Materiały źródłowe

• #1 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Primary cough headache (PCH) is an uncommon condition characterized by episodes of sudden onset, bilateral headaches typically lasting from a second to two hours. […] The neurologist initially prescribed methylprednisolone tablets, primarily to suppress the cough. […] The neurologist prescribed indomethacin and topiramate four and nine days after diagnosis of PCH, respectively. […] The above treatment was effective in limiting the intensity and duration of the headaches and the symptoms resolved after four weeks. […] Indomethacin is the drug of choice for PCH. […] Several studies have found 25 mg to 150 mg daily doses for about two to five months to be an effective treatment and another study found that up to 250 mg daily may be required. […] Both acetazolamide and cerebrospinal fluid drainage reduce intracranial pressure and have been effective at bringing about a significant improvement or complete remission of PCH symptoms within a majority of patients undergoing these treatments.

• #2 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  The authors discuss the clinical manifestations, etiology, differential diagnosis, diagnostic evaluation, and management of primary cough headache. […] Although indomethacin is typically used to treat primary cough headache, the authors discuss other treatment options, including topiramate. […] Indomethacin is the de facto preventive drug of choice for primary cough headache. […] Every patient presenting with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. […] Because the typical duration of primary cough headache is typically short, preventive rather than abortive treatment is used. […] Mathew established the efficacy of indomethacin at a dose of 150 mg per day in a double-blind study involving two patients with primary cough headache. […] Chen and colleagues reported that 44% of patients with primary cough headache had a complete response and 29% a partial response to indomethacin at doses of 25 mg two or three times per day.

• #3 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #4 Headache associated with cough: a review | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-42

  Headache only triggered by coughing is a rather uncommon condition. […] The aim of the present review is to present an overview of the diagnosis, clinical characteristics, pathophysiology and treatment of both primary and symptomatic cough headache and discuss other relevant headache disorders affected by coughing. […] Consequently, diagnostic neuroimaging is key in the diagnosis of cough-related headache and guides treatment. […] Treatment options for primary cough headache are outlined in Table2. […] General consensus exists that the treatment of choice for primary cough headache is indeed indomethacin, however with varying daily doses, treatment durations and treatment effects with a general response rate of approximately 73%. […] The mechanism by which indomethacin is effective is not fully understood, but indomethacin decreases intracranial pressure which could be the possible mechanism of action. […] Patients with symptomatic cough headache usually require a tailor-based surgical treatment. Suboccipital craniectomy, whether or not combined with a C1-C3 laminectomy, relieves cough headache in the majority of patients with a Chiari malformation type I.

• #5 Headache associated with cough: a review | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-42

  Headache only triggered by coughing is a rather uncommon condition. […] The aim of the present review is to present an overview of the diagnosis, clinical characteristics, pathophysiology and treatment of both primary and symptomatic cough headache and discuss other relevant headache disorders affected by coughing. […] Consequently, diagnostic neuroimaging is key in the diagnosis of cough-related headache and guides treatment. […] Treatment options for primary cough headache are outlined in Table2. […] General consensus exists that the treatment of choice for primary cough headache is indeed indomethacin, however with varying daily doses, treatment durations and treatment effects with a general response rate of approximately 73%. […] The mechanism by which indomethacin is effective is not fully understood, but indomethacin decreases intracranial pressure which could be the possible mechanism of action. […] Patients with symptomatic cough headache usually require a tailor-based surgical treatment. Suboccipital craniectomy, whether or not combined with a C1-C3 laminectomy, relieves cough headache in the majority of patients with a Chiari malformation type I.

• #6 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  The authors discuss the clinical manifestations, etiology, differential diagnosis, diagnostic evaluation, and management of primary cough headache. […] Although indomethacin is typically used to treat primary cough headache, the authors discuss other treatment options, including topiramate. […] Indomethacin is the de facto preventive drug of choice for primary cough headache. […] Every patient presenting with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. […] Because the typical duration of primary cough headache is typically short, preventive rather than abortive treatment is used. […] Mathew established the efficacy of indomethacin at a dose of 150 mg per day in a double-blind study involving two patients with primary cough headache. […] Chen and colleagues reported that 44% of patients with primary cough headache had a complete response and 29% a partial response to indomethacin at doses of 25 mg two or three times per day.

• #7 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  The authors discuss the clinical manifestations, etiology, differential diagnosis, diagnostic evaluation, and management of primary cough headache. […] Although indomethacin is typically used to treat primary cough headache, the authors discuss other treatment options, including topiramate. […] Indomethacin is the de facto preventive drug of choice for primary cough headache. […] Every patient presenting with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. […] Because the typical duration of primary cough headache is typically short, preventive rather than abortive treatment is used. […] Mathew established the efficacy of indomethacin at a dose of 150 mg per day in a double-blind study involving two patients with primary cough headache. […] Chen and colleagues reported that 44% of patients with primary cough headache had a complete response and 29% a partial response to indomethacin at doses of 25 mg two or three times per day.

• #8 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Primary cough headache (PCH) is an uncommon condition characterized by episodes of sudden onset, bilateral headaches typically lasting from a second to two hours. […] The neurologist initially prescribed methylprednisolone tablets, primarily to suppress the cough. […] The neurologist prescribed indomethacin and topiramate four and nine days after diagnosis of PCH, respectively. […] The above treatment was effective in limiting the intensity and duration of the headaches and the symptoms resolved after four weeks. […] Indomethacin is the drug of choice for PCH. […] Several studies have found 25 mg to 150 mg daily doses for about two to five months to be an effective treatment and another study found that up to 250 mg daily may be required. […] Both acetazolamide and cerebrospinal fluid drainage reduce intracranial pressure and have been effective at bringing about a significant improvement or complete remission of PCH symptoms within a majority of patients undergoing these treatments.

• #9 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Primary cough headache (PCH) is an uncommon condition characterized by episodes of sudden onset, bilateral headaches typically lasting from a second to two hours. […] The neurologist initially prescribed methylprednisolone tablets, primarily to suppress the cough. […] The neurologist prescribed indomethacin and topiramate four and nine days after diagnosis of PCH, respectively. […] The above treatment was effective in limiting the intensity and duration of the headaches and the symptoms resolved after four weeks. […] Indomethacin is the drug of choice for PCH. […] Several studies have found 25 mg to 150 mg daily doses for about two to five months to be an effective treatment and another study found that up to 250 mg daily may be required. […] Both acetazolamide and cerebrospinal fluid drainage reduce intracranial pressure and have been effective at bringing about a significant improvement or complete remission of PCH symptoms within a majority of patients undergoing these treatments.

• #10 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  The authors discuss the clinical manifestations, etiology, differential diagnosis, diagnostic evaluation, and management of primary cough headache. […] Although indomethacin is typically used to treat primary cough headache, the authors discuss other treatment options, including topiramate. […] Indomethacin is the de facto preventive drug of choice for primary cough headache. […] Every patient presenting with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. […] Because the typical duration of primary cough headache is typically short, preventive rather than abortive treatment is used. […] Mathew established the efficacy of indomethacin at a dose of 150 mg per day in a double-blind study involving two patients with primary cough headache. […] Chen and colleagues reported that 44% of patients with primary cough headache had a complete response and 29% a partial response to indomethacin at doses of 25 mg two or three times per day.

• #11 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #12 Cough headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cough-headaches2/?section=Diagnosis

  Cough headaches are an unusual type of headache triggered by coughing and other types of straining — such as from sneezing, blowing your nose, laughing, crying, singing, bending over or having a bowel movement. […] Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin, Tivorbex), an anti-inflammatory drug; Propranolol (Inderal, Innopran XL, others), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include naproxen (Naprelan, Naprosyn, others), ergonovine (Methergine), intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil).

• #13 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #14 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Propranolol (Inderal or Innopran XL), which relaxes blood vessels and reduces blood pressure […] Naproxen, a nonsteroidal anti-inflammatory drug (NSAID) […] Acetazolamide (Diamox), which reduces the amount of spinal fluid and pressure in the skull […] If your primary cough headaches stem from pressure in your skull, your doctor might recommend a spinal tap to remove fluid surrounding your brain and spinal cord. […] Doctors dont prescribe preventative medications for secondary cough headaches. These types of headaches usually require treatment since they are the result of an underlying condition in the brain or head. […] While the treatment for secondary cough headaches depends on the cause, many cases require surgery. Some of the most common types of surgery related to cough headaches include:

• #15 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #16 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Primary cough headache (PCH) is an uncommon condition characterized by episodes of sudden onset, bilateral headaches typically lasting from a second to two hours. […] The neurologist initially prescribed methylprednisolone tablets, primarily to suppress the cough. […] The neurologist prescribed indomethacin and topiramate four and nine days after diagnosis of PCH, respectively. […] The above treatment was effective in limiting the intensity and duration of the headaches and the symptoms resolved after four weeks. […] Indomethacin is the drug of choice for PCH. […] Several studies have found 25 mg to 150 mg daily doses for about two to five months to be an effective treatment and another study found that up to 250 mg daily may be required. […] Both acetazolamide and cerebrospinal fluid drainage reduce intracranial pressure and have been effective at bringing about a significant improvement or complete remission of PCH symptoms within a majority of patients undergoing these treatments.

• #17 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  Acetazolamide and methysergide have been reported to be effective in open-label trials. […] Topiramate inhibits carbonic anhydrase; it has been reported to be effective at a dose of 50 to 100 mg/day in three patients with primary cough headache. […] Several authors have written of the occasional efficacy of lumbar puncture. […] Chen and colleagues recommend CSF drainage as a second-line treatment.

• #18 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Our patient’s treatment began with 50 mg of indomethacin, thrice daily. […] Indomethacin was prescribed for two weeks after the diagnosis and then tapered off. […] Topiramate was prescribed for three weeks after diagnosis and ended when the headache attacks resolved. […] Under this broad treatment, we observed a reduction in headache frequency, duration, and intensity of pain. […] The treatment of choice in the literature is indomethacin. […] We found that the headache attacks decreased most in frequency and intensity after topiramate was started. […] We also found metoprolol (100 mg daily) to be effective as a short-term measure in addressing the elevated blood pressures that were correlated with the incidence of headache attacks.

• #19 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #20 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Propranolol (Inderal or Innopran XL), which relaxes blood vessels and reduces blood pressure […] Naproxen, a nonsteroidal anti-inflammatory drug (NSAID) […] Acetazolamide (Diamox), which reduces the amount of spinal fluid and pressure in the skull […] If your primary cough headaches stem from pressure in your skull, your doctor might recommend a spinal tap to remove fluid surrounding your brain and spinal cord. […] Doctors dont prescribe preventative medications for secondary cough headaches. These types of headaches usually require treatment since they are the result of an underlying condition in the brain or head. […] While the treatment for secondary cough headaches depends on the cause, many cases require surgery. Some of the most common types of surgery related to cough headaches include:

• #21 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  Acetazolamide and methysergide have been reported to be effective in open-label trials. […] Topiramate inhibits carbonic anhydrase; it has been reported to be effective at a dose of 50 to 100 mg/day in three patients with primary cough headache. […] Several authors have written of the occasional efficacy of lumbar puncture. […] Chen and colleagues recommend CSF drainage as a second-line treatment.

• #22 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #23 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #24 Cough headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cough-headaches2/?section=Diagnosis

  Cough headaches are an unusual type of headache triggered by coughing and other types of straining — such as from sneezing, blowing your nose, laughing, crying, singing, bending over or having a bowel movement. […] Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin, Tivorbex), an anti-inflammatory drug; Propranolol (Inderal, Innopran XL, others), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include naproxen (Naprelan, Naprosyn, others), ergonovine (Methergine), intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil).

• #25 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #26 Cough headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cough-headaches2/?section=Diagnosis

  Cough headaches are an unusual type of headache triggered by coughing and other types of straining — such as from sneezing, blowing your nose, laughing, crying, singing, bending over or having a bowel movement. […] Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin, Tivorbex), an anti-inflammatory drug; Propranolol (Inderal, Innopran XL, others), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include naproxen (Naprelan, Naprosyn, others), ergonovine (Methergine), intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil).

• #27 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #28 Cough headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cough-headaches2/?section=Diagnosis

  Cough headaches are an unusual type of headache triggered by coughing and other types of straining — such as from sneezing, blowing your nose, laughing, crying, singing, bending over or having a bowel movement. […] Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin, Tivorbex), an anti-inflammatory drug; Propranolol (Inderal, Innopran XL, others), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include naproxen (Naprelan, Naprosyn, others), ergonovine (Methergine), intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil).

• #29 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Our patient’s treatment began with 50 mg of indomethacin, thrice daily. […] Indomethacin was prescribed for two weeks after the diagnosis and then tapered off. […] Topiramate was prescribed for three weeks after diagnosis and ended when the headache attacks resolved. […] Under this broad treatment, we observed a reduction in headache frequency, duration, and intensity of pain. […] The treatment of choice in the literature is indomethacin. […] We found that the headache attacks decreased most in frequency and intensity after topiramate was started. […] We also found metoprolol (100 mg daily) to be effective as a short-term measure in addressing the elevated blood pressures that were correlated with the incidence of headache attacks.

• #30 Cough headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cough-headaches2/?section=Diagnosis

  Rarely, a spinal tap (lumbar puncture) may be recommended. With this procedure, the doctor removes some of the fluid that surrounds your brain and spinal cord. It’s not clearly understood why this helps cough headaches, but the procedure may reduce the pressure inside your skull that may be causing the headaches. […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #31 Cough headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cough-headaches2/?section=Diagnosis

  Rarely, a spinal tap (lumbar puncture) may be recommended. With this procedure, the doctor removes some of the fluid that surrounds your brain and spinal cord. It’s not clearly understood why this helps cough headaches, but the procedure may reduce the pressure inside your skull that may be causing the headaches. […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #32 Cough Headache: Causes, Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/21071-cough-headache

  Cough headaches can interfere with your daily routine and your mood. This can prevent you from functioning and feeling your best. […] If you have frequent headaches that are painful and disruptive, a healthcare provider may suggest preventive medications like: Acetazolamide, Indomethacin, Propranolol, Topiramate. […] Some cough headaches go away after a lumbar puncture (diagnostic test), which removes a small sample of cerebrospinal fluid from the area around your spinal column (subarachnoid space). […] You may need surgery to repair a structural issue that’s causing your headaches. Your surgeon will tell you which type of procedure you’ll need and what to expect. […] Most cough headaches resolve on their own. Some may last longer, but it’s less common. Treatment isn’t necessary for primary cough headaches unless they happen frequently and disrupt your daily routine. […] Secondary cough headaches usually need treatment with surgery. Some causes can be life-threatening. A healthcare provider can help you find a treatment option that works best for your situation.

• #33 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  Acetazolamide and methysergide have been reported to be effective in open-label trials. […] Topiramate inhibits carbonic anhydrase; it has been reported to be effective at a dose of 50 to 100 mg/day in three patients with primary cough headache. […] Several authors have written of the occasional efficacy of lumbar puncture. […] Chen and colleagues recommend CSF drainage as a second-line treatment.

• #34 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  Acetazolamide and methysergide have been reported to be effective in open-label trials. […] Topiramate inhibits carbonic anhydrase; it has been reported to be effective at a dose of 50 to 100 mg/day in three patients with primary cough headache. […] Several authors have written of the occasional efficacy of lumbar puncture. […] Chen and colleagues recommend CSF drainage as a second-line treatment.

• #35 Primary Cough Headache – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37747622/

  Recent studies draw attention to further characterization of patients with primary cough headache in a pulmonology clinic. […] There have also been recent case studies describing new therapy considerations, including noninvasive vagus nerve stimulation and lumbar punctures. […] Generally, patients are responsive to indomethacin, but more recent case reports have suggested benefits of other medications and procedures that may offer patients an alternative option, including vagus nerve stimulation, lumbar punctures, and beta blockers. […] Future case series and studies should focus on management of these patients, with a specific focus on individuals who do not tolerate indomethacin.

• #36 Head Hurts When I Cough: Causes, Treatment, and Prevention

  https://www.volusiamedicalcenter.net/post/head-hurts-when-i-cough-causes-treatment-and-prevention

  Cough headaches can be treated with various methods depending on their cause. […] If you have primary cough headaches, which are usually benign, they can often be managed with pain relievers, such as ibuprofen or acetaminophen. […] If sinus congestion or infection is the cause of your cough headache, treatments may include decongestants, nasal irrigation, and antibiotics if a bacterial infection is present. […] If your cough headache is caused by allergies, taking antihistamines or other allergy medications can help reduce your symptoms. […] Sometimes, a cough headache is due to a structural or neurological problem, like Chiari malformation or high pressure inside the skull. Treatments for these issues might include surgery or medications to manage your symptoms. […] Making lifestyle changes to reduce the frequency of coughing can also be helpful, such as quitting smoking, staying hydrated, and avoiding triggers.

• #37 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Cough Headache Treatment […] Primary cough headaches usually resolve on their own within four years and dont require medical interventions like surgery. You can treat your cough headache pain at home, or prevent coughing episodes, with: […] Over-the-counter pain-relieving medications: like acetaminophen (Tylenol) or ibuprofen (Motrin) may alleviate symptoms. […] Over-the-counter cough medications: such as dextromethorphan (Triaminic Cold and Cough, Robitussin Cough, or Vicks 44 Cough and Cold) may prevent coughing episodes. […] If you have persistent pain associated with primary cough headaches, your doctor might prescribe you a medication that either prevents or reduces pain associated with cough headaches. […] Some of the common medications for cough headache include: […] Indomethacin (Indocen or Tivorbex), an anti-inflammatory drug

• #38 Head Hurts When I Cough: Causes, Treatment, and Prevention

  https://www.volusiamedicalcenter.net/post/head-hurts-when-i-cough-causes-treatment-and-prevention

  Cough headaches can be treated with various methods depending on their cause. […] If you have primary cough headaches, which are usually benign, they can often be managed with pain relievers, such as ibuprofen or acetaminophen. […] If sinus congestion or infection is the cause of your cough headache, treatments may include decongestants, nasal irrigation, and antibiotics if a bacterial infection is present. […] If your cough headache is caused by allergies, taking antihistamines or other allergy medications can help reduce your symptoms. […] Sometimes, a cough headache is due to a structural or neurological problem, like Chiari malformation or high pressure inside the skull. Treatments for these issues might include surgery or medications to manage your symptoms. […] Making lifestyle changes to reduce the frequency of coughing can also be helpful, such as quitting smoking, staying hydrated, and avoiding triggers.

• #39 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Cough Headache Treatment […] Primary cough headaches usually resolve on their own within four years and dont require medical interventions like surgery. You can treat your cough headache pain at home, or prevent coughing episodes, with: […] Over-the-counter pain-relieving medications: like acetaminophen (Tylenol) or ibuprofen (Motrin) may alleviate symptoms. […] Over-the-counter cough medications: such as dextromethorphan (Triaminic Cold and Cough, Robitussin Cough, or Vicks 44 Cough and Cold) may prevent coughing episodes. […] If you have persistent pain associated with primary cough headaches, your doctor might prescribe you a medication that either prevents or reduces pain associated with cough headaches. […] Some of the common medications for cough headache include: […] Indomethacin (Indocen or Tivorbex), an anti-inflammatory drug

• #40 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Cough Headache Treatment […] Primary cough headaches usually resolve on their own within four years and dont require medical interventions like surgery. You can treat your cough headache pain at home, or prevent coughing episodes, with: […] Over-the-counter pain-relieving medications: like acetaminophen (Tylenol) or ibuprofen (Motrin) may alleviate symptoms. […] Over-the-counter cough medications: such as dextromethorphan (Triaminic Cold and Cough, Robitussin Cough, or Vicks 44 Cough and Cold) may prevent coughing episodes. […] If you have persistent pain associated with primary cough headaches, your doctor might prescribe you a medication that either prevents or reduces pain associated with cough headaches. […] Some of the common medications for cough headache include: […] Indomethacin (Indocen or Tivorbex), an anti-inflammatory drug

• #41 Head Hurts When I Cough: Causes, Treatment, and Prevention

  https://www.volusiamedicalcenter.net/post/head-hurts-when-i-cough-causes-treatment-and-prevention

  Cough headaches can be treated with various methods depending on their cause. […] If you have primary cough headaches, which are usually benign, they can often be managed with pain relievers, such as ibuprofen or acetaminophen. […] If sinus congestion or infection is the cause of your cough headache, treatments may include decongestants, nasal irrigation, and antibiotics if a bacterial infection is present. […] If your cough headache is caused by allergies, taking antihistamines or other allergy medications can help reduce your symptoms. […] Sometimes, a cough headache is due to a structural or neurological problem, like Chiari malformation or high pressure inside the skull. Treatments for these issues might include surgery or medications to manage your symptoms. […] Making lifestyle changes to reduce the frequency of coughing can also be helpful, such as quitting smoking, staying hydrated, and avoiding triggers.

• #42 Head Hurts When I Cough: Causes, Treatment, and Prevention

  https://www.volusiamedicalcenter.net/post/head-hurts-when-i-cough-causes-treatment-and-prevention

  Cough headaches can be treated with various methods depending on their cause. […] If you have primary cough headaches, which are usually benign, they can often be managed with pain relievers, such as ibuprofen or acetaminophen. […] If sinus congestion or infection is the cause of your cough headache, treatments may include decongestants, nasal irrigation, and antibiotics if a bacterial infection is present. […] If your cough headache is caused by allergies, taking antihistamines or other allergy medications can help reduce your symptoms. […] Sometimes, a cough headache is due to a structural or neurological problem, like Chiari malformation or high pressure inside the skull. Treatments for these issues might include surgery or medications to manage your symptoms. […] Making lifestyle changes to reduce the frequency of coughing can also be helpful, such as quitting smoking, staying hydrated, and avoiding triggers.

• #43

  https://continentalhospitals.com/diseases/cough-headaches/

  Treatment of Underlying Conditions: If cough headaches are secondary to an underlying condition such as a Chiari malformation or a brain tumor, treatment of the underlying cause is necessary. This may involve surgery or other medical interventions. […] Lifestyle Changes: Avoiding activities that trigger coughing, such as heavy lifting or straining, may help reduce the frequency and severity of cough headaches. […] Relaxation Techniques: Practicing relaxation techniques such as deep breathing exercises or meditation may help reduce headache frequency and intensity. […] Fluid Intake: Staying well-hydrated can help reduce the severity of cough headaches, as dehydration can exacerbate headache symptoms. […] Physical Therapy: For individuals with musculoskeletal issues contributing to cough headaches, physical therapy may help improve posture and strengthen neck and shoulder muscles, reducing strain during coughing episodes.

• #44 Head Hurts When I Cough: Causes, Treatment, and Prevention

  https://www.volusiamedicalcenter.net/post/head-hurts-when-i-cough-causes-treatment-and-prevention

  Cough headaches can be treated with various methods depending on their cause. […] If you have primary cough headaches, which are usually benign, they can often be managed with pain relievers, such as ibuprofen or acetaminophen. […] If sinus congestion or infection is the cause of your cough headache, treatments may include decongestants, nasal irrigation, and antibiotics if a bacterial infection is present. […] If your cough headache is caused by allergies, taking antihistamines or other allergy medications can help reduce your symptoms. […] Sometimes, a cough headache is due to a structural or neurological problem, like Chiari malformation or high pressure inside the skull. Treatments for these issues might include surgery or medications to manage your symptoms. […] Making lifestyle changes to reduce the frequency of coughing can also be helpful, such as quitting smoking, staying hydrated, and avoiding triggers.

• #45

  https://continentalhospitals.com/diseases/cough-headaches/

  Treatment of Underlying Conditions: If cough headaches are secondary to an underlying condition such as a Chiari malformation or a brain tumor, treatment of the underlying cause is necessary. This may involve surgery or other medical interventions. […] Lifestyle Changes: Avoiding activities that trigger coughing, such as heavy lifting or straining, may help reduce the frequency and severity of cough headaches. […] Relaxation Techniques: Practicing relaxation techniques such as deep breathing exercises or meditation may help reduce headache frequency and intensity. […] Fluid Intake: Staying well-hydrated can help reduce the severity of cough headaches, as dehydration can exacerbate headache symptoms. […] Physical Therapy: For individuals with musculoskeletal issues contributing to cough headaches, physical therapy may help improve posture and strengthen neck and shoulder muscles, reducing strain during coughing episodes.

• #46

  https://continentalhospitals.com/diseases/cough-headaches/

  Treatment of Underlying Conditions: If cough headaches are secondary to an underlying condition such as a Chiari malformation or a brain tumor, treatment of the underlying cause is necessary. This may involve surgery or other medical interventions. […] Lifestyle Changes: Avoiding activities that trigger coughing, such as heavy lifting or straining, may help reduce the frequency and severity of cough headaches. […] Relaxation Techniques: Practicing relaxation techniques such as deep breathing exercises or meditation may help reduce headache frequency and intensity. […] Fluid Intake: Staying well-hydrated can help reduce the severity of cough headaches, as dehydration can exacerbate headache symptoms. […] Physical Therapy: For individuals with musculoskeletal issues contributing to cough headaches, physical therapy may help improve posture and strengthen neck and shoulder muscles, reducing strain during coughing episodes.

• #47 Head Pain When Coughing: Is It Serious? What You Need to Know – Speedy Sticks | Mobile Lab Services

  https://www.speedysticks.com/blog/head-pain-when-coughing/

  Head pain when coughing can be a worrying symptom, especially if its a new or persistent problem. […] Well also discuss home remedies and strategies for managing head pain when coughing, as well as the potential complications that can arise if its left untreated. […] If youre experiencing head pain when coughing, there are some home remedies that may provide relief. Here are a few options to consider: Stay hydrated: Drinking plenty of fluids can help keep your body hydrated and loosen mucus in your airways, which can reduce coughing and head pain. Use a humidifier: Adding moisture to the air with a humidifier can help soothe irritated sinuses and reduce congestion, which can alleviate head pain when coughing. Take over-the-counter pain relievers: Over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce head pain associated with coughing. Just be sure to follow the recommended dosages and check with your doctor if you have any concerns. Try a warm compress: Applying a warm compress to your forehead or sinuses can help relieve pressure and reduce head pain. Use a saline nasal spray: Saline nasal sprays can help flush out mucus and reduce inflammation in your nasal passages, which can alleviate head pain.

• #48 Cough Headache: Symptoms, Treatment and Home Remedies

  https://www.medicoverhospitals.in/articles/cough-headaches

  To alleviate a cough and headache, over-the-counter pain relievers and cough suppressants may help. Rest, hydration, and avoiding triggers can also aid in symptom relief. Consultation with a healthcare provider may be necessary for persistent or severe symptoms. […] Yes, self-care measures like taking a nap in a quiet, dark room, using warm or cold compresses on the head or neck, drinking plenty of water, and engaging in relaxation exercises may help reduce symptoms. […] You should see a doctor if cough headaches are severe, persistent, or accompanied by other neurological symptoms like dizziness, vision changes, or numbness. […] Prevention involves managing underlying conditions, avoiding triggers like excessive coughing or straining, and maintaining overall good health.

• #49 Head Pain When Coughing: Is It Serious? What You Need to Know – Speedy Sticks | Mobile Lab Services

  https://www.speedysticks.com/blog/head-pain-when-coughing/

  Head pain when coughing can be a worrying symptom, especially if its a new or persistent problem. […] Well also discuss home remedies and strategies for managing head pain when coughing, as well as the potential complications that can arise if its left untreated. […] If youre experiencing head pain when coughing, there are some home remedies that may provide relief. Here are a few options to consider: Stay hydrated: Drinking plenty of fluids can help keep your body hydrated and loosen mucus in your airways, which can reduce coughing and head pain. Use a humidifier: Adding moisture to the air with a humidifier can help soothe irritated sinuses and reduce congestion, which can alleviate head pain when coughing. Take over-the-counter pain relievers: Over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce head pain associated with coughing. Just be sure to follow the recommended dosages and check with your doctor if you have any concerns. Try a warm compress: Applying a warm compress to your forehead or sinuses can help relieve pressure and reduce head pain. Use a saline nasal spray: Saline nasal sprays can help flush out mucus and reduce inflammation in your nasal passages, which can alleviate head pain.

• #50

  https://continentalhospitals.com/diseases/cough-headaches/

  Treatment of Underlying Conditions: If cough headaches are secondary to an underlying condition such as a Chiari malformation or a brain tumor, treatment of the underlying cause is necessary. This may involve surgery or other medical interventions. […] Lifestyle Changes: Avoiding activities that trigger coughing, such as heavy lifting or straining, may help reduce the frequency and severity of cough headaches. […] Relaxation Techniques: Practicing relaxation techniques such as deep breathing exercises or meditation may help reduce headache frequency and intensity. […] Fluid Intake: Staying well-hydrated can help reduce the severity of cough headaches, as dehydration can exacerbate headache symptoms. […] Physical Therapy: For individuals with musculoskeletal issues contributing to cough headaches, physical therapy may help improve posture and strengthen neck and shoulder muscles, reducing strain during coughing episodes.

• #51 Cough Headache: Symptoms, Treatment and Home Remedies

  https://www.medicoverhospitals.in/articles/cough-headaches

  If cough headaches are frequent, preventive medications such as beta-blockers or calcium channel blockers may be prescribed to reduce the frequency or severity of headaches. […] If cough headaches are secondary to an underlying condition such as a Chiari malformation or intracranial pressure abnormalities, treatment may involve addressing the underlying cause through medications or surgery. […] Making lifestyle changes such as avoiding triggers that worsen cough headaches, practising stress-reduction techniques, maintaining proper hydration, and getting an adequate amount of sleep may help reduce headache frequency and severity. […] In some cases, physical therapy techniques such as neck exercises or manual therapy may be recommended to help alleviate neck stiffness and tension contributing to cough headaches.

• #52 Head Pain When Coughing: Is It Serious? What You Need to Know – Speedy Sticks | Mobile Lab Services

  https://www.speedysticks.com/blog/head-pain-when-coughing/

  Head pain when coughing can be a worrying symptom, especially if its a new or persistent problem. […] Well also discuss home remedies and strategies for managing head pain when coughing, as well as the potential complications that can arise if its left untreated. […] If youre experiencing head pain when coughing, there are some home remedies that may provide relief. Here are a few options to consider: Stay hydrated: Drinking plenty of fluids can help keep your body hydrated and loosen mucus in your airways, which can reduce coughing and head pain. Use a humidifier: Adding moisture to the air with a humidifier can help soothe irritated sinuses and reduce congestion, which can alleviate head pain when coughing. Take over-the-counter pain relievers: Over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce head pain associated with coughing. Just be sure to follow the recommended dosages and check with your doctor if you have any concerns. Try a warm compress: Applying a warm compress to your forehead or sinuses can help relieve pressure and reduce head pain. Use a saline nasal spray: Saline nasal sprays can help flush out mucus and reduce inflammation in your nasal passages, which can alleviate head pain.

• #53

  https://continentalhospitals.com/diseases/cough-headaches/

  Treatment of Underlying Conditions: If cough headaches are secondary to an underlying condition such as a Chiari malformation or a brain tumor, treatment of the underlying cause is necessary. This may involve surgery or other medical interventions. […] Lifestyle Changes: Avoiding activities that trigger coughing, such as heavy lifting or straining, may help reduce the frequency and severity of cough headaches. […] Relaxation Techniques: Practicing relaxation techniques such as deep breathing exercises or meditation may help reduce headache frequency and intensity. […] Fluid Intake: Staying well-hydrated can help reduce the severity of cough headaches, as dehydration can exacerbate headache symptoms. […] Physical Therapy: For individuals with musculoskeletal issues contributing to cough headaches, physical therapy may help improve posture and strengthen neck and shoulder muscles, reducing strain during coughing episodes.

• #54 All About Head Pain and Coughs | LifeMD

  https://lifemd.com/learn/what-you-need-to-know-about-head-pain-and-coughs

  Your doctor may recommend physical therapy or making an appointment with a chiropractor. […] If youve been diagnosed with secondary cough headaches, you may need to go for additional tests like X-rays and CT scans. […] Surgical procedures are usually reserved for treating secondary cough headaches. […] If your cough headaches are caused by a brain tumor, youll likely need to undergo chemotherapy to kill the fast-growing cells.

• #55 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #56 Cough Headache: Causes, Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/21071-cough-headache

  Cough headaches can interfere with your daily routine and your mood. This can prevent you from functioning and feeling your best. […] If you have frequent headaches that are painful and disruptive, a healthcare provider may suggest preventive medications like: Acetazolamide, Indomethacin, Propranolol, Topiramate. […] Some cough headaches go away after a lumbar puncture (diagnostic test), which removes a small sample of cerebrospinal fluid from the area around your spinal column (subarachnoid space). […] You may need surgery to repair a structural issue that’s causing your headaches. Your surgeon will tell you which type of procedure you’ll need and what to expect. […] Most cough headaches resolve on their own. Some may last longer, but it’s less common. Treatment isn’t necessary for primary cough headaches unless they happen frequently and disrupt your daily routine. […] Secondary cough headaches usually need treatment with surgery. Some causes can be life-threatening. A healthcare provider can help you find a treatment option that works best for your situation.

• #57 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #58 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Propranolol (Inderal or Innopran XL), which relaxes blood vessels and reduces blood pressure […] Naproxen, a nonsteroidal anti-inflammatory drug (NSAID) […] Acetazolamide (Diamox), which reduces the amount of spinal fluid and pressure in the skull […] If your primary cough headaches stem from pressure in your skull, your doctor might recommend a spinal tap to remove fluid surrounding your brain and spinal cord. […] Doctors dont prescribe preventative medications for secondary cough headaches. These types of headaches usually require treatment since they are the result of an underlying condition in the brain or head. […] While the treatment for secondary cough headaches depends on the cause, many cases require surgery. Some of the most common types of surgery related to cough headaches include:

• #59 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Chiari malformation: People with secondary cough headaches due to a Chiari malformation may need surgery to create more space for the cerebellum, which reduces pressure on the brain. […] Brain tumor: In rare cases, someone might have a secondary cough headache caused by a brain tumor, which could be removed with surgery. […] Brain aneurysm: Some people with brain aneurysms need surgical intervention to repair a bulging blood vessel in the brain. […] Cerebrospinal fluid leak: If fluid is leaking from your spine, a surgeon may repair it to avoid complications like meningitis, an infection of the membranes surrounding the brain and spinal cord. […] Your doctor will help you identify the best treatment option based on what youre experiencing.

• #60 Headache associated with cough: a review | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-42

  Headache only triggered by coughing is a rather uncommon condition. […] The aim of the present review is to present an overview of the diagnosis, clinical characteristics, pathophysiology and treatment of both primary and symptomatic cough headache and discuss other relevant headache disorders affected by coughing. […] Consequently, diagnostic neuroimaging is key in the diagnosis of cough-related headache and guides treatment. […] Treatment options for primary cough headache are outlined in Table2. […] General consensus exists that the treatment of choice for primary cough headache is indeed indomethacin, however with varying daily doses, treatment durations and treatment effects with a general response rate of approximately 73%. […] The mechanism by which indomethacin is effective is not fully understood, but indomethacin decreases intracranial pressure which could be the possible mechanism of action. […] Patients with symptomatic cough headache usually require a tailor-based surgical treatment. Suboccipital craniectomy, whether or not combined with a C1-C3 laminectomy, relieves cough headache in the majority of patients with a Chiari malformation type I.

• #61 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Chiari malformation: People with secondary cough headaches due to a Chiari malformation may need surgery to create more space for the cerebellum, which reduces pressure on the brain. […] Brain tumor: In rare cases, someone might have a secondary cough headache caused by a brain tumor, which could be removed with surgery. […] Brain aneurysm: Some people with brain aneurysms need surgical intervention to repair a bulging blood vessel in the brain. […] Cerebrospinal fluid leak: If fluid is leaking from your spine, a surgeon may repair it to avoid complications like meningitis, an infection of the membranes surrounding the brain and spinal cord. […] Your doctor will help you identify the best treatment option based on what youre experiencing.

• #62 Cough Headaches: Possible Causes & What To Do

  https://www.webmd.com/migraines-headaches/cough-headaches-overview

  Once theyve ruled out secondary causes, your doctor may prescribe medication to ease inflammation linked to primary cough headache pain. The drug of choice is indomethacin. Doctors dont know exactly why it works, but it may relieve pressure around your brain and skull. […] Treatment depends in large part on the cause: […] Chiari formation: Medication like indomethacin can ease your pain. Your doctor might suggest surgery to change the shape and relieve pressure. […] Cerebral aneurysm: You might have a procedure to seal off the aneurysm, or a flow diverter to deprive it of blood. […] Brain tumors: Treatment is usually surgery, radiation, and chemotherapy. […] Thats why its so important for your doctor to figure out the cause of your cough headache before starting treatment.

• #63 Head Hurts When I Cough: Causes, Home Remedies, and More

  https://www.healthline.com/health/head-hurts-when-i-cough

  A number of medications may help reduce primary cough headaches. These include: prescription steroids or anti-inflammatory drugs to reduce inflammation and lessen coughing, blood pressure medication, medications that relax blood vessels in the brain, diuretics that reduce the amount of spinal fluid and pressure within the skull. […] Treatment for secondary cough headache is based upon diagnosis. If you have a Chiari malformation, you may need surgery to create more space for the cerebellum and reduce pressure on the brain. If you have a brain tumor, the type of tumor you have will determine your treatment. This may include: radiation, chemotherapy, surgery, a combination of these treatments. If you have a brain aneurysm, you may require surgery, endovascular interventions, or a stent-like implant, called a flow-diverter. If you have a cerebrospinal fluid leak, you’ll need surgery to fix it. […] Reducing or eliminating your cough or other straining behaviors can help reduce primary cough headaches. Secondary cough headaches may respond temporarily to at-home treatments, but their root cause must be addressed in order to eliminate the problem.

• #64 Cough Headaches: Possible Causes & What To Do

  https://www.webmd.com/migraines-headaches/cough-headaches-overview

  Once theyve ruled out secondary causes, your doctor may prescribe medication to ease inflammation linked to primary cough headache pain. The drug of choice is indomethacin. Doctors dont know exactly why it works, but it may relieve pressure around your brain and skull. […] Treatment depends in large part on the cause: […] Chiari formation: Medication like indomethacin can ease your pain. Your doctor might suggest surgery to change the shape and relieve pressure. […] Cerebral aneurysm: You might have a procedure to seal off the aneurysm, or a flow diverter to deprive it of blood. […] Brain tumors: Treatment is usually surgery, radiation, and chemotherapy. […] Thats why its so important for your doctor to figure out the cause of your cough headache before starting treatment.

• #65 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Chiari malformation: People with secondary cough headaches due to a Chiari malformation may need surgery to create more space for the cerebellum, which reduces pressure on the brain. […] Brain tumor: In rare cases, someone might have a secondary cough headache caused by a brain tumor, which could be removed with surgery. […] Brain aneurysm: Some people with brain aneurysms need surgical intervention to repair a bulging blood vessel in the brain. […] Cerebrospinal fluid leak: If fluid is leaking from your spine, a surgeon may repair it to avoid complications like meningitis, an infection of the membranes surrounding the brain and spinal cord. […] Your doctor will help you identify the best treatment option based on what youre experiencing.

• #66 Head Hurts When I Cough: Causes, Home Remedies, and More

  https://www.healthline.com/health/head-hurts-when-i-cough

  A number of medications may help reduce primary cough headaches. These include: prescription steroids or anti-inflammatory drugs to reduce inflammation and lessen coughing, blood pressure medication, medications that relax blood vessels in the brain, diuretics that reduce the amount of spinal fluid and pressure within the skull. […] Treatment for secondary cough headache is based upon diagnosis. If you have a Chiari malformation, you may need surgery to create more space for the cerebellum and reduce pressure on the brain. If you have a brain tumor, the type of tumor you have will determine your treatment. This may include: radiation, chemotherapy, surgery, a combination of these treatments. If you have a brain aneurysm, you may require surgery, endovascular interventions, or a stent-like implant, called a flow-diverter. If you have a cerebrospinal fluid leak, you’ll need surgery to fix it. […] Reducing or eliminating your cough or other straining behaviors can help reduce primary cough headaches. Secondary cough headaches may respond temporarily to at-home treatments, but their root cause must be addressed in order to eliminate the problem.

• #67 Cough Headaches: Possible Causes & What To Do

  https://www.webmd.com/migraines-headaches/cough-headaches-overview

  Once theyve ruled out secondary causes, your doctor may prescribe medication to ease inflammation linked to primary cough headache pain. The drug of choice is indomethacin. Doctors dont know exactly why it works, but it may relieve pressure around your brain and skull. […] Treatment depends in large part on the cause: […] Chiari formation: Medication like indomethacin can ease your pain. Your doctor might suggest surgery to change the shape and relieve pressure. […] Cerebral aneurysm: You might have a procedure to seal off the aneurysm, or a flow diverter to deprive it of blood. […] Brain tumors: Treatment is usually surgery, radiation, and chemotherapy. […] Thats why its so important for your doctor to figure out the cause of your cough headache before starting treatment.

• #68 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Chiari malformation: People with secondary cough headaches due to a Chiari malformation may need surgery to create more space for the cerebellum, which reduces pressure on the brain. […] Brain tumor: In rare cases, someone might have a secondary cough headache caused by a brain tumor, which could be removed with surgery. […] Brain aneurysm: Some people with brain aneurysms need surgical intervention to repair a bulging blood vessel in the brain. […] Cerebrospinal fluid leak: If fluid is leaking from your spine, a surgeon may repair it to avoid complications like meningitis, an infection of the membranes surrounding the brain and spinal cord. […] Your doctor will help you identify the best treatment option based on what youre experiencing.

• #69 Head Hurts When I Cough: Causes, Home Remedies, and More

  https://www.healthline.com/health/head-hurts-when-i-cough

  A number of medications may help reduce primary cough headaches. These include: prescription steroids or anti-inflammatory drugs to reduce inflammation and lessen coughing, blood pressure medication, medications that relax blood vessels in the brain, diuretics that reduce the amount of spinal fluid and pressure within the skull. […] Treatment for secondary cough headache is based upon diagnosis. If you have a Chiari malformation, you may need surgery to create more space for the cerebellum and reduce pressure on the brain. If you have a brain tumor, the type of tumor you have will determine your treatment. This may include: radiation, chemotherapy, surgery, a combination of these treatments. If you have a brain aneurysm, you may require surgery, endovascular interventions, or a stent-like implant, called a flow-diverter. If you have a cerebrospinal fluid leak, you’ll need surgery to fix it. […] Reducing or eliminating your cough or other straining behaviors can help reduce primary cough headaches. Secondary cough headaches may respond temporarily to at-home treatments, but their root cause must be addressed in order to eliminate the problem.

• #70 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Chiari malformation: People with secondary cough headaches due to a Chiari malformation may need surgery to create more space for the cerebellum, which reduces pressure on the brain. […] Brain tumor: In rare cases, someone might have a secondary cough headache caused by a brain tumor, which could be removed with surgery. […] Brain aneurysm: Some people with brain aneurysms need surgical intervention to repair a bulging blood vessel in the brain. […] Cerebrospinal fluid leak: If fluid is leaking from your spine, a surgeon may repair it to avoid complications like meningitis, an infection of the membranes surrounding the brain and spinal cord. […] Your doctor will help you identify the best treatment option based on what youre experiencing.

• #71 Headache associated with cough: a review | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-42

  Headache only triggered by coughing is a rather uncommon condition. […] The aim of the present review is to present an overview of the diagnosis, clinical characteristics, pathophysiology and treatment of both primary and symptomatic cough headache and discuss other relevant headache disorders affected by coughing. […] Consequently, diagnostic neuroimaging is key in the diagnosis of cough-related headache and guides treatment. […] Treatment options for primary cough headache are outlined in Table2. […] General consensus exists that the treatment of choice for primary cough headache is indeed indomethacin, however with varying daily doses, treatment durations and treatment effects with a general response rate of approximately 73%. […] The mechanism by which indomethacin is effective is not fully understood, but indomethacin decreases intracranial pressure which could be the possible mechanism of action. […] Patients with symptomatic cough headache usually require a tailor-based surgical treatment. Suboccipital craniectomy, whether or not combined with a C1-C3 laminectomy, relieves cough headache in the majority of patients with a Chiari malformation type I.

• #72 Modified Valsalva test differentiates primary from secondary cough headache | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-31

  The current definition of cough headache includes provocation of the symptom by Valsalva manoeuvre, and it is generally believed that all cough headache results from a sudden increase in intracranial pressure. […] The cough headache was relieved following surgery in all cases. […] These findings suggest that secondary cough headache results from a transient increase in intracranial CSF pressure during exertion in the presence of obstruction to normal cerebrospinal fluid dynamics. […] The modified Valsalva test can also determine whether tonsillar herniation found on brain MRI is symptomatic. […] Primary cough headache appears to be caused by a different mechanism, possibly through congestion of the orbital venous plexus in the presence of jugular venous incompetence and a reduced threshold for trigeminal sensory activation.

• #73 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #74 Cough Headaches: Possible Causes & What To Do

  https://www.webmd.com/migraines-headaches/cough-headaches-overview

  Once theyve ruled out secondary causes, your doctor may prescribe medication to ease inflammation linked to primary cough headache pain. The drug of choice is indomethacin. Doctors dont know exactly why it works, but it may relieve pressure around your brain and skull. […] Treatment depends in large part on the cause: […] Chiari formation: Medication like indomethacin can ease your pain. Your doctor might suggest surgery to change the shape and relieve pressure. […] Cerebral aneurysm: You might have a procedure to seal off the aneurysm, or a flow diverter to deprive it of blood. […] Brain tumors: Treatment is usually surgery, radiation, and chemotherapy. […] Thats why its so important for your doctor to figure out the cause of your cough headache before starting treatment.

• #75 Cough Headaches: Possible Causes & What To Do

  https://www.webmd.com/migraines-headaches/cough-headaches-overview

  Once theyve ruled out secondary causes, your doctor may prescribe medication to ease inflammation linked to primary cough headache pain. The drug of choice is indomethacin. Doctors dont know exactly why it works, but it may relieve pressure around your brain and skull. […] Treatment depends in large part on the cause: […] Chiari formation: Medication like indomethacin can ease your pain. Your doctor might suggest surgery to change the shape and relieve pressure. […] Cerebral aneurysm: You might have a procedure to seal off the aneurysm, or a flow diverter to deprive it of blood. […] Brain tumors: Treatment is usually surgery, radiation, and chemotherapy. […] Thats why its so important for your doctor to figure out the cause of your cough headache before starting treatment.

• #76

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Cough headache is precipitated (rather than aggravated, as occurs in migraine) by a valsalva manoeuvre such as coughing, sneezing, bending, straining and, laughing (with genuine mirth). The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. Mathew first reported the response to Indomethacin in a double-blind placebo controlled manner in two patients with cough headache resistant to other tried preventatives. Response was achieved in 14 weeks and maintained over an 18 month follow-up period. […] Despite the prevalence data of 1%, the published cohorts of cough headache remain small. The assumption is that this is because the disorder tends to be self-limiting and remissions prolonged. The primary cases tend to be more common than secondary cases. […] Secondary cough headache has also been reported to respond to Indometacin. In the case report of Buzzi, a 54 year-old patient presented with a 10 year history of cough headache as an isolated presentation. She was found to have an abnormal examination and imaging showed a Chiari 1 malformation and a syrinx extending from C7-T7. The episodes of Valsalva-precipitated headache responded to Indomethacin 25 mg bd.

• #77 The secondary cough headache and Chiari type I malformation –

  https://caringmedical.com/prolotherapy-news/secondary-cough-headache-chiari-type-malformation/

  Almost half of cough headaches are secondary, usually to a Chiari type I malformation. […] Secondary cough headache should be suspected in young people when pain is occipital (back of the skull) and lasts longer than one minute, especially if there are other symptoms/signs and if there is no response to indomethacin. Every patient with cough headache needs a craniocervical MRI. […] Secondary cough headaches are called secondary because they are a symptom and condition of something else. To treat these cough headaches you must treat the primary cause. […] Secondary cough headache can respond to medical treatment and can respond to a COX-2 inhibitor.

• #78

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Thus, not only can secondary cough headache respond to medical treatment, but the disorder can also go into spontaneous remission, occur coincidentally and be precipitated by surgical intervention. Accordingly, it is proposed that any surgical intervention should be considered for neurological progression at a point where the risks of surgical intervention are warranted. In isolated cough headache, whether primary or secondary, preventative treatment with Indomethacin can be considered.

• #79

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Thus, not only can secondary cough headache respond to medical treatment, but the disorder can also go into spontaneous remission, occur coincidentally and be precipitated by surgical intervention. Accordingly, it is proposed that any surgical intervention should be considered for neurological progression at a point where the risks of surgical intervention are warranted. In isolated cough headache, whether primary or secondary, preventative treatment with Indomethacin can be considered.

• #80 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  The authors discuss the clinical manifestations, etiology, differential diagnosis, diagnostic evaluation, and management of primary cough headache. […] Although indomethacin is typically used to treat primary cough headache, the authors discuss other treatment options, including topiramate. […] Indomethacin is the de facto preventive drug of choice for primary cough headache. […] Every patient presenting with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. […] Because the typical duration of primary cough headache is typically short, preventive rather than abortive treatment is used. […] Mathew established the efficacy of indomethacin at a dose of 150 mg per day in a double-blind study involving two patients with primary cough headache. […] Chen and colleagues reported that 44% of patients with primary cough headache had a complete response and 29% a partial response to indomethacin at doses of 25 mg two or three times per day.

• #81 Headache associated with cough: a review | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-42

  Headache only triggered by coughing is a rather uncommon condition. […] The aim of the present review is to present an overview of the diagnosis, clinical characteristics, pathophysiology and treatment of both primary and symptomatic cough headache and discuss other relevant headache disorders affected by coughing. […] Consequently, diagnostic neuroimaging is key in the diagnosis of cough-related headache and guides treatment. […] Treatment options for primary cough headache are outlined in Table2. […] General consensus exists that the treatment of choice for primary cough headache is indeed indomethacin, however with varying daily doses, treatment durations and treatment effects with a general response rate of approximately 73%. […] The mechanism by which indomethacin is effective is not fully understood, but indomethacin decreases intracranial pressure which could be the possible mechanism of action. […] Patients with symptomatic cough headache usually require a tailor-based surgical treatment. Suboccipital craniectomy, whether or not combined with a C1-C3 laminectomy, relieves cough headache in the majority of patients with a Chiari malformation type I.

• #82 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  The authors discuss the clinical manifestations, etiology, differential diagnosis, diagnostic evaluation, and management of primary cough headache. […] Although indomethacin is typically used to treat primary cough headache, the authors discuss other treatment options, including topiramate. […] Indomethacin is the de facto preventive drug of choice for primary cough headache. […] Every patient presenting with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. […] Because the typical duration of primary cough headache is typically short, preventive rather than abortive treatment is used. […] Mathew established the efficacy of indomethacin at a dose of 150 mg per day in a double-blind study involving two patients with primary cough headache. […] Chen and colleagues reported that 44% of patients with primary cough headache had a complete response and 29% a partial response to indomethacin at doses of 25 mg two or three times per day.

• #83 Read more about: Cough headaches | American Hospital Dubai

  https://www.ahdubai.com/blogs/cough-headaches

  Cough headaches can be primary, usually harmless, and they improve on their own. […] The treatment for these secondary cough headaches is surgery. […] See your doctor when you experience sudden headaches after coughing, mainly when these occur frequently, are severe, and you notice other signs like imbalance or blurred or double vision. […] Preventative steps are to limit and lessen actions that activate cough headaches, including treatment of lung infections, such as bronchitis, taking an annual flu shot and stool softeners to avoid constipation.

• #84 The secondary cough headache and Chiari type I malformation –

  https://caringmedical.com/prolotherapy-news/secondary-cough-headache-chiari-type-malformation/

  Almost half of cough headaches are secondary, usually to a Chiari type I malformation. […] Secondary cough headache should be suspected in young people when pain is occipital (back of the skull) and lasts longer than one minute, especially if there are other symptoms/signs and if there is no response to indomethacin. Every patient with cough headache needs a craniocervical MRI. […] Secondary cough headaches are called secondary because they are a symptom and condition of something else. To treat these cough headaches you must treat the primary cause. […] Secondary cough headache can respond to medical treatment and can respond to a COX-2 inhibitor.

• #85 Cough Headaches in EDS/HSD: Types, Causes, and Management | ActifyPT

  https://www.actifypt.com/post/cough-headaches-eds-hsd

  Cough headaches are a type of headache caused by coughing and other types of muscular straining, such as sneezing, laughing, crying, singing, or even bending over. […] For those with joint instability, it has been found that almost half of cough headaches are secondary to Chiari I Malformation, especially when present in young people and the pain is located near the base of the skull. This is why it is important for those with cough headaches to get a craniocervical MRI. […] Cough headaches can be difficult to deal with, but with the proper treatment and diagnosis progress is always possible! […] Be sure to consult with your primary care physician or other medical professionals in regards to your medical concerns. This text cannot and should not replace advice from the patient’s healthcare professionals. Any person who experiences symptoms or feels that something may be wrong should seek individual professional help for evaluation and/or treatment. This information is for guidance only.

• #86 The secondary cough headache and Chiari type I malformation –

  https://caringmedical.com/prolotherapy-news/secondary-cough-headache-chiari-type-malformation/

  Almost half of cough headaches are secondary, usually to a Chiari type I malformation. […] Secondary cough headache should be suspected in young people when pain is occipital (back of the skull) and lasts longer than one minute, especially if there are other symptoms/signs and if there is no response to indomethacin. Every patient with cough headache needs a craniocervical MRI. […] Secondary cough headaches are called secondary because they are a symptom and condition of something else. To treat these cough headaches you must treat the primary cause. […] Secondary cough headache can respond to medical treatment and can respond to a COX-2 inhibitor.

• #87 Modified Valsalva test differentiates primary from secondary cough headache | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-31

  The current definition of cough headache includes provocation of the symptom by Valsalva manoeuvre, and it is generally believed that all cough headache results from a sudden increase in intracranial pressure. […] The cough headache was relieved following surgery in all cases. […] These findings suggest that secondary cough headache results from a transient increase in intracranial CSF pressure during exertion in the presence of obstruction to normal cerebrospinal fluid dynamics. […] The modified Valsalva test can also determine whether tonsillar herniation found on brain MRI is symptomatic. […] Primary cough headache appears to be caused by a different mechanism, possibly through congestion of the orbital venous plexus in the presence of jugular venous incompetence and a reduced threshold for trigeminal sensory activation.

• #88 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Our patient’s treatment began with 50 mg of indomethacin, thrice daily. […] Indomethacin was prescribed for two weeks after the diagnosis and then tapered off. […] Topiramate was prescribed for three weeks after diagnosis and ended when the headache attacks resolved. […] Under this broad treatment, we observed a reduction in headache frequency, duration, and intensity of pain. […] The treatment of choice in the literature is indomethacin. […] We found that the headache attacks decreased most in frequency and intensity after topiramate was started. […] We also found metoprolol (100 mg daily) to be effective as a short-term measure in addressing the elevated blood pressures that were correlated with the incidence of headache attacks.

• #89 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Our patient’s treatment began with 50 mg of indomethacin, thrice daily. […] Indomethacin was prescribed for two weeks after the diagnosis and then tapered off. […] Topiramate was prescribed for three weeks after diagnosis and ended when the headache attacks resolved. […] Under this broad treatment, we observed a reduction in headache frequency, duration, and intensity of pain. […] The treatment of choice in the literature is indomethacin. […] We found that the headache attacks decreased most in frequency and intensity after topiramate was started. […] We also found metoprolol (100 mg daily) to be effective as a short-term measure in addressing the elevated blood pressures that were correlated with the incidence of headache attacks.

• #90 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Our patient’s treatment began with 50 mg of indomethacin, thrice daily. […] Indomethacin was prescribed for two weeks after the diagnosis and then tapered off. […] Topiramate was prescribed for three weeks after diagnosis and ended when the headache attacks resolved. […] Under this broad treatment, we observed a reduction in headache frequency, duration, and intensity of pain. […] The treatment of choice in the literature is indomethacin. […] We found that the headache attacks decreased most in frequency and intensity after topiramate was started. […] We also found metoprolol (100 mg daily) to be effective as a short-term measure in addressing the elevated blood pressures that were correlated with the incidence of headache attacks.

• #91 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #92

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Cough headache is precipitated (rather than aggravated, as occurs in migraine) by a valsalva manoeuvre such as coughing, sneezing, bending, straining and, laughing (with genuine mirth). The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. Mathew first reported the response to Indomethacin in a double-blind placebo controlled manner in two patients with cough headache resistant to other tried preventatives. Response was achieved in 14 weeks and maintained over an 18 month follow-up period. […] Despite the prevalence data of 1%, the published cohorts of cough headache remain small. The assumption is that this is because the disorder tends to be self-limiting and remissions prolonged. The primary cases tend to be more common than secondary cases. […] Secondary cough headache has also been reported to respond to Indometacin. In the case report of Buzzi, a 54 year-old patient presented with a 10 year history of cough headache as an isolated presentation. She was found to have an abnormal examination and imaging showed a Chiari 1 malformation and a syrinx extending from C7-T7. The episodes of Valsalva-precipitated headache responded to Indomethacin 25 mg bd.

• #93 Cough Headache: Causes, Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/21071-cough-headache

  Cough headaches can interfere with your daily routine and your mood. This can prevent you from functioning and feeling your best. […] If you have frequent headaches that are painful and disruptive, a healthcare provider may suggest preventive medications like: Acetazolamide, Indomethacin, Propranolol, Topiramate. […] Some cough headaches go away after a lumbar puncture (diagnostic test), which removes a small sample of cerebrospinal fluid from the area around your spinal column (subarachnoid space). […] You may need surgery to repair a structural issue that’s causing your headaches. Your surgeon will tell you which type of procedure you’ll need and what to expect. […] Most cough headaches resolve on their own. Some may last longer, but it’s less common. Treatment isn’t necessary for primary cough headaches unless they happen frequently and disrupt your daily routine. […] Secondary cough headaches usually need treatment with surgery. Some causes can be life-threatening. A healthcare provider can help you find a treatment option that works best for your situation.

• #94 Cough Headache: Causes & Treatment | K Health App

  https://khealth.com/learn/headache/cough-caused-headache/

  Cough Headache Treatment […] Primary cough headaches usually resolve on their own within four years and dont require medical interventions like surgery. You can treat your cough headache pain at home, or prevent coughing episodes, with: […] Over-the-counter pain-relieving medications: like acetaminophen (Tylenol) or ibuprofen (Motrin) may alleviate symptoms. […] Over-the-counter cough medications: such as dextromethorphan (Triaminic Cold and Cough, Robitussin Cough, or Vicks 44 Cough and Cold) may prevent coughing episodes. […] If you have persistent pain associated with primary cough headaches, your doctor might prescribe you a medication that either prevents or reduces pain associated with cough headaches. […] Some of the common medications for cough headache include: […] Indomethacin (Indocen or Tivorbex), an anti-inflammatory drug

• #95 Cough Headache: Causes, Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/21071-cough-headache

  Cough headaches can interfere with your daily routine and your mood. This can prevent you from functioning and feeling your best. […] If you have frequent headaches that are painful and disruptive, a healthcare provider may suggest preventive medications like: Acetazolamide, Indomethacin, Propranolol, Topiramate. […] Some cough headaches go away after a lumbar puncture (diagnostic test), which removes a small sample of cerebrospinal fluid from the area around your spinal column (subarachnoid space). […] You may need surgery to repair a structural issue that’s causing your headaches. Your surgeon will tell you which type of procedure you’ll need and what to expect. […] Most cough headaches resolve on their own. Some may last longer, but it’s less common. Treatment isn’t necessary for primary cough headaches unless they happen frequently and disrupt your daily routine. […] Secondary cough headaches usually need treatment with surgery. Some causes can be life-threatening. A healthcare provider can help you find a treatment option that works best for your situation.

• #96 Primary Cough Headache – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37747622/

  Recent studies draw attention to further characterization of patients with primary cough headache in a pulmonology clinic. […] There have also been recent case studies describing new therapy considerations, including noninvasive vagus nerve stimulation and lumbar punctures. […] Generally, patients are responsive to indomethacin, but more recent case reports have suggested benefits of other medications and procedures that may offer patients an alternative option, including vagus nerve stimulation, lumbar punctures, and beta blockers. […] Future case series and studies should focus on management of these patients, with a specific focus on individuals who do not tolerate indomethacin.

• #97 Primary Cough Headache – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37747622/

  Recent studies draw attention to further characterization of patients with primary cough headache in a pulmonology clinic. […] There have also been recent case studies describing new therapy considerations, including noninvasive vagus nerve stimulation and lumbar punctures. […] Generally, patients are responsive to indomethacin, but more recent case reports have suggested benefits of other medications and procedures that may offer patients an alternative option, including vagus nerve stimulation, lumbar punctures, and beta blockers. […] Future case series and studies should focus on management of these patients, with a specific focus on individuals who do not tolerate indomethacin.

• #98 Primary Cough Headache – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37747622/

  Recent studies draw attention to further characterization of patients with primary cough headache in a pulmonology clinic. […] There have also been recent case studies describing new therapy considerations, including noninvasive vagus nerve stimulation and lumbar punctures. […] Generally, patients are responsive to indomethacin, but more recent case reports have suggested benefits of other medications and procedures that may offer patients an alternative option, including vagus nerve stimulation, lumbar punctures, and beta blockers. […] Future case series and studies should focus on management of these patients, with a specific focus on individuals who do not tolerate indomethacin.

• #99 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Our patient’s treatment began with 50 mg of indomethacin, thrice daily. […] Indomethacin was prescribed for two weeks after the diagnosis and then tapered off. […] Topiramate was prescribed for three weeks after diagnosis and ended when the headache attacks resolved. […] Under this broad treatment, we observed a reduction in headache frequency, duration, and intensity of pain. […] The treatment of choice in the literature is indomethacin. […] We found that the headache attacks decreased most in frequency and intensity after topiramate was started. […] We also found metoprolol (100 mg daily) to be effective as a short-term measure in addressing the elevated blood pressures that were correlated with the incidence of headache attacks.

• #100 Primary Cough Headache – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37747622/

  Recent studies draw attention to further characterization of patients with primary cough headache in a pulmonology clinic. […] There have also been recent case studies describing new therapy considerations, including noninvasive vagus nerve stimulation and lumbar punctures. […] Generally, patients are responsive to indomethacin, but more recent case reports have suggested benefits of other medications and procedures that may offer patients an alternative option, including vagus nerve stimulation, lumbar punctures, and beta blockers. […] Future case series and studies should focus on management of these patients, with a specific focus on individuals who do not tolerate indomethacin.

• #101 Cough Headache: Causes, Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/21071-cough-headache

  Cough headaches can interfere with your daily routine and your mood. This can prevent you from functioning and feeling your best. […] If you have frequent headaches that are painful and disruptive, a healthcare provider may suggest preventive medications like: Acetazolamide, Indomethacin, Propranolol, Topiramate. […] Some cough headaches go away after a lumbar puncture (diagnostic test), which removes a small sample of cerebrospinal fluid from the area around your spinal column (subarachnoid space). […] You may need surgery to repair a structural issue that’s causing your headaches. Your surgeon will tell you which type of procedure you’ll need and what to expect. […] Most cough headaches resolve on their own. Some may last longer, but it’s less common. Treatment isn’t necessary for primary cough headaches unless they happen frequently and disrupt your daily routine. […] Secondary cough headaches usually need treatment with surgery. Some causes can be life-threatening. A healthcare provider can help you find a treatment option that works best for your situation.

• #102 Primary Cough Headache – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37747622/

  Recent studies draw attention to further characterization of patients with primary cough headache in a pulmonology clinic. […] There have also been recent case studies describing new therapy considerations, including noninvasive vagus nerve stimulation and lumbar punctures. […] Generally, patients are responsive to indomethacin, but more recent case reports have suggested benefits of other medications and procedures that may offer patients an alternative option, including vagus nerve stimulation, lumbar punctures, and beta blockers. […] Future case series and studies should focus on management of these patients, with a specific focus on individuals who do not tolerate indomethacin.

• #103 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #104 Primary Cough Headache: A Case Report

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10072196/

  Primary cough headache (PCH) is an uncommon condition characterized by episodes of sudden onset, bilateral headaches typically lasting from a second to two hours. […] The neurologist initially prescribed methylprednisolone tablets, primarily to suppress the cough. […] The neurologist prescribed indomethacin and topiramate four and nine days after diagnosis of PCH, respectively. […] The above treatment was effective in limiting the intensity and duration of the headaches and the symptoms resolved after four weeks. […] Indomethacin is the drug of choice for PCH. […] Several studies have found 25 mg to 150 mg daily doses for about two to five months to be an effective treatment and another study found that up to 250 mg daily may be required. […] Both acetazolamide and cerebrospinal fluid drainage reduce intracranial pressure and have been effective at bringing about a significant improvement or complete remission of PCH symptoms within a majority of patients undergoing these treatments.

• #105 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  The authors discuss the clinical manifestations, etiology, differential diagnosis, diagnostic evaluation, and management of primary cough headache. […] Although indomethacin is typically used to treat primary cough headache, the authors discuss other treatment options, including topiramate. […] Indomethacin is the de facto preventive drug of choice for primary cough headache. […] Every patient presenting with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. […] Because the typical duration of primary cough headache is typically short, preventive rather than abortive treatment is used. […] Mathew established the efficacy of indomethacin at a dose of 150 mg per day in a double-blind study involving two patients with primary cough headache. […] Chen and colleagues reported that 44% of patients with primary cough headache had a complete response and 29% a partial response to indomethacin at doses of 25 mg two or three times per day.

• #106 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #107 Cough headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cough-headaches2/?section=Diagnosis

  Cough headaches are an unusual type of headache triggered by coughing and other types of straining — such as from sneezing, blowing your nose, laughing, crying, singing, bending over or having a bowel movement. […] Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin, Tivorbex), an anti-inflammatory drug; Propranolol (Inderal, Innopran XL, others), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include naproxen (Naprelan, Naprosyn, others), ergonovine (Methergine), intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil).

• #108 Cough headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cough-headaches2/?section=Diagnosis

  Rarely, a spinal tap (lumbar puncture) may be recommended. With this procedure, the doctor removes some of the fluid that surrounds your brain and spinal cord. It’s not clearly understood why this helps cough headaches, but the procedure may reduce the pressure inside your skull that may be causing the headaches. […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #109 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  Acetazolamide and methysergide have been reported to be effective in open-label trials. […] Topiramate inhibits carbonic anhydrase; it has been reported to be effective at a dose of 50 to 100 mg/day in three patients with primary cough headache. […] Several authors have written of the occasional efficacy of lumbar puncture. […] Chen and colleagues recommend CSF drainage as a second-line treatment.

• #110 Head Hurts When I Cough: Causes, Treatment, and Prevention

  https://www.volusiamedicalcenter.net/post/head-hurts-when-i-cough-causes-treatment-and-prevention

  Cough headaches can be treated with various methods depending on their cause. […] If you have primary cough headaches, which are usually benign, they can often be managed with pain relievers, such as ibuprofen or acetaminophen. […] If sinus congestion or infection is the cause of your cough headache, treatments may include decongestants, nasal irrigation, and antibiotics if a bacterial infection is present. […] If your cough headache is caused by allergies, taking antihistamines or other allergy medications can help reduce your symptoms. […] Sometimes, a cough headache is due to a structural or neurological problem, like Chiari malformation or high pressure inside the skull. Treatments for these issues might include surgery or medications to manage your symptoms. […] Making lifestyle changes to reduce the frequency of coughing can also be helpful, such as quitting smoking, staying hydrated, and avoiding triggers.

• #111 Head Pain When Coughing: Is It Serious? What You Need to Know – Speedy Sticks | Mobile Lab Services

  https://www.speedysticks.com/blog/head-pain-when-coughing/

  Head pain when coughing can be a worrying symptom, especially if its a new or persistent problem. […] Well also discuss home remedies and strategies for managing head pain when coughing, as well as the potential complications that can arise if its left untreated. […] If youre experiencing head pain when coughing, there are some home remedies that may provide relief. Here are a few options to consider: Stay hydrated: Drinking plenty of fluids can help keep your body hydrated and loosen mucus in your airways, which can reduce coughing and head pain. Use a humidifier: Adding moisture to the air with a humidifier can help soothe irritated sinuses and reduce congestion, which can alleviate head pain when coughing. Take over-the-counter pain relievers: Over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce head pain associated with coughing. Just be sure to follow the recommended dosages and check with your doctor if you have any concerns. Try a warm compress: Applying a warm compress to your forehead or sinuses can help relieve pressure and reduce head pain. Use a saline nasal spray: Saline nasal sprays can help flush out mucus and reduce inflammation in your nasal passages, which can alleviate head pain.

• #112 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #113 Cough Headache: Causes, Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/21071-cough-headache

  Cough headaches can interfere with your daily routine and your mood. This can prevent you from functioning and feeling your best. […] If you have frequent headaches that are painful and disruptive, a healthcare provider may suggest preventive medications like: Acetazolamide, Indomethacin, Propranolol, Topiramate. […] Some cough headaches go away after a lumbar puncture (diagnostic test), which removes a small sample of cerebrospinal fluid from the area around your spinal column (subarachnoid space). […] You may need surgery to repair a structural issue that’s causing your headaches. Your surgeon will tell you which type of procedure you’ll need and what to expect. […] Most cough headaches resolve on their own. Some may last longer, but it’s less common. Treatment isn’t necessary for primary cough headaches unless they happen frequently and disrupt your daily routine. […] Secondary cough headaches usually need treatment with surgery. Some causes can be life-threatening. A healthcare provider can help you find a treatment option that works best for your situation.

• #114 The secondary cough headache and Chiari type I malformation –

  https://caringmedical.com/prolotherapy-news/secondary-cough-headache-chiari-type-malformation/

  Almost half of cough headaches are secondary, usually to a Chiari type I malformation. […] Secondary cough headache should be suspected in young people when pain is occipital (back of the skull) and lasts longer than one minute, especially if there are other symptoms/signs and if there is no response to indomethacin. Every patient with cough headache needs a craniocervical MRI. […] Secondary cough headaches are called secondary because they are a symptom and condition of something else. To treat these cough headaches you must treat the primary cause. […] Secondary cough headache can respond to medical treatment and can respond to a COX-2 inhibitor.

• #115

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Cough headache is precipitated (rather than aggravated, as occurs in migraine) by a valsalva manoeuvre such as coughing, sneezing, bending, straining and, laughing (with genuine mirth). The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. Mathew first reported the response to Indomethacin in a double-blind placebo controlled manner in two patients with cough headache resistant to other tried preventatives. Response was achieved in 14 weeks and maintained over an 18 month follow-up period. […] Despite the prevalence data of 1%, the published cohorts of cough headache remain small. The assumption is that this is because the disorder tends to be self-limiting and remissions prolonged. The primary cases tend to be more common than secondary cases. […] Secondary cough headache has also been reported to respond to Indometacin. In the case report of Buzzi, a 54 year-old patient presented with a 10 year history of cough headache as an isolated presentation. She was found to have an abnormal examination and imaging showed a Chiari 1 malformation and a syrinx extending from C7-T7. The episodes of Valsalva-precipitated headache responded to Indomethacin 25 mg bd.

• #116 Cough headaches – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/primary-cough-headaches/symptoms-causes/syc-20371200

  Cough headaches are a type of head pain triggered by coughing and other types of straining. […] A secondary cough headache may be triggered by a cough, but it is caused by problems with the brain or structures near the brain and spine. Secondary cough headaches can be more serious and may require treatment with surgery. […] Consult your doctor or health care provider if you experience sudden headaches after coughing especially if the headaches are new, frequent or severe or you have any other troubling signs or symptoms, such as imbalance or blurred or double vision. […] Sometimes, what is first diagnosed as a cough headache may be caused by a cerebrospinal fluid (CSF) leak. Coughing or straining may trigger the headache, but the underlying cause is the cerebrospinal fluid (CSF) leak. This is one of the reasons why it’s important to see your provider for a new cough headache. […] While these steps may help prevent a cough headache, any headache related to coughing or straining should always be checked by your provider.

• #117 Cough headaches | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/cough-headaches?content_id=CON-20371185

  Cough headaches are a type of head pain triggered by coughing and other types of straining. This may include sneezing, blowing your nose, laughing, crying, singing, bending over or having a bowel movement. […] A secondary cough headache may be triggered by a cough, but it is caused by problems with the brain or structures near the brain and spine. Secondary cough headaches can be more serious and may require treatment with surgery. […] Consult your doctor or health care provider if you experience sudden headaches after coughing especially if the headaches are new, frequent or severe or you have any other troubling signs or symptoms, such as imbalance or blurred or double vision. […] Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #118 Cough headaches – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/primary-cough-headaches/symptoms-causes/syc-20371200

  Cough headaches are a type of head pain triggered by coughing and other types of straining. […] A secondary cough headache may be triggered by a cough, but it is caused by problems with the brain or structures near the brain and spine. Secondary cough headaches can be more serious and may require treatment with surgery. […] Consult your doctor or health care provider if you experience sudden headaches after coughing especially if the headaches are new, frequent or severe or you have any other troubling signs or symptoms, such as imbalance or blurred or double vision. […] Sometimes, what is first diagnosed as a cough headache may be caused by a cerebrospinal fluid (CSF) leak. Coughing or straining may trigger the headache, but the underlying cause is the cerebrospinal fluid (CSF) leak. This is one of the reasons why it’s important to see your provider for a new cough headache. […] While these steps may help prevent a cough headache, any headache related to coughing or straining should always be checked by your provider.

• #119 Cough headaches – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/primary-cough-headaches/symptoms-causes/syc-20371200

  Cough headaches are a type of head pain triggered by coughing and other types of straining. […] A secondary cough headache may be triggered by a cough, but it is caused by problems with the brain or structures near the brain and spine. Secondary cough headaches can be more serious and may require treatment with surgery. […] Consult your doctor or health care provider if you experience sudden headaches after coughing especially if the headaches are new, frequent or severe or you have any other troubling signs or symptoms, such as imbalance or blurred or double vision. […] Sometimes, what is first diagnosed as a cough headache may be caused by a cerebrospinal fluid (CSF) leak. Coughing or straining may trigger the headache, but the underlying cause is the cerebrospinal fluid (CSF) leak. This is one of the reasons why it’s important to see your provider for a new cough headache. […] While these steps may help prevent a cough headache, any headache related to coughing or straining should always be checked by your provider.

• #120 Cough headaches | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/cough-headaches?content_id=CON-20371185

  Cough headaches are a type of head pain triggered by coughing and other types of straining. This may include sneezing, blowing your nose, laughing, crying, singing, bending over or having a bowel movement. […] A secondary cough headache may be triggered by a cough, but it is caused by problems with the brain or structures near the brain and spine. Secondary cough headaches can be more serious and may require treatment with surgery. […] Consult your doctor or health care provider if you experience sudden headaches after coughing especially if the headaches are new, frequent or severe or you have any other troubling signs or symptoms, such as imbalance or blurred or double vision. […] Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #121 Primary cough headache | MedLink Neurology

  https://www.medlink.com/articles/primary-cough-headache

  The authors discuss the clinical manifestations, etiology, differential diagnosis, diagnostic evaluation, and management of primary cough headache. […] Although indomethacin is typically used to treat primary cough headache, the authors discuss other treatment options, including topiramate. […] Indomethacin is the de facto preventive drug of choice for primary cough headache. […] Every patient presenting with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. […] Because the typical duration of primary cough headache is typically short, preventive rather than abortive treatment is used. […] Mathew established the efficacy of indomethacin at a dose of 150 mg per day in a double-blind study involving two patients with primary cough headache. […] Chen and colleagues reported that 44% of patients with primary cough headache had a complete response and 29% a partial response to indomethacin at doses of 25 mg two or three times per day.

• #122 The secondary cough headache and Chiari type I malformation –

  https://caringmedical.com/prolotherapy-news/secondary-cough-headache-chiari-type-malformation/

  Almost half of cough headaches are secondary, usually to a Chiari type I malformation. […] Secondary cough headache should be suspected in young people when pain is occipital (back of the skull) and lasts longer than one minute, especially if there are other symptoms/signs and if there is no response to indomethacin. Every patient with cough headache needs a craniocervical MRI. […] Secondary cough headaches are called secondary because they are a symptom and condition of something else. To treat these cough headaches you must treat the primary cause. […] Secondary cough headache can respond to medical treatment and can respond to a COX-2 inhibitor.

• #123 Cough headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/cough-headaches

  Treatment differs, depending on whether you have primary or secondary cough headaches. […] If you have a history of primary cough headaches, your doctor may recommend that you take daily medication to help prevent or reduce the pain. […] These preventive medications may include: Indomethacin (Indocin), an anti-inflammatory drug; Propranolol (Inderal LA), a medication that relaxes blood vessels and reduces blood pressure; Acetazolamide, a diuretic that reduces the amount of spinal fluid, which can reduce the pressure inside the skull. […] Other medications used to treat primary cough headache include methysergide, naproxen sodium (Aleve), methylergonovine, intravenous dihydroergotamine (D.H.E. 45) and phenelzine (Nardil). […] If you have secondary cough headaches, surgery is often needed to fix the underlying problem. Preventive medications usually don’t help people who have secondary cough headaches. However, responding to medication doesn’t necessarily mean that you have a primary cough headache.

• #124

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  Cough headache is precipitated (rather than aggravated, as occurs in migraine) by a valsalva manoeuvre such as coughing, sneezing, bending, straining and, laughing (with genuine mirth). The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. Mathew first reported the response to Indomethacin in a double-blind placebo controlled manner in two patients with cough headache resistant to other tried preventatives. Response was achieved in 14 weeks and maintained over an 18 month follow-up period. […] Despite the prevalence data of 1%, the published cohorts of cough headache remain small. The assumption is that this is because the disorder tends to be self-limiting and remissions prolonged. The primary cases tend to be more common than secondary cases. […] Secondary cough headache has also been reported to respond to Indometacin. In the case report of Buzzi, a 54 year-old patient presented with a 10 year history of cough headache as an isolated presentation. She was found to have an abnormal examination and imaging showed a Chiari 1 malformation and a syrinx extending from C7-T7. The episodes of Valsalva-precipitated headache responded to Indomethacin 25 mg bd.

• #125 Headache associated with cough: a review | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-42

  Headache only triggered by coughing is a rather uncommon condition. […] The aim of the present review is to present an overview of the diagnosis, clinical characteristics, pathophysiology and treatment of both primary and symptomatic cough headache and discuss other relevant headache disorders affected by coughing. […] Consequently, diagnostic neuroimaging is key in the diagnosis of cough-related headache and guides treatment. […] Treatment options for primary cough headache are outlined in Table2. […] General consensus exists that the treatment of choice for primary cough headache is indeed indomethacin, however with varying daily doses, treatment durations and treatment effects with a general response rate of approximately 73%. […] The mechanism by which indomethacin is effective is not fully understood, but indomethacin decreases intracranial pressure which could be the possible mechanism of action. […] Patients with symptomatic cough headache usually require a tailor-based surgical treatment. Suboccipital craniectomy, whether or not combined with a C1-C3 laminectomy, relieves cough headache in the majority of patients with a Chiari malformation type I.

• #126 Cough Headache: Causes, Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/21071-cough-headache

  Cough headaches can interfere with your daily routine and your mood. This can prevent you from functioning and feeling your best. […] If you have frequent headaches that are painful and disruptive, a healthcare provider may suggest preventive medications like: Acetazolamide, Indomethacin, Propranolol, Topiramate. […] Some cough headaches go away after a lumbar puncture (diagnostic test), which removes a small sample of cerebrospinal fluid from the area around your spinal column (subarachnoid space). […] You may need surgery to repair a structural issue that’s causing your headaches. Your surgeon will tell you which type of procedure you’ll need and what to expect. […] Most cough headaches resolve on their own. Some may last longer, but it’s less common. Treatment isn’t necessary for primary cough headaches unless they happen frequently and disrupt your daily routine. […] Secondary cough headaches usually need treatment with surgery. Some causes can be life-threatening. A healthcare provider can help you find a treatment option that works best for your situation.

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