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Suffering from severe headaches. Not cured by medicine. What is the problem?

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Pediatrician
Practicing since : 1976
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Hi,My daughter is about 14 years of age.She is suffering from severe headaches from the last week .She is undergoing treatment from her child specialist who had asked us to consult a psychrist.She is taking medication for the same but the condition is not improving.She has been prescribed Sensival tablets (.25mg) and Hefenac-P twice a day.
However there does not seem to be any improvement in her health.The headaches are still there and she has of late feeling nauseous and has fainted a couple of times.
Posted Tue, 9 Oct 2012 in Headache and Migraines
 
 
Answered by Dr. Rajiv K Khandelwal 1 hour later
Dear,

Thanks for posting your query and uploading the reports. I have seen it and there is nothing abnormal in the report.

Your daughter is having headaches for 1 week now and she has nausea feeling and has fainted a couple of times. I have reviewed the routine reports. I would like to have some additional information:

1. How long do the headaches last and how does she get relief? Is the headache constant?
2. Any low-grade fever?
3. Any stiffness of the neck?
4. Any history of fever, sore throat, etc. in the recent past?

It is quite unlikely that your daughter requires psychiatric treatment. She should be re-examined by the pediatrician/neurologist, which should include a fundus examination and further investigations. There can be a number of reasons for these symptoms and it would not be possible to enumerate them. However, the follow-up with the doctors should make the diagnosis clearer.

I hope I have provided guidance to your satisfaction and wish all the best to your daughter.

Regards,

RKK
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Follow-up: Suffering from severe headaches. Not cured by medicine. What is the problem? 2 hours later
Inspite of taking medication there is no relief.I had visitedthe family physician today and he has prescribed deworming medicines.He has also recommended that she under go a CT scan .
 
 
Answered by Dr. Rajiv K Khandelwal 13 minutes later
Hi,

Thank you for the feedback.

I would have appreciated the additional information that I had requested. However, as the doctor has advised a CT scan and deworming medicines, it is advisable to get the CT done at the earliest so that the diagnosis is clinched sooner than later. Please discuss with your doctor and, if required, get a neurologist's opinion.

I hope I have provided guidance to your satisfaction.

Wishing your daughter a speedy recovery.

Regards,

RKK
Above answer was peer-reviewed by
 
Follow-up: Suffering from severe headaches. Not cured by medicine. What is the problem? 2 hours later
Dear Dr,Sorry to bother you again.to answer your queries
i)The headaches are constant.the pain is always there inspite of the medication.
ii)She does not have any fever .
iii)yes she has stiffness but only a little
iv)she had fever a month ago
I have also done another test the report I received now.
The test was for 25(OH) VIT D the result was 7.82 ng/ml
Thanking you for your advice and patience
Regards,
XXXXXX
 
 
Answered by Dr. Rajiv K Khandelwal 13 minutes later
Dear,

Thank you for the inputs.

With the history of fever a month back and now headache, stiffness of neck, I would suggest that you get her re-examined by the doctor/neurologist. Get the fundus examined, CT scan done and if need be get her hospitalized for further management.

Wishing your daughter all the best...

Regards,

RKK
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