Elderly man holding his head in pain.

Emergency Room Visits for Headache

A time to be accurate in describing your Headache Symptoms

The emergency department (ED) handles headaches with careful attention. Patients with true emergency causes of headaches, such as brain bleeds or severe infections, often come to the ED. It’s crucial not to overstate your headache’s details. For instance, don’t claim your headache was of sudden onset if it didn’t. This mischaracterization can lead to unnecessary and potentially risky procedures to diagnose emergency causes of sudden-onset headaches.

In the ED, doctors prioritize patient safety. They begin by evaluating your symptoms and medical history. If you have had this type of headache in the past, let the doctor know. This information can speed up your treatment. It helps doctors rule out severe conditions and focus on pain relief.

Headache Diagnostics in the ED

Doctors may order imaging tests like CT scans, spinal taps, or MRIs for sudden, severe headaches. These tests check for brain bleeds, tumors, or other critical issues. Accurate symptom descriptions help doctors decide if these tests are necessary. Misleading information can lead to unnecessary scans and unnecessary spinal taps, which come with risks and complications.

Some of the best medications for headache pain cannot be used if there is a possibility of bleeding inside the brain. Medications like certain pain relievers or anti-inflammatory drugs might be avoided until the physician has ruled out severe or even surgical conditions. This cautious approach ensures patient safety but can also delay immediate pain relief.

Pain Relief

The ED aims to manage pain effectively while ensuring there are no life-threatening causes. If your headache resembles past migraines or tension headaches, sharing this can help. Doctors may then use medications that have worked for you in the past, speeding up relief and avoiding unnecessary tests. Also, some emergency headaches uniformly present with abnormal blood pressure.

Communication in the ED is critical. Be honest about your symptoms, history, and any previous headaches. Clear, accurate information allows doctors to provide the best care and helps avoid unnecessary procedures and potential complications.

In summary, the ED approach to headaches involves careful assessment to rule out emergencies. Accurate symptom reporting is crucial. Misleading information can lead to unnecessary risks. By sharing your headache history and being truthful about your symptoms, you help the doctors treat your pain effectively and safely. Remember, the ED ensures your well-being, prioritizing safety and accurate diagnosis. Also, be encouraged that most headaches are not due to a severe condition or require surgical intervention.

Copyright © 2024 William E. Franklin, DO, MBA


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