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Suggest Treatment For Severe And Persistent Headaches

Posted on Mon, 20 Jul 2015

Question: I used to face lot of most of the times and sometimes cold along with that. For last 2-3days lot of headache day before yesterday headache was on back part of head but from yesterday pain comes to forehead and just unbearable type pain. Along with that having cold as well. Headache issue occurs most of the time throughout year with me sometime with cold or without cold. kindly suggest me what should I do.

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Please tell a few details-

Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

If you would have presented to me as an outpatient with this medical history,I would have asked you the following details in order to answer your query well-
1)Is headache precipitated by stress?
2)Is it associated/precipitated with some other trigger factors like tea,coffee,cheese,chocolate,smoke,bright light or sound?
3)Does it get relieved with sleep?
4)Is it associated nausea or vomiting?
5)Does it increase on exposure to light or sound?
6)Any vision problems?
7)Any other medical history?

Please tell me the above details in the follow-up query.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (6 minutes later)

Please find below comments

1)Is headache precipitated by stress? Yes, little bit family stress
2)Is it associated/precipitated with some other trigger factors like tea,coffee,cheese,chocolate,smoke,bright light or sound? No, my wife doesn't addicted to tea/coffee etc.
3)Does it get relieved with sleep? Yes sometimes.
4)Is it associated nausea or vomiting? No, only cold happens sometimes along with this.
5)Does it increase on exposure to light or sound? Yes sometimes
6)Any vision problems? little bit
7)Any other medical history? No medical history, have baby boy of 7months.

Answered by Dr. Ajay Panwar (11 minutes later)

Brief Answer:
Tension type headache/ENT checkup.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up and providing details.

My clinical impression of your wife's headache is that she is likely having 'Tension type Headache'.It appears to have some migrainous features as well.

Plan of management-
1)Regular mental relaxation exercises/meditation/pranayama.
2)Tab.amitriptyline(Tryptomer) 10 mg once a day at bedtime.
3)Tab.Naproxen 250 mg(post meal) sos(at the time of severe headache).

Amitriptyline is a good medicine which takes care of Tension type headache as well as Migrainous headache.It has a preventive role.

If your wife does not respond to amitriptyline,she should undergo a brain imaging like CECT Head or MRI Brain,to see if there is any underlying pathology in the brain.

In the background of association with cold,please get her evaluated by an ENT specialist as well, for sinus related problems.

Please follow-up and tell about the response to medicines.

PLEASE TAKE ALL MEDICINES UNDER A PHYSICIAN'S GUIDANCE ONLY.

Hope that I have answered your query for now.If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (14 minutes later)

Thanks for your suggestion, I am thinking to take her to specialist who can properly diagnose issue and then start treatment, can you please suggest to which kind of specialist I should visit Medicine/Neurology or some other.

Answered by Dr. Ajay Panwar (7 minutes later)

Brief Answer:
Neurologist.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

You should take her to a Neurologist.

Please rate the thread and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (3 minutes later)

Nice Conversation got satisfactory answer.

Answered by Dr. Ajay Panwar (0 minute later)

Brief Answer:
Thanks for appreciation.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up and appreciating.

Please rate the thread and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar