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I Had A Pain In My Back Side Of Head

Posted on Tue, 13 Nov 2018

Question: I had a pain in my Back side of head

Answered by Dr. Ajay Panwar (19 hours later)

Brief Answer:
Some more details are required.

Detailed Answer:
Hi,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar, a neurologist, here to answer your query.

I shall be glad to answer your query, however, a few more details are required for me to answer it well-
1)Is your pain episodic or continuous?
2)Is it related to stress or tension?
3)Since when are you having pain?
4)Do you have vomiting sensation at the time of pain, does the pain increases on exposure to loud sounds and bright lights?
5)Do you have any other known illness?

I shall be glad to have you in follow up with details so that I can answer this well further.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Ajay Panwar (1 hour later)

1)Is your pain episodic or continuous?
Some time episodic sometime continuous.
2)Is it related to stress or tension?
No idea
3)Since when are you having pain?
Last 06 months
4)Do you have vomiting sensation at the time of pain, does the pain increases on exposure to loud sounds and bright lights?
NO Vomiting
5)Do you have any other known illness?
NO

I shall be glad to have you in follow up with details so that I can answer this well further.

Answered by Dr. Ajay Panwar (41 minutes later)

Brief Answer:
A stress headache/Occipital neuralgia

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

Your headache is a possibly Stress headache or occipital neuralgia. A trial of 'amitriptyline' may be given to you. Though it appears to be a primary headache, a CT scan of the brain may be done to rule out a secondary cause. Meditation and other mental relaxation exercises as yoga are likely to help.

Hope that helps. If you have any further questions, I shall be glad to have you in follow-up.

Regards,

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Ajay Panwar (25 minutes later)

amitriptyline for 10 MG or esle

I had a MRI for brain but nothing found they suggest me Trytomer and Betacap bit this is not helpful to me.

So can i try for amitriptyline but what is frequency in a day.

Please suggest.

Thanks

Answered by Dr. Ajay Panwar (23 hours later)

Brief Answer:
Tryptomer dose may be increased.

Detailed Answer:
Hi,
Thanks for being on in follow-up.

If you are already taking tryptomer which is amitriptyline only, then I would like to know how much dose you were taking? Also, mention the dose of Betacap?

I shall be glad to have you in follow-up with details.

Regards
Dr.Ajay Panwar,
MD, DM(Neurology)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ajay Panwar (3 days later)

hi Sir ,

Thanks for reply.

Tryptomer 10MG once in day in night.

Betacap 20 MG once in a day in morning.

Now please suggest for the same .

Thanks
Pawan

Answered by Dr. Ajay Panwar (22 hours later)

Brief Answer:
This is ok as starting dose

Detailed Answer:
Hi,
Thanks for being in follow up.

10 mg tryptomer and 20 mg betacap are ok as starting dose which may subsequently be increased gradually, depending on the response.

Hope that helps. Please be in follow-up if you have any further questions.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Ajay Panwar (1 hour later)

10 mg tryptomer and 20 mg betacap are ok as starting dose which may subsequently be increased gradually, depending on the response.

But i am taking this but i dont think it is that so much helpful

i have increase my dose or i have to change medicine.

Please suggest.

Thanks

Answered by Dr. Ajay Panwar (24 hours later)

Brief Answer:
Dose should be increased.

Detailed Answer:
Hi,
Thanks for being in follow up.

Dose should be increased first and even if that doesn’t help, then medicines should be changed.

Hope that helps.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Ajay Panwar (55 minutes later)

then please suggest how to take medicine

Thanks

Answered by Dr. Ajay Panwar (51 minutes later)

Brief Answer:
As follows

Detailed Answer:
Hi,
Thanks for being in follow-up.

You may increase tryptomer to 20 mg for now without altering betacap dose and observe the response.

Please follow-up if you have any further queries.

Regards
Dr.Ajay Panwar,
MD, DM(Neurology)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Ajay Panwar (36 minutes later)

ok Sir

thanks

Will check and update

Answered by Dr. Ajay Panwar (58 minutes later)

Brief Answer:
Of course

Detailed Answer:
Hi,
Thanks for being in follow-up.

Sure. I shall be glad to have you in follow-up.

Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Kampana