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Non-stop headache along with neck pain, nausea, photophobia, uncontrollable crying, buzzing/pulsing on the left side of head. Permanent relief ?

I m AAAA , I live in Texas and I m 17. I ve been suffering from the worst non-stop headache of my life, along with neck pain , nausea , photophobia , uncontrollable crying, buzzing/pulsing on the left side of my head and I just continue to feel worse. I ve been to the emergency room twice because my dad doesn t have insurance and we can t afford a doctor. They told me I have a tension headache but I m convinced otherwise. It s gotten so bad, I don t even feel like myself. I ve tried everything that s supposed to help a tension headache, like meditation , heating pads, pain medication, ice, etc. I don t know how much longer I can handle this, please help.
Asked On : Wed, 13 Feb 2013
Answers:  2 Views:  96
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Neurologist 's  Response

Thanks for your query

Let me tell you that there are many causes of headache like migraine, cluster headache, tension headache, brain tumor/infection and so on. Note that migraine and tension headache are dianoses of exclusion, i mean the secondary causes need exclusion.

The cause of headache can be confirmed after an assessment by a neurologist which may/may not include scan. I think there is a strong possibility of migraine. If it turns out to be migraine,

You will benefit with

1. Acute attack: sumatriptan nasal spray, analgesics etc. Learn to avoid stress, lack of sleep, changes of food habit. Avoid coffee

2. Chronic treatment: one of the medicines _ valproate, topiramate, amitriptyline, propranolol may help

Your neurolgist will help guide you select a proper drug for you

Best wishes
Answered: Wed, 13 Feb 2013
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General & Family Physician Dr. Gustav Gous's  Response
With a headache combined with neck pain one must consider infections of the nervous system . You need to see a doctor who can perform a lumber puncture on you and if that is clear a CT scan. If it is an infective agent this is urgent. An EEG may also help to exclude migraine. Please get to ER as soon as possible and discuss this with them.
Answered: Thu, 14 Feb 2013
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