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What Causes Severe Headache And Neck Stiffness?

Posted on Tue, 12 Jan 2016

Question: Sir from last 2 weeks was having this headache heaviness n posted question over here dy told me to visit neurologist n dy checked me n prescribed these medicines n told me that if theres no difference get a ct scan n aftr hvng mcds first five days everything ws normal no headache nothing n dn again felt headache over frontal head n neck stiffness n upper back of head n jst cm bk aftr ct scan of head n report is normal now what to do sir

Answered by Dr. Neeraj Kumar (11 minutes later)

Brief Answer:
Provide more details regarding headache

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Most commonly in young age CT negative headache is either migraine or tension type.
Provide more details regarding headache.
Duration of headache?
Intensity?
Associated nausea, vomiting or sensitivity to light or sound?
Character of headache: throbbing, Bursting
Aggravating factors like missing meal and sleep disturbances?
Anxiety or stress?
Family history of migraine?
Provide these details.
These headache may take some time to respond to medication.
Continue pain killers till then.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (24 minutes later)

Thanku sir for replying n duration of headache its like i never noticed bt it starts anytime like wn i get in d morning its all ok but after sometime it starts n dn it gets over and headache is Intense and its throbbing like n lil bit nausea no vomit n sensitivity to light n sound nothing as such n yes i do skip meals sometimes n sleeping pattern is disturbed i sleep very late like 3 or 4 am daily it hs become a habit n no family history of migraine awaiting ur reply sir

Answered by Dr. Neeraj Kumar (35 minutes later)

Brief Answer:
Possibility of migraine headache

Detailed Answer:
Hello,
Throbbing headache with nausea and irratic lifestyle points to diagnosis of migraine.
You should avoid skipping meals, take proper sleep. Avoid awakening till late night.
Take prophylaxis for migraine with amitryptiline and Flunarizine.
Short duration pain killers like Naproxen can be taken for 5-7 days.
Hope you recover early.
Wishing you good health.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (17 hours later)

Sir can u please tell the proper order of taking d medicines like how many tabs per day

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Take pain killers and rest

Detailed Answer:
Hello,
In my patients with similar complains I prefer to give trial of naxdom 500 mg twice daily for 5 days with omeprazole once daily empty stomach.
The continuous prophylaxis with amitriptyline or flunarizine may be started later if no response occurs.
Regards
Dr N XXXXXXX
Neurologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar