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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for dull back pain and severe headache

Answered by
Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1313 Questions

Posted on Tue, 22 Mar 2016 in Headache and Migraines
Question: Hello It started a couple days a go with a low dull pain the right side part of my back. I now have a sever headache and my armpits are starting to turn a purplish blue color.
Answered by Dr. Muhammad Ali Rauf 17 minutes later
Brief Answer:
need some details to guide you better

Detailed Answer:

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes for your symptoms. I would be in a better position to reach to a conclusion if you answer following questions please:

1. Does anyone in your family has similar complaints? if yes then who and since when?
2. Pain occurs in whole head or in half head?
3. Does pain aggravate with movement?
4. Is there any associated history of:
a. visual symptoms like bright light flashing in your eyes or unable to focus from eyes at particular point?
b. Nausea, vomiting or anorexia?
5. Does headache starts if you are tired or did not take ample sleep?
6. Are you on any kind of medication?
7. can you share an image showing discoloration of armpits?
8. any history of trauma to that site?
9. any other symptom that you would like to share?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Muhammad Ali Rauf 2 hours later
1. No one else in my family has this issue
2. The pain is whole head.
3. I have and have had migraines. I was diagnosed with having Migraines over 9 years ago. I have had injections of Imitrix injections to Ergotamine. I do know my symptoms for migraines. As well as what foods, environment and stress level that would trigger them. i eat pretty healthy. I am a Vegetarian for the most part. (I eat fish now again). I exercise 5 days a week.
4. This is not associated to any of my Migraines symptoms this is different.
5 I always manage to get 7-8 hours of sleep. More since I am not feeling well.
6. Maxalt 10-mg
7. (see up loaded photo)
8. No trauma no hits or falls)
a. Mild to low grade fever. 99.5 BP 124/76
b. Slightly jittery, slight dizziness
c. Well hydrated
d. No itching or burning or rash in armpit area.
e. Non- smoker, non drinker
f. No misuse of drugs.
g. Haven't changed my detergent.
H. Have not traveled in or out of the country.
Answered by Dr. Muhammad Ali Rauf 6 hours later
Brief Answer:
Please see details

Detailed Answer:

Thank you very much for the detailed reply. I have gone through all the answers as well as to the image attached. There could be possibility that it is minor subcutaneous bruise which will reabsorb itself in few days and there is also possibility that its is some hematological disorder. I would suggest you to wait & observe for few days. Hopefully it will disappear itself as soon as blood is absorbed from the subcutaneous tissue. If it persists even after 5-7 days then visit hospital and get an appointment for "Consultant Hematologist". He is specialized in blood disorders. He will perform some investigations including CBC with ESR, peripheral smear, clotting profile to confirm the diagnosis. Further management will depend upon the results.
Regarding headache, there is possibility that severe headache is due to exaggeration of migraine. It can some times present in unusual way. Other possibility could be stress. Your normal daily routine is excellent and very healthy. Continue with it and medication as advised by your treating doctor regarding migraine. Meanwhile take naproxen thrice a day for 2 days. It will hopefully resolve the headache problem.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Muhammad Ali Rauf 2 days later
Thank you. for your answers.
Answered by Dr. Muhammad Ali Rauf 1 minute later
Brief Answer:
You are welcome

Detailed Answer:

You are most welcome. I'll be available 24/7 for if you need assistance.

Thank You
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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