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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Severe Headache. Taking Medication For Migraine. No Relief. Cure?

Hello, My name is archana sharma, Age 26 years , i am having severe headache in half part, for last 5-10 days, it happens almost twice a day and Initially pain started in the nasal part and moves from eyes to the back brain(right side) it is so severe that at that time its becomes intolreable , i have no vision issues during pain. I have consulted first E&t specialist which started with medication for 2-3 days but there was no relief so he recommened me to a neurophysician who started m,edication for Migraine , its been 3 days i am on medication but still there is no relief what could be the possible causes for this, as it is really unbearable. Earlier about 2 yrs back i had similar problem but after some aurvedic medication it subsided but now it has reoccurred Please help
Sat, 23 Mar 2013
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General & Family Physician 's  Response
Hi,
I know this is second attempt as it seems you were partially satisfied by answer from my colleague but let me try to help you in understanding it ins some more details. Even thought I can suggest the different cause and underlying issue as per terms of the website I am not able to prescribe the medication just can help you in providing more information.

There are different type of headache as below and I will try to explain it in simple terms
1) MIGRAINE - its a head ache which most has some kind of prodrome (factor/symptoms/feeling) which indicates the person that he will be going to have headache soon, mostly people say some kind of aura like lights/ nausea kind of feeling is mostly precedes the onset of headache

2) CLUSTER HEADACHE:- its a headache which is associated with watering in eyes/ nose , pain in eyes , pain associate with some intense light exposure like headache,Sweaty, pale skin (pallor) on the face, one sided headache may be on right or left side.

3) TENSION HEADACHE:- its a headache with band like headache means the hurting area seems like some has tied a band around the head and is very tight.

Mostly from the description it seems like a "CLUSTER HEADACHE"
Now following are the cause that can lead to this kind of headache and needs to checked.
Headache NORMALLY DO NOT have any UNDERLYING DISEASE (90% case have no issues),
BUT in 10% cases headaches may occasionally indicate a serious underlying medical condition,
a) brain tumor or
b) rupture of a weakened blood vessel (aneurysm)

Well the best thing is to attain a piece of mind, and for that

ADVICE:
Consult NEUROLOGIST (brain doctor)
Here is mostly they will do
1) do physical exam
2) will probably ask for MRI SCAN OF BRAIN,
3) If nothing serious mostly 90% of case are with out danger they will give pain medications that is special for the type of cause (e.g- sumatraptin for migranes , so it will be different from normal over the counter medication (available with out prescription) like ibuprofen) so necessary to consult the physician

PLEASE do not be scared , there are 90% of headache and have no issue with any kind of brain problems but for the sake of safety and piece of mind MRI / CT Will be need.

Hope it helps.
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General & Family Physician Dr. Gopal Krishnam Raju's  Response
take augmentin duo 1gm twice daily + crocin 500mg thrice daily for 10days archana shall be absolutely fine :) its not migraine
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Have Severe Headache. Taking Medication For Migraine. No Relief. Cure?

Hi, I know this is second attempt as it seems you were partially satisfied by answer from my colleague but let me try to help you in understanding it ins some more details. Even thought I can suggest the different cause and underlying issue as per terms of the website I am not able to prescribe the medication just can help you in providing more information. There are different type of headache as below and I will try to explain it in simple terms 1) MIGRAINE - its a head ache which most has some kind of prodrome (factor/symptoms/feeling) which indicates the person that he will be going to have headache soon, mostly people say some kind of aura like lights/ nausea kind of feeling is mostly precedes the onset of headache 2) CLUSTER HEADACHE:- its a headache which is associated with watering in eyes/ nose , pain in eyes , pain associate with some intense light exposure like headache,Sweaty, pale skin (pallor) on the face, one sided headache may be on right or left side. 3) TENSION HEADACHE:- its a headache with band like headache means the hurting area seems like some has tied a band around the head and is very tight. Mostly from the description it seems like a CLUSTER HEADACHE Now following are the cause that can lead to this kind of headache and needs to checked. Headache NORMALLY DO NOT have any UNDERLYING DISEASE (90% case have no issues), BUT in 10% cases headaches may occasionally indicate a serious underlying medical condition, a) brain tumor or b) rupture of a weakened blood vessel (aneurysm) Well the best thing is to attain a piece of mind, and for that ADVICE: Consult NEUROLOGIST (brain doctor) Here is mostly they will do 1) do physical exam 2) will probably ask for MRI SCAN OF BRAIN, 3) If nothing serious mostly 90% of case are with out danger they will give pain medications that is special for the type of cause (e.g- sumatraptin for migranes , so it will be different from normal over the counter medication (available with out prescription) like ibuprofen) so necessary to consult the physician PLEASE do not be scared , there are 90% of headache and have no issue with any kind of brain problems but for the sake of safety and piece of mind MRI / CT Will be need. Hope it helps.