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Cure for headaches - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
Doctor :   Hi
Doctor :   How can i help you
User :   are you a real doctor?
Doctor :   Dr.
User :   where did you graduate?
Doctor :   Please restrict to medical queries only.
User :   ok,
Doctor :   If you have any medical problem
User :   i have had a head ache for the last 3 days,
Doctor :   Please lte me know
Doctor :   Ok.
User :   it gets worse when i move my eyes
Doctor :   Which time o f the day is it worse.
User :   none i go to bed with it, i wake up with it, had it for a couple of days now, hurts in a particualr part of my head
User :   the pain is worse iof i move my eyes in any direction
Doctor :   Any redness of the eye..
User :   not really that i have noticed
User :   tried co-codomal doesnt help
Doctor :   Any fever or other symptoms that you have?
User :   no
Doctor :   Which part of your head do you get it the most.
Doctor :   Nature of your headache that you could explain.
User :   top left, sort of hurts if pushed, pain that comes when eyes move is there put also behind eyes
User :   top right*
Doctor :   Any sinusitis that you have had in the past or now.
User :   not that i know of,
Doctor :   Repeated cold or infections.
User :   no not really
Doctor :   Please provide me the correct details as to your name and the other particulars.
Doctor :   You could always get back and change them..
Doctor :   To get a better picture I need this information--
Age: Gender: Occupation: Location:
User :   pain is sort of from the coronal suture line, along there,
User :   age 20 male student uk
Doctor :   Ok.
Doctor :   Have you had this kind of pain in the past.
User :   yes
Doctor :   How often and has the intensity remained the same..
User :   intensity is probably worse than normal and has lasted longer maybe one a fortnight or a few times a month,
Doctor :   Any pre-headache symptoms that you get
Doctor :   The AAAAAAA
User :   nope
Doctor :   Any throbbing or pulsating nature of pain
User :   not really
User :   more constant ache
Doctor :   Any vomiting sensation that you get along with headache
User :   no
Doctor :   Any loss of consciousness that you have experienced.
User :   no
Doctor :   There are few conditions that i could think of in your case.
User :   it can subside and get worse over an hour
User :   what are they?
Doctor :   It could probably be
Doctor :   Migraine, Or cluster headache,
Doctor :   In either case you would require a
Doctor :   CT scan of your brain.
User :   a CT just for a migraine of cluster headache?
Doctor :   To rule out any under lying pathgology
Doctor :   Pathology.
User :   which could be ?
User :   such as?
Doctor :   Coz even an ANNURYSM might present this way
Doctor :   Pleae fill this form and tell me when done.
User :   but that is not likey right?
User :   more likey a migraine? or cluster headache
User :   based on age
User :   etc
Doctor :   Very less likely to be since
Doctor :   It could be migraine
Doctor :   mostly
User :   so what makes you say migraine instead of an annursym?
Doctor :   It could only be confirmed by a CT
User :   i have got quite inflamed lymph nodes in my neck if that help. below ear about 4 inchs
Doctor :   They will need to be biopsied and then based onthe report then the next step of action will be done
User :   i have had a bone scan allready
User :   as well as full bloods
Doctor :   No the lymph nodes need to be Biopsied,
Doctor :   The most common cause of lymphnode there is Tuberculosis.
User :   have been innoculated against it years ago
Doctor :   Ok The anti body status if you have cross checked.
Doctor :   Since the vaccination only provides protection between 30-80 %
User :   if pain goes away e.g. tomorrow morning or later today is it more likey to be a mirgraine or cluster headache?
Doctor :   Migraine will usually subside in 2-3 days time
User :   triptans ?
Doctor :   They can be taken but on a prophylactic basis you will need to take Propranolol.
Doctor :   to vaoid the attack
User :   not heard of that, is there a brand name, not perhaps an idea to try = Eletriptan, Naratriptan, Rizatriptan, Sumatriptan, Zolmitriptan ?
Doctor :   They are good at the time fo the attack
Doctor :   To prevent the attack Propranolol will help
User :   isnt that normally used for hyertension?
Doctor :   Yes it is.
Doctor :   But has been found to be effective in Migraine too
User :   ok, then thank you bye
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Question is related to
Diseases and Conditions
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