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What Causes Terrible Pain In Head?
Question: Its been so many days that i am having this terrible pain in my head. Its not like the normal headache, it feels like a fever in my brain & sometimes pains like someone is putting screw in my head. Its so painful.
Brief Answer:
Please tell a few details:
Detailed Answer:
Hi XXXXX,
Thanks for being on healthcaremagic.com.
If you would have presented to me as an outpatient,I would have asked you the following details-
1)Since how many days,you are having headache?
2)Is the headache continuous or episodic?
3)If episodic,how long does each episode lasts?
4)Is it unilateral(on one side of head) or bilateral(both sides)?
5)Is it associated with vision abnormalities,nausea or vomiting?
6)Does it increase on exposure to light or sound?
7)Does it improve with sleep?
8) Any history of loss of consciousness?
Please follow up with these details so that I can answer your query well.
Waiting for your follow up.
Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)
Please tell a few details:
Detailed Answer:
Hi XXXXX,
Thanks for being on healthcaremagic.com.
If you would have presented to me as an outpatient,I would have asked you the following details-
1)Since how many days,you are having headache?
2)Is the headache continuous or episodic?
3)If episodic,how long does each episode lasts?
4)Is it unilateral(on one side of head) or bilateral(both sides)?
5)Is it associated with vision abnormalities,nausea or vomiting?
6)Does it increase on exposure to light or sound?
7)Does it improve with sleep?
8) Any history of loss of consciousness?
Please follow up with these details so that I can answer your query well.
Waiting for your follow up.
Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr XXXXXXX Panwar,
Thank you for responding to my concern.
Actually I have been having this severe headache from past 2 weeks. Its not continuous, it comes often specially while working in office, when i am stressed.
It is bilateral, it pains near my forehead n eyebrow. It will last for 2-3 days & will come back again. I do feel nausea sometimes when i am not able to eat on time.
And yes, it increases on both exposure to light and sound specially to light. I guess it does help when i sleep.
I once fainted when i cut my finger while cutting vegetables so many years back.
Regards
XXXX
Thank you for responding to my concern.
Actually I have been having this severe headache from past 2 weeks. Its not continuous, it comes often specially while working in office, when i am stressed.
It is bilateral, it pains near my forehead n eyebrow. It will last for 2-3 days & will come back again. I do feel nausea sometimes when i am not able to eat on time.
And yes, it increases on both exposure to light and sound specially to light. I guess it does help when i sleep.
I once fainted when i cut my finger while cutting vegetables so many years back.
Regards
XXXX
Brief Answer:
Tension type headache/Migraine
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.
In view of your detailed clinical history,I would like to make a probable diagnosis of Migraine.Points in favour of Migraine are-
1)Trigger factor-Stress
2)Photophobia and phonophobia(Headache increases on exposure to light and sound respectively)
3)Improvement with sleep
Besides,some element of Stress headache may be overlapping as well.
Management plan-
1)Mental relaxation exercises/Yoga/Meditation-on regular basis
2)Tab.Amitriptyline 12.5 mg at bedtime for 2 days,followed by 25 mg at bedtime daily.
3)Tab.Naproxen 250 mg sos(at the time of severe pain).
PLEASE TAKE ALL MEDICINES UNDER A PHYSICIAN'S GUIDANCE ONLY.
Please keep in follow-up for the clinical response.I would like to track your clinical developments.
Hope that I have answered your query.If you have some further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Tension type headache/Migraine
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.
In view of your detailed clinical history,I would like to make a probable diagnosis of Migraine.Points in favour of Migraine are-
1)Trigger factor-Stress
2)Photophobia and phonophobia(Headache increases on exposure to light and sound respectively)
3)Improvement with sleep
Besides,some element of Stress headache may be overlapping as well.
Management plan-
1)Mental relaxation exercises/Yoga/Meditation-on regular basis
2)Tab.Amitriptyline 12.5 mg at bedtime for 2 days,followed by 25 mg at bedtime daily.
3)Tab.Naproxen 250 mg sos(at the time of severe pain).
PLEASE TAKE ALL MEDICINES UNDER A PHYSICIAN'S GUIDANCE ONLY.
Please keep in follow-up for the clinical response.I would like to track your clinical developments.
Hope that I have answered your query.If you have some further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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