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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache

I ve had a head ache for days I m getting sicker can t get rid of headace had a stroke in 2008 my bp just 112/75 but my pulse keeps riding an it s 103 An I m laying in the bed I was told I have some blockage in my neck last week too by the heart dr but not enough for a stint at that time im so sick sweating nauseated head killing me can t get no relief worried abt pulse
Fri, 27 Feb 2015
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Neurologist,  's  Response
Hello dear,
Thanks for being on healthcaremagic.com.If you would have presented to me as an outpatient,I would have made the following clinical explanation-
Although you are a patient of an old stroke with some carotid artery stenosis,but a severe headache episode may be unrelated.If you have had similar headache episode previously also,then it may be a case of primary headache like migraine(associated nausea is a point in favour).And it is worth mentioning here that in setting of a background of stroke,secondary cause of headache has to be ruled out if it is a recent onset headache and you did not have any such headache episode previously.Please answer the following questions so that I can answer your query well-
1)Is this a recent onset headache or you had similar episode in the past?
2)What is the duration of headache?For how many days you are having?
3)Is it on one side of head or both sides?
4)Does the headache increase on exposure to light or sound?
5)Is the headache associated with speech change,facial deviation or eye movement abnormalities.
Please ask a follow-up question with details so that I can answer your query better.I hope it helps.
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Suggest Treatment For Headache

Hello dear, Thanks for being on healthcaremagic.com.If you would have presented to me as an outpatient,I would have made the following clinical explanation- Although you are a patient of an old stroke with some carotid artery stenosis,but a severe headache episode may be unrelated.If you have had similar headache episode previously also,then it may be a case of primary headache like migraine(associated nausea is a point in favour).And it is worth mentioning here that in setting of a background of stroke,secondary cause of headache has to be ruled out if it is a recent onset headache and you did not have any such headache episode previously.Please answer the following questions so that I can answer your query well- 1)Is this a recent onset headache or you had similar episode in the past? 2)What is the duration of headache?For how many days you are having? 3)Is it on one side of head or both sides? 4)Does the headache increase on exposure to light or sound? 5)Is the headache associated with speech change,facial deviation or eye movement abnormalities. Please ask a follow-up question with details so that I can answer your query better.I hope it helps.