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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Causes Of Severe Prolonging Headache?

I suffer from headache on side of the head. Have severe to most severe pain over my temple and eye balls. Some times this pain also goes downward to the neck on both sides. The pain gradually increases and at times become unbearable. During the pain the condition is such that I cannot utter words properly and body and hands tremble. Feel very weak and seems that pressure goes down the normal level. Like darkness and soundless environment. This problem is persisting from my younghood. Please suggest the line of treatment.
Mon, 16 May 2016
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Neurologist, Surgical 's  Response
Hi, thanks for asking from HCM.


I can understand your concern. Headache of long duration is usually primary headache. It means it is not due to some lesion or trauma.

Your description of headache suggests that it could be any of below

: Atypical Migraine
: Tension headache

Both can present with similar features but pain in migraine is severe throbbing like, occurs in episodes while in tension headache, it is dull aching, gives band like sensation around forehead, may occur around eyes/neck/back of head.

You can correlate your features and suspect any of above. Further confirmation requires consultation. The doctor will advise investigation
: Visual examination
: Blood pressure check up to rule out hypertension
: CT or MRI of brain to rule out possibility of lesion. It is unlikely in your case but still it is needed to clear any doubt.
: If still diagnostic uncertainty, blood investigation like hemoglobin to rule out anemia.

After confirmation, it can be treated. Meanwhile at home, you can follow few tips like
: Bed rest
: Maintain 8 hour sleep routine
: Avoid mental stress
: Yoga or meditation
: You can take Tab Paracetamol or Diclofenac after proper prescription
: Head Massage
: Avoid bright light, noisy surrounding and any precipitating factor
: Consult family or friends if any problem.

Hope it will help you.

Thanks. Take care
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What Are The Causes Of Severe Prolonging Headache?

Hi, thanks for asking from HCM. I can understand your concern. Headache of long duration is usually primary headache. It means it is not due to some lesion or trauma. Your description of headache suggests that it could be any of below : Atypical Migraine : Tension headache Both can present with similar features but pain in migraine is severe throbbing like, occurs in episodes while in tension headache, it is dull aching, gives band like sensation around forehead, may occur around eyes/neck/back of head. You can correlate your features and suspect any of above. Further confirmation requires consultation. The doctor will advise investigation : Visual examination : Blood pressure check up to rule out hypertension : CT or MRI of brain to rule out possibility of lesion. It is unlikely in your case but still it is needed to clear any doubt. : If still diagnostic uncertainty, blood investigation like hemoglobin to rule out anemia. After confirmation, it can be treated. Meanwhile at home, you can follow few tips like : Bed rest : Maintain 8 hour sleep routine : Avoid mental stress : Yoga or meditation : You can take Tab Paracetamol or Diclofenac after proper prescription : Head Massage : Avoid bright light, noisy surrounding and any precipitating factor : Consult family or friends if any problem. Hope it will help you. Thanks. Take care