When Should You See an ER Doctor for a Severe Headache?

Headaches are a common ailment, but some types of headaches may signal a more serious condition that requires immediate medical attention. This article will guide you on when to seek emergency care for a headache, how ERs treat severe headaches, and when OnERCall can provide the medical guidance you need to decide your next steps.

Answering the Question: When Should You See an ER Doctor for a Severe Headache?

When to Go to the ER for a Headache

While most headaches can be managed with over-the-counter pain relief and rest, certain symptoms indicate that it’s time to visit the emergency room:

  • Sudden, Severe Headache: Often described as the “worst headache of your life,” this could indicate a brain aneurysm or other serious condition.
  • Headache with Neurological Symptoms: If your headache is accompanied by confusion, vision loss, weakness, or difficulty speaking.
  • Headache After a Head Injury: Even a minor head injury can lead to serious conditions like a concussion or brain hemorrhage.
  • Headache with Stiff Neck and Fever: These could be signs of meningitis, a serious infection that requires immediate treatment.
  • Chronic Headache with a Change in Pattern: A sudden change in the pattern or intensity of chronic headaches may indicate a serious condition.
  • Headache with Uncontrolled Vomiting: This could be a sign of increased intracranial pressure, which needs urgent evaluation.

How an ER Treats Severe Headaches

When you visit the ER with a severe headache, the medical team will focus on diagnosing the cause and providing relief:

  • Imaging Tests: CT scans or MRIs may be used to rule out life-threatening conditions like stroke or aneurysm.
  • Medication: Stronger pain relief, anti-nausea medications, and sometimes corticosteroids are administered to reduce symptoms.
  • Neurological Evaluation: A detailed examination to assess for any signs of neurological impairment.
  • Monitoring: Patients may be observed for changes in symptoms or worsening conditions.

Types of Headaches and When to Go to the ER

Not all headaches are the same, and certain types may require emergency care:

  • Migraine: Severe migraines may require ER treatment if they don’t respond to usual medications or are accompanied by unusual symptoms.
  • Cluster Headaches: Known as one of the most painful types of headaches, cluster headaches may need ER care if home treatments fail.
  • Tension Headaches: Generally not a cause for ER visits unless accompanied by severe symptoms.

Contacting OnERCall First

Before heading to the emergency room, consider contacting OnERCall for immediate medical advice. Our US-licensed, board-certified Emergency Medicine physicians are available 24/7 to evaluate your symptoms and guide you on the best course of action. OnERCall can help you determine if an ER visit is necessary, potentially saving you time and stress. Download the OnERCall app today and ensure you have quick access to professional medical help whenever you need it.

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