question-icon

Suggest treatment for constant headaches

default
Posted on Wed, 24 May 2017
Question: Hi. My husband has been having severe headaches for about 3 months. He gets pain behind the eyes, light headed at times, he feels unwell, is extremely tired and has no energy and is heading into depression now because they affecting his daily activities.
doctor
Answered by Dr. Olsi Taka (3 hours later)
Brief Answer:
Some tests are advised.

Detailed Answer:
I read your question carefully and I understand your concern.

Headache can have many different causes those symptoms alone do not allow for a differentiation. Primary headaches like migraine are unlikely to start out of the blue at this age without a prior history of headaches. For that reason in any headache persisting over a month, even if there are no other signs some tests are advised.
First I would start with some routine blood tests for the possibility of anemia and also to screen for infections or metabolic alterations. Blood pressure should be checked as well.
Afterwards I would consider having brain imaging for the possibility of brain lesions like tumors. I do not want you to panic, usually there are other signs, but as I said in a persisting new headache it is a possibility to be considered.
One possibility for pain behind the eyes may be that of sinusitis. It would be likely in case there is also nasal congestion and discharge. Head imaging apart from viewing the brain would get a picture of the sinuses as well.
In the meantime if Panadol doesn’t help with the pain Ibuprofen may be used instead. It doesn’t typically cause constipation, so shouldn’t be an issue and is more effective.

I remain at your disposal for other

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3669 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for constant headaches

Brief Answer: Some tests are advised. Detailed Answer: I read your question carefully and I understand your concern. Headache can have many different causes those symptoms alone do not allow for a differentiation. Primary headaches like migraine are unlikely to start out of the blue at this age without a prior history of headaches. For that reason in any headache persisting over a month, even if there are no other signs some tests are advised. First I would start with some routine blood tests for the possibility of anemia and also to screen for infections or metabolic alterations. Blood pressure should be checked as well. Afterwards I would consider having brain imaging for the possibility of brain lesions like tumors. I do not want you to panic, usually there are other signs, but as I said in a persisting new headache it is a possibility to be considered. One possibility for pain behind the eyes may be that of sinusitis. It would be likely in case there is also nasal congestion and discharge. Head imaging apart from viewing the brain would get a picture of the sinuses as well. In the meantime if Panadol doesn’t help with the pain Ibuprofen may be used instead. It doesn’t typically cause constipation, so shouldn’t be an issue and is more effective. I remain at your disposal for other