Suggest treatment for sore throat, nausea, dizziness when diagnosed with gastric reflux
Possibility of primary headache like migraine
I have gone through your question and understand your concerns.
The headache described by you may be migraine attacks with features of throbbing, pulsating, peaking in hours and debilitating with nausea, photophobia.
In most cases pain killers abort the attack and long time treatment is not required but if it recurs periodically and unbearable then I prefer treating it with prophylaxis treatment in the form of Flunarizine, amitryptiline or beta blockers. Celexa (citalopram) isn't my first choice.
If you feel sleepy and drowsy with those preferred medication, then other drugs like Valproate or Topiramate may be used too.
Since you have no fever, neurodeficit, vision loss I would treat you as primary headache. Please discuss with your treating doctor if he/she shares my views. If yes, then we can start a trial with aforementioned options.
In addition, it is important that you take timely meals and sleep.
Avoid fasting, chocolate, coffee.
Hope you found the answer helpful.
Do get back to me for further queries.
Dr Neeraj Kumar
Possibility of brain infection to be evaluated , visit a neurologist
In view of fever you have to be examined by a neurologist for possibility of any brain infection.
Is the fever continuous or responded to treatment?
Any history of ear discharge?
Was Ct brain done with contrast sequence?
Any fundus examination of eye was done?
Any history of severe neck pain or restriction of neck movements?
If all has resolved and only issue is headache then you can continue celexa and add flunarizine 10 mg night time.
Take naproxen 500 mg sos.
Do get an evaluation by a neurologist once.
Dr Neeraj Kumar
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