What Causes Intermittent Pulsating Headaches?
Headache probably migraine
Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
Your symptoms seems to be of episodic migraine.
Do you have any photophobia, photophobia, nausea, vomiting?
Duration of headache, aggravating factors like skipping meal, exertion , decreased sleep ?
Any relieving factors?
Number of headaches in a month.
Provide these details also .
For prevention of such headache take regular meals and adequate sleep. Avoid too much coffee , chocolate and extreme cold environment.
For medications you can take pain killers like naprosyn intermittently .
For prophylaxis you can take any of beta blockers, calcium channel blockers, topiramate, valproate, amitriptyline after consultation with a neurologist.
Regards
Dr Neeraj Kumar
Neurologist
No photophobia, no nausea, no decreased sleep
Duration of headache - short, about 15 min
Aggravating factors - change of temperature while coming in and out of Air Conditioning
Mostly observed in the evening, almost every alternate day
Relieving Factors - massaging the head, Paracetamol tablet (Combiflam)
Possibility of other autonomic headache should be considered
Detailed Answer:
Hello XXXXXXX
Such a character of headache with short duration is a bit uncommon for migraine patients and other diagnosis of primary headache like cluster headache or Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing, or SUNCT should be considered.
Are you having any autonomic features like , redness of eyes, nasal stuffiness, conjunctival injections , stabbing pain character, night awakening due to pain.
Are you having multiple episodes in a day too.
I will advice you to consult a neurologist and get evaluated. You can try migraine drugs for some time and avoid sudden change of temperature or extremes of temperature.
If non responsive then drugs like lamotrigine, verapamil or indomethacin may be tried after consultation with your treating neurologist.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Always there to help you
Detailed Answer:
Hello XXXXXXX
We are always there to help you.
Feel free to enquire more questions directly to me.
Regards
Dr Neeraj Kumar
Neurologist