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What Causes Persistent Headache And Neck Pain?

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Posted on Mon, 27 Jun 2016
Question: Getting headache since a month. No relief with any tablet. Consulted MD , Neuro, ENT, Eye Specialist.
Getting headache and slight Neck