New Daily Persistent Headache

New Daily Persistent Headache
Shot of medical practitioners having a conversation in a hospital

New Daily Persistent Headache (NDPH) is a chronic headache disorder that is characterized by the sudden onset of daily headaches that are persistent and can last for months or even years. Unlike other types of headaches, such as migraines or tension headaches, NDPH does not have a specific trigger or cause.

The exact cause of NDPH is unknown, but it is believed to be related to changes in the brain and nervous system. Some researchers believe that it may be caused by an underlying genetic predisposition, while others think that it may be triggered by an infection or a head injury.

NDPH is different from other types of headaches in that it does not respond well to typical headache treatments, such as over-the-counter pain medications. Many people with NDPH find that their headaches are resistant to treatment and can be debilitating.

Despite the lack of a specific cause or cure, there are management strategies that can help people with NDPH cope with their symptoms. These strategies can include lifestyle changes, stress management techniques, and medication. It is important for individuals with NDPH to work closely with their healthcare team to develop a personalized treatment plan.

For your information, New Daily Persistent Headache is a debilitating and chronic headache disorder that is characterized by sudden and persistent daily headaches. While the exact cause is unknown, there are management strategies available to help individuals cope with their symptoms. It is important for individuals with NDPH to seek medical attention and work closely with their healthcare team to find the best treatment plan for their specific needs.

Symptoms, Causes, and Diagnosis

New Daily Persistent Headache (NDPH) is a type of chronic headache that appears suddenly and persists for at least three months. It is characterized by a constant headache that is present every day, without any pain-free periods. NDPH can occur in both adults and children, but it is more common in adolescents and young adults.


The main symptom of NDPH is a persistent headache that is present every day, usually starting abruptly and continuing for hours or even days. The headache can be dull or throbbing, and it usually affects both sides of the head. Other symptoms that may accompany the headache include:

  • Sensitivity to light and sound
  • Nausea or vomiting
  • Neck pain or stiffness
  • Fatigue or difficulty concentrating


The exact cause of NDPH is not known, but there are several factors that may contribute to its development. These can include:

  • Infection or illness
  • Head injury
  • Emotional or physical stress
  • Hormonal changes

NDPH can also be triggered by medications or substances, such as certain dietary supplements or withdrawal from caffeine.


Diagnosing NDPH can be challenging, as there are no specific tests to confirm its presence. The diagnosis is usually made based on the patient’s medical history and symptoms. The doctor may also perform a physical examination and order imaging tests, such as an MRI or CT scan, to rule out other underlying conditions that may be causing the headaches.

In some cases, the doctor may also recommend keeping a headache diary to track the frequency and intensity of the headaches, as well as any possible triggers or patterns.

It is important to consult a healthcare professional if you are experiencing persistent headaches, as they can help determine the underlying cause and recommend appropriate treatment options.

Prevention and Lifestyle Changes

Preventing and managing New Daily Persistent Headache (NDPH) involves making certain lifestyle changes and taking preventive measures. Here are some strategies to consider:

  • Maintain a regular sleep schedule: Establish a consistent sleep routine and ensure you get adequate sleep each night. Avoid staying up late or oversleeping.
  • Manage stress: Find healthy ways to cope with stress, such as practicing relaxation techniques, engaging in physical activity, or seeking support from loved ones.
  • Avoid triggers: Identify and avoid any triggers that may lead to NDPH episodes. Common triggers include certain foods, bright lights, loud noises, strong smells, and hormonal changes.
  • Stay hydrated: Drink plenty of water throughout the day to stay hydrated and prevent dehydration headaches.
  • Exercise regularly: Engaging in regular physical activity can help reduce stress, improve overall health, and potentially reduce the frequency and intensity of NDPH episodes. However, it’s important to consult with a healthcare professional before starting any exercise program.

Additionally, consider keeping a headache diary to track potential triggers, symptom patterns, and any relief measures that may be helpful. This can provide valuable information to your healthcare provider and assist in developing an effective management plan for your NDPH.

If lifestyle changes and preventive measures do not provide sufficient relief, it is important to consult with a healthcare professional for further evaluation and treatment options.

Summary of Prevention and Lifestyle Changes for NDPH
Lifestyle Changes Preventive Measures
Maintain a regular sleep schedule Identify and avoid triggers
Manage stress Stay hydrated
Avoid triggers Exercise regularly
Stay hydrated
Exercise regularly