Hello and thanks for the query,

Presence of a persistent headache for 4 weeks straight needs to be properly evaluated. Hence i would like to get a complete and helpful history that can help me arrive to a proper diagnosis.

To give a proper and specific advice, it would help me, if you can provide me a few additional details and reply for the following questions.

1. Did the headaches start after an accident, illness or infection?

2. How long have you had these headaches? (Already mentioned as 4 weeks).

3. Are the headaches constant or do they come and go?

4. How often do the headaches occur? (daily, weekly)

5. Do the headaches occur at a certain time of the day? morning / afternoon/ night

6. Are the headaches becoming stronger, lasting longer or occurring more frequently?

7. Do the headaches ever wake you up when you are sleeping?

8. Does rest or sleep relieve the headache?

9. Do the headaches stop you from doing things? (watching TV, going outside or doing household work)

10. Have you missed a particular routine due to the headache ?

11. Is the headache pain intense when it starts, or does it start out small and builds up?

12. Where is the headache located? , Severity of pain ( scale of 1 - 10),

13. What does the pain feel like? - Throbbing, pounding, tightness, dull, Aching, Pressure ?

14. Do you have any associated signs and symptoms like : -
Fever, body aches and pains,
Cough, chest pain, shortness of breath,
Weakness, Numbness in arms or legs
Nausea, vomitting, diarrhea, abdominal pain
Lethargy, Loss of appetite
Loss of weight

15. Any history of stress ?

I shall provide specific answers and advice once you have provided the above requested information.

Waiting for your response.

Dr Anvekar.

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