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Chronic headache, Causes and medicines - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :are you back
User :   yes
User :   i try the imitrex and midrin before but it didn't work out for me
Doctor :   ok
Doctor :   How long did you use them?
User :   mostly everyday
User :   because i get headaches all day
Doctor :   Are you still using them?
User :   no my doctor told me to stop
Doctor :   ok
Doctor :   Is there any other family member suffering from similar headaches
User :   yes, my sister and my mom but they don't have headaches all day like me.
Doctor :   have you ever had any tingling or weakness or your extremities?
User :   what is that mean?
Doctor :   any weakness or tigngling in limbs
Doctor :   legs/hands
User :   i always have numbness but not weakness or tingling
Doctor :   ok
User :   i recently have a joint pain for my both hands
Doctor :   ok
User :   i also should tell you that i get dizzy too
Doctor :   have you undergone any investigations like CT scan
User :   yes i did like 3 times already. with contrast once and then without contrast 2 times
Doctor :   Dizziness and numbness are associated or preceding symptoms of migraine
Doctor :   ok
Doctor :   what was the report !
User :   my neurologist doesn't thnk that it's a migraine headache
Doctor :   it should be normal , right/
User :   yes
Doctor :   ok
Doctor :   yes , migraine headaches will usually respond to imitrex (sumatriptan)
User :   i have been to ER so many times but the ER doctor didn't do any test because i have done before
Doctor :   ok
User :   all they did in the Er was given me a morphine through an IV
Doctor :   ok
Doctor :   because , they have already given all the high end drugs to you
Doctor :   your headaches were not responding it seems
User :   yes
User :   i wish there's more test
Doctor :   That is the reason for morphine administration
Doctor :   there are two tests which usually done on migraine patients
Doctor :   Ct and MRI
Doctor :   they have done CT already
Doctor :   with no abnormality found on that
Doctor :   But there is no need of MRI scan in your case
Doctor :   because no pathology found in CT scan
User :   i did an MRI in the ER because my insurance wouldn't cover
Doctor :   If they found any inconclusive results in Ct sacn then they will prefer MRI
Doctor :   there is no need of MRI in your case

Doctor :   because pathology ruled out in CT scan itself
User :   what's a phology?
User :   pathology?
Doctor :   pathology means any abnormality
Doctor :   they find no such thing in CT scan
Doctor :   Do you smoke
User :   well on the first CT scan i did they did find thickening agent like sinus
User :   no
User :but my dad did
Doctor :   ok

