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Severe headache, vomitting. Light, sound worsens the condition. High TSH levels. Suggestions?

Hi, I am having very serious headache problem from last 1 - 2 months. Initially it was for alternate days but now it start after 12 noon and by 8 in evening it will be so severe that I feel vomitting sensation. Can t see properly, light, sound increase the conditions to worse. I am thyroid patient presently my tsh is 100. My headache starts from lower back of my head at noon and engulf complete head by evening. Kindly help me.
Asked On : Mon, 7 Jan 2013
Answers:  1 Views:  30
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Neurologist 's  Response
i am a neurologist and thanks for posting this question in this web site

The causes of headache are so many and the approach to any patient with headache begins with a search for the exact cause of headache. The common causes of heacahe are migrain, tension headahce, brain infection, tumor or problems in the blood vessels of the brain and so on.
Back to your question, the description you have provided is that of migrain headache. How ever, one has to understand that migrain is a diagnosis of exclusion (the above cause need exlusion before we say that headache is due to migrain). If a CT scan rules out these possibility, the diagnosis of migrain will be confirmed.

Coming to tghe management of migrain, there are two aspects 1. To treat the acute and severe episodes- this can betreated with analgesecis. other medicines which can be used are triptans provided that you donot have any cardiac problem.2. Toterat the chronic phase or the medicines that can modify the headache-for this the options are sodium valproate, (this drug has a good evidence for this headache, but in females it may cause weight gain, menstrual irregularities), topiramate (it cause weight loos too, may be a good options if you are obese), amitryptiline, propranolol etc. Apart from this one has to find out what triggers the headache like stress, food, perfumes , chocollate, coffee. These life style modificationa also help decrease the headache.
Hope this clarifies
Best wishes
Answered: Thu, 10 Jan 2013
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