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Suggest Treatment For Severe Headache

Posted on Tue, 27 Sep 2016

Question: Good Morning Doctor,

I am having severe headache since yesterday afternoon. I took 3 pain killers, one in the afternoon, 1 in the evening and 1 in the night before going to sleep. I slept around 12.30 in the night and i couldnt sleep properly i was awake from 5.30 in the morning and the headache started again around 6.30. day before yesterday i slept around 2.30 in the night and woke up at 8.30 in the morning and went to a movie in the morning and from the afternoon i had this headache. Please suggest.

Thank You.

Best Regards,
xxxxxxxxxx

Answered by Dr. Neeraj Kumar (7 hours later)

Brief Answer:
Possibility of acute migraine headache

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
This may be an acute attack of migraine precipitated by sleep disturbances.
Is there any previous history of migraine?
Any nausea, vomiting, sensitivity to light or sound?
You should take proper rest and sleep.
Pain killers can be continued today too.
The headache decreases in 2-3. days.
Avoid excessive tea or coffee.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Neeraj Kumar (50 minutes later)

Hello Dr. XXXXXXX

No history of migrane before. But I had vertigo problem 6 years back and later it never repeated, but I used to get headache which used to come down after an hour after I take the pain killer. Vomit sensation was there yesterday and even in the morning today but it's not there now. I never observed getting irritated to light or sound but from yesterday I was avoiding light ans sound. I am trying yo take rest but I am unable to sleep properly. I stopped using tea/coffee because of gastro issues and I am having green tea. Only yesterday and today I had tea and coffee assuming it would reduce the headache. Comparitively headache is reduced from yesterday but it's still there.
So, could you please sugges which medicine to take? Also, would you like me to visit the doctor?

Thank You.

Best Regards,
xxxxxxxxxx

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Visit to a neurologist

Detailed Answer:
Hello,
Most likely it is a migraine attack.
You can take Naproxen for pain relief.
For evaluation you can consult a neurologist.
Hopefully this episode should end in a day.
Preventive steps for future headache episodes are timely food, regular night sleep, avoiding fasting, skipping meals, excessive tea or coffee or chocolate.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (38 minutes later)

Thank you very much Dr. XXXXXXX for your suggestion and the medication. I will take Naproxen as suggested and also will visit a neurologist as soon as possible and I will definitely prevent excessive tea coffee and chocolate also will have good sleep and timely food.
Also, can you please suggest how many time in a day can I take Naproxen? Can I continue working on my laptop with headphones on, will that affect?

Thank You.

Best Regards,
xxxxxxxxxxx

Answered by Dr. Neeraj Kumar (15 minutes later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
You can take Naproxen 500 mg twice a day.
Avoid prolonged working on laptop. Take breaks in-between. Loud noise via headphones should be avoided.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D