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Caffeine and Headaches

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Caffeine and Headaches. Neurosurgeon Dr Arun L Naik discusses effect of caffeine on your headaches. One of the commonest myth in the migraine world is coffee relieves headache promptly. Migraine headache is caused by coffee. Cluster headache, sinus headache, migraine and other types of headaches are associated. Foods causing migraine has been discussed. Migraine headache relief needs regular treatment. Symptoms of migraine are headache, vomiting and visual blurring. Migraine treatment starts with medications. Cluster headache symptoms are pain around the eye and tear formation. Home remedies for migraine has been discussed.

Now, with more than 400 billion cups consumed every year, coffee is the world’s most popular beverage.
If you regularly consume two or more big cups of coffee per day and then , interrupt or delay your caffeine consumption, it may lead to a caffeine withdrawal headache. This caffeine withdrawl headache is often called simply- caffeine headache

This type of headache is usually moderate intensity pain, located on both sides of the head, and tends to worsen with physical activity. The pain will usually peak after one or two days without caffeine and lasts two to seven days. Caffeine headaches typically start within 12 to 24 hours of stopping caffeine intake and may be accompanied by other symptoms. Other symptoms of caffeine withdrawal include: Drowsiness, Poor concentration, Depression, Anxiety, Irritability, Nausea and vomiting, Muscle aches and stiffness etc.

What is the cause for caffeine headache?
Coffee has an ingredient called Caffeine which actually is the reason for all its good or bad effects. Caffeine is categorised as a drug. Studies have shown that 50% of coffee drinkers who consume more than 200 mg of caffeine a day, will develop withdrawal headaches if they abruptly stop drinking. In my practice, this headache happens more during weekend.

Source of caffeine
While the caffeine content of coffee varies widely based on the blend and how it's brewed, a 250 ml of regular brewed coffee typically punches between 80-150 mg of caffeine, though some brews have closer to 250 mg depending on the bean and preparation. As with coffee, the caffeine content of tea depends on several factors, including the blend, the temperature of the water it's brewed in, and how long it steeps. A 250 ml of hot, brewed, black leaf tea has about 50 mg of caffeine. Your favourite chocolate bar has about 10 mg of caffeine, while a cola can have up to 70 mg of caffeine.

Treatment of caffein headache
The simplest "treatment" for caffeine withdrawal headache is to have a caffeinated beverage: most people will get relief within an hour of consuming around 100 mg of caffeine. I also suggest my patients to take a crocin tablet along with coffee. How to stop caffeine intake
most effective way to prevent withdrawal symptoms is to slowly and gradually reduce your caffeine intake over 4-6 weeks duration. this way, you wont get any withdrawl headache.



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References for the medical info of the video can be found here
1. Alstadhaug KB, Ofte HK. Sudden Caffeine Withdrawal Triggers Migraine-A Randomized Controlled Trial. Front Neurol. 2020 Sep 10;11:1002.
2. Nowaczewska M, Wiciński M. The Ambiguous Role of Caffeine in Migraine Headache: From Trigger to Treatment. Nutrients. 2020 Jul 28;12(8):2259.
3. Rodda S, Booth N. Mechanisms for the reduction of caffeine consumption: What, how and why. Drug Alcohol Depend. 2020 Jul 1;212:108024.
4. Alstadhaug KB, Andreou AP. Caffeine and Primary (Migraine) Headaches-Friend or Foe? Front Neurol. 2019 Dec 3;10:1275.
5. Chattha N, Webb T. Reversible cerebral vasoconstriction syndrome after sudden caffeine withdrawal. Br J Hosp Med (Lond). 2019 Dec 2;80(12):730-731.

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