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Suggest Treatment For Constant Headaches

Posted on Wed, 23 Aug 2017

Question: i am 21 and have head a dull headache for 2 weeks. i had bloodwork and a ct all were fine. pain medicine does not really help. do i need to get an mri?

Answered by Dr. Neeraj Kumar (48 minutes later)

Brief Answer:
Possibility of migraine or tension type headache

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
You may be having migraine or tension type headache.
Is there any nausea, vomiting, sensitivity to light or sound?
Any anxiety, depression, sleep disturbances?
Any aggravating factors?
Any family history of migraine headache?
No need of mri if CT is normal and examination is normal.
You can start with amitriptyline or flunarizine 10 mg at night time.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist

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

Follow up: Dr. Neeraj Kumar (26 hours later)

no i do not have any other symptoms. nothing makes it stop. i was prescribed topamax which tomorrow is my 4th day of that. i was also given fiorcet for pain and it does not help! i am a pre med student and am retaking a physics class this summer so possibly stress? should i see a neurologist?

Answered by Dr. Neeraj Kumar (12 hours later)

Brief Answer:
Possibility of migraine

Detailed Answer:
Hello,
Topiramate has been advised for migraine headache.
The full effect may take 2-3 weeks.
Take plenty of fluids too.
Pain killers may be taken for short periods.
Amitriptyline can also be added if there is significant stress and sleep disturbances.
You can have a neurologist visit too.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad