Thanks for posting this query in HCM.
Let me tell you that headache can be due to many causes like brain infection, brain tumor
, problem in the blood vessels of brain, migraine, sinusitis, cluster headache
. Rarely a patient can have headache due to two or more causes.
I have noted your data.
The possibilities are
1. Migraine 2. Cluster headache
You need to be interviewed by a neurologist
and get examined. Note that these two diagnoses are established only after excluding other possibility that I have listed above. The interview and clinical examination will tell us if you need a brain scan.
It is important to differentiate between these conditions as the treatments are different
If it is migraine, you have to follow the following steps
1. Avoid stress; try to identify the precipitating factor like stress, perfumes, and coffee, chocolate etc. Do regular exercises.
2. during acute attack: you may take simple analgesics or triptan group of drugs.
3. Chronic phase: drugs which are helpful are valproate, topiramete, amitriptyline
If cluster headache: you may benefit with course of steroid and then verapamil
Your doctor will guide you
Hope this helps