
Suggest Treatment For Persistent Localised Pain In Head

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Detailed Answer:
I read your query carefully and I am sorry about the symptoms that you are experiencing.
Since a diagnosis of mastoiditis has been made I suppose the pain is present mainly in or behind your ear. I am hopping they did check your ear for signs of middle ear infection and also that you had a blood work up. Often when there is some doubt for the diagnosis, a CT scan is made which is the chosen exam when mastoiditis is suspected.
As for the medication I am a little perplexed as for mastoiditis usually antibiotics are used. Steroids can be used, but as an addition (and usually local drops), not the only therapy.
One other diagnosis that given the location of your pain I hope has been excluded is giant cell arteritis (otherwise called temporal arteritis) which might cause similar pain and is treated with steroids. If you had blood tests that diagnosis can be evaluated through routine testing of erythrocyte sedimentation rate and c-reactive protein (might have been considered already, but thought I'd mention just in case).
I hope to have been of help.


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Detailed Answer:
Your worry is understandable. To be honest I am a little puzzled of her being so confident about the diagnosis, apart from the antibiotic issue which I mentioned. So since you aren't feeling any better I believe imaging and treatment choice should be discussed, possibly at an earlier date.
As for temporal arteritis diagnosis which I mentioned, it is a diagnosis which must be considered in any new onset localized headache after the age of 50. ESR test should have been done before therapy because if steroids are used the erythrocyte sedimentation rate (ESR) test could normalize in a few days and be of no value. Since you started treatment I am not sure how much it would be of value now. However if you haven't improved from steroids that would speak against that diagnosis.
I hope things work out for the best.


Thanks again.
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Detailed Answer:
Thank you for bringing some more info. That would make mastoiditis a little less likely, however pain often irradiates so can't be excluded based on that.
It is of course difficult for me to point to an exact diagnosis without being able to examine you myself and in the absence of any tests. I wouldn't want to overworry you and call for futile tests. But I think that a new headache in an individual after the age of 60, with no prior history of headache should be taken with a lot of caution and I would recommend at least a careful physical exam for signs of stroke, infection, tumor etc, possibly with tests like head imaging and blood tests.

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