I Have Bad Head Pain

Posted on Thu, 26 Mar 2020

Question: I have bad head pain

Follow up: Dr. Sudhir Kumar (2 minutes later)

I have head pain and pain killers do not work it's now 3 months. same pain all day 24/7

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:
Could be chronic migraine.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your symptoms. I need additional information to help you better

1. Is there any nausea or vomiting?

2. Does the headache get worse when exposed to bright lights or noise?

3. Any positive family history?

In most cases, the underlying cause is migraine, however, other causes need to be excluded based on the symptoms.

Please get back with the additional information.

Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

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

Follow up: Dr. Sudhir Kumar (29 minutes later)

1. small nausea but no vomiting 2. yes gets worse when I exposed to lights 3. only my mom has terminal 4 stage cancer . I had this head pain I feel something ontop of my head like seizures. something is there I feel it 24/7 even if I wakeup at night I feel it even if wakeup early morning I feel it .and even now throught full day since around 08 December upto now. I take pain killer didn't work but when I take valium sleeping pills it goes slowly minimum but its stays there that thing on top of my head in side .

Answered by Dr. Sudhir Kumar (17 minutes later)

Brief Answer:
Thank you for providing additional information.

Detailed Answer:
Based on the additional information, the most likely possibility is chronic migraine (chronic daily headache).

Regarding treatment, you should take preventive medicines also to reduce the frequency and severity of headaches in future. Options include topiramate or amitriptyline. Amitriptyline may be preferred as it additionally helps with sleep also.

Best wishes,

Dr Sudhir Kumar MD DM

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

Follow up: Dr. Sudhir Kumar (12 hours later)

so it's not a brain tumor. or brain cancer. as some people have told me it's a brain tumor.

Answered by Dr. Sudhir Kumar (14 hours later)

Brief Answer:
Unlikely to be a brain tumor.

Detailed Answer:
Based on the symptoms, it does not seem to be a brain tumor or cancer. However, the only method to be 100% sure is to get a brain scan done.

Best wishes,

Dr Sudhir Kumar MD DM

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