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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persistent Throbbing Headache, Lower Neck Stiffness, Have Cold, Phlegm. On Pain Medication. Is It Migraine Pain?

Hello,

I have persistent throbbing headache and lower neck stiffness for almost a week now with nausea that prevents me from doing anything !. I came about suddenly and I have pleghmy cold (nose runs green at start of day). I have gone to ER for a scan, blood test, urine test and spinal tap and all have come back negative (normal). The throbbing pain seems to subside if I lie down or bent the head low between my knees (my head just feels heavy). Pain medication and anti-inflamatory prescribed gives no relief as well as over the counter headache pills. I have no sensitivity to light nor do I have pain coming from behind my eyeballs (which I think is why they do not believe I have migraines). I have noticed I am very tired and with lack of being able to perform normal daily tasks I end up sleeping. I am unable to drive or sit in a moving car (as the nausea kicks in). My cold seems to be clearing up. I am suspecting this all has to do with equilibrium ? (since position seems to be a factor to the degree of neck stiffness and head throbbing ?). What can I take or do to make this stop ??? I will eventually need to go back to work ....
Fri, 5 Jul 2013
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  User's Response
HI
No this not migraine, this could be a upper respiratory tract infection and must be allergic one, with bad sinusitis, and this of course causing neck stiffness, you have taken haphazard steps by doing spinal tapping, now first thing you need to do is take decongestant agent which could liquefy your mucoide collections inside your sinus cavity ( there are number of decongestant preparation available at pharmacist ) along it with take steam inhalation, drink plenty of fluid, have short course of steroid in tapered dosage, if possible under medical supervision, if your body temperature rises go for total blood could, if it increased with count of polymorphs then take never fluoroquinolones (livo-floxasine ) is best choice, it will take more than 10 days for total recovery, Take care.
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Persistent Throbbing Headache, Lower Neck Stiffness, Have Cold, Phlegm. On Pain Medication. Is It Migraine Pain?

HI No this not migraine, this could be a upper respiratory tract infection and must be allergic one, with bad sinusitis, and this of course causing neck stiffness, you have taken haphazard steps by doing spinal tapping, now first thing you need to do is take decongestant agent which could liquefy your mucoide collections inside your sinus cavity ( there are number of decongestant preparation available at pharmacist ) along it with take steam inhalation, drink plenty of fluid, have short course of steroid in tapered dosage, if possible under medical supervision, if your body temperature rises go for total blood could, if it increased with count of polymorphs then take never fluoroquinolones (livo-floxasine ) is best choice, it will take more than 10 days for total recovery, Take care.