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Pain in the forehead - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   Hi
User :   Hello.
User :   Iam.Dr.xxxx
User :   May i help you now ?
User :   Nice to chat with you Dr. xxxx
User :   Yes, please
User :   Same here
User :   This is regarding my wife
User :   ok
User :   please proceed
User :   In 2006 she had a blood clot in her brain for which she was treated successfully.
User :   She had no complains thus far.
User :   ok
User :   what is her age ?
User :   ok
User :   SHe is 42
User :   ok
User :   For the past week, she has been complaining of pain in her forehead.
User :   ok
User :   was she having high bp ?
User :   Should she be concerned of a clot?
User :   No, her BP is normal.
User :   is she having any behavior change /
User :   No.
User :   or any body weakness
User :   did you check her bp now ?
User :   No. Just exhaustion with our 3 children.
User :   I did not check the BP.
User :   ok
User :   No weakness.
User :   could she sleep well
User :   She sleeps well, yes.
User :   is she having any fever?
User :   ok good
User :   No fever.
User :   ok'
User :   is she wearing any spectalces?
User :   She has some blisters in her mouth
User :   or any excess eye work ?
User :   ok
User :   is it like mouth ulcers ?
User :   Yes, she wears glasses, we got them checked, no problem there.
User :   is she having diabetes ?
User :   ok good
User :   No diabetes
User :   Like ulcers yes
User :   is she having any ear aches ?
User :   ok
User :   No hearing problem.
User :   is she using any mouth wash ?
User :   No mouthwash
User :   like listerine
User :   ok
User :   usually the headache for bleeding brain will be behind head
User :   called as the occipital arae
User :   area
User :   Okay.
User :   then she will also have difficulty moving neck
User :   too
User :   but is she taking any medicines after
User :   that in 2006
User :   No medication.
User :   ok
User :   No problem moving neck.
User :   is she having any blood disorder
User :   i mean clotting
User :   ok
User :   None
User :   because the bleeds in brain will make most unconscious
User :   I understand.
User :   and will have severe headaches
User :   with vomiting
User :   so probably she is having some other headaches
User :   She does not have vomiting.
User :   like the ususal
User :   Okay.
User :   tension haedaches
User :   any history of migraine ?
User :   I suppose that would be it, what can be done for that?
User :   is she working now ?
User :   No migrains.
User :   She is a school teacher.
User :   you may use some simple analgesic like tylenol
User :   first
User :   Works part time.
User :   and offcourse sleep
User :   Okay, tylenol
User :   ok good
User :   I guess she needs some rest.
User :   also motrin
User :   if she is not allergic to it
User :   What is motrin for?
User :   and is she having any mental stress
User :   for pain
User :   Okay.
User :   is she using computers for long
User :   any emotional stress for her now
User :   Mental stress? I will have to see that.
User :   No computer for long.
User :   ok good
User :   did she have any history of sinusitis
User :   frontal sinusitis can cause that
User :   A little.
User :   type headaches
User :   ok
User :   did she try steaming
User :   Could it also be the high humidity in Chandigarh, India now?
User :   yes
User :   is she having any allergy
User :   We have not tried steaming.
User :   No allergy
User :   you may use some steam inhalation with karvol plus capsules too
User :   Okay, I did not know that one.
User :   but always watch for sleep change any body weakness etc
User :   sicne she had an history of bleed
User :   in the brain
User :   what was the reason for that bleed initiallyt
User :   Okay, if it is humidity how does that affect?
User :   what did the dr say
User :   it nay block the sinus cavoity
User :   cavity
User :   by increasing mucus
User :   secretionj
User :   It was because of pregnancy and miscarriage.
User :   secretions
User :   taht block the normal sinus
User :   ventil;ation
User :   ventilation
User :   ok
User :   I see
User :   was she investigated properly
User :   then
User :   i mean blood bp checks
User :   etc
User :   some clotting disorders
User :   Yes, we consulted 7 neurologists then
User :   increase during preganncy
User :   ok
User :   what did they say
User :   Yes, I know for sure she is not pregnant now.
User :   ok
User :   you may use some simple pain killer first
User :   and also steaming too
User :   and see
User :   It was a clot, after treatment for 7 days in the hospital, it was declared dissolved.
User :   ask her to watch for increasing pain
User :   ok
User :   might be very small
User :   so dont worry
User :   usually these are seen in high bp patients
User :   especially elderly
User :   Thank you, but with 3 children aged 5 to 9, it is something to worry about.
User :   yes
User :   Do you advise a BP check?
User :   i understand
User :   yes sure
User :   regularly
User :   also diet control too
User :   Any other test I should get done?
User :   i mean reduced salt intake
User :   yes check for the blood total count ect
User :   etc
User :   to see any infection
User :   like sinusitis
User :   routine blood investigation
User :   hope you understood
User :   any thing more you need help ?
User :   are you there ?
User :   Thanks
User :   Thanks fro consulting..
User :   The browser seemed to not respond.
User :   wishing her a speedy recovery
User :   ok
User :   Thanks you!
User :   bye for now
User :   take care..
User :   Bye! You have been very helpful!
User :   THANKYOU......
Doctor :   Are you back?
Doctor :   Are you there?

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