
Suggest Treatment For Severe Headache On Top Middle Part Of Head

If all tests are normal, rebound headache a possibility
Detailed Answer:
Hello,
Welcome and thanks for your query.
I appreciate your concern for your daughter.
As you have not uploaded any test results, can I presume that they are normal?
If not please upload them.
I would like to draw your attention to the entity Medication overuse headache (MOH), also known as rebound headache which usually occurs when analgesics are taken frequently to relieve headaches. Rebound headaches frequently occur daily, can be very painful and are a common cause of chronic daily headache. They typically occur in patients with an underlying headache disorder such as migraine or tension-type headache that transforms over time from an episodic condition to chronic daily headache due to excessive intake of acute headache relief medications. MOH is a serious, disabling and well-characterized disorder, which represents a worldwide problem and is now considered the third-most prevalent type of headache.
If she can be weaned off the analgesics, the pain might stop. If not she should have a CT or MRI scan to detect any organic lesion.
Hope she would be free of headache soon.


Please upload your results
Detailed Answer:
Thank you for your review.
Please upload your results.
I shall be happy to comment on them


Unlikely cause if intracranial pressure is normal
Detailed Answer:
Thank you once again.
Spinal arachnoiditis without raised intracranial pressure is unlikely to produce headache and vomiting. Hope she has been able to reduce the use of painkillers.
She would be helped by relaxing, exercising and eating wholesome healthy food in small portions.
I advise my patients small doses of propranolol if there's no contraindications like asthma, metoclopramide for vomiting if troublesome. Topiramate is another medicine I prescribe for my patients with intractable vascular (throbbing ) headache

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