually go away on their own. If they are frequent, a doctor may prescribe medication such as indomethacin, propranolol, and acetazolamide to reduce or prevent the pain. Secondary cough headaches are treated by addressing the underlying health condition, usually with surgery.
Primary cough headaches can be prevented by taking steps to prevent the events that trigger them. For example, if your cough headaches are caused by sneezing, you can keep your home clean and avoid irritants like pet dander. You can also take steps such as consuming plenty of water and fibre, avoiding activities that involve heavy lifting or bending down, and exercising regularly. Secondary cough headaches are caused by brain conditions and cannot be prevented as easily.