Brief Answer:
Post Prandial Hypoglycemia or Post Prandial Hypotension or Prolactinoma

Detailed Answer:
Hi,

Welcome to HealthCareMagic.com I am Dr.Bruno Mascarenhas, and I am happy to answer your queries. I have ready your question with care and understand that you get an episode of headache after lunch which starts from the back of head (on top of neck) and starts spreading through side of the head.

Such types are headaches are commonly seen in three conditions

(1) Post Prandial Hypoglycemia or Reactive Hypoglycemia : In this condition, because of some problem in functioning of pancreas, there is a high level of insulin output following meals and hence Glucose Level Abruptly goes down in the Blood. This causes Headache

(2) Post Prandial Hypotension : In this condition, there is sudden fall in Blood Pressure after meals. This causes Headache

(3) Prolactinoma : This condition sometimes presents with Recurrent cluster-like headaches induced by meals

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How to Investigate / Diagnose / Find Out
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(1) Fasting Blood Sugar, Post Prandial Blood Sugar, and Glucose Tolerance Tests will help to find whether you are diabetic or have Post Prandial Hypoglycemia or Reactive Hypoglycemia

(2) Measuring the Blood Pressure after Lunch will help in identifying Post Prandial Hypotension

(3) MRI Brain, Plain and Contrast, along with Hormonal Profile will help in identifying Prolactinoma
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How to Treat
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(1) Post Prandial Hypoglycemia or Reactive Hypoglycemia will have to be managed by a Diabetologist / General Physicians - With Life Style Modifications, Exercises, Diet Control, Tablets, Insulin etc

(2) Post Prandial Hypotension will have to be managed by a Cardiologist, General Physicians

(3) Prolactinoma will have to be managed by a Neurosurgeon with Tab. Cabergoline. This drug has been known to dramatically cure the headache

Hope you found the answers helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.

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Brief Answer:
You are Welcome ! I am waiting for the Followup

Detailed Answer:
Dear Sir

You are Welcome !

I am waiting for the Followup

Take care.

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