Suggest Remedy For Chronic Light Headaches

Posted on Thu, 24 Sep 2015

Question: I have had a series of chronic light headaches in my left temple. I am eating regularly on a well-balanced diet and I take vitamin supplements to stabilize my health to a maximum. But these headaches still come and go daily, and it has occurred for over a few months. Any explanation?

Answered by Dr. Neeraj Kumar (51 minutes later)

Brief Answer:
Please provide more details regarding headache

Detailed Answer:
Hello XXXX,
I have gone through your query and understand your concerns.
You need to describe more about your headache features.
1) Duration of headache
2) character of headache -throbbing, bursting
3) associated features-- nausea, vomiting, photophobia, phonophobia
4) Aggravating factors like missing meal, sleep deprivation
5) relieving factors like
what anti epileptics your are taking?

Headache at this age are commonly primary like migraine or tension type.
Migraine headache is unilateral mostly with throbbing nature, nausea/vomiting and photophobia/phonophobia.
Provide above details to give you better diagnosis and treatment advice.
Do get back with details.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Neeraj Kumar (40 minutes later)

The headache can last at least half the day or until I go to sleep. Sometimes when I do to to sleep, the sensation turns to a tingling feeling.
I have no vomiting or nausea.
I am missing no meals or lack of sleep.

And I am taking 250 mgs of Keppra once a day and Trileptal 300 mgs 3 times a day. The headache is a minor throbbing, but it always remains in no other area than the left temple. I have had an MRI in last April and no abnormalities had appeared in the brain.

Answered by Dr. Neeraj Kumar (5 hours later)

Brief Answer:
May be migraine like headache

Detailed Answer:
Hello XXXX,
You may be having migraine like headache.
You can start a trial of amitriptyline (10mg night increase to 25 mg night after 10 days) and flunarizine 10 mg daily once.
You should stop chocolate , alcohol, coffee. Take timely food and proper diet and rest.
You can discuss this headache with your neurologist who can evaluate and advice you medications.
Some antiepileptics like valproate may be of help both in epilepsy and headache and can be tried if not contraindicated in your case.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D