I am a wife and a mother of 2 children. I also work full time as a home care nurse. I have suffered severe headaches for years due to a rare condition called Chiari Malformation. My head felt like it was going to explode when I coughed or even laughed. This condition is where the lower portion of your brain is squeezing out the base of the skull into the spinal column. Pain medications are very important for just normal every function for people with this disease. Doctor education is needed.