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Suggest Treatment For Severe Headache
Question: I've had pressure headaches for over a year now. They first started when I would bend over. They got so bad that oxycodone wouldn't help. I ended up in the emergency room with bilateral subdural bleeding of the brain. I was in the hospital for three days and put on prednisone for four weeks until the bleeding stopped. But, I still get the pressure feeling that my head is going to blow up when I cough, clear my throat, or bend over, and the top of my head hurts when it touches my pillow. What is causing this? Thank you for your time!
Brief Answer:
Should undergo a CT brain
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Bilateral subdural bleeding in old age may be secondary to some trivial or significant head injury.
Operation is indicated in case of significant volume and compression over brain.
Headache and features of raised intracranial tension may be present.
Usually such headaches are continuous increasing on coughing , sneezing and bending or straining.
Sensitivity to touch is not a feature and may be some primary tension type headache.
Possibility of recurrent subdural hematoma should also be considered and repeat imaging should be done.
You should visit your neurosurgeon for examination and advice regarding need of repeat imaging.
In case of normal CT head, amitriptyline may be used for primary tension type headache.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
neurologist
Should undergo a CT brain
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Bilateral subdural bleeding in old age may be secondary to some trivial or significant head injury.
Operation is indicated in case of significant volume and compression over brain.
Headache and features of raised intracranial tension may be present.
Usually such headaches are continuous increasing on coughing , sneezing and bending or straining.
Sensitivity to touch is not a feature and may be some primary tension type headache.
Possibility of recurrent subdural hematoma should also be considered and repeat imaging should be done.
You should visit your neurosurgeon for examination and advice regarding need of repeat imaging.
In case of normal CT head, amitriptyline may be used for primary tension type headache.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
neurologist
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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