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Continuous slight pain in head, skin sensitive. Possible reason? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User:Hello Doctor
Doctor:How can I help you?
User:I'm having a slight pain on the head (back side and top side) from a week. I went to neurologist and he said there is no problem with me and he didnt even recommend for a scan
User:But, Im still feeling slight pain. It is not heavy pain and making me feel uncomfortable
Doctor:Please proceed.
User:Wherever I feel pain, I feel that the skin there is sensitive than before and sometimes I get some sores
User:Can you please help me here
Doctor:Is the pain continuous or comes as intermittent attacks?
User:Mostly continuous
Doctor:Do you vomit/feel like vomiting associated with the aches?
Doctor:Do you notice any other symptoms with the headache such as fever or any other unusual symptoms?
User:When I get up from bed, I feel neck pain which is subsiding now
Doctor:May I know your age?
User:No other symptoms.
User:Age - 28 years
Doctor:Have you had similar symptoms in the past?
Doctor:Do you history of diabetes/high blood pressure?
Doctor:Are you on any medications?
Doctor:Did the doctor suggest any medications?
User:Yes, I get migraines. And I take napra D
User:Yes, doctor gave only pain killer and nothing else
Doctor:Let me brief you.
Doctor:Neurologically headache is associated with many conditions. Strokes, intracranial bleed, brain aneurysm and intracranial mass lessions are the worst conditions presenting as headache.
Doctor:Basically a scan is requested to rule out such harmful/potentially XXXXXXX conditions.
Doctor:However your symptoms do not suggest the possibility of such sinister conditions.
Doctor:Since you have a pre-existing migraine, the current pain may be related to the same or another type of chronic headache.
Doctor:So do not be tensed and panic.
User:Is this any scalp related issue
Doctor:If at any point of time, if headache feels very severe and uncomfortable, you can get a scan done to exclude such possibilities.
Doctor:Chronic headaches can cause scalp tendernes.
User:If I need to rule out, which scan do you prefer?
Doctor:If there are no visible lesions on the scalp, then it is unlikely to be scalp issues.
Doctor:MRI brain scan is more ideal; however I agree with your neurologist that at this point of time MRI scan is not necessary.
Doctor:I would suggest you to continue pain killers, and try adequate destressing measures such as sleeping regularly, eating regularly, physical exercise and mediation.
Doctor:If headache worsens or if you the headache becomes more severe, then you may plan MRI scan.
Doctor:Have you followed?
Doctor:Are you there?
Doctor:Are you there?
Doctor:I have to close the chat as you are not responding.
Doctor:you can chat with us 24/7 if you have any medical query.
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