[84M] With chronic sharp headaches and associated tongue itching

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Chronic Daily Headache (CDH): This is a term used to describe headaches that occur 15 or more days per month for more than three months. CDH can be primary (not caused by another condition) or secondary (caused by another condition). Given that your headache has been present since birth, it might be a primary headache disorder.

  • Treatment: Treatment often involves medications to prevent headaches, lifestyle changes, and sometimes physical therapy or counseling.

• Cluster Headaches: These are severe headaches that occur in cyclical patterns or clusters. They can cause sharp pain and may be associated with other symptoms like eye redness or tearing.

  • Treatment: Treatment may include medications to relieve pain and prevent future attacks, as well as lifestyle modifications.

• Tension-Type Headaches: These are the most common type of headache and can cause a feeling of tightness or pressure around the head. They can be chronic and may be exacerbated by stress or poor posture.

  • Treatment: Treatment often includes over-the-counter pain relievers, stress management techniques, and physical therapy.

• Sinus Headaches: These can cause pain in the forehead, cheeks, and around the eyes, and may worsen with breathing if there is sinus congestion or infection.

  • Treatment: Treatment may involve decongestants, antihistamines, or antibiotics if an infection is present.

• Neurological Conditions: Rarely, chronic headaches can be a sign of a more serious neurological condition. Given the chronic nature and the fact that it worsens with breathing, it might be worth exploring this with a healthcare provider.

  • Treatment: Treatment would depend on the specific condition diagnosed.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Keep a Headache Diary: Use MDandMe to journal your symptoms, track your headache patterns, and note any potential triggers. This information can be very helpful for your healthcare provider.
2. Stay Hydrated: Ensure you are drinking enough water throughout the day, as dehydration can sometimes trigger headaches.
3. Practice Relaxation Techniques: Techniques such as deep breathing, meditation, or gentle yoga can help reduce stress and may alleviate headache symptoms.
4. Maintain a Regular Sleep Schedule: Ensure you are getting enough sleep and maintaining a consistent sleep routine.
5. Avoid Known Triggers: If you have identified any specific triggers for your headaches, try to avoid them as much as possible.
6. Over-the-Counter Pain Relief: Medications like acetaminophen or ibuprofen can help manage pain, but it's important to use them as directed and not rely on them long-term without consulting a healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Sudden, Severe Headache: A headache that comes on suddenly and is extremely painful.
• Changes in Vision: Any changes in your vision, such as blurred vision or loss of vision.
• Neurological Symptoms: Symptoms such as weakness, numbness, difficulty speaking, or confusion.
• Fever or Stiff Neck: These could be signs of an infection or other serious condition.
• Headache After Injury: If your headache started after a head injury, seek medical attention.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan.