Headaches During Pregnancy: When to Worry | Parents


Headaches and pregnancy are relatively common
and patients who’ve never had bad headaches before might find themselves suffering. The
most common time that we see patients with headaches is probably the end of the first
trimester and the beginning of the second trimester. And that’s typically from hormonal
changes that occur at that time. Probably the best things to do are to make sure you’re
not dehydrated ’cause that can definitely make headaches worse, to make sure you’re
eating properly and you’re not hypoglycemic. And then after that, we can always have patients
take Tylenol, Extra Strength Tylenol, and sometimes a cup of coffee; and lying down
in a dark room can make it better. Headaches that are persistent if Tylenol and those other
remedies aren’t helping, headaches for which someone will say it’s the worst headache I’ve
had in my life, those are things that require medical attention. So, we need to make sure
there’s nothing neurologic going on that’s causing those headaches. Later in pregnancy
in the second and third trimester, if you have a headache that’s not going away with
these usual measures, then it may be because your blood pressure is elevated. If your blood
pressure is elevated in pregnancy, then we need to rule out another condition called
preeclampsia of pregnancy. Any headache that’s associated with swelling, that’s associated
with blurry vision, that’s associated with upper abdominal pain, headaches that aren’t
going away that are associated with any of those symptoms, you need to call your doctor
for them.

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