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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headache Post Hard Physical Work?

hi, I am 74 year old man very healthy and active. During my daily life, routine I am fine and have no hurts. However if I work physically hard and for example, assemble a wood foundation with nailing, screwing and lifting planing measuring etc. after about two hours I get a head ache - I feel it comming! I can t feel it when standing or sitting but as soon as I bend down or knee down there goes pain through my head - standing or sitting and my head up, I am okay. However if I kind of cough or strain to blow my nose I can really feel it. Taking two asperin helps to get me back to normal after about an hour - if I keep working it will return after a couple of hours. If I doing nothing besides stuff aroundthe house (no strain) I can go for weeks without any head ache. My wife recommends: Just stop working! Hans
Thu, 10 Sep 2020
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General & Family Physician 's  Response
Hi,

When you work physically hard, the muscles headache, neck and scalp require more blood to circulate. This can cause the blood vessels to dilate which may lead a condition known as exertional headaches.

Again, working hard causes profuse sweating which may lead to hyponatremia (sodium is below normal range) that can lead to headache too. Working too hard is the main cause for exertional headaches. But it has some triggering factors like dehydration, sunlight, low blood sugar level, blood pressure issues, sleep deprivation, alcohol or caffeine consumption may aggravate the exertional headaches.

Treatment depends on causes. You should undergo some investigations like CBC, RBS, S. electrolytes, CT Scan or MRI of brain etc., to find out the causes which are responsible for your symptom and then treat them accordingly. In the meantime, you can take painkillers like Naproxen, Ibuprofen for your headache with avoiding the triggering factors that may make your headache worse.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Zubayer Alam, General & Family Physician
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What Causes Headache Post Hard Physical Work?

Hi, When you work physically hard, the muscles headache, neck and scalp require more blood to circulate. This can cause the blood vessels to dilate which may lead a condition known as exertional headaches. Again, working hard causes profuse sweating which may lead to hyponatremia (sodium is below normal range) that can lead to headache too. Working too hard is the main cause for exertional headaches. But it has some triggering factors like dehydration, sunlight, low blood sugar level, blood pressure issues, sleep deprivation, alcohol or caffeine consumption may aggravate the exertional headaches. Treatment depends on causes. You should undergo some investigations like CBC, RBS, S. electrolytes, CT Scan or MRI of brain etc., to find out the causes which are responsible for your symptom and then treat them accordingly. In the meantime, you can take painkillers like Naproxen, Ibuprofen for your headache with avoiding the triggering factors that may make your headache worse. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Zubayer Alam, General & Family Physician