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How Should Severe Head Congestion, Nausea Leading To Vomiting Along With Right Side Had Pain Every Morning Be Medically Addressed?

Posted on Fri, 30 Apr 2021

Question: Husband has severe head congestion when he first gets up in the morning. Head is clear overnight but actually throws up and has pain on right side of head in the am. Has had 2 ct scans and both show nothing.

Answered by Dr. Neeraj Kumar (19 minutes later)

Brief Answer:
Get evaluated by a neurologist

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
Unilateral headache with normal CT at this age can be due to giant cell arteritis, primary headache or sinus related headache.
Get an ESR testing.
Any history of visual loss?
Any snoring while sleeping?
Any fever?
Any sleep disturbances?
Amitriptyline or sertraline can be taken in night.
Evaluation by a neurologist will be helpful.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (2 hours later)

Could all the secretions be caused by sinus/ allergies, even though ct scan showed clear sinus cavities?

Also air conditioning makes him feel worse

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Allergic rhinitis may be a possibility

Detailed Answer:
Hello,
Allergic rhinitis may have secretions aggravated by cold and dust.
Sinus may be normal too.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Raju A.T