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Chronic headache - 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 : 2004
Answered : 40 Questions

Doctor :   hi
Doctor :  
how can i help you?
User :   Hello Doctor,
User :   I am having the headache for the past 1 year and it was severe from last 3 months and it is almost every day. I consulted a neurologist & he prescribed to have Amitriptyline Hydrochloride starting from 10 MG, now I am continue to take 100 MG, but headache continues to appear once in a week. By taking this medicine I started getting side affects like acidity & constupation. Now I am really worried, should I continue or should I switch the doctor ?. I also got CT scan done and there was not defect in brain.

Pls need your advise...
Doctor :  
give me some time to read through your history
Doctor :  
i will help you in this
Doctor :  
can i ask few questions?
Doctor :  
please give me your age, gender, occupation
User :   I am 34 Years, Male, System Admin in IT
Doctor :  
are you stressed and tensed most of the times?
Doctor :  
are you there?
User :   I am not so stressed, and also do not have work pressure
Doctor :  
ok

Doctor :  
do you have any sinus problems?
Doctor :   hi
User :   I had around 3 years back
User :   but still my nose gets blocked quite often
Doctor :   Hi are you back

Doctor :  

User :   yes, I am back
Doctor :  
Specialty - Family medicine
User :   I just paid online amount
User :   I did not dr
Doctor :   Please proceed

User :   initially I used to take dolopar
Doctor :  
ok
Doctor :  
how many times in a week you get headache
User :   and started with serotena 10 mg, tryptomer 25 mg, serotena 50 mg, Tryptomer 75 mg, Now with Tryptomer 100 mg as prescribed by neurologist
Doctor :  
how long does it stay ?
User :   still i am with 100 mg medicine & I get headake once in a week
Doctor :   ok
User :   till I take ibugesic 400 it dose not go
Doctor :   ok
Doctor :  
is the headache associated with nausea, vomiting
User :   yes, when I have headache, I have the feeling of vomiting
Doctor :  
Do you have blurring of vision or giddiness
User :   also I will be having the sensation of headache while travelling to home from office
User :   no, I vision is proper
Doctor :  
does the light aggravates headache?
User :   some times when I come back after the travel in the noon, I will have headache
Doctor :   Which portion of head aches more ?
User :   only on foreheadake
Doctor :  
does the light aggravates headache?
User :   i mean only on forehead
Doctor :   does the headache worsen on coughing, sneezing
User :   some times
Doctor :  
or bending the head down
Doctor :  
ok
Doctor :   do you have any pain over the face
User :   during cold i have headache when bending the head down
Doctor :   Tingling or numbness over the face region
User :   do not have any pain over the face
Doctor :   ok
Doctor :  
did you do any X-ray for sinus problem
Doctor :  
any blood test done ?
User :   I have not showed to ENT specialist till now
Doctor :  
Ok
User :   I have CT scan done of my brain, I have not done xray for sinus problem
Doctor :  
Do you have any irritation in the throat or sore thorat
User :   no
Doctor :  
ok
Doctor :   Do you have dry cough ?
Doctor :   Do you have sneezing and running nose at the time of head ache ?
User :   I have sneezing daily morning when I enter the bathroom
User :   it will be more durinmg winter
Doctor :  
are you allergic to dust or any pollens?
User :   but sneezing will be for only 10 mins and it stops
User :   yes, will get sneezing during dust
Doctor :  
ok
Doctor :  
As per your history,
User :   I started with serotena 10 mg, tryptomer 25 mg, serotena 50 mg, Tryptomer 75 mg, Now with Tryptomer 100 mg.
Doctor :  
The probable diagnosis is
Doctor :  
1. Frontal sinusitis
Doctor :  
2. And Allergic rhinitis
Doctor :  
I will help you in this
Doctor :  
and guide you for further treatment
User :   thanks Dr, should I continue with the current medication ?
Doctor :  
i will also give few good medical tips to overcome the chronic headache
Doctor :  
i will guide you
Doctor :  
through this
User :   ok
Doctor :  
the medication that they have prescribed for you is
Doctor :   mainly for chronic headache which has nerve invovlement
Doctor :   as you said CT scan was normal, the chances of nerve involvement is less likely
Doctor :  
but all the nerve disorder cannot be detected with CT scan
Doctor :  
MRI Is ideal for chronic headache which has nerve component
Doctor :  
but its ideal for you to meet a ENT doctor
Doctor :   so that the sinus and allergic issue is treated first
User :   fine Dr
Doctor :  
and then we can handle other issues
User :   I am worried, shouli continue with current medication ?
Doctor :  
i will advice you good tips
User :   cause with current medication I started getting acidity & constupation
Doctor :  
1. First and the foremost be relaxed and not to worried
Doctor :  
yes these medications causes acidity and constipation
Doctor :  
as the dose you are taking is also high
User :   should I take my CT scan report to ENT Dr ?
Doctor :  
Yes you need to take the reports
Doctor :  
you also need the following investigations
Doctor :  
1. Complete blood count
User :   Fine, i will go for master health checkup
Doctor :  
2. X- ray of para nasal sinuses
Doctor :   3. Absolute eosinophil count - AEC
Doctor :  
these investigations will guide us more towards diagnosis and help us in a proper treatment
User :   ok, If I want to contact you, how shall I ?
Doctor :  
Doctor :  
you can come for the chat and ask for me
Doctor :   i will be there for your help 24/7
User :   ok thx Dr
Doctor :  
i will advice few home remedies tips
Doctor :  
for the chronic headache
User :   is my headake called migrane ?
Doctor :   1. Take plenty of water, boiled and cooled water to keep yourself hydrated
Doctor :   No, the symptoms does not support towards migraine headache

