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Persistent Headaches? 3 Signs it May be Related to COVID

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COVID headache

The Omicron variant has been responsible for the majority of COVID cases and has caused symptoms that are similar to the common cold such as runny nose, sore throat, body ache, chest pain, fatigue and headache. Headaches, in particular, are among the top five symptoms, according to a UK-based study. In fact, data from the Washington State Department of Health shows that 65% of patients reported having one. This makes it the most common symptom the health department detected in people with the variant. Persistent headaches can be an early sign of the Omicron variant. However, because headaches can be caused by a number of other conditions and triggers, it can be hard to tell exactly what’s causing your headache. So how do you tell if your headaches are being caused by COVID?

1. ​It is moderate to severely painful

You may experience a difference in the severity of your headaches depending on what is triggering your headache. For example, the stress and pressures of work may cause you to have a mild headache, while a migraine can be more severe.

A COVID headache, on the other hand, may feel like pulsing, pressing, or stabbing. These symptoms are typically uncommon for the average headache. Additionally, headaches caused by Omicron can last for up to three days even if you take painkillers.

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2. ​It occurs across both sides of the head

What side of your head does your headache appear on? Headaches can appear on the left side, the right side or the middle region of your head depending on the reason for your headache or what’s triggering it. However, those with an Omicron-related headache tend to experience pain on both sides of their head. In fact, your entire head may feel tense and painful.

3. ​It may be accompanied by inflammation

According to experts, a headache caused by Omicron is our body’s inflammatory reaction as it works to fights off the virus. When the virus multiplies in the respiratory system, it affects our sinus, which leads to inflammation. A sinus infection could potentially make your headache worse.

COVID Headache: Everything you Need to Know

Why headaches are more common with Omicron

Headaches seem to appear more commonly with the Omicron variant than it did with the Delta variant because Omicron seems to focus more on the upper respiratory tract, which includes your sinuses, according to Thomas Russo, M.D., professor and chief of infectious disease at the University at Buffalo in New York.

“A headache commonly occurs with inflammation of the sinuses,” he points out. Add in other factors like the stress of having COVID-19, and it’s “highly plausible” that people infected with Omicron would develop a headache, according to Dr. Russo.

What to do if you develop a headache

For starters, infectious disease expert Amesh A. Adalja, M.D., a senior scholar at the Johns Hopkins Center for Health Security says don’t

jump to conclusions.

“An isolated headache is not something that I would attribute to COVID-19 because there are many, many causes of headaches,” he says.

However, if your headache is accompanied by other symptoms of COVID or you have knowingly been exposed to COVID, you should get tested.

“If you’re in a household where most people are positive, for example, it may be a harbinger of things to come,” he adds.

How to treat your headache

Treating an Omicron-related headache is typically the same as treating any other headache. William Schaffner, M.D., an infectious disease specialist and professor at the Vanderbilt University School of Medicine recommends taking acetaminophen to reduce your pain and making sure you continue to drink plenty of fluids because dehydration can make your headache worse.

“If that doesn’t work, up your game to NSAIDs like ibuprofen or naproxen,” Dr. Russo says. NSAIDs are medications that block pain and reduce inflammation differently than acetaminophen.

For headaches that are related to inflammation in your sinuses, Dr. Russo suggests a decongestant, which can help relieve pressure in the area.

Lastly, Dr. Schaffner reiterates the importance of not panicking or jumping to conclusions. If you are concerned about what may be causing your headaches, contact your doctor.

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