If your headaches are getting worse, it might be a good idea to assess whether an imaging test (like a CT scan or MRI) is necessary. The following are some important considerations:
Red Flags That May Require Imaging
You should see a doctor if you experience:
- Sudden, severe headache (“thunderclap headache”)
- Headaches that worsen over time or change in pattern
- Neurological symptoms (vision changes, weakness, numbness, speech issues, confusion, seizures)
- Headache triggered by exertion, coughing, or bending over
- New headache after age 50
- Headache with fever, stiff neck, or weight loss
- New headaches and a history of cancer or HIV
When Imaging May Not Be Necessary
If your headaches are occasional, mild to moderate, and responsive to pain relievers
If there’s a clear trigger (like stress, lack of sleep, dehydration)
You should see a doctor for your headaches if you experience any of the following:
Symptoms that warrant immediate medical attention Call emergency services or go to the ER if you have:
- A sudden, severe (“thunderclap”) headache that feels like the worst in your life
- Headache with weakness, numbness, confusion, vision changes, or difficulty speaking
- Headache after a head injury, especially with vomiting, confusion, or drowsiness
- Headache with a stiff neck, fever, nausea, or vomiting (possible meningitis)
- Headache with seizures, fainting, or personality changes
- A new or worsening headache if you have a history of cancer, HIV, or a suppressed immune system
.Non-Emergency But Still Needs Medical Attention
Schedule a doctor’s visit if:
- Your headaches are becoming more frequent or severe
- Over-the-counter pain relievers no longer work
- Your headaches wake you up at night
- Your headaches change in pattern, intensity, or triggers
- You experience headaches after age 50 without a history of migraines
- Your headaches are triggered by exertion, coughing, or bending over
