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Suggest Treatment For Headache

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Posted on Mon, 30 Jun 2014
Question: I have an ongoing headache. Aspirin does not help. What can I do?
doctor
Answered by Dr. Gopal Krishna Dash (6 hours later)
Brief Answer:
Hi, Thanks for the query,

Detailed Answer:

First of let me let you that there are many causes of headache like migraine, tension headache, brain infection tumor and so on. Further the duration of headache and type of headache (episodic vs daily) etc will help us narrow down the differential diagnosis.

please let me know

1. the duration of headache and the type of headache
2. if you have any vomiting and any other associated problem

please get back

i will be happy to help you

best wishes,
Dr Dash


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Gopal Krishna Dash (14 hours later)
My headaches are just chronic.....no vomiting.
doctor
Answered by Dr. Gopal Krishna Dash (11 hours later)
Brief Answer:
Please do not worry if it is chronic

Detailed Answer:

If it a chronic headache, the possibilities of migraine headache and tension type of headache. Medications that help in these type of headache are amitryptiline, propranolol, topiramate etc. These medications generally should be taken for 3-6 months. Medications that can be used in acute severe attack are Ibuprofen, naproxen etc. In addition, you need life style changes (avoid stress, sleep 6-8hrs/night, avoid coffee, chocolate, smoking, alcohol etc) which will bring down the headache cycle.

I suggest you to meet a local neurologist who will evaluate you clinically and decide if you need a brain scan to rule out any secondary causes of headache. If the scans are normal, he would suggest you medications, the way I have discussed above.

Please get back if you need any clarification

best wishes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Gopal Krishna Dash

Neurologist

Practicing since :2001

Answered : 706 Questions

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Suggest Treatment For Headache

Brief Answer: Hi, Thanks for the query, Detailed Answer: First of let me let you that there are many causes of headache like migraine, tension headache, brain infection tumor and so on. Further the duration of headache and type of headache (episodic vs daily) etc will help us narrow down the differential diagnosis. please let me know 1. the duration of headache and the type of headache 2. if you have any vomiting and any other associated problem please get back i will be happy to help you best wishes, Dr Dash