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    Tension Headache Diary

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    Print this diary and use it to keep track of tension headaches. It can help you and your doctor create a treatment plan.

    Date

    Time headache began

    Time headache ended

    Warning signs (aura)

    Location of pain

    Type of pain (pressing, throbbing, piercing, etc.)

    Intensity of pain (circle one number)

    1 2 3 4 5 6 7 8 9 10

    1 2 3 4 5 6 7 8 9 10

    1 2 3 4 5 6 7 8 9 10

    1 2 3 4 5 6 7 8 9 10

    Other symptoms (nausea, vomiting)

    Medication taken/other treatment

    Effect of treatment

    How headache affected my normal routine

    Hours of sleep the night before the headache

    What I ate before the headache (caffeine, diet soda, chocolate, hot dogs, food with artificial sweeteners, processed foods)

    Activities before headache

    Important or stressful events that happened today

    Comments

    WebMD Medical Reference

    Reviewed by David T. Derrer, MD on January 10, 2016
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