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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Head And Jaw, Ear Pain, Sensitivity To Touch. Should I Be Concerned?

I have pain on the left side of my head running from the middle of the head down to my jaw. It hurts around the eye, the cheekbone, temple and the upper gum. There is some aching around the ear. This is not a typical pounding headache but a mild ache and extreme sensitivity to touch. Should I be concerned? It started last night while I was sleeping. I rolled over on to the left side and when my pillow touched the side of my head I woke up.
Mon, 4 Feb 2013
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General & Family Physician 's  Response
Hi,
unilateral headache with characteristics you describe could be migraines, but migraines especially for those with typical presentations would be accompanied by nausea, visual disturbances. Other primary headaches like cluster headaches could have same presentations. There is another unlitateral headache, which in your case could be like is temporal arteritis. Its worth consulting and doing an erythrocyte sedimantation, an examination that measures the degree of chronic inflammation. Raised levels could be suggestive of temporal arteritis and appropriate treatment given.
A consultation with a neurologist could be of help in clarifying whether its a primary or secondary headache, and maybe some other blood or morphological tests. Some of these diseases like temporal arteritis if left undiagnosed, in some rare cases could rapidly evolve into blindness if the optic nerve gets involved.
Its a matter of urgency to get a neurologist consult you.
Hope this helps,
Thanks and best regards,
Luchuo, MD.
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Pain In Head And Jaw, Ear Pain, Sensitivity To Touch. Should I Be Concerned?

Hi, unilateral headache with characteristics you describe could be migraines, but migraines especially for those with typical presentations would be accompanied by nausea, visual disturbances. Other primary headaches like cluster headaches could have same presentations. There is another unlitateral headache, which in your case could be like is temporal arteritis. Its worth consulting and doing an erythrocyte sedimantation, an examination that measures the degree of chronic inflammation. Raised levels could be suggestive of temporal arteritis and appropriate treatment given. A consultation with a neurologist could be of help in clarifying whether its a primary or secondary headache, and maybe some other blood or morphological tests. Some of these diseases like temporal arteritis if left undiagnosed, in some rare cases could rapidly evolve into blindness if the optic nerve gets involved. Its a matter of urgency to get a neurologist consult you. Hope this helps, Thanks and best regards, Luchuo, MD.