I Have Been Having Nearly Daily Headaches For Four Months.
Most likely migraine, however raised ICP needs to be excluded.
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.
I have noted your clinical details. Based on this, the most likely diagnosis is migraine. Migraine headaches can worsen with exertion and physical activity. For severe attacks of headache, you can take rizatriptan or naproxen tablets. In order to reduce the headaches in future, you can take propranolol or topiramate tablets. Side effects are uncommon and mild in nature.
In view of symptoms such as increase in headache severity on sneezing and coughing, we need to exclude raised intracranial pressure (ICP). For this, fundus examination by an ophthalmologist would help. If fundus does not show papilledema, then, raised ICP is unlikely.
You should also avoid the headache triggers such as exposure to sunlight, loud noise or pollution. You should eat on time and sleep well. Avoid stress and tension.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
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