Thus it is essential to consider headache and sinusitis simultaneously. Temporal arteritis and trigeminal neuralgia are usually presented as facial pain, but pharmacists must be aware of this potential problem. The pain is often described as a tightness or a dull constant ache but rarely throbbing or pounding. Sometimes shoulder and neck muscle pain and tension are present. Because emotional factors are frequently involved, poor appetite, tiredness, emotional outbursts and instability may be reported.
Migraine presents as a symptom complex which typically includes nausea and vomiting.
Common migraine presents with the headache, which might be severe with nausea and vomiting, but the prodomal symptoms are absent. Traction headaches are continuous, severe and dull but feel deep-seated and seldom throb. They are aggravated by lying down and patients often wake up with this type. If there is an elevated temperature, consideration must be given to the cause of the pyrexia and frequently, the underlying condition requires referral. Region Location, in conjunction with the description of the pain, provides one of the best diagnostic pointers to the cause of a headache.