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What causes headaches in the evening? - Online Doctor Chats

Date : 07-Feb-2014
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Hi
User:Hi Doctor
Doctor:Hi
Doctor:How can I help?
User:I am 35 year old male working in IT
Doctor:ok
User:for the last weeks, i get severe headache in the evening..
User:it is very severe that i cant concentrate also
Doctor:Evening headaches are usually due to stress or not having enough food during day
User:its more than headache and lot of discomfort
User:should i consult any specialist??
Doctor:Yes you can consult a neurologist
User:ok..
User:i will visit in the weekend
User:until then any advice from you?
Doctor:Have you tried painkillers?
User:i tried painkiller few times but it reduces the pain only 25%..
Doctor:ok
User:so not taking the painkiller often..no use
Doctor:So it is a really bad pain
Doctor:Yes I understand
User:its more than pain....it affects my concentration/focus
User:difficulty in understanding what people speaks to me...
Doctor:ok
User:during the time
Doctor:What other symptoms do you have?
User:it starts at 4pm..and last till i go to sleep
User:next day morning is all normal
Doctor:ok
User:so consulting neurologist is the good option?
Doctor:It can be any type of headache
Doctor:like tension headache or even migraine
Doctor:Yes go to a neurologist
User:ok fine
User:wil do that...
User:Thank you...
Doctor:Ask for a diagnosis
Doctor:from the neurologist
User:sure
Doctor:Tell him that you are willing to get tested
User:ok
Doctor:Because tests will help with a better diagnosis
User:they will do Scan or MRI?
Doctor:First a scan is done
Doctor:MRI are done if nothing is found on scan
Doctor:or brain nerves are involved
Doctor:Till then take painkillers
User:ok..
Doctor:Which painkillers have you tried
User:Thanks
Doctor:?
User:i got some painkiller+fever tablet from US
User:it says for headache/fever
Doctor:It must be brufen
User:yes
User:is that OK?
Doctor:Make sure that you do not take paracetamol
Doctor:It is not effective for headaches
Doctor:Brufen is better for pain
Doctor:brufen can be taken in the dose of 200 mg 2 - 3 times a day
User:acetaminophen tablet
Doctor:You will need just one dose and not two
Doctor:acetaminophen is paracetamol
Doctor:Please do not take it
User:oh..
User:ok
Doctor:Buy brufen from local pharmacy
User:i will get brufen then
Doctor:That is why it was not effective
User:Thanks..will do that doctor
Doctor:yes
Doctor:ok7
User:bye then
Doctor:Take care
Doctor:Bye
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