Brief Answer:
Hormonal imbalance is our likely.

Detailed Answer:
Good evening. My name is Dr. Dariush Saghafi and I am a neurologist from XXXXXXX Ohio. I would like to give you some thoughts on your headaches since I am a headache specialist in the field of neurology. You mentioned that you have been having headaches in the company of hot flashes over the past 24 hours and that your blood pressure has also been running high. your question is whether or not the headaches you are having could be related to the high blood pressure. Furthermore you have been taking hydrocodone medication for these headaches for A back condition for the past 24 hours.

Based upon your age of 52 years old you are likely into the menopausal phase of your life. Hot flashes are certainly indicative of menopausal physiological behavior as well as changes in blood pressure and headaches are also common.

It is felt that the fluctuations in hormones primarily are responsible for the other physiological changes that we see and that headaches are more likely as a result of these types of shifts as a post anything else.

The other feature of your story is that you are apparently taking hydrocodone for a back pain problem. I don't know exactly how long you have been on hydrocodone or how frequently you are taking it but I can tell you as a headache specialist we prefer not to use narcotic medications in the treatment of headaches and that when used in excess of recommended amounts can actually make headaches worse.

The phrase, recommended amounts, does not necessarily refer to the amount which has been prescribed for your back condition because of course, I am sure you are taking your medication as prescribed. Instead, we consider amounts in excess of twice-weekly to be sufficient in order to cause what is referred to as a medication rebound or analgesic overuse type of headache.

However, in your case I imagine you have been taking this medication for a back condition that spans more time than just the past 24 or 48 hours therefore, I would still think that the severe headaches you are having our primarily due to hormonal fluctuations and the menopausal physiological changes that you are experiencing.

My recommendation therefore, is that you connect with a headache specialist who can go over your case and review the history of the headaches you've been having as well as determine whether or not you are in cycles of menopausal exacerbations which may help the doctor decide on the best type of intervention and treatment for your headaches.

If what I have provided you has been helpful I would appreciate your written feedback as well as a star rating of this response. I would also greatly appreciate it if you would close the query in the event you have no further questions or comments. That will signal to the network that the case is ready to be processed, archived, and credited for future reference.

Remember, you can directly send questions to me at a later date by simply looking up my name on the network and addressing your concerns to me. I will be sure to respond to them quickly and look forward to the chance of conversing with you again. (DARIUSH SAGHAFI).

This query required 25 minutes of physician specific time in order to review, research, and document in final draft form for envoy.

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