What causes severe headache when on treatment for pulmonary artery hypertension? - Online Doctor Chats
Please proceed with your query
Hello Doctor I am XXXX
From the past 2 days she is suffering from severe headache
Which is now leading to her neck and backbone
Is there anything that can be done to reduce the pain doctor?
Is she on medications for PAH?
Bosentas and pulmo pres
Around 9 doctor
Does she have vomiting or fever?
No vomiting and fever doctor
No vomiting and fever doctor
Is it one sided headache or present bilaterally?
Its more central of the head and on the two corners of the eyes doctor
Not of this magnitude doctor
At times she complains of one sided head ache
Let me brief you.
Since headache is very severe, I think she needs medical attention.
This headache may be related to her medicines (bosentan)
Alternatively it may be a worsening of her previous headache or rise in blood pressure.
I am in a way glad she has no other symptoms apart from the headache
but the severity of pain and her back ground history of PAH is concerning.
I suggest that she visits a hospital and gets her blood pressure and neurological signs checked.
Neurological signs meaning doctor?
The doctors can give her analgesics preferably in injectable form and monitors her condition.
Can you please specify the tests doctor
You haven't described any such complaints.
Before proceeding to investigations, the doctor should examine her vital signs (pulse and blood pressure) and then perform a neurological examination.
Investigations may be needed only if necessary.
You can try giving her Tab Dolo 650mg at home and then consider visiting the hospital for further management.
Have you followed what I suggested?
If the pain reduces with the Dolo
would you still suggest to visit the hospital doctor?
Dolo 650mg would reduce the pain to some extent
but I feel it is best to visit the hospital or her treating doctor/
As it was an extremely severe pain, I would want her to be evaluated to make sure serious concerns are addressed.
If it was indeed the effects of medicine, doctor may reconsider his choice of treatment.
Hope it is clear to you.
Do you have any other questions?
Any precautions to be taken doctor
Well, that is something I cannot answer at this point. It may be simple exaggeration of previous headaches or the effects of medicines or may be some other cause.
At this instance my concern would be to know the reason for her headaches.
Management/treatment and precautions to be taken will be based on the cause.
I hope you understand.
Is there any other question?
Sudden burst of anger could be a reason doctor?
Anger and irritability may be due to the severity of pain.
It is unlikely to be the direct cause of pain.
There is a lot of tension that looms on her doctor
Is that a reason?
Like I said tension and anxiety may be related to her medical illness or may be part of her personality.
Okay Thank you doctor
These tension can cause recurrent headaches described as tension headaches.
Will give her some food
then a dolo
This can be a reason for her previous headaches.
and then will take her to a Neurologist
But since you described it more severe than her previous headache, it concerns me and therefore the evaluation.
as her current doctor is busy and gave an appointment for wednesday
Do you have any more questions?
Thats it for now doctor
How many Dolo's can be given
i mean as a course doctor
or just a one time treatment
If needed the tablet can be repeated after 4-6 hours.
Thank you very much Doctor
But I would prefer that you take her to the hospital if the tablet needs to be repeated after 4 hours.
Thanks for visiting me here. Bye for now.
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