Headaches & Migraines · Bryanston

A headache is common. A change in pattern deserves context.

Headaches can be linked to migraine, tension, illness, dehydration, sleep, stress, medication, vision or other medical causes.

Reasons to book

When it is worth discussing with your GP.

These examples are not a diagnostic checklist. They are common reasons patients bring this type of concern into primary care.

01
New or changing headaches

A new pattern, increasing frequency or change in severity should be discussed with a doctor.

02
Migraine-type episodes

Headache with nausea, light sensitivity, sound sensitivity or neurological symptoms may fit a migraine pattern.

03
Frequent painkiller use

Regular analgesic use can itself contribute to ongoing headaches in some patients.

04
Headaches with stress or poor sleep

These factors often interact, but persistent symptoms still deserve proper assessment.

What the GP may consider

The next step depends on the clinical picture.

Primary care combines history, examination and targeted investigation where appropriate. The goal is not to test everything, but to answer the right clinical questions.

01 Pattern

Location, duration, triggers, associated symptoms and family history help classify the headache.

02 Examination

Blood pressure, neurological examination and other focused findings may be relevant.

03 Treatment

The plan may include acute treatment, prevention, lifestyle factors and medication review.

04 Investigation

Imaging is not needed for every headache, but may be appropriate where warning features are present.

When routine GP care is not the right level of urgency.

A sudden severe “worst-ever” headache, headache with weakness, confusion, collapse, seizure, meningitis-type symptoms or significant head injury needs urgent emergency assessment. If you are unsure and symptoms are severe or rapidly worsening, seek urgent medical assessment.

Frequently asked

Useful questions, answered simply.

Do all headaches need a brain scan?

No. Imaging is guided by the clinical history, examination and presence of warning features.

Can stress cause headaches?

Yes, but stress should not automatically be assumed to be the cause of a new or unusual headache.

Can a GP manage migraine?

Yes. Primary care can assess migraine-type symptoms, discuss treatment and refer when specialist input is needed.

Book a consultation

Online information cannot replace an examination when one is needed.

Book an in-person or teleconsultation with the Bryanston practice and let the doctor guide the next step.

Condition enquiry

Still unsure what your symptoms mean?

Describe what is concerning you and the practice can help guide whether an in-person consultation, teleconsultation or another route is appropriate.

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Please do not use this form or WhatsApp for emergencies or send unnecessary sensitive medical information in an initial enquiry.