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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Headaches On Left Side Of Head, Forehead. Due To Stress Or Migraines?

hi i keep getting these headaches everyday the r always on left handside of head at top of head and sometimes at the front of the head they r not extremley painful and sometimes i get a shooting pain if i do somethng too fast or move too fast, and also get this weird feeling like there somethng in your head aswell im just looking for some advice my family thnk im suffering from tension and stress or mayb it migraines
Fri, 25 Jan 2013
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Neurologist 's  Response
Hello,
Thanks for posting this question in HCM
Let me explain you that a given medical symptom is due mainly to various causes and the aim of the physician is to find out the exact cause and deal accordingly rather than simple assumption.
Back to your questions i understand that you have headache in the left side of the head which i think could be migraine. Let me deal your problem as follows
1. Let me tell you that headache can be due to various reasons like migraine, brain tumor, brain infections, problems in the blood vessel of the brain etc. One strong possibility is that the constellation of symptoms that you have described could be due to migraine. However, one has to understand that migraine is a diagnosis of exclusion that means other treatable conditions that result in headache which i have listed above need exclusion before the diagnosis of migraine is made. You will benefit from the following approach
1. During acute attack: this will improve with analgesics, sumatriptan nasal spray and relaxation, to avoid the precipitating factor like stress, coffee, perfumes which you have to find out. Avoid continuous use of laptop and take pause in between. Some people with migraine have visual sensitivity and this can trigger an attack.
2. Medicines that can modify the course of migraine will be helpful like valproate (not good in females), topiramate, propranolol, amitriptiline.
In view of strict one sided problem, i advise you to get evaluated by a local neurologist and get a SCAN done, if both the things are normal, please follow the above paths.
Get well soon


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Headaches On Left Side Of Head, Forehead. Due To Stress Or Migraines?

Hello, Thanks for posting this question in HCM Let me explain you that a given medical symptom is due mainly to various causes and the aim of the physician is to find out the exact cause and deal accordingly rather than simple assumption. Back to your questions i understand that you have headache in the left side of the head which i think could be migraine. Let me deal your problem as follows 1. Let me tell you that headache can be due to various reasons like migraine, brain tumor, brain infections, problems in the blood vessel of the brain etc. One strong possibility is that the constellation of symptoms that you have described could be due to migraine. However, one has to understand that migraine is a diagnosis of exclusion that means other treatable conditions that result in headache which i have listed above need exclusion before the diagnosis of migraine is made. You will benefit from the following approach 1. During acute attack: this will improve with analgesics, sumatriptan nasal spray and relaxation, to avoid the precipitating factor like stress, coffee, perfumes which you have to find out. Avoid continuous use of laptop and take pause in between. Some people with migraine have visual sensitivity and this can trigger an attack. 2. Medicines that can modify the course of migraine will be helpful like valproate (not good in females), topiramate, propranolol, amitriptiline. In view of strict one sided problem, i advise you to get evaluated by a local neurologist and get a SCAN done, if both the things are normal, please follow the above paths. Get well soon