Brief Answer:
May be generalized viral infection.....or may be a primary type of headache

Detailed Answer:
Good afternoon. Very sorry to hear that you're having these sorts of issues and at work yet. Sounds as if you are suffering from a potential viral illness. My guess is that things were pretty normal in the days before this all started...just a guess...but you really didn't specify...so possibly some was going on beforehand to herald these symptoms as well....you'd know. However, your symptoms of rather dense fatigue, muscle aches of a generalized nature, inability to concentrate or function well at work, ...again, not specified except to the extent that usually people make it a point to tell doctors when they have significant fevers. I'm also concerned that you may be overusing your OTC analgesics since there are at least 3. It doesn't really matter that you are "alternating" or not....not sure why people have the notion that in some way taking different medications on different days is OK...while taking the same medication is closer to "taking too much" when it comes to headache treatment. I will not recommend the use of OTC medications that exceeds 15 DOSES of per month when treating either an acute or even chronic headache. More than that number can result in MEDICATION OVERUSE HEADACHE (MOH) which means that the use of pain medication which is OTC in excess of that parameter risks causing even more frequent and/or more intense headaches which become even more difficult to treat if the medications are not stopped. When it comes to prescription medications such as Imitrex, Maxalt, Zomig, Midrin, and similar antimigraine drugs then, that number of 15 DOSES/month is reduced to 10 DOSES/month in order to avoid MOH.

Therefore, if you are not interested in going to the ER to treat this headache or do any type of bloodwork (which I think might be a good idea) then, my recommendation would be that of any viral illness. Drink so much water almost that you'll literally think that you and ocean are ONE! :) I would check the number of doses of OTC's and limit their use so that you are not using any more than TWO doses daily of any particular medication but to limit WEEKLY dosing to 4 total....this then, gives you about 16 doses of medication in a month. That is fine for staying within parameters of not going into MOH.

I believe once the virus starts clearing out (based upon great nutrition, great hydration, and REST) your headache will as well....assuming this headache is entirely out of the blue and caused by the ill state of your body as you've described. If, on the other hand, you are actually someone who has a baseline of headaches or who has had a history of migraine or migraine like headaches who has had a respite for some time....but now, at age 60 things are recrudescing then, that's a separate problem and you should immediately seek out a HEADACHE SPECIALIST because your headache condition may actually be looking to set up shop again inside you because of what is known as the DOUBLE BELL SHAPED CURVE for migraine headaches.

Of course, please keep in mind that you've listed very little history so your picture may be more complicated than the information I have...but....this response I believe is of some short term benefit even if there is still information I'm unaware of that could be relevant to the case.

If I've satisfactorily addressed your questions could you do me the kindest of favors by CLOSING THIS QUERY and be sure to include some fine words of feedback on your opinion as to our transaction?

Many thanks for posing your question to our attention on this network and do not forget to recontact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 38 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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Brief Answer:
Been there and done that-- My condolences

Detailed Answer:
My dear sweet lady- I am so sorry that you experienced the LONG ANSWER VAPORIZING MONSTER on this network. I can't tell you how many times I've had the same happen to me.....and I'll bet it wasn't even a button you pushed to accidentally and catastrophically/cataclysmically wipe everything out....No...you did what I've done MANY MANY times on this network which was to spend a full hour or longer synthesizing, editing, dressing up, buffing, polishing, and poetically paraphrasing and grooming your response so that it became the most perfect piece of literature you could possibly make...and to think....this WASN'T EVEN HOMEWORK that had to be turned in or one of those horrible ENGLISH papers that had to be completed and compiled after a 3 day holiday when nobody else in school, Nay! The World!- had homework except you! No, this was a true, comment, question, and otherwise, response to a serious and medically relevant, and necessary response given to you by someone who was at the literal northern most pole to your geographical geodesic existential point of persona as we were completing a cycle of communication in such a courteous yet colloquial environment......when KABLAM! out of nowhere you hit the SUBMIT button only find yourself waving "farethee well" to the doomed passengers of the Titantic as they sailed unknowingly into their fate....as your response went launching forward in proton packets of near XXXXXXX energy to a server but would be as well vanishing into a vortex of Bermudian Triangular proportions! It has happened to moi dear lady.....to be sure.....not once, not twice, not even thrice.....but all too many uncountable and unspeakable numbers of times.....and to no avail as the propagators, establishers, and maintainers of this network have yet to address said digital damnation. My apologies sweet lady....but many thanks indeed for your blessings....they were heartfelt all the same in the fewest words possible......Perhaps, we can hope that following all of the ecstatic brain power you expended reading not only yours by my treatise as well....that whatever uninvited guests of viral persuasion or metabolic distastes were occupying your body would've been spirited from your spatial form as a bird dog gives chase to dangerous foul on a runway so that vehicles of the sky may fly, land, and separate from Terra Firma with the greatest and safest of ease. We can only hope that your brain's exquisite and natural circuitries of electrochemical energy and electricity surgically though surreptitiously vanquished the enemy who has been trying to keep you from enjoying your life, your kind, your righteous place of dignity in the universe. My guess is that if indeed viral or if metabolic derangements be at odds with your person's natural order that by tomorrow or at worst a fortnight from whence turmoil turned the key to your being that things will have once again found the calm delight of when once you were whole. One possible deed of pharmacological wonder that your personal healer may wish to consider...though only an anecdotal shot in the dark at best would be an agent named AMANTADINE or SYMMETREL which was originally designed as an antiviral but came to be used for other less pointed but as equally comforting tasks....however, it may indeed be exactly what the doctor ordered. At 100mg. TWICE daily...it has some fabulous properties that can wrestle and be victorious over viral processes whilst increasing the body's stores of energies and rejuvenation powers so as reduce a fortnight to a mere twilight of time....AMANTADINE, 100 mg. twice daily for 10 days which is what I typically encourage my good patients to engage and embrace.

Be well dear patient.....the prose has been personified for the 2 of us....and its worth is felt.....I am copying this page... in the event...there should be such similar circumstances....all the best mum....all the best!

Please do not forget to let me know how you're navigating the days and nights within no less than 7 risings and settings of the sun....especially if you find the method of taking AMANTADINE.....

Please write me at: www.bit.ly/drdariushsaghafi

All the Best.......Every bit the Best!

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Brief Answer:
Refreshing

Detailed Answer:
Dearest young lady......many thanks for YOUR REFRESHING response....I was a bit hesitant that perhaps you may find my off the cuff...yet serious comments perhaps a smidge too progressive! LOL......While I was writing that little ditty to you....and in fact, now....I was listening to an original version of STAIRWAY TO HEAVEN....I believe the live XXXXXXX Square Garden performance in 1973 or thereabouts.....I had just finished reading about How Little We actually know about why XXXXXXX Plant wrote the lyrics as he did... XXXXXXX Page apparently doesn't know either except for the fact that he thought they were brilliant and right in line with how he had envisioned the music should be composed, and the effect he was looking for in its performance......pretty cool.....maybe that was my inspiration? Perhaps, you recently were inquiring as to that Staircase to Heaven that's in the Window for Sale? LOL! So glad you found the recommendations of potential value....now, word of caution....if things are getting better....or if by today things have resolved....then, it may be most prudent to hold off on anything...let nature find her own balance point by just treating yourself to lots of fluids, good nutrition, exercise as tolerated...and see where things land in a few days. If your symptoms, however, persist...then, time to implement Plan B (not the contraceptive! ;) ) but then, we may press ahead with medication and other things to think about....make sense? And what sort of work is it that you do....and HOW HOT is it down in Arkansas...if that's where you are? I was invited down to XXXXXXX LA 2 summers ago to perform in the XXXXXXX Music Festival....we did the Brahms Horn Trio in E-flat major....unbelievable work...perhaps you've heard it? Perhaps, one of the most beautiful and alluring pieces for chamber group trio in the literature......but oh my, XXXXXXX in June!! It was so hot.....I wanted to jump in that Red River....Formal Tux and all...of course, the violin would be maintained clutched above the water line.....but whoa.... XXXXXXX ain't got that kind of heat.....no ma'am.....cheers my dear....be well....

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