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Suggest Treatment For Severe Headache And Vomiting

Posted on Mon, 15 Dec 2014

Question: Last Saturday , I suffered from severe headache & vomiting . doctor prescribed medicine 1) ultracet twice a day 2) vertin 8 mg once a day 3) ondem for 2 days . From next day I started felling little pain in my back & back portion of thigh . On Monday I visited neurologist, I discussed about my headache & other symptoms , he said it was migraine attack , now he has started medicines for same . 1) ciplar la 40mg morning 2) dasval 500 night . Now today is Thursday night the pain in my lower back n thigh have increased , it's difficult to even bent . Doctor said take painkiller n rest .. Physiotherapist also said rest n use hot water bottle on effected area bt there is no relief in pain . Even volini is not helping . Plz help.

Answered by Dr. Saumya Mittal (20 minutes later)

Brief Answer:
i will need more details

Detailed Answer:
Hi
I am Dr Mittal
I have read your query.
I have a considerable experience in neurology.
I therefore think I may be able to help you.
However, I need to know more details.

First, I need to know more about your headache-
Is it one sided?
Is it on both sides?
When was the first headacke?
Any nausea/vomitting?
Any photophobia/phonophobia?
How long does the headache last?
Is it increased with sunlight?
Is it better after sleep?

As for the pain in the back, I need to know have you had any fever?
The reason I ask this is because the triad of symptoms- headache, vomitting and new onset backache with pain in leg and possibly stiffness could mean a possible meningitis if there has been a history of fever recently.

I would also like to know if the doctor has done any imaging for you, or any tests? And if yes, what were the results? You can upload them on the site-
you can upload them with the query, or if you have a problem, send them to YYYY@YYYY with Sub: ATTN 'Your Name'. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me.

Looking forward for your response.
Best of luck
Dr Mittal

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Saumya Mittal (15 hours later)

I m a primary teacher by profession , mainly dealing with kids of age grp 5 years.Initially pain was in both front & lower back of head but was not symontnus , nausea was there , vomiting only once , headache lasted for more than 2 days , it got better after sleep, It was pluse like mainly in frontside ,it was difficult to balance my head . it happened occasionally on 3 -4 -5 day in loud sound. I preferred to stay in quite n dark room , muscle stiffness started from day 2 . No fever recently . No test were done .

Answered by Dr. Saumya Mittal (6 minutes later)

Brief Answer:
Get an MRI

Detailed Answer:
Hi
I have read your query.

I think the possibility of this being a migraine is definitely strong. But it sure doesn't explain the situation with your backache. That should not be there with a simple migraine.

I feel that the problem may be more severe and is going undiagnosed. Ideally, I think I would suggest that you have a test - Mri of the spine and brain. This will make sure that your diagnosis is not being missed.

Specially since you never had a headache before and this is a new onset headache, I think it would be good to see the MRI.

I have tried to make it as simple as possible.
I hope that the information helps you.
Best of luck.
Dr Mittal.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju