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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Headaches?

I have headaches most of the day every day. Right sided from right under my skull on my neck up to the center of the top of my head. Don t know what s causing it and so far none of the medicine prescribed has helped. Recently found a pituitary tumor and had it removed hoping it would help. It has some but not enough. Also it feels like a dent has formed in the back of my head where the most pain is. Any idea on what s going on and what I should do now?
Fri, 27 Feb 2015
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Neurologist,  's  Response
Hello dear,
Thanks for being on healthcaremagic.com.If you would have presented to me as an outpatient,I would have made the following clinical explanation-
Headache prominence in the areas you have described(base of skull,neck,head),is typical for 'Tension type headache'(TTH).Severe headache at the back of head(like a dent like feeling at the back of your head) is extremely classical for TTH. Its good that you have got pituitary tumor removed,but it is not necessary for a pituitary tumor to be associated with headache.A small pituitary tumor may be asymptomatic.So,symptoms of pituitary tumor depends on the size.Please start doing mental relaxation exercises/Yoga/Pranayama and your headache should improve.If it still persists,please discuss a physician to start you on low dose amitriptyline.That will definitely of help.I hope it helps.
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What Causes Persistent Headaches?

Hello dear, Thanks for being on healthcaremagic.com.If you would have presented to me as an outpatient,I would have made the following clinical explanation- Headache prominence in the areas you have described(base of skull,neck,head),is typical for Tension type headache (TTH).Severe headache at the back of head(like a dent like feeling at the back of your head) is extremely classical for TTH. Its good that you have got pituitary tumor removed,but it is not necessary for a pituitary tumor to be associated with headache.A small pituitary tumor may be asymptomatic.So,symptoms of pituitary tumor depends on the size.Please start doing mental relaxation exercises/Yoga/Pranayama and your headache should improve.If it still persists,please discuss a physician to start you on low dose amitriptyline.That will definitely of help.I hope it helps.