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These " abdominal migraines " can be especially difficult to diagnose . If your headaches occur 15 or more days a month for several months , they're considered chronic . Most adults with trichotillomania are aware that they're pulling their hair out , even if they do n't understand what drives them to do it . Some people are n't aware that they're plucking out their own hair . He is the only one of the 11 Lebanese in his Houston class who decided to return home rather than use his freshly minted medical degree in the United States . Indeed , some sequences of notes result from little more than a slowly changing phase relationship between oscillations governing air pressure and those controlling labial stiffness . But it 's a good idea to consult your doctor if you experience headaches during sexual activity — especially if it 's your first headache of this type . Your hearing may have deteriorated if you find that it 's harder for you to understand everything that 's said in conversation , especially when there 's background noise , if sounds seem muffled , or if you find yourself having to turn the volume higher when you listen to music , the radio or television . Home treatments can cause serious problems , especially if you have diabetes or poor circulation . Nonsteroidal anti-inflammatory drugs ( NSAIDs ) , such as ibuprofen ( Advil , Motrin , others ) and aspirin , may cause side effects such as abdominal pain , bleeding and ulcers , especially if taken in large doses or for a long period of time . But they're more common in men and people who are prone to migraines .