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Causes and treatment for chronic headaches - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello,
Doctor :   Hi
Doctor :   How can I help you?
User :   I just got a cold three days ago. I have a cough, runny and stuffed nose two days of fever and today I developed head pains after I cough
User :   I am concerned about the head pains. Could this be due to sinus issues?
Doctor :   Ok
Doctor :   Can you describe the headaches?
Doctor :   Which side/part of the head is paining?
User :   top of my head right side and its a sharp pain immediately after I cough but goes away a second later
User :   only with hard coughs too not the small ones
Doctor :   Ok.
Doctor :   Do you have nausea/vomiting?
User :   no
Doctor :   Have you tried medications for the pain?
User :   I took nyquil cough last night and today about an hour ago I took 1 sudafed
Doctor :   Ok
User :   I also took two advil about 6 hours ago. I woke up in the middle of the night with my head hurting. The same pain.
Doctor :   Have these pain killers helped you in reducing the pain?
User :   yes the advil made it so that i could go back to bed. I do not feel anything with the sudafed.
Doctor :   Ok.
Doctor :   Let me explain it to you.
Doctor :   Since you have history of chronic headaches, these headaches may also be one of such headaches which has probably aggravated/precipitated by the infection.
Doctor :   While coughing the intracranial pressure would rise that may be causing the sharp pains
Doctor :   when coughing.
User :   so it is the sinus pressure causing the headaches?
Doctor :   No, not the sinus pressure, but the intracranial pressure.
User :   what is intracranial pressure?
Doctor :   Sinus headaches are usually frontal in location and limited to the area of the face.
Doctor :   Intracranial pressure refers to the pressure within the skull which is maintained by the cerebrospinal fluid.
Doctor :   It is a normal reflex phenomena, that is when some one coughs, this pressure will rise slightly.
User :   Do I need to go to the doctor or should I give it a few more days for the cold to go away?
Doctor :   Hence when you strain and cough, this transient rise in the pressure may be causing the headaches.
Doctor :   These symptoms are very commonly seen due to viral infections and they generally would settle down in a few days.
Doctor :   You would need symptomatic medications and proper diet and rest during this time.
User :   Is it ok to take more ibuprofen since I just took the sudafed?
Doctor :   If your symptoms persists for few more days, ( more than a week) or if you develop other symptoms such as
Doctor :   severe, persistent headaches, vomiting.
Doctor :   sensitivitivity to light.
Doctor :   Then you need to consult a doctor.
Doctor :   You can continue the medications that you are on right now .
Doctor :   And good bed rest with proper nutrition.
Doctor :   The later two are absolutely necessary.
Doctor :   Have you followed?
User :   yes thank you. I will stay in bed again today.
Doctor :   Do you have any other query that I can assist you with?
User :   no thanks.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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