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10 Headache Symptoms You Shouldn t Ignore
Pain with fever Temple tenderness Thunderclap onset What the signs mean and when to worry
Jamie Grill/Getty Images An occasional headache is typically nothing to worry about. You pop an over-the-counter painkiller and you’re good to go. Sometimes, however, a headache can indicate something more serious, especially at a certain age. “As you get older, we get more concerned that something else is going on that’s causing the headache,” says Deborah Carver, M.D., a neurologist and board-certified headache specialist at UT Health San Antonio. Get instant access to members-only products and hundreds of discounts, a free second membership, and a subscription to AARP the Magazine. It’s unusual for someone to develop migraines or tension headaches after age 50, so any new headache should be evaluated by a medical provider, Carver says. You should also see a doctor if you’ve always had headaches but your headache pattern changes. “If you used to get a headache once a month, but you’re now having them on a daily basis, that’s concerning,” Carver says. “We also want to see you if the headache is located somewhere different, if the pain is different or if what’s triggering your headaches changes.” Common triggers include lack of sleep, stress, dehydration or a reaction to alcohol. Here are some red-flag symptoms that doctors say should prompt you to get your headache checked out right away. 1 Pain plus fever
A headache with a fever usually indicates you have some type of infection, which could be a run-of-the-mill sinus infection or something more serious like or encephalitis (inflammation of the brain.) If you also have a stiff neck, your doctor may suspect meningitis. Encephalitis and meningitis can sometimes also cause confusion and difficulty talking. Both can be life-threatening if not treated right away. “Older individuals are more immune-compromised, so they are at slightly increased risk for some of these infections,” Carver says. One found that about half of COVID-19 patients report . AARP NEWSLETTERS %{ newsLetterPromoText }% %{ description }% Subscribe Health & Wellness Access AARP health Smart Guides, articles & special content See more Health & Wellness offers > A thunderclap headache may also be a , particularly if it’s paired with confusion, trouble talking or weakness on one side. 3 Temple tenderness or pain
If you are over age 50 and have a throbbing headache that’s concentrated in the temple area, you may have a condition called giant cell arteritis, or temporal arteritis, which means the blood vessels in your head are inflamed. Other symptoms include jaw pain or trouble chewing, tenderness of your scalp or temples, fatigue, flu-like symptoms or vision changes. The condition is more common in women than men. A headache caused by giant cell arteritis may progressively worsen or it may go away and come back. Either way, it’s important to get it checked out quickly, says MaryAnn Mays, M.D., a neurologist at Cleveland Clinic. “It can cause a sudden loss of vision if you don’t catch it in time,” she says. 4 Ache after a head injury especially if you re on blood thinners
If you notice a headache several hours or even several days after hitting your head, it could be the first sign of dangerous bleeding inside your skull, known as a subdural hematoma, Mays says. “It may have been a week ago since you fell, but you can get some delayed bleeding, especially if you’re on blood thinners,” Mays says. “Even if you’re not on blood thinners, any older adult who has had a recent fall and then gets a headache definitely needs to be evaluated right away. Doing so can be life saving.”Other signs of a hematoma are confusion, weakness and fainting. Symptoms typically worsen over time. 5 Headache after starting a new medication
A headache is a common side effect of many medications, but many patients don’t realize it, Mays says. “The first instinct of a patient is to get another drug to fix their headache, and that’s how you end up with patients on multiple medications,” she says. If you develop regular headaches after starting a new prescription, talk to your doctor about whether there could be a link. (Don’t stop taking a prescription unless your doctor says it’s OK.) Drugs that commonly cause headaches include antidepressants, heart medications and erectile dysfunction drugs. AARP Membership — $12 for your first year when you sign up for Automatic Renewal Get instant access to members-only products and hundreds of discounts, a free second membership, and a subscription to AARP the Magazine. — especially if accompanied by vision problems — can signal acute glaucoma (also called closed-angle ). Unlike open-angle glaucoma, which progresses slowly and without symptoms, acute glaucoma is a sudden buildup of pressure or fluid in the eye that damages the optic nerve. It’s an emergency that can lead to complete vision loss within 48 hours, so it’s important to get to a hospital quickly. 8 Pain when you wake up
The most common diagnosis in older people who wake up with a headache is , Carver says. Sleep apnea typically causes a morning headache that gets better as the day goes on. You may also feel tired during the day. It’s important to be evaluated if you think you may have sleep apnea because if it’s not controlled, you are at greater risk of stroke and heart attack. Morning headaches can be a sign of other problems, including a brain tumor, neck arthritis or medication withdrawal. If you have a history of cancer, a morning headache may indicate a neoplasm in the brain. 9 Headache shared by others in the house
Carbon monoxide poisoning could be the culprit if others in your household are also complaining of headaches, Mays says. If your headache goes away when you leave the house, that’s another clue there could be carbon monoxide in your home. Headache is the most commonly reported symptom of carbon monoxide poisoning. Other signs include dizziness, weakness, nausea, vomiting, chest pain and confusion. Carbon monoxide (CO) is an odorless gas that can be deadly if you breathe in enough of it. You should have a battery-operated or battery-backup CO detector in your home. The and Prevention recommends replacing the battery when you change the time on your clocks each fall and spring. 10 Additional neurological issues
It probably goes without saying that if along with your headache you have any confusion, memory problems, seizures, muscle weakness, numbness or trouble talking, that is a reason for concern, Carver says. Those are all neurological symptoms that indicate something is going on inside your brain, whether it’s inflammation, infection or a tumor. Your health care provider can order a scan and other tests to make a definitive diagnosis. Editor's Note: This article, originally published on August 25, 2021, has been updated to reflect new information. More from AARP AARP NEWSLETTERS %{ newsLetterPromoText }% %{ description }% Subscribe AARP VALUE & MEMBER BENEFITS See more Health & Wellness offers > See more Restaurants offers > See more Health & Wellness offers > See more Health & Wellness offers > SAVE MONEY WITH THESE LIMITED-TIME OFFERS