Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

183 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Getting frequent headache. Not cured by medicine. Proper medication?

Answered by
Dr. Sudhir Kumar


Practicing since :1994

Answered : 5688 Questions

Posted on Wed, 2 Jan 2013 in Headache and Migraines
Question: I am getting headache frequently these days. I am 63 years old and I have been suffering from headache since childhood. But I used to get relief with OTC drugs. Now that is also not effective. Please advice me
Answered by Dr. Sudhir Kumar 11 minutes later

Thank you for posting your query.

The most common cause of long-term headaches, as in your case, is chronic migraine.

If headaches are less frequent (one or two times a month), then, over the counter pain-killer tablets may be all that is required.

But if the headaches are more frequent, as in your case, it may be better to start preventive medication (that reduces the headache frequency). Useful drugs in this category include topiramate, flunarizine and divalproex. Please start one of these medicines after consulting your doctor.

For pain relief, you may use vasograin or Rizatriptan.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sudhir Kumar 51 minutes later
Since I was getting relief with OTC drugs and I do not have any symptoms of migraine I feel it may not be migraine. I have already tried vasogain with no effect. Whenever I get headache I feel a slight inflammation on my forehead where it pains. I have recently undergone MRI of head also and it is clear. Pl suggest me some strong pain killer also.
Answered by Dr. Sudhir Kumar 15 minutes later
Thank you for getting back with more details.

The normal MRI of brain is very reassuring, and it rules out any serious XXXXXXX brain problem.

The other condition to exlcude in your case, especially as your age is 63 (more than 50 years), is temporal arteritis (an inflammation of arteries in scalp). In this condition, ESR (a simple blood test) is elevated. So, please get ESR checked.

For pain relief, you may take TAB. ETORICOXIB (Etoshine), as and when necessary.

Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sudhir Kumar 3 hours later
I have recently undergone master health check and my ESR rate is 06 and my total bilirubin is 1.48. Pl let me know whether I have to consult a neurologist to know about temporal arteritis or any other specialist.
Answered by Dr. Sudhir Kumar 11 minutes later
Thank you for getting back.

As your ESR is normal, there is no need to go to a Neurologist now. Please take the pain killers and see if the headache subsides.

However, if the headache persists, or if you notice short-duration vision problems in one eye (which can occur in temporal arteritis), you should consult a neurologist.

Bilirubin of 1.48 is slightly above normal, but if you do not have any symptoms of liver disease, such as jaundice, poor appetite or right side abdominal pain, it can be ignored.

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication ,  
Lab Tests ,  

Recent questions on  MRI

doctor1 MD

Hi. I am a thirty five year old female with a history of depression. 2 years ago I had a couple of seizure like episodes while still concious but my mri came out normal. I am 5 feet 3 inches tall, weigh 135 lbs and in overall good health.
My concern is I experience body tremors while asleep that wake up my husband. Im not usually aware of this happening since I am deep asleep. I wonder what would cause that. Since the seizure episodes, my hands shake a lot during waking hours when holding my phone or using keys to open a lock. I would like to know what this means. Thanks.

doctor1 MD

My nine month old has unilateral hearing loss and as a result of an MRI we have been told that he has deformities of the semi curricular canals on both the left and right side. I understand the hearing loss and the implications.What I don't understand is what will the likely long term implications be as a result of the semi circular canal deformities. We have been told that he has approximatively have the semi curricular canals on each side

doctor1 MD

yes thank you. My husband a 43 y.o. male has been hospitalized a second time noe within the last 3 months. the first time they DX him with guillian barre syndrome. they treated with IVIG for 5 consecutive days and then he remained in hospital a total of 9 days until he could walk and then was discharged. this time, s/s started the same as before. N/T in bilateral feet that migrated quickly up to knees and then tohips and then to elbows and wrists. Then intense burning ache in the joints that followed the same progression. MRI show lesions in the brain, none in spinal cord or brain stem. Lumbar puncture showed only elevated proteins (67). they checked for lymes, encephalitis, meningitis.ets... The first time in Novenmber he last all pheripheral reflexes. This time they sre dull only at this point. I am concerned that they are missing something. My husband states the pain is 9/10, and the only meds that help are Neurontin and toradol. Narcotocs and muscle relaxers do not help at all. We questioned CIDP, MS, transverse myelitis, and they have no answers. They havedone another MRI of brain and brain stem/ neck area. We do not know the results yet, and they are questioning whether or not to do another lumbar puncture... I have requested west nile test and tey just ignore me...I have been an RN for 24 years as well.

doctor1 MD

My mother is 89 and on hospice care for advanced A.D. she has developed, over past year, an indentation on the top of her skull running left to right about three inches back from the front of the scalp. She has several large nodules on her thyroid, but her endocrinologist declined to pursue with needle biopsy or surgery due to her age and advanced disease, A.D. what do you think could be the cause of the changes in the top of her skull, indentation. She also has had significant loss in brain mass in past 12 years per MRI studies ren years apart.

doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in shoulder, elbow and dorsal side of forearm. Some twitching in wrist and hand.

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing helps. Something does not seem right. My Dr. has released me and says it will take a year to get...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov in my back which seemed to help the pain going down my legs for a couple of weeks. Unfortunately I...