Dear Doc

Why do I keep getting headaches?

Catherine, 17

Most young people suffer from headaches from time to time. But if you’re getting them quite often there are a few things worth investigating.

The first is whether your headaches could be linked to an eyesight problem. Are you getting them after reading, using a computer or watching TV?

If you’re not sure, try keeping a diary for a few days. Mark down when the headaches happen, how long they last and what you were doing just before.

Ask your family if they’ve noticed any patterns to your headaches too.

Headaches and eye problems

Talk to your doctor. They will probably refer you to an eye specialist (optician or ophthalmologist) who will be able to carry out some tests and tell you if there’s a problem.

If you are long- or short-sighted you might need glasses. These would reduce eyestrain and help relieve your headaches.

Recurrent headaches

The second possibility if you are getting severe headaches on a regular basis and they are interfering with school work, is that you might be suffering from ‘recurrent headaches’.

The two main types are:

• Tension headaches
• Migraines

Tension headaches

Tension headaches are usually caused by feeling stressed, which makes the muscles in the face tense up. Taking a simple painkiller such as paracetamol will help.

Identifying what might be making you feel stressed, so you can tackle the problem, is important too. Talk to your doctor if the headaches continue.

Migraines and symptoms

Migraines tend to run in families. So if your mum, dad or other close relatives suffer from this, you’re more likely to yourself.

There are lots of different things that can trigger an attack. Symptoms include pain, disliking noise or bright lights, and sometimes feeling or being sick.

Migraines are as common in children and adults, and boys are just as likely to get them as girls. But in adults, women are three times more likely than men to get them.

Medical help

If you think you might have these symptoms, see your doctor. They might help you work out what triggers an attack – and help you avoid it.

Also, if you’re getting them frequently your doctor might suggest medication.

Modern medication can be very effective at reducing and managing very severe headaches.

For more help and information

The Migraine Trust offers support and information for sufferers of migraine.

Last reviewed by Great Ormond Street Hospital: 12 April 2010

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