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Cause of headaches in the lower back portion of head - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
Doctor :   Hi
User :   Hello
Doctor :
Doctor :   Please post your query
User :   I am having horrible headaches that last all day for the past few months. It is mainly in the back lower part of my head. Sometimes around the eyes. I have been in bed all day today and yesterday. Do you know what might be causing this?
Doctor :   May i know your age and gender?
User :   I am 25 year old female
Doctor :   Are on any treatment?
Doctor :   Do you have high blood pressure?
User :   No the only medication I am on is mirena-IUC no high blood pressure
Doctor :   Did you have any history of migraine?
User :   no I used to hardly ever get headaches and if I did they were ones I could sleep off
Doctor :   Do you have any lack of sleep?
User :   no I can sleep okay...
Doctor :   What job are you doing?
Doctor :   is there any sudden change in your routine?
User :   I am mainly stay at home mom. I babysit in the home and sometimes work for a chiropractor
Doctor :   Since when you are on mirena?
Doctor :   ok
User :   No change in routine. I have been on mirena for about 2 1/2 years
Doctor :   ok
Doctor :   Did you use glasses?
User :   I have headache problems for the last year or maybe longer...also started having other problems since mirena.
User :   I wear glasses yes
Doctor :   do you have regular eye checkups?
Doctor :   when was your last check up?
User :   Yes, I had my last eye check up in may 2009. I am planning to go back this fall
Doctor :   Thats good
Doctor :   Do you take alcohol?
User :   no
Doctor :   ok
Doctor :   Tension headaches are the most common type of primary headache; as many as 90% of adults have had or will have tension headaches. Tension headaches are more common among women than men....
Doctor :   Do you feel like vomiting or numbness when you have headache?
Doctor :   Secondary headaches are those that are due to an underlying structural problem in the head or neck.
Doctor :   While tension headaches are the most frequently occurring type of headache, their cause is not known. The most likely cause is contraction of the muscles that cover the skull.
Doctor :   Tension headaches occur because of physical or emotional stress placed on the body.
User :   I don't feel like vomiting but I do feel numbness sometimes after having headache for a while
Doctor :   ok
Doctor :   Tumors or growth in brain can cause headaches with vomiting...
Doctor :   Physical stress that may cause tension headaches include difficult and prolonged manual labor, or sitting at a desk or computer for long periods of time ....
Doctor :   Tension headaches will not have nausea but a numbness only
Doctor :   The physical examination is important in tension headaches because it has to be normal to make the diagnosis.
User :   I get what seems like may be possible anxiety or panic sometimes...would this possible cause the headaches. I sometimes have trouble breathing and swallowing and my neck feels tight. I didn't start getting those until after mirena also.
Doctor :   it is not life-threatening, a tension headache
User :   What type of physical examination?
Doctor :   Head and neck examination
Doctor :   then eye checkups
Doctor :   with an ophthlmoscope
User :   Is it common for tension headaches to last all day every day for so long?
Doctor :   you can try some relaxation excersises first
User :   It also hurts to the touch but it's weird because if I push back of head against the wall it makes it feel better
Doctor :   ok
Doctor :   and some times an MRI of head will be required to rule out any brain disease
Doctor :   The patient history and physical examination provide the best means for determining the cause of secondary headache
Doctor :   Tests that may be useful in making the diagnosis of the underlying disease causing headaches include: Doctor :   * blood tests,

* computerized tomography (CT Scan),

* magnetic resonance imaging (MRI) scans of the head, and

* lumbar puncture.

User :   Do you think if I go to the Doctor they would recommend something like that or would they not bother with it?
Doctor :   your history and examination will decide
User :   I have gotten adjustments from chiropractor but they seem to make it worse at times
Doctor :   but i feel you need only some excercises and some minor pain killers first
User :   I had a bad headache before and my neck was really cramped up that time and I went to the Dr and they gave me a shot of toradol.
Doctor :   ok
User :   that was this spring
Doctor :   Did they take xray cervcal spine
User :   no she just felt around on my head and neck and then she moved it side to side really fast and was going to try and adjust but it hurt so bad. then she said she was sure it was muscular-skeletal and gave me the shot.
Doctor :   ok
Doctor :   Try some simple analgesics ,get an eye checkups soon
Doctor :   and some relaxation excersise
User :   Okay thank you so much I appreciate it.
Doctor :   Is there anything else i can help you with?
Doctor :   Thanks for consulting..Bye for now....
Doctor :   Take care...
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