What Causes Chronic Headaches?

Posted on Mon, 29 Dec 2014

Question: I am XXXX .I am suffering with chronic one side headache the pain ís constant in periorbital (eye brow) and occipital region and the nerve is pulsing . And i am sufferíng great insomia and some times constipation. My right eye is paining and become smaller.planter decreased and .irritation of the nerves on the back side made me rubbing of the nerves and a small wound. My CT scan shown nothing .I am suspecting i am having Occipital neuralgia or is it due to compression of nerves in the muscles.i used medications,accupunture my carrer and my life running away .plz help me doctors.i am getting sucidal thoughts some times.

Answered by Dr. Prasanna Heijebu (2 hours later)

Brief Answer:
Mixed tension/cluster headache

Detailed Answer:
Hi Sir.

I understand your query and concern.

You seem to have mixed type tension/cluster headache. This is not occipital neuralgia or nerve compression.

This can be managed well with a combination of analgesics like naproxen and anxiolytics/antidepressants like clonazepam/escitalopram.

I would like to know what all medications have you tried so far?

I urge you to not to feel downhearted and develop suicidal tendencies.
Your condition can be absolutely controlled by medicines.

These drugs I mentioned when taken under strict medical supervision for 3-6 months gives excellent cure results. Discuss about these medications with your doctor.

Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Prasanna Heijebu (2 hours later)

Doc what about the nerve pulsing and irritating in the sclap.and eyelid twitching and eyebrow pain and tight and droped?
I used nexito 10mg for 30day lonazep, sibelum,omage 3 tablets etc,

Answered by Dr. Prasanna Heijebu (15 hours later)

Brief Answer:
Triptans will be pretty useful on a short course.

Detailed Answer:
Hi Sir.

I understand your concern.

This pulsatile behaviour and irritation is along with periorbital discomfort is predominantly a part of this mixed cluster headache.

In case there is no response to nexito and lonazep.i strongly recommend sumatriptans which are quite effective in relieving the vascular pathology.

Consult your doctor regarding Sumatriptan and its dosage before taking the drug.

Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E