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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Neck Along With Headaches And Fatigue?

Hello!I m Katy,I m 35 yrs old.Over the past months I ve been plagued with severe neck pain at the base of my neck,headaches,fatigue,mild stomach upset,and swelling in my feet and legs.I ve recently come off my medications for thyroid and blood pressure.I m gaining weight like crazy!!!Any thoughts as to what could be causing this??
Wed, 4 Apr 2018
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General & Family Physician 's  Response
Hello,

As per your clinical history is concerned, please check your blood pressure and thyroid function test and if abnormal then discuss with your Doctor to adjust medications soon because of weight gain is a cause of thyroid only.

Secondly, your neck pain and headache looks like a migraine so you need a detailed clinical examination by your Doctor [Neurologist] and do an MRI scan. Discuss with your Doctor for preventive medication like [Amitriptyline] and follow few lifestyle modifications like this:

1) Try to avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them.

2) Try to reduce your caffeine and alcohol intake and avoid tobacco.

3) Try to make a daily routine with regular sleep patterns and regular meals. In addition, try to control stress.

4) Do exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming, and cycling.

5) Reduce the effects of estrogen. Try to avoid or reduce the medications you take that contain estrogen and these medications include birth control pills and hormone replacement therapy. Talk with your doctor about the appropriate alternatives or dosages for you.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Uday Nath Sahoo
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What Causes Severe Pain In The Neck Along With Headaches And Fatigue?

Hello, As per your clinical history is concerned, please check your blood pressure and thyroid function test and if abnormal then discuss with your Doctor to adjust medications soon because of weight gain is a cause of thyroid only. Secondly, your neck pain and headache looks like a migraine so you need a detailed clinical examination by your Doctor [Neurologist] and do an MRI scan. Discuss with your Doctor for preventive medication like [Amitriptyline] and follow few lifestyle modifications like this: 1) Try to avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. 2) Try to reduce your caffeine and alcohol intake and avoid tobacco. 3) Try to make a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. 4) Do exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming, and cycling. 5) Reduce the effects of estrogen. Try to avoid or reduce the medications you take that contain estrogen and these medications include birth control pills and hormone replacement therapy. Talk with your doctor about the appropriate alternatives or dosages for you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo