COVID Headache: What does it feel like?

Headaches can be a real pain—literally. And if you’ve had COVID-19 or know someone who has, you might have heard about the infamous “COVID headache.” But what exactly is it? How is it different from other types of headaches? Let’s break it down so you know what to expect and how to manage it.

Are headaches a symptom of COVID-19?

Yes, headaches are indeed a recognised symptom of COVID-19. While they aren’t as common as fever, cough, or fatigue, studies have shown that headaches can affect up to 70% of people with the virus. For some, a headache might be one of the first symptoms to appear, while for others, it can develop later in the course of the illness. Headaches in COVID-19 are often associated with other symptoms, like fever or loss of smell, but they can also occur in isolation. Interestingly, some people report experiencing a headache as their only symptom.

What causes a COVID headache?

COVID-19 headaches are believed to be caused by a combination of factors, including:

• Inflammation: The virus triggers the immune system to release inflammatory chemicals called cytokines, which can irritate nerve endings in the brain and cause pain.
• Dehydration: Fever and reduced fluid intake during illness can lead to dehydration, which often results in headaches.
• Stress and fatigue: Dealing with a pandemic is stressful. Stress and lack of sleep can make headaches worse or trigger them in susceptible individuals.
• Direct viral effects: COVID-19 may directly affect the nervous system, contributing to headache symptoms in some cases.

 

What does a COVID-19 headache feel like?

COVID-19 headaches are often described as moderate to severe in intensity, with a pulsating, pressing, or throbbing sensation. People commonly report:

• Pressure-like pain: A feeling of tightness or pressure around the head, particularly in the temples or behind the eyes.
• Worsening with activity: The pain may intensify with movement, bending over, or other physical activities.
• Accompanying symptoms: It’s not unusual for COVID headaches to occur alongside fever, fatigue, or brain fog.

One way to differentiate a COVID headache from other types is its persistence. Unlike a tension headache that might fade after a nap or a migraine that eases with medication, a COVID headache can linger for days or even weeks.

Signs and symptoms of a COVID headache

In addition to the pressure-like pain, a COVID headache might come with:

• Sensitivity to light or sound
• Generalised pain across the entire head, rather than one specific area
• Lack of response to typical over-the-counter pain relievers, such as paracetamol or ibuprofen
• Persistent, daily recurrence, particularly in the acute phase of COVID-19

COVID headache: How long does it last?

The duration of a COVID headache can vary widely. For some, it resolves within a few days. Others may experience headaches that last weeks, especially in cases of long COVID. If the headache persists beyond 12 weeks, it’s generally classified as part of "long COVID" symptoms.

Does a COVID headache feel like a sinus headache?

At first glance, COVID headaches and sinus headaches might seem similar. Both can cause pain around the forehead and eyes, but there are key differences:

• COVID headache: Typically has a more generalised, pressure-like sensation. It is often accompanied by fever and other systemic symptoms like fatigue.
• Sinus headache: Usually associated with nasal congestion, facial pain, and pressure that worsens when leaning forward. If you’re not experiencing nasal symptoms, it’s less likely to be a sinus headache.

Where is a COVID headache located?

COVID headaches can vary in location but are most commonly reported as:

• Across the forehead
• Behind the eyes
• Around the temples
• Diffuse pain, felt all over the head

How can a COVID-19 headache be diagnosed?

While a headache can’t confirm COVID-19 on its own, it can be a clue, especially when accompanied by other symptoms like fever, sore throat, or loss of smell. Testing remains the definitive way to diagnose COVID-19. Rapid antigen tests (RAT) or PCR tests can confirm whether the virus is the culprit behind your headache.

Home remedies for COVID-19 headaches

If you’re dealing with a COVID headache, there are several at-home strategies you can try:

1. Stay hydrated: Drink plenty of water to combat dehydration.
2. Rest: Give your body the time it needs to recover.
3. Use over-the-counter pain relievers: Medications like paracetamol or ibuprofen may help ease the pain.
4. Apply a cool compress: Placing a cold cloth on your forehead or the back of your neck can provide relief.
5. Create a calm environment: Dim the lights, reduce noise, and avoid screen time to minimise triggers.

When to see a doctor?

While most COVID headaches are manageable at home, there are times when you should seek medical attention:

• Severe or sudden onset: A thunderclap headache (sudden, severe pain) requires immediate evaluation.
• Neurological symptoms: If you experience confusion, weakness, or vision changes, consult a doctor right away.
• Persistent pain: If your headache doesn’t improve with over-the-counter medications or lasts for weeks, it’s time to seek professional advice.
• High fever, rash, or neck stiffness: These could indicate meningitis or other serious complications.

How can an online doctor help via telehealth?

With the convenience of telehealth, you don’t need to leave home to get expert advice. Online doctors can evaluate your symptoms, guide you on treatment options, and even prescribe antiviral medications for COVID-19 if appropriate. Some telehealth services offer consultations for COVID-19 antiviral treatments, helping you manage symptoms and recover faster. Telehealth can also provide peace of mind by ruling out other potential causes of your headache, ensuring you’re on the right path to recovery.

Takeaway

COVID headaches can be more than just a dull ache—they’re often persistent and intense, making them a distinct symptom of the virus. Understanding their characteristics and how to manage them can make a big difference in your recovery journey. Whether you’re treating the symptoms at home or consulting with an online doctor, taking proactive steps can help you feel better sooner. And remember, if your headache feels unusual or alarming, don’t hesitate to seek medical attention.