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Severe headache with vomiting sensation. Permanent solution? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
User:Good Morning
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
User:I suffer from severe headaches every other week and its been from 7 or 8 years
User:this condition is increased in Winter season
User:Sometime starts with vomit sensation and also like banging the head
User:where should i start?
Doctor:Can you explain a bit more about the associated symptoms?
User:Due to above condition every other week, My office work is getting affected
Doctor:Do you have nasal congestion/running nose, sorethroat etc, with every headache?
User:sometimes sleeping for 30 min subsides the headache
User:and sometimes it continues to 1 or 2 days intermittently
User:Not with every headache but i do feel congestion/running nose sometimes
User:mostly in morning times when i woke up in winter season
User:I cant remain open my eyes when i get headache
Doctor:Does the light and sound worsen the headaches?
User:the headache worsens in winter season and i also experienced when i have dreams in night...the next day ...headache is for sure
User:yes light and sound worsens
Doctor:Does the headache start predominantly in the morning/evening?
User:this time its nearly 2 days my headache isnt settling down...yesterdday it was there since afternoon to night
User:and again its starting now
Doctor:Since how long are you been suffering with this headache?
User:headache predominantly starts around 3 PM
Doctor:Do you have history of diabetes, high blood pressure?
User:and if i continue to worsens...with Vomit sensation
Doctor:And may I know your age and gender?
User:No history of any disease
User:39 Male
Doctor:Thanks for providing the necessary details.
Doctor:I shall brief you now.
User:i have been suffering since 7 or 8 years
Doctor:What you are suffering with is known as chronic headaches.
User:but every winter it worsens that every other week
Doctor:There are various causes of such chronic headaches.
User:My mom & aunt has the history of headache
Doctor:To name a few are migraine, tension headache, cluster headache, sinusitis, refractory errors and so on.
User:My father is good at health...No headache
User:So where should i start then
Doctor:Based on your history provided, one of these 3 could be the most likely cause in your case:
Doctor:1. Migraine
Doctor:2. Cluster headache
Doctor:3. Sinusitis.
Doctor:Migraine and cluster headaches are managed similarly.
User:Late eating food also sometimes starts headache
User:but after eating it subsides sometimes
Doctor:You will need medications to stop acute attacks.
Doctor:Those medications will relieves the pain include high dose paracetamol such as Tab. Dolo, NSAID group of drugs,
Doctor:Opioid group of analgesics
Doctor:and for migraine another group of drug known as triptans are helpful.
User:I am more looking at permanent solutions..even if it involves thorough checkups and longer medications
Doctor:In addition to these pain stopping medication, you also need preventive medication - something which can give you a long lasting relief from this headache.
Doctor:Yes, there are some medical drugs available such as amitriptyline, propronalol, gabantin, valproate, etc which are to be used every day.
Doctor:These drugs when taken religiously are helpful in preventing the recurrence of headache and improving your quality of life.
Doctor:These medications can be prescribed by a neurologist.
Doctor:You may consult a neurologist nearby and plan to start these medications soon.
User:Do I need to see any ENT to start with
User:Any tests i need to get it done at diagnostic centers
Doctor:ENT surgeons will be able to treat you, if the cause is a sinusitis.
Doctor:I would suggest you to visit a neurologist initially to exclude migraine/cluster headaches.
User:Ok sinusitis ---> ENT...what other specialists are needed to narrow down the findings
User:Ok so you are suggesting...first Neuro (exclude migraine, cluster) and then ENT to exclude sinusitis
Doctor:The causes of such headache are handled by neurologist, ENT surgeons and Ophthalmologist.
Doctor:Yes, you go me right.
Doctor:I would suggest you to first visit a neurologist to exclude migraine, cluster headache, tension headaches.
User:Ok so..neuro, ENT & Optha....these 3 will give me correct picture of what i may be having correct?
Doctor:The treatment of all these headache will remain the same as described earlier.
User:Oh all roads lead to rome....:) its just that naming difference
Doctor:If neurologist do not find any neurological causes to explain the headache, he will refer you to an ENT as well as ophthalmologist.
Doctor:Yes, we name the condition according to your history; however the treatment of all the conditions will remain the same as mentioned earlier.
Doctor:While the treatment is initiate, he may also ask you to get a few test done.
Doctor:That will include a CT scan or MRI Brain scan.
Doctor:I understand you been suffering a lot. Do not worry further. You can end this thing. It starts with a visit to a neurologist.
Doctor:Have you followed?
User:thanks a lot
Doctor:Thanks for consulting me.
User:so any neuro you can refer to
Doctor:Bye for now.
Doctor:May I know your location?
User:neuro physician correct?
Doctor:Yes; a neurophysician will be the apt person to XXXXXXX
Doctor:May I know your location?
User: XXXXXXX nagar
User:still with me ?
Doctor:I apologize.
Doctor:I shall forward a profiles of few neurologist registered with us.
Doctor:If you wish you may contact them.
Doctor:1. WWW.WWWW.WW
Doctor:2. WWW.WWWW.WW
Doctor:3. WWW.WWWW.WW
Doctor:The first 2 doctors have been associated with us.
Doctor:The last doctor is practicing nearby your location.
Doctor:You may visit any one of the above, based on your preference.
User:thanks a lot
Doctor:Do you have any other query?
User:what is Expert level mentioned
Doctor:The expert levels are gradings given based on their association with us and based on the reviews received by us.
User:ok so XXXXXXX XXXXXXX is heading all 3 :)
User:though young doctor
Doctor:The first 2 doctors would know xxxxxx if you choose to consult them, you can take our name.
Doctor:I wish you a speedy recovery.
Doctor:Is there any other query?
Doctor:Are you there?
User:thanks a lot
User:have a great day ahead
Doctor:Thanks for consulting me.
User:Bye for now
Doctor:Wish you the same.
Doctor:Bye for now.
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