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Suffering from Chronic headaches - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2291 Questions
User :   For the past 2 months, I have been getting severe headaches. Due to the intense pain, dizziness, sensitivity to light, and nausea, I'm fairly certain they are migraines. I had been experiencing more stress than usual at work, so I thought that was the original cause. Since then, my workload has significantly eased up and I'm still getting these headaches. Today, while doing my hair, I ran my hands along my head and found two really hard lumps about the circumference of a dime on my left side, about 2 inches from my ear (they align to the top of it). I am quite certain they have never been there before, as I feel that they are prominent enough that I would have noticed! Should I worry that this has any association with the headaches I've been receiving? Should I make an appointment with my doctor?
Doctor :   Hi
User :   Hi!
Doctor :   May I know your age and gender?
User :   Sure. I am 24 years old and female.
Doctor :   Can you describe the headaches - is it located more specifically at the region of these bumps?
User :   It's most painful actually above my eyes and in the back of my neck, though I feel pain all over, so it's hard to pinpoint.
Doctor :   Ok
Doctor :   Do you have history of nasal congestion, sorethroat with the headaches?
User :   No, I do not.
Doctor :   Ok
Doctor :   Do you wear spectacles?
Doctor :   * I mean do you have history of refractory errors?
User :   I don't. I do have a pair, as I have some difficulty seeing far distances, but I am not required to wear them to drive or find that I need them during my day.
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   If the bumps that you noticed aren't tender to touch,
Doctor :   then these bumps are not associated with the headaces.
Doctor :   The headaches are probably related to chronic headaches,
Doctor :   which have probably aggravated due to the recent increase in stress or may be a change in the refractory error.
Doctor :   Hence you need not worry with regards to the bumps.
User :   Okay. Do you think it would be advisable to make an appointment with my doctor to obtain medication for these headaches? Should I wait to see if they will go away...if they are stress-related?
User :   Or even have my vision re-evaluated?
Doctor :   Proper stress management - destressing measures, good sleep, regular meals are necessary.
Doctor :   You can try OTC pain killers such as 1gm paracetamol - 2 tablets of tylenol or ibuprofen tablets when ever your headaches is severe.
Doctor :   And modify your lfestyle as mentioned before.
Doctor :   They should help you control the headaches.
Doctor :   If the headaches persist inspite of these measures or if the headaches are too frequent,
Doctor :   then you will need to re evaluate refractory error or consult a neurologist an obtain prescription medications to control the headaches.
Doctor :   Have you followed what I have suggested?
User :   Yes! Thank you.
Doctor :   Do you have any other query?
User :   No, I don't at this time. I will give myself a few weeks of following what you suggested and see if the headaches disappear.
User :   Thank you for your help!
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   Good night!
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