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Dr. Andrew Rynne

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How can I get rid of frequent severe headaches?

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Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 830 Questions

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Posted on Tue, 19 Mar 2019 in Headache and Migraines
Question: for the last 2 months I have been getting a rather painful headache starting when I get out of be and getting worse then it starts to go away by early afternoon. it is painful to move my head. the pain is in the front kind of between my eyes and in the back toward the base of my skull. I have not been taking any pain medication.
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Answered by Dr. Ishu Bishnoi 1 hour later
Brief Answer:
Differential diagnosis and approach.

Detailed Answer:

Hi XXXXXXX,

Your headache is severe in the morning, settles by afternoon. Such kind of a headache can be due to

- Tension or stress headache

- Chronic sinusitis

- Eye disease like refractive error, astigmatism

- Anemia

- Mass lesion in the brain like tumor, vascular malformation

To differentiate between these, you need to consult a neurologist for history and examination. Few checkups are needed, like

- visual acuity and eye examination

- Hemoglobin level

- MRI brain

- X-ray of paranasal sinuses and examination of sinuses

This will confirm the diagnosis.

Hope it will help you.

Take care.

Regards,
Dr. Ishu Bishnoi, Neurologist, Surgical
Above answer was peer-reviewed by : Dr. Prasad
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