Doctor :  
Migraine headache presents as
Doctor :  
1. One sided headache
User :   ok
Doctor :  
2. associated with nausea and vomiting
Doctor :  
3. blurring of vision
Doctor :  
4. Dizziness and giddiness
User :   what exactely is nausea ?
Doctor :  
5. headache worsens with light sensitivity
Doctor :  
Nausea is vomiting sensation
User :   ok
User :   Thx doctor
Doctor :  
6. Headache at least 3-4 times in a week
Doctor :   Few medical tips to over come the headache
Doctor :  
as painkillers cause more acidity
User :   can there be any other problems by taking the current medication ?
Doctor :  
so frequent use of painkillers to be avoided
Doctor :  
yes the medications have few side effects
Doctor :   among the painkillers
Doctor :  
take Sumo tablets after food for two times a day
Doctor :   when you have headache
User :   what is sumo tablets ?
Doctor :  
its a painkiller
Doctor :  
contains Paracetamol and nimusulide
User :   ok
Doctor :  
has less gastric problem compared to Brufen
Doctor :  
Use Vitamin C rich foods and tablets
Doctor :  
as this will boost the immune system,
User :   should i take neurobin ?
Doctor :  
and also help in sinus issue
Doctor :  
Neruobion is a multivitamin tablet
User :   can u suggent Vitamin C tablets ?
Doctor :  
its good to take it
Doctor :   Tab LIMCEE 500 mg once daily in nite after food
Doctor :  
its causes gastritis, better to take it after food
User :   I should take sumo tablets only during heake right ?
Doctor :  
yes only when you have headache
Doctor :  
other wise avoid it
User :   ok
Doctor :  
are you any medications for gastritis or acidity ?
User :   no, i just drink lots of water
Doctor :  
thats good
Doctor :   Not to skip any meals
Doctor :  
have meals on proper time
Doctor :  
avoid junk and spicy foods
Doctor :  
and even carbonated drinks
Doctor :  
this will help you to reduce the acidity or gastritis
Doctor :  
Steam inhalation with Karvol plus respules is very good for sinus problem
Doctor :  
Are you there ?
User :   what is Karvol plus respules ?
Doctor :   its a ayruvedic preparation which helps to melt the pus in the sinus
Doctor :  
it has no side effects
Doctor :  
So over all be relaxed, not to worry
Doctor :  
Your problem will be solved soon
User :   ok
Doctor :  
I wish you a healthy life
User :   with the existing medication will there be long term effect ?
Doctor :  
the long term effects are less
Doctor :  
it causes
Doctor :  
1. acidity
Doctor :  
2, gastritis
Doctor :  
3. constipation
Doctor :  
4. weight gain
Doctor :  
5. dry mouth
Doctor :  
6. and urinary disturbance
User :   ok thx doctor, when can I ping you ?
Doctor :  
after ENT consultation and blood
User :   ok
Doctor :  
and X-ray reports
Doctor :  
Please fill the feed back form and comment box
User :   sure
Question is related to
Diseases and Conditions
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