User :   when i was little i used to catch a cold a lot because my dad was smoking a lot
Doctor :   ok
Doctor :   So , i advise you to avoid migraine triggers to get proper reilef and avoid new episode of eadaches
User :   is it possible that i might have figromyalgia because i have pain all over and when i lie down it gets worse.
Doctor :   Are you aware of them
Doctor :   fibromyalgia contain different diagnostic criteria
Doctor :   where thepatient should have pain in >11 joints in his body
Doctor :   and usually these patients complain Insomnia too(sleeplessness)
User :   i notice that if i eat yogurt or fruit it does cause me a bad headache. i'm still finding out what kind of food causing me a headache.
Doctor :   ok
Doctor :   chocolates ,
Doctor :   wine
Doctor :   beer
Doctor :   dry sausage
Doctor :   cheese
User :   what about dark chocolate? i don't drink wine or beer.
Doctor :   any chocolate
Doctor :   nitratres and nitrites (found in hotdogs,ham,bacon and sausages)
Doctor :   and dont use artificial sweetner(aspartame)
Doctor :   this can also trigger your headaches
Doctor :   ok
User :   you don't think that i have arthritis in my hands?
User :   i heard that any age can get it
Doctor :your age is 33 right
User :   no i'm 24
Doctor :   ok
Doctor :   it is very very rare to get arthitis at such an younger age
Doctor :   it might be a simple arthralgia, which is transient one
User :   what is that?
Doctor :   it is joint pain , without any damage to joint
Doctor :   but in arthritis , joint cartilage destruction will be there
User :   will it show in the x-ray?
Doctor :   Arthritic changes can be seen on X ray
User :   i wear glasses but i heard that when i was young i had a really bad asigatism and nearsighted ness
User :   can that cause a headache?
Doctor :   ok
Doctor :   astigmatism causes headache ,
Doctor :   but it dont cause headaches throughout the day
Doctor :   ok
User :   my blood pressure sometimes it's high and sometimes it's normal and the blood test i did was normal. my doctor doesn't know what's causing that
User :   i had been going to physical therapy for my back pain for few times before but the pain inscreases and my physical therapist thinks that it won't be good for me so i stopped but now my neurologist thinks that i should start again since i have a neck pain and stiffness.
User :   but the problem is my physical therapist is worry about me that i might get pain again
Doctor :   there is nothing wrong in having physical therapy
Doctor :   it gives a lot of relief to your body and mind
Doctor :   your pain is not related to physical therapy
User :   i'm wating for my neurologist to talk to my physical therapist so that it can work out i hope
User :   i have a back pain
Doctor :   when did it start?
User :   it started in feburary 2009
Doctor :ok
Doctor :   was there any precipitating factor for that,like any trauma or accidental fall?
User :   no,even if i fell off the rollderblade i didn't fall on my back.
Doctor :   ok
Doctor :do you hav any problem with urination ?
User :   no
Doctor :   do you have pain anywhereelse in body apart from head
User :   i have a neck pain but i don't think so
Doctor :ok
User :   i have nausea too
Doctor :   nausea is one of the preceding symptom of migraine headaches
User :   do you know what kind of headache that i have?
User :   because i know that if it's a migraine i should just hurt in one side of my head
Doctor :  
your family history and your chronic headaches
Doctor :   favour migraine as your diagnosis
User :   what is favour migraine?
Doctor :   Your family history and chronic headaches
Doctor :   no pathology in Ct scsn
Doctor :   ok
User :   ok
User :   my neurologist told me to excercise i went to see my doctor few weeks ago
User :   i have been doing excecise
Doctor :ok
Doctor :   yes
Doctor :   Doing exercise itself a good thing
User :   what if i did an excercise for 3 months but still no improvement of my headache then what do i do?
Doctor :   which helps you to recover from all these
Doctor :   xercise itself is not a treatment for headache
Doctor :   it just makes you feel better
User :   may i ask what kind of doctor are you and where you came from?
Doctor :we are registered medical practitioners from India
User :   have you cure headache before?
Doctor :   yes
Doctor :   lot of times
Doctor :   different type of headaches
Doctor :   migriane heaache
Doctor :   cluster headache
Doctor :   sinus headache
Doctor :   these are all the type of headaches
Doctor :   which vary one from another through their distinctive symptoms
User :   so there isn't really other test i could do at this time? just excecise and see what kind of food is making me headache so i can avoid it. there's isn't really much what my doctor can do at this time? and you? since i'm only chatting with you. right?
Doctor :   yes
User :   why is it so hard to diagnose a headache and dizziness/
User :   ?
Doctor :   Dizziness is easy to diagnose and treat thanheadache
Doctor :   headache is also one of the easily diagnosed and treatable condition except in the cases of vascular headaches like migraine
Doctor :   if at all there is some organic abnormality , then it is easily treatable condition Doctor :  
vascular headaches without organic abnormality are the real challenges to physician
Doctor :   because of their chronicity and varied patient response
Doctor :   most of times , because of the headches patients become depressed too
User :   I'm currently taking verapamil and nortriptyline
User :   i started to get dry eyes when i started to get dizzy and headaches 3 years ago. is that common? and sesitivity to light and sun
Doctor :verapamil is a calcium channel blocer
Doctor :   blocker
Doctor :   but it takes 4-6 weeks to show full effect
Doctor :   when did you start it
User :   since feburary
Doctor :   ok
User :   does it help with headache too?
Doctor :   yes
Doctor :   it is an antihypertensive medication
Doctor :   which is proved beneficial in migraine headaches too
User :   i don't know why it's not helping me though
Doctor :   it is very unfortunate to have such a resistant headache
Doctor :   but by modifying your life style and food habits you can definitely get rid of those pain episodes
User :   what if i tried, and it doesn't work then what do i do?
Doctor :what is your profession
User :   what is that mean
Doctor :   what do you do
User :   i don't do anything right now
Doctor :   ok
Doctor :   But avoid excessive stress
User :   ok
Doctor :   try to engage in sports and recreational activities
Doctor :like jogging and swimming
User :   how do i contat you if i have any question?
Doctor :   you became a paid member , so you can come for chat at anytime
User :   i only paid for just one day
Doctor :ok
Doctor :   you can post your query in website
Doctor :   we will try to answer it asap
User :   ok
User :   is it going to be you or someone else?
Doctor :   e the team of doctors known to each other
Doctor :   i discuss your case
Doctor :   and i ll try ti answer it
User :   thank you
Doctor :*to
Doctor :   ok
User :   bye

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