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Suffering with frequent headache. Could not sleep. What could be the cause? - Online Doctor Chats

Date : 10-Jun-2013
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:Last night I had a pain in the back side of my head... it was very bad. I tried some options like balm etc but did not work. So finally I toll a SERIDON, it didnot work till late then I took another tablet of the same and finally could sleep. I am not sure what problem is it. But is this really a problem or I should really do worry about it.
User:Hi Doc
Doctor:Did you have any other symptoms along with it - such as nausea, vomiting?
User:I have written the question
Doctor:Did you wake up with this headache?
User:No, in morning it was quite normal...
User:I am doing my regular stuff...
User:i only notice one thing, some dizzyness throughout the day, might be bacause of improper sleep
Doctor:I mean did you get up from a sound sleep with the headache or you had this ache before you went to sleep?
User:i had since evening... so I could not sleep till 2AM in night
User:After second tablet, I could sleep.
Doctor:Were you having fever?
Doctor:Any nasal congestion, running nose, sorethroat?
User:my wife said little fever..
User:nothing else
Doctor:How are you feeling now?
Doctor:Have you had similar headaches in the past?
Doctor:Do you suffer with frequent headaches?
User:2-3 times in last 4-5 months
Doctor:Let me brief you.
Doctor:The cause of headache can be confirmed only by clinical examination and investigations. However based on the details provided,
Doctor:you probably may have had an aggravation of previous known chronic headaches.
Doctor:Stress and tension are one of the cause of chronic headache
Doctor:Migraine is another cause of chronic headache.
Doctor:Apart from this any infections can cause worsening of headaches.
User:Stress can be... it seems I was too much engaged yesterday
Doctor:What ever the cause is, if you are alright now, then it does not need any treatment now.
User:What kind of examination needed forme?
User:if any?
Doctor:However if these headaches are very recurring and troubling you, I would suggest you to consult a neurologist.
Doctor:He/she can examine your nerves, look at your fundus and consider the options of blood test and CT scan.
Doctor:he/she can also suggest prophylactic daily medicines to prevent such episodes in future.
Doctor:Have you followed?
User:OK, I was diagnosed with minor spondlysis approx 3 yrs back... with that also can affect..?
Doctor:Cervical spondylosis can influence the problem, but I think our main problem is chronic recurring headache.
User:yes.. so if I again have such problem, its better to visit to a neurologist..
Doctor:Without proper lifestyle and measures to counter stress can produce similar attacks in future; unless you are on preventive medications.
Doctor:A visit to neurologist is recommended if the episodes of headache are severe and recurring very frequently.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:Definitely I will. Can you suggest me any medicine other then SERIDON, which can be taken in such pain?
Doctor:Wide variety of medications are available to treat acute worsening.
User:I generally afraid of medicine, please suggest me one which can be taken if the condition is worst.
Doctor:Starting from simple paracetamol (Tab. Dolo 650 mg) to ibuprofen to prescription analgesics like diclofenal to triptans like sumatriptan are available for treating such headaches.
Doctor:Usually one of the medications works every time in most patients.
Doctor:You can work with your nearby doctor/neurologist and choose the right medications without side effects for future use.
Doctor:Have you followed?
User:OK, thanks a lot..
Doctor:Do you have any doubts?
User:No, thanks
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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