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Headache: which doctor to see

Almost everyone knows what a headache feels like: most often it is a tension headache or a migraine, and both can be managed. If your head hurts often, severely or in a new way, start with a neurologist — they will look into the causes and suggest a plan.

Common causes

  • Tension headache — after long work, stress or lack of sleep
  • Migraine — attacks of throbbing pain, often with nausea and light sensitivity
  • Eye strain from screen work
  • Poor sleep, too much caffeine, dehydration
  • High or low blood pressure

When to seek urgent help

Do not wait for a scheduled visit if you have any of these signs:

  • A sudden "thunderclap" headache — the worst of your life
  • Headache with high fever and a stiff neck (you cannot bend your head to your chest)
  • Headache after a head injury or a fall
  • Headache with speech or vision problems, or weakness in an arm/leg — call 103
  • A daily, gradually worsening morning headache with nausea

Ambulance: 103 (103 from a mobile) · Unified rescue service: 911

Your specialist

Neurologist

What to bring to the visit

  • A headache diary for at least a week: when it hurts, for how long, what helps
  • A list of medicines you take, including painkillers
  • Results of previous tests, if any (MRI, CT, doctors' reports)
  • Your blood pressure readings, if you have measured them

Frequently asked questions

Do I need an MRI right away?

Usually not: the diagnosis is made from your history and an examination. An MRI is ordered only when there are warning signs — the neurologist will decide after seeing you.

Whom should I see if my headaches seem related to blood pressure?

Start with a general practitioner or a cardiologist — they will sort out the blood pressure. If your pressure is normal but the pain persists, see a neurologist.

Can I see a neurologist without a referral?

Yes, if you pay yourself: private clinics in Yerevan let you book directly. For the state health insurance to pay, you need a referral from the family doctor or therapist (general practitioner) you are registered with: without the required referral, the service is provided on a paid basis, except in emergency or urgent cases. You can also go without a referral for a chronic condition if your family doctor has already made the diagnosis.

More in “Head and face”

All symptoms

The information on this page is for reference only and does not replace a doctor's consultation. Only a doctor can make a diagnosis in person. If your condition worsens, call 103.