Headache (cephalgia): causes, diagnosis and treatment

Headache is one of the most common symptoms. It can be localized in the frontal, occipital, temporal regions, or be mixed. Many people do not attach much importance to this condition, but it can signal disturbances in the functioning of the cardiovascular and endocrine systems, spine, and brain.

Pain in the temples can occur both in the morning and at any other time and last from 10-15 minutes to several days. In order to understand the reason for its appearance, you should undergo diagnostics. Early detection of pathologies allows you to quickly deal with them and avoid negative consequences.

Causes of pain

Painful sensations in the ear area and the right side of the head can occur due to inflammatory processes, as well as when the blood circulation in this area is impaired. The process can spread from the organ of hearing to part of the head and vice versa. When the first complaints appear, it is necessary to undergo an examination and determine their cause.

Otitis

Ear inflammation (otitis) can occur in adults and children. It occurs as a complication of viral diseases (ARVI, influenza), injuries, hypothermia or inflammation of the sinuses. At the first stage, the patient is bothered by constant pain in the ear, which spreads to the entire surface of the head. However, otitis media can progress and develop in several stages:

• aseptic inflammation, which causes aching pain;
• addition of a bacterial infection;
• development of purulent inflammation - accompanied by acute pain and hearing impairment;
• probable complications in the form of purulent melting of the eardrum, as well as the spread of infection to the inner ear and lining of the brain.

Otitis media is often chronic and appears annually. After an examination, an otolaryngologist will help you choose the most effective treatment regimen. It is important to pay attention to the first symptoms in time, since the chronic course of the inflammatory process can provoke partial or complete hearing loss.

Diseases of the external ear

The outer ear is the peripheral part of the hearing organ, which is separated from the middle part by the eardrum. Pathological processes in this area often manifest as acute pain in the right ear and head. With timely treatment, they resolve without complications, but in the absence of intervention they can spread to the middle and inner ear.

1. Furunculosis, eczema, fungal skin infections - these processes are accompanied by inflammation and pain. The skin of the auricle turns red and peels, and ulcers (boils) may form on it. Treatment consists of external use of anti-inflammatory and antifungal drugs.
2. Diseases that lead to the formation of cerumen plug - it forms deep in the ear canal, so it is impossible to remove it yourself. The cause may be anatomical features of the structure of the hearing organ or excessive formation of sulfur.
3. Injuries, falls and bruises are another cause of inflammation of the outer ear. In young children, the process can be triggered by foreign objects entering the ear canal.

When diagnosing, it is important to assess the condition of the eardrum. Inflammatory processes can spread to it and even cause its perforation. Injuries that cause damage are also dangerous.

Inner ear diseases

Inflammation of the inner ear is the cause of acute pain in the right side of the head and in the ear. The organ has a complex structure and is responsible not only for hearing, but also for balance. It is presented in the form of channels and labyrinths filled with liquids. This is where bacteria multiply, causing inflammation.

Diseases of the inner ear require immediate treatment; in most cases, antibiotic therapy is used for this. The tympanic cavity is a comfortable environment for the growth of bacteria, and they can cause purulent inflammation. This leads to hearing loss, constant headaches, and the development of complications, including acute meningitis - inflammation of the membranes of the brain.

Change in blood pressure

An increase or decrease in blood pressure is a common reason why the right ear and the right side of the head hurt. Hypertension (high blood pressure) occurs due to insufficient elasticity of blood vessels, nervous tension and other factors. It manifests itself with characteristic symptoms:

• pressing headache that spreads to the back of the head, temple, and may affect the ear;
• deterioration of hearing and vision, the appearance of tinnitus;
• redness of the skin and mucous membranes, the appearance of small capillary hemorrhages.

With a decrease in pressure (hypotension), an increase in heart rate, weakness, and impaired coordination of movements are observed. The skin and mucous membranes may become pale. Insufficient oxygen supply to the brain is dangerous, as it can provoke a stroke or transistor ischemic attacks.

Stroke

Acute cerebrovascular accident is a stroke. It occurs when there is a sudden stop in the flow of oxygen-rich blood to certain areas of the brain. There are ischemic (manifested by blockage, compression of a vessel, low blood pressure) and hemorrhagic (the result of damage to an artery and hemorrhage in the brain) stroke. The first type is more common and is manifested by the following symptoms:

• sudden headache, often one-sided, which may affect the ear;
• impaired coordination of movements;
• weakening of the facial muscles on the injured side;
• discomfort and pain behind the sternum;
• impaired diction, the appearance of memory lapses;
• loss of consciousness.

The main reason why strokes occur is the lack of early diagnosis. Doctors at the Clinical Brain Institute recommend undergoing regular scheduled examinations to identify cardiovascular diseases in the early stages. Monitoring blood pressure, proper nutrition and dosed exercise, as well as systematically taking medications as needed are the basis for preventing stroke at any age.

Pain in the ear and right side of the head due to neuralgia

If your head hurts and radiates to your right ear, this may be a sign of neuralgia. This is not a separate disease, but a type of pain that occurs when a nerve is inflamed or damaged. The trigeminal nerve is most often affected, which gives off branches to the muscles of the face, the organ of hearing, the upper and lower jaws.

Neuritis is an inflammatory process that develops in nerve fibers. It is accompanied by acute throbbing pain, which can be one-sided, affecting part of the head, ear and half of the face. It intensifies with sharp sounds, bright lighting and other irritants, as well as with chewing and turning the head. Treatment consists of taking painkillers and anti-inflammatory drugs. If they are ineffective, a nerve block is indicated - injections along its course with anesthetics and hormonal anti-inflammatory drugs.

Diseases of the cervical spine

The cervical spine contains arteries that carry blood from the heart to the brain, analyzer organs, muscles and facial skin. Their mechanical pinching leads to impaired sensitivity in certain areas and chronic headaches. Normally, the vessels are located in the canals formed by the processes of the vertebrae, and blood moves freely through them. However, there are a number of diseases that lead to poor circulation, pain in the head and ear:

• osteochondrosis is a pathology of intervertebral discs, in which they become fragile and cannot absorb movement, and the distance between adjacent vertebrae decreases;
• spondylosis - fusion of two or more adjacent vertebrae as a result of injury, inflammatory or dystrophic changes, destruction of cartilage;
• curvature of the spine, most often cervical scoliosis;
• chondrocalcinosis - deposition of salts in the periarticular tissues, which leads to decreased joint mobility;
• intervertebral protrusions and hernias - protrusion of intervertebral discs, their gradual erasure until the outer fibrous membrane ruptures;
• vertebral displacement.

Spinal diseases often manifest as headaches. It can be one-sided, since the load on the spinal column becomes uneven, and mechanical compression of the vessels and nerves occurs.

Inflammation of the lymph nodes

Lymphadenitis is inflammation of the lymph nodes. Pain in the right ear and right side of the head can be caused by damage to the parotid lymph nodes. It is acute, pulsating, and may be accompanied by fever. The disease occurs as a complication of a viral infection of the upper respiratory tract; a bacterial or fungal pathogen can also be diagnosed.

With lymphadenitis, redness of the skin behind the ears and the appearance of a hard lump may be observed. The local temperature is increased and pulsation is felt. Treatment consists of taking antibiotics, anti-inflammatory drugs, and painkillers.

Symptoms

When visiting a doctor about pressure in the ears, some patients mention other symptoms accompanying this sensation:

• dizziness;
• ear congestion;
• associated pressure in the head;
• various noises of varying degrees of volume (ringing, clicking, hum, etc.);
• acoasmas (auditory non-speech hallucinations);
• nausea and headaches;
• increased sensitivity to sounds or light.

The presence of these additional symptoms gives the doctor reason to suspect a serious illness and suggest that the patient undergo a comprehensive examination. An otolaryngologist can also offer consultations with other specialists, since the alleged ailments may not be within his competence.

Diagnostic methods

At the Clinical Brain Institute, a complete diagnosis is carried out, which examines all possible causes of pain in the right ear and right side of the head. The initial appointment is carried out by a therapist. Based on anamnesis (medical history), examination and questioning, the patient receives a referral to a specialist. To exclude diseases of the hearing organ or paranasal sinuses, consultation with an otolaryngologist is necessary, or if a neurological picture is present, a neurologist. If you have high blood pressure, it is recommended that you undergo regular scheduled examinations with a physician.

To obtain a complete picture of the disease, an individual diagnostic regimen is prescribed. It may include the following steps:

• general and biochemical blood tests - will show the concentration of leukocytes (an indicator of the inflammatory process), deficiency of important microelements, as well as glucose levels;
• additional tests - studies to determine the gas composition of arterial blood (to detect hypoxia) and hormones;
• MRI and CT are the most accurate and informative ways to assess the condition of the brain; they are prescribed for suspected neoplasms, various defects of nervous tissue, and pathological changes in blood vessels;
• electroencephalography - a method for assessing the bioelectrical activity of brain tissue;
• Ultrasound of the vessels of the neck and head (Dopplerography) - indicates areas of narrowing of the arteries, impaired blood flow and other pathologies;
• examination by an otolaryngologist to identify diseases of the hearing organ.

Based on the diagnostic results, an individual treatment regimen can be prescribed. It is important to go through all the stages and carry out the necessary tests. At the Clinical Brain Institute, examinations are carried out using modern equipment, which allows you to obtain the most accurate results.

In the eye and forehead area

Headaches in the forehead area are caused by various factors.
Cluster or beam pain occurs in the eye area. She may return after a while. Sometimes attacks continue for several hours. A headache that radiates to the eyeball can be a sign of migraine, eye diseases, brain tumors, and neurological diseases of the brain. It often occurs after severe or prolonged stress. The cause of the headache may be inflammation of the maxillary or frontal sinuses. It often radiates into the eyeballs. Sinus headache disappears after the underlying disease is cured. Pain in the forehead is a common symptom of meningitis, malaria, typhoid, and pneumonia.

What to do if your ear and right side of your head hurt

Treatment is selected individually, depending on the nature and intensity of the pain syndrome, the exact diagnosis, the patient’s age and other factors. The scheme may include several stages that are combined with each other.

1. Drug treatment: in the first stages, non-steroidal anti-inflammatory drugs (Ibuprofen, Meloxicam and others) are prescribed. They affect inflammatory processes of any origin, not complicated by bacterial infection. To relieve episodic pain, analgesics are used - painkillers (Analgin).
2. Antibacterial therapy: antibiotics are indicated for purulent inflammation, as well as to prevent its development. These drugs are often prescribed for otitis media.
3. Muscle relaxants are used in addition to the main treatment regimen (Mydocalm). These drugs help relax muscles and relieve vascular spasms.
4. Nootropics are a group of drugs to improve blood supply to the brain (Glycine, Phenibut). The decision about their effectiveness for various disorders is made by the attending physician.
5. Surgical treatment - surgery is prescribed only if conservative methods do not bring results. It may be necessary for purulent otitis, some pathologies of the cervical spine, and the consequences of injuries.

The Clinical Brain Institute specializes in the diagnosis and treatment of headaches. The center is equipped with the necessary technical facilities for a full examination of patients. Treatment is carried out both on an outpatient basis and in a hospital, with constant supervision by competent specialists. Doctors recommend not to endure pain in the ear and head, especially if it is intense or occurs frequently - timely diagnosis and initiation of treatment will prevent dangerous consequences.

Treatment

Obviously, treatment for ear pressure can only begin after a diagnosis has been made. Until the cause is identified, the otolaryngologist is unlikely to be able to prescribe medications or take any other action. In addition, if the cause of the disease is beyond his competence, then it will not be possible to do without the help of an appropriate specialist (therapist, surgeon, neurologist, etc.).

The reception is conducted by specialists

Kirillov Evgeniy Sergeevich

Audiologist, otoneurologist

Cost of services

Initial consultation with an audiologist
1200₽

Repeated consultation with an audiologist

1000₽

How to quickly relieve an attack of cephalalgia

In cases where a headache does not appear frequently or systematically, and a person definitely does not have diseases that can provoke it, then you can deal with the discomfort on your own. To do this, it is not necessary to use strong medications and call a doctor.

When you feel a severe headache, forget about bad habits, such as smoking and give up alcohol. You should also not apply ice or increase the dose of the analgesic yourself unless your doctor recommends it.

There are a number of actions that need to be taken so that a person with a headache begins to feel better, namely:

• Bring fresh air into the room.
• Free the patient from tight clothing and constricting jewelry, unbutton the shirt collar and raise his legs so that they are higher than head level.
• Reduce indoor lights and sounds to a minimum.
• Give water, it can also be a decoction of soothing and relaxing plants.
• Take a warm foot bath and apply a compress to your head.
• It is necessary to warm a person in cases where the pain intensifies and there is chills.
• Lightly massage the temple area, neck, head, while the person should lie down.

If the above methods do not help within 30 minutes, and only get worse, give the patient an analgesic. If this does not help, then call the ambulance doctors.