constant headache causing stiff neck and body aches - Online Doctor Chats
Doctor : Hi
User : hi
How can i help you?
User : ive had a bad constant headache with no nasal stuffiness but a low grade fever of 99.8 to 100 only in the evenings and stiff neck and body aches?
User : ive been on and off antibiodics and i felt good no headaches but as soon as im done with them i feel horrible again?
User : 3 courses of amoxicillian since july
User : any ideas?
Doctor : is your headache because of sinusitis?
User : i have post nasal drip at night but no stuffiness, pain in my frontal sinuses
was any investigation done?
User : ok i paid and im back are you still hre
Doctor : hi
Doctor : yes
Doctor : was any investigation done?
User : after the third doc visit they just put me on amoxi/clav 875 twice a day
Doctor : ok
User : they thought maybe the amoxicilian 1500mg a day wasnt working
Doctor : amox is antibiotic, given to treat infection
User : yep
you have frontal sinus pain
and post nasal drip
indicating sinus etiology
User : right behind the eyes, and in the eyebrow area sometimes my eyes are puffy when i wake up
User : in the am
Doctor : ok
User : post nasal drip only at night when i sleep probably why i have a sore throat in the am
User : but if i have sinus issues shouldnt i have a stuffy nose with discharge?
Doctor : need not be
cos it depends on which sinus is affected?
User : by the eyebrows is it the frontal sinus right?
Doctor : yeah
User : why wouldnt 3 rounds of antibodics work?
User : its just hard for me to make a doc appt when i dont have phsyical syptoms they can see
Doctor : sinuses are hollow spaces in the skull bone. the blood supply is not that great
so the availability of the antibiotica at the sinuses is low
User : they tend to just blow you off...hense the heres the antibodics for the 3rd time in a row
User : can you have a sinus infection with a low grade fever only in the evening? and the body aches?
Doctor : yes
it can happen
it is a chronic sinusitis
User : in the past sudefed works but it does nothing anymore...
User : can it make your neck stiff too?
Doctor : yes the chronic sinusitis can result in stiff neck
Doctor : it is very clear from your history that the headache and prostration is because of sinusitis
why dont you go for a defenitive treatment
User : im trying to finish my last semester of nursing school and having aches and a constant headache with pain is too much :)
User : even with no visible symptoms?
Doctor : ok
constant headache is a serious symptom right
User : yep
it needs an evulation of the sinuses
User : point taken...they say the medical profession is the worst patient
User : thanks for your advice... i will try to make an appointment and will make them evaluate the sinuses instead of sending me out the door withe more antibidoics, what is a normal treatment for this type of chronic sinusits?
User : just so i can go prepared
Doctor : you need an invistegation of sinuses
Doctor : it will be the ct scan of sinuses called PNS view
User : ok
also ct of brain may also be required
User : im just afraid nothing will show up and then im stuck with a constant headache and bodaches...
Doctor : ct will show the inflamed sinuses mucosa and the sinus which is responsible for the constant headache
User : interesting...
Doctor : than a decision is made o hoe to proceed
Doctor : mostly an operative procedure is performed to clear the infected sinus mucosa and to facilitate the drainage of sinuses
User : maybe it is a sinus thing since food tastes weird and i have no appetite, sometimes it tastes like metal..
you have the post nasal drip
User : i can tilt my head back and it drains
User : sometimes it tastes bloody..
it is the infected material in the sinus
this needs to be cleared
so most probably you may require surgical intervention
User : if it makes the headache go away i welcome it :)
User : like a pimple being popped relief
User : lol
Doctor : now the indication for higher investigation and surgery is because of this headache
User : yea i agree it makes my eyes water it hurts so bad and it makes me nauseas
User : i cant spell that word
ya i know it is nausea. the bad taste of post nasal drip is causing you this
User : yea its constant...one more quick question woudl any of this have to do with the feeling of the back of my neck feeling sunburnt? its a weird feeling...
User : its not sunburnt
yes the constant drip when you place your head in a particular position is making you to hold your head
in such a position that you avoid the nasal drip
Doctor : this is putting pressure on neck muscles
which is why you have neck strain and back and body ache
User : and joint pain?
User : interesting never thought of that one... good one doctor :)
Doctor : even joints also are strained
User : hmm...
User : well i think i will try and get in next week..
User : thanks so much for your help and answering my many many questions..
User : i really appreicate it!
Doctor : please fill the feed back form
Doctor : is there anything else i can help you with
User : nope all is good thank you and i filled the form out all positive! thanks
Doctor : Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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