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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Throbbing Pain In The Temple, Blurry Eyes. History Of Migraines And Headaches. Need Remedy

I have a throbbing pain in my left temple, though it is more in my eye. It started yesterday but it got worse today. I have taken ibprofen and advil , neither of which have helped at all. I also laid down with ice on it, but that didn t make too much of a difference. If I move, my eye gets kind of blurry. If I bend over, I feel extremely wobbly and nauteous. The lights make everything worse, but so does closing my eyes. When I drink water, it seems to feel better for that moment, but as soon as I stop, it goes away. I know I m not dehydrated because I was asleep and before I went to bed, I had a glass of water and a glass of juice. I have headaches and migraines often, but none to this extene. I feel like someone is pulling at the back of my eye and then running their claw-like nails down my vein . Is there something that will make this better??
Mon, 4 Feb 2013
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Neurologist,  's  Response

Hello,
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, propranolol etc
If cluster headache: you may benefit with course of steroid and then verapamil
Your doctor will guide you
Hope this helps
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Throbbing Pain In The Temple, Blurry Eyes. History Of Migraines And Headaches. Need Remedy

Hello, 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, propranolol etc If cluster headache: you may benefit with course of steroid and then verapamil Your doctor will guide you Hope this helps