Heat headaches often occur when the weather is hot or during physical activities that raise the body temperature.

CAUSES OF HEAT HEADACHES

Heat headaches are unlikely to result from the heat itself. In most cases, the cause will be another trigger that is associated with heat.

The following are some common triggers of headaches in warmer temperatures:

Dehydration

According to Baylor College of Medicine, a likely cause of heat-related headaches may actually be dehydration. Dehydration triggers a headache because a lack of liquids leads to the constriction of blood vessels.

Heat-related illnesses

Heat-related illnesses are common during warmer months. The Centers for Disease Control and Prevention (CDC)Trusted Source state that heat-related illnesses, such as heatstroke and heat exhaustion, are preventable.

A person should limit their time in hot environments and avoid excessive exercise in the heat. If a person develops either heat exhaustion or heatstroke, a headache is a common symptom.

Other headache triggers

Several environmental triggers can potentially cause a headache or migraine to occur. Some potential headache or migraine triggers that are common in warmer months include:

• too much sun or light
• dehydration from not drinking enough
• fragrances from perfumes or sunscreen
• not following a routine by skipping meals
• not following a routine by skipping medication
• medication becoming less effective at higher temperatures
• exercising in the heat

Additional symptoms: What could they mean?

Heat or environmental headaches may present different symptoms depending on what is causing them.

Heat exhaustion

If heat exhaustion is the cause of a headache, a person may experience additional symptoms relating to being overheated. Following are some warning signs of heat exhaustion:

• sweating a lot
• vomiting or nausea
• dizziness
• muscle cramps
• weakness or feeling tired
• cold or clammy skin
• fast but weak pulse
• passing out

Heatstroke

Heatstroke has similar symptoms to heat exhaustion, but it is more serious. A person should call emergency services if someone experiences the following symptoms:

• hot, dry, or damp skin
• confusion
• dizziness
• nausea or vomiting
• strong, fast heartbeat
• high body temperature above 103°F
• reddened skin, in people with lighter skin tones

Dehydration

In addition to headaches, dehydration can cause other symptoms. A person who is dehydrated may experience the following symptoms:

• dizziness
• dry mouth or lips
• thirst
• less urine
• fatigue or feeling sluggish

Without proper treatment, dehydration can become severe. A person should visit a physicianif they experience any of the following symptoms:

• sunken eyes
• muscle cramps
• not urinating or only urinating in small amounts
• dizziness
• weakness
• severe diarrhea
• severe vomiting
• loss of consciousness or alertness
• confusion

Migraine

People with migraine often experience other symptoms in addition to a severe pain in the head.

According to the Office on Women’s Health, symptoms of migraine can include:

• an intense, throbbing headache on one or both sides of the head
• sensitivity to light
• nausea
• vomiting
• aura, which affects about 1 in 5 people with migraine

What First Aid Can Help Heat Stroke?

If you suspect that someone has a heat stroke, immediately call 911 or take the person to a hospital. Any delay seeking medical help can be fatal.

While waiting for the paramedics to arrive, initiate first aid. Move the person to an air-conditioned environment — or at least a cool, shady area — and remove any unnecessary clothing.

If possible, take the person’s core body temperature and initiate first aid to cool it to 101 to 102 F. (If no thermometers are available, don’t hesitate to initiate first aid.)

Try these cooling strategies:

• Fan air over the patient while wetting their skin with water from a sponge or garden hose.
• Apply ice packs to the patient’s armpits, groin, neck, and back. Because these areas are rich with blood vessels close to the skin, cooling them may reduce body temperature.
• Immerse the patient in a shower or tub of cool water.
• If the person is young and healthy and suffered heat stroke while exercising vigorously — what’s known as exertional heat stroke — you can use an ice bath to help cool the body.

Do not use ice for older patients, young children, patients with chronic illness, or anyone whose heat stroke occurred without vigorous exercise. Doing so can be dangerous.

If emergency response is delayed, call the hospital emergency room for additional instructions.

Workers at the hospital will rehydrate the person and replace electrolytes through an IV.

What Are Risk Factors for Heat Stroke?

Heat stroke is most likely to affect older people who live in apartments or homes that don’t have air conditioning or good airflow. Other high-risk groups include people of any age who don’t drink enough water, have chronic diseases, or who drink excessive amounts of alcohol.

Heat stroke is strongly related to the heat index, which is a measurement of how hot you feel when the effects of relative humidity and air temperature are combined. A relative humidity of 60% or more hampers sweat evaporation, which hinders your body’s ability to cool itself.

The risk of heat-related illness dramatically increases when the heat index climbs to 90 degrees or more. So it’s important — especially during heat waves — to pay attention to the reported heat index, and also to remember that exposure to full sunshine can increase the reported heat index by 15 degrees.

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If you live in an urban area, you may be especially prone to develop heat stroke during a prolonged heat wave, particularly if there are stagnant atmospheric conditions and poor air quality. In what is known as the “heat island effect,” asphalt and concrete store heat during the day and only gradually release it at night, resulting in higher nighttime temperatures.

Other risk factors associated with heat-related illness include:

Age. Infants and children up to age 4, and adults over age 65, are particularly vulnerable because they adjust to heat more slowly than other people.

Health conditions. These include heart, lung, or kidney disease, obesity or underweight, high blood pressure, diabetes, mental illness, sickle cell trait, alcoholism, sunburn, and any conditions that cause fever.

Medications. These include antihistamines, diet pills, diuretics, sedatives, tranquilizers, stimulants, seizure medications (anticonvulsants), heart and blood pressure medications such as beta-blockers and vasoconstrictors, and medications for psychiatric illnesses such as antidepressants and antipsychotics. Illegal drugs such as cocaine and methamphetamine also are associated with increased risk of heat stroke.

People with diabetes — who are at increased risk of emergency room visits, hospitalization, and death from heat-related illness — may be especially likely to underestimate their risk during heat waves, according to a recent study presented at the Endocrine Society’s annual meeting by researchers from the Mayo Clinic in Arizona, the National Ocean and Atmospheric Administration, and the National Weather Service.

Check with your doctor to see if your health conditions and medications are likely to affect your ability to cope with extreme heat and humidity.

How Can Heal Stroke Be Prevented?

When the heat index is high, it’s best to stay in an air-conditioned environment. If you must go outdoors, you can prevent heat stroke by taking these steps:

• Wear lightweight, light-colored, loose-fitting clothing, and a wide-brimmed hat.
• Use sunscreen with a sun protection factor (SPF) of 30 or more.
• Drink extra fluids. To prevent dehydration, it’s generally recommended to drink at least eight glasses of water, fruit juice, or vegetable juice per day. Because heat-related illness also can result from salt depletion, it may be advisable to substitute an electrolyte-rich sports drink for water during periods of extreme heat and humidity.
• Take additional precautions when exercising or working outdoors. The general recommendation is to drink 24 ounces of fluid two hours before exercise, and consider adding another 8 ounces of water or sports drink right before exercise. During exercise, you should consume another 8 ounces of water every 20 minutes, even if you don’t feel thirsty.
• Reschedule or cancel outdoor activity. If possible, shift your time outdoors to the coolest times of the day, either early morning or after sunset.

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Other strategies for preventing heat stroke include:

• Monitoring the color of your urine. Darker urine is a sign of dehydration. Be sure to drink enough fluids to maintain very light-colored urine.
• Measuring your weight before and after physical activity. Monitoring lost water weight can help you determine how much fluid you need to drink.

Avoid fluids containing caffeine or alcohol, because both substances can make you lose more fluids and worsen heat-related illness. Also, do not take salt tablets unless your doctor has told you to do so. The easiest and safest way to replace salt and other electrolytes during heat waves is to drink sports beverages or fruit juice.

Check with your doctor before increasing liquid intake if you have epilepsy or heart, kidney, or liver disease; are on fluid-restricted diets; or have a problem with fluid retention.

If you live in an apartment or house without fans or air conditioning, try to spend at least 2 hours each day — preferably during the hottest part of the day — in an air-conditioned environment. At home, draw your curtains, shades, or blinds during the hottest part of the day, and open windows at night on two sides of your building to create cross-ventilation.

If you’re a senior who either can’t afford to buy or run an air conditioner, check with your local Area Agency on Aging for programs that can assist you. One such program is the Low Income Home Energy Assistance Program (LIHEAP).

What’s the Outlook for Heat Stroke Recovery?

After you’ve recovered from heat stroke, you’ll probably be more sensitive to high temperatures during the following week. So it’s best to avoid hot weather and heavy exercise until your doctor tells you that it’s safe to resume your normal activities.

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