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Suggest treatment for recurrent acute headaches when BP is 110/70

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Posted on Thu, 3 Dec 2015
Question: sir,
my wife aged 42 is suffering from acute headache for last 1 years. BP-110/70. Where to consult?
XXXX
doctor
Answered by Dr. Neeraj Kumar (39 minutes later)
Brief Answer:
Provide more details as asked

Detailed Answer:
Hello XXXX,
i have gone through your question and understand your concerns.
Headache in this age may her due to primary or secondary causes.
Please provide other details regarding headache:
1) location: holocranial , hemicranial, frontal, occipital
2) Intensity: mild, moderate, severe
3) Peaking: minutes, hours
4) Character: throbbing, pulsating, bursting
5) Associated features: nausea, vomiting, photophobia, phonophobia, redness of eyes
6) Aggravating factors: missed meals, fasting, chocolate, stress, decreased sleep
7) Relieving factors: Rest, medications
You should visit a neurologist for detailed history and examination and investigations if required.
Hope you found the answer helpful.
Do get back with further details .
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar (49 minutes later)
1- hemicranial ( in the middle of head just above forehead
2- moderate to severe
3- lasts for hours
4-brusting
5-vomiting sentation
6- stressed and decreased sleep
7-rest
doctor
Answered by Dr. Neeraj Kumar (58 minutes later)
Brief Answer:
Possibility of migraine like headache

Detailed Answer:
Hello,
Probably she is suffering from migraine headache.
For prevention she should take timely meals, sleep, avoid fasting, chocolate or coffee or any other aggravating factors.
For treatment she can start taking amitryptiline and Flunarizine daily under neurologist guidance and prescription. Pain killers may be given for Intermittent acute attacks.
She will improve with above treatment approach.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Suggest treatment for recurrent acute headaches when BP is 110/70

Brief Answer: Provide more details as asked Detailed Answer: Hello XXXX, i have gone through your question and understand your concerns. Headache in this age may her due to primary or secondary causes. Please provide other details regarding headache: 1) location: holocranial , hemicranial, frontal, occipital 2) Intensity: mild, moderate, severe 3) Peaking: minutes, hours 4) Character: throbbing, pulsating, bursting 5) Associated features: nausea, vomiting, photophobia, phonophobia, redness of eyes 6) Aggravating factors: missed meals, fasting, chocolate, stress, decreased sleep 7) Relieving factors: Rest, medications You should visit a neurologist for detailed history and examination and investigations if required. Hope you found the answer helpful. Do get back with further details . Regards Dr Neeraj Kumar Neurologist