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Hi Doctor, I Am Facing Frequent Headaches From The Last

Posted on Mon, 8 Jun 2020

Question: Hi Doctor, I am facing frequent headaches from the last 2 years since I started working in IT industry. My Problem: I got habitual of taking one painkiller (Combiflame or Nicip Plus) mostly Combiflame in a week, like after every 6 or 7 days or sometimes 5 days I experience severe headache and after giving few hours taking deep breath, walking in fresh air, sometimes headache goes naturally but sometimes in worst situation when headache becomes so severe I have to take Combiflame. I also want to tell you that no paracetamol works in this case to me, I think I got habitual to Combiflame

Answered by Dr. Dr. Prasad J (4 hours later)

Brief Answer:
Seems to be chronic headache.. Prophylaxis work...

Detailed Answer:
Hi,

You seem to be suffering with a chronic headache. I'd like to know more about the headache before giving an opinion.

1. May I know your age?
2. Have you had this type of headache before the 2 years you specified?
3. Can you describe the headache? - Is it one sided headache or both sides / does it feel like a throbbing (like pulsating) headache or a dull ache ?
4. How long can a headache last if it doesn't go away naturally and you don't take the pain killer?
5. Have you ever woken up with a similar headache?
6. Do you have vision problems?
7. Do you feel nausea / had vomiting with headache?
8. When was the last time you checked your eyes - refractory errors?
9. Do you have any known medical illness like diabetes / high blood pressure?
10. Does sound and light worsen headache?

I'd want you to answer all my questions which will allow me understand the problem better.

Awaiting your response...

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (6 hours later)

Hi, 1) My age is 24. 2) Yes I had this type of headache before 2 years but frequency is once or twice a month. 3) Most of the times it is one sided and sometimes when headache got worst it becomes both sided. 4) It will take around 5 to 6 hrs with sleep. 5) Yes, Sometimes in night I experience mild headache and when I woken up it becomes acute headache. 6) I wear spectacles, My eyes starts to pain after 8 to 10 hrs of continuous sitting in front of screen due to job. 7)Yes when headache becomes worst, I had to vomit. 8) 1 year before, I checked my eyes. 9) yes sometimes my BP goes comes 130 or 140. 10)Yes, loud sound and light make effect but it's not always true, sometimes also I turn off all the lights but headache don't go. 11) one thing more I want to add is in severe headache, I can't able to sleep, can't focus on sleep as my one sided head pain continue and I can't just sleep with this pain.

Answered by Dr. Dr. Prasad J (33 hours later)

Brief Answer:
Chronic headache...

Detailed Answer:
Hi,

Based on the details provided, you seem to be suffering with a type of chronic headache - migraine most likely. If you are a regular user of computer and spend lot of time on laptop/desktop, you should consider getting your vision and eye checked once again.

Migraine headaches respond to regular painkillers. However if the frequency of headaches are too often - say once every week to more than twice a month instead of painkillers we suggest prophylactic (preventive) medications that are to be taken every day. Medications such as flunarizine, amitriptyline and others are used for the same purpose.

If you seem to suffer with very frequent headaches, instead of becoming habitual to painkillers it is better to start preventive medications.

Inaddition to medications, you should consider a few basic life style change - being regular with food and regular sleep atleast for 6-8 hours every day is a must.

Hope this helps. Let me know if you need more details.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (4 minutes later)

Hi sir, Which preventive tablets can I take. Please name them in brief. Thanks Aashish

Answered by Dr. Dr. Prasad J (59 minutes later)

Brief Answer:
Choices available....

Detailed Answer:
Hi,

There are choices available for preventive treatment. If you have frequent headaches and you are fit and healthy (without other medical problems), I would consider flunarizine (tab sibelium) for prophylaxis. Tab sibelium is available as 5mg and 10mg tablets. The drug can cause drowsiness and therefore better used as a single tablet at night.

Tab Sibelium is a prescription only medication. You can contact your local doctor and discuss about the condition and this medication. If deemed appropriate he/she can prescribe a suitable dose as well as monitor the effects.

Hope this helps. Let me know if you need clarifications.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar