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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Head Near Eye, Noise Sensitivity. Sugggestions?

Hi, I am 23 Year old belongs to the field of Engineering and spend most of the day in front of Laptop Screen. From Last Few Weeks, I had Continuous pain in the back side of Head which comes to my left eye sometime and sometimes to right eye. Along with this i have too much noise sensitivity. I cant bear loud noise near me. I already consulted a Homeopathic Doctor and he declared it as a Half side Migraine and even gave me some medicine. But till now there is no relief from pain. My Life is now totally boring because if this pain in the head. These days i am not even able to lie straight on bed as i feel that blood flow in back side stops when i lie straight. Please suggest something. Till now i didn t went for CTscan but already had Xray . I am even taking some pain killers but nothing work at all.
Thu, 24 Jan 2013
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Neurologist 's  Response
Hello,
Thanks for posting the question in HCM
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. . I will advise you to be examined by a neurologist rather than a general physician who will determine if you have any neurological deficit and may plan for a scan of the brain to exclude the secondary possibility as i explained above. If the scan is normal you will benefit from the following approach
1. During acute attack: this will improve with analgesices, 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.
Hope this will help you
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Pain In Head Near Eye, Noise Sensitivity. Sugggestions?

Hello, Thanks for posting the question in HCM 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. . I will advise you to be examined by a neurologist rather than a general physician who will determine if you have any neurological deficit and may plan for a scan of the brain to exclude the secondary possibility as i explained above. If the scan is normal you will benefit from the following approach 1. During acute attack: this will improve with analgesices, 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. Hope this will help you