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Medically reviewed by Dr. Ram Kumar on .

Conditions · General medicine

Headache and Migraine Treatment in Gachibowli, Hyderabad

Most headaches are tension-type headaches or migraine, not a sign of serious disease. Migraine causes throbbing, often one-sided pain with nausea and sensitivity to light, and is treated with painkillers or triptans taken early, plus a preventive medicine when attacks are frequent. Taking painkillers on many days a month can itself cause daily headaches. A sudden severe headache or one with fever, weakness or confusion needs urgent care.

Your headache care pathway

Headache history

Pattern, triggers, painkiller use, sleep, blood pressure and family history; a headache diary helps.

Check for warning signs

Red-flag features lead to urgent imaging or specialist care through partner facilities.

Treat attacks

The right painkiller or a triptan, taken early, with anti-sickness medicine if needed.

Prevent attacks

Lifestyle changes and, for frequent attacks, a daily preventive medicine.

Review

Diary-based follow-up to adjust treatment and stop painkiller overuse.

Symptoms

  • Throbbing, often one-sided pain with nausea and sensitivity to light or sound (migraine)
  • Visual zigzags or flashing lights before the headache (migraine with aura)
  • Pressing, band-like pain on both sides (tension-type headache)
  • Headache on most days in people taking painkillers often (medication-overuse headache)

Causes & risk factors

  • Irregular sleep, skipped meals and dehydration
  • Stress and long screen time
  • Hormonal changes around periods
  • Painkillers taken on 10 to 15 or more days a month
  • High blood pressure in some people
  • Family history of migraine

Headache warning signs

Most headaches are not dangerous, but these features need prompt assessment.

Seek urgent care for

  • A sudden, severe headache that peaks within a minute; headache with fever and neck stiffness; new weakness, numbness, slurred speech, confusion or a fit; headache after a head injury; a new headache after age 50; or a headache that is worse lying down or with coughing and straining.

Treating and preventing migraine

Treatment works best when matched to how often attacks happen.

  • Take paracetamol, an anti-inflammatory painkiller or a triptan at the start of an attack, not when it is at its worst
  • Limit painkillers and triptans to fewer than 10 to 15 days a month to avoid medication-overuse headache
  • Regular sleep, meals and water, and managing stress, reduce attacks
  • For frequent or disabling attacks, daily preventive medicines such as propranolol, amitriptyline or topiramate are considered individually
  • Women planning pregnancy should discuss preventive medicine choices first

How it’s diagnosed

Diagnosis rests on a careful headache history, ideally with a diary, and examination including blood pressure and a neurological check. Imaging is not needed for typical migraine or tension-type headache; it is arranged through partner facilities, with neurology referral, when warning signs are present.

How it’s treated

Attacks are treated early with paracetamol, an anti-inflammatory painkiller or a triptan, with anti-sickness medicine if needed. Frequent attacks are prevented with lifestyle measures and, where needed, a daily preventive medicine chosen individually. Painkiller overuse is addressed, and blood pressure and sleep are checked.

When to seek care

  • Sudden, severe 'worst ever' headache
  • Headache with fever, stiff neck, rash or confusion
  • Weakness, numbness, slurred speech, vision loss or a fit
  • Headache after a head injury
  • A new or changed headache after age 50, or in pregnancy

FAQ

Do I need a brain scan for my headaches?

Usually not. Typical migraine and tension-type headaches don't need a scan. It is arranged when there are warning signs.

Can painkillers make headaches worse?

Yes. Taking painkillers on 10 to 15 or more days a month can cause daily headaches. Reducing them, with a preventive plan, usually helps.

Is migraine linked to blood pressure?

Not directly, but high blood pressure can cause headaches in some people and affects which medicines are suitable, so it is checked.

What triggers migraine?

Common triggers include poor sleep, skipped meals, dehydration, stress, bright light, some foods and hormonal changes. A diary helps find yours.

Where can I get headaches assessed in Gachibowli, Hyderabad?

Dr. Ram Kumar G assesses and treats headaches and migraine at Boston Diabetes Center, Gachibowli, Hyderabad. Call or WhatsApp 09618994555.

Medical disclaimer: Content on this page is for general education and is not a substitute for individualized medical advice, diagnosis, or treatment. Outcomes vary between patients. Boston Diabetes Center is outpatient / day-care specialty centre with an on-site diagnostic lab and pharmacy — no inpatient beds; imaging and inpatient care are coordinated through partner facilities.