If the pain is unmanageable or just feels unusual for you, don’t blow it off.
, for instance, that has spread to the brain, and would have had many other indicators before a headache.)In order for a headache to be the telltale symptom of a primary brain tumor, it has to be pretty big, says neuro-oncologist., an associate professor of neurology at Mayo Clinic in Phoenix and co-chair of the Central Nervous System Disease Group. “The skull is a fixed space, and it only allows for the brain, spinal fluid, and blood,” she says.
Plus, the brain itself can’t detect pain. “If anything else is in there, it creates pressure [on nerves of blood vessels], so a tumor would have to grow quite sizable before you feel intracranial pressure,” says Dr. Porter.All of this to say, a headache is rarely the first or only symptom of a primary brain tumor. “It’s much more common for people to have other neurological symptoms,” possibly along with a headache, says Dr. Porter.
A headache caused by a brain tumor, however, is unlikely to come on during the day, says Dr. Porter, and may wake you up in the night or early morning hours. But that alone wouldn’t be the biggest red flag:When friends or family call Dr. Brennan for advice when they have a headache, he asks a few questions, including if the headache has been happening for a while.
But even when it’s not an emergency, if you’ve never had a migraine before, if it feels different than a migraine you’ve had in the past, or if it hangs around for a few days and OTC pain relievers don’t seem to help, why not have it checked out? Your doctor will likely order an advanced imaging test, like a CT or an MRI, to ensure everything’s looking normal, Dr. Porter says.
Bottom line: You don’t have to live with the pain. If a headache is interfering with your everyday life, see your doctor or a specialist, like a neurologist, to figure out what’s going on—because, chances are, it’s something other than a tumor.Stephanie is the deputy director of the Hearst Health Newsroom, where she writes, edits and otherwise creates health content forand other Hearst titles.
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