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Headache, eye pain and sensitivity, constant pain, head heaviness, imbalance. Causes for symptoms?

Hi, starting last night: i decided to go to bed early, but during the process my head (frontal cortex maybe?) started hurting, much like a headache . It then went to the back of my eyes (they hurt when i move them) and then, much like a migrane it hurt when any light was in the room. I didn t get anymore than 1hrs sleep from this. Now that it is mid day, my head/eyes hurt constantly and when i move my head it feels extremely heavy. Also when i walk i feel unbalanced: not quite vertigo , but i stumble a few times. What could this be?
Asked On : Tue, 12 Jun 2012
Answers:  1 Views:  552
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Internal Medicine Specialist 's  Response
Hello.Your symptoms seem to suggest possibility of migraine.Migraine headaches do not usually respond well to OTC analgesics.Medications to treat migraine headaches are either abortive or prophylactics.

During the onset of headache, some people respond to inhalation of 100% oxygen.Alternative first-line treatment is subcutaneous administration of sumatriptan.

Lidocaine and other topical anesthetics sprayed into the nasal cavity may relieve or stop the pain, normally in a few minutes, but long term use is not suggested due to the side effects and possible damage to the nasal cavities.

Ergot compounds like cafergot have also been effectively used.

Other abortive remedies that work for some include ice, hot showers, cool or lukewarmwater sprayed on the face around the sinus, temple, and ear areas, breathing cold air, application of analgesic balm beneath the nostrils, caffeine, and drinking large amounts of water in the early stages of an attack. Vigorous exercise has been shown in some cases to be very effective in relieving and aborting an acute attack by increasing the levels of oxygen within the body.

Avoid triggers like deprivation of sleep, smoking , alcohol ,bright light , inhalation of strong chemicals etc.

Prophylactic treatment include calcium channel blocker (verapamil),Steroids(prednisolone) ,magnesium sulfate.

Normally with some trial and error both doctor and patient reach most effective treatment in a particular case .

Thank you
Answered: Tue, 12 Jun 2012
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