headache

High
UK/ˈhɛdeɪk/US/ˈhɛdˌeɪk/

Neutral (used in all registers from informal to formal)

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Definition

Meaning

A continuous pain in the head.

A persistent problem or source of worry or difficulty.

Linguistics

Semantic Notes

The word functions primarily as a noun. The literal medical sense is concrete and countable ('I have a headache'). The metaphorical sense ('a headache to manage') is also countable and common, implying an annoying or troublesome situation.

Dialectal Variation

British vs American Usage

Differences

No significant differences in meaning or usage. Spelling is identical.

Connotations

Identical in both varieties.

Frequency

Equally frequent in both BrE and AmE.

Vocabulary

Collocations

strong
bad headachesplitting headachethrobbing headachemigraine headachesevere headache
medium
terrible headacheawful headachepounding headachechronic headacheget a headache
weak
slight headachelittle headachehave a headachecause a headache

Grammar

Valency Patterns

have a headacheget a headachegive someone a headachesuffer from headachesbe a headache

Vocabulary

Synonyms

Strong

migrainethrobbing pain

Neutral

cephalalgia (technical)head pain

Weak

head paindiscomfort

Vocabulary

Antonyms

reliefcomfortease

Phrases

Idioms & Phrases

  • a real headache
  • a political headache
  • a logistical headache

Usage

Context Usage

Business

Refers to a problematic issue, e.g., 'The new regulations are a major headache for the compliance team.'

Academic

Used in medical/psychological contexts describing a symptom, e.g., 'The study correlated screen time with frequency of tension headaches.'

Everyday

Commonly used to describe physical pain or a minor annoyance, e.g., 'I can't come out tonight; I've got a terrible headache.'

Technical

In medicine, a specific symptom classified into types like tension headache, cluster headache, or migraine.

Examples

By Part of Speech

verb

British English

  • This project is starting to headache me.
  • It headache'd the entire department.

American English

  • This issue is really headaching the team.
  • It headached us for weeks.

adjective

British English

  • He's in a headache state.
  • A headache-inducing problem.

American English

  • A headache problem.
  • Headache medication.

Examples

By CEFR Level

A2
  • I have a headache.
  • She took medicine for her headache.
B1
  • Looking at the screen all day gives me a headache.
  • The noise is starting to cause a headache.
B2
  • Managing the budget for this event is proving to be a real headache.
  • He suffers from chronic tension headaches.
C1
  • The geopolitical situation is a persistent headache for policymakers.
  • The migraine presented with aura, making it a classic case of headache with neurological symptoms.

Learning

Memory Aids

Mnemonic

HEAD + ACHE = an ACHE in your HEAD.

Conceptual Metaphor

PROBLEMS ARE PHYSICAL AILMENTS (e.g., 'a headache of a problem').

Watch out

Common Pitfalls

Translation Traps (for Russian speakers)

  • Avoid using 'head pain' as a direct translation; 'headache' is the fixed, natural term.
  • In Russian, one often says 'У меня болит голова' (My head hurts). In English, the more common phrasing is 'I have a headache.'

Common Mistakes

  • Using uncountable form incorrectly (e.g., 'I have headache' instead of 'I have a headache').
  • Confusing with 'migraine', which is a specific, severe type of headache.

Practice

Quiz

Fill in the gap
The constant paperwork is such a for the new manager.
Multiple Choice

Which of the following is the most common metaphorical use of 'headache'?

FAQ

Frequently Asked Questions

It is countable. You must use an article or plural form: 'a headache', 'headaches'.

A migraine is a specific, often severe type of headache, usually accompanied by other symptoms like nausea or sensitivity to light/sound. 'Headache' is the general term.

Informally, yes (e.g., 'This problem is headaching me'), but it is non-standard and rare. The noun form is overwhelmingly preferred.

Stress is on the first syllable: HEAD-ache. The 'ache' part is pronounced like the word 'ache' (/eɪk/).

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Health and Body

A2 · 48 words · Talking about health, illness and medical care.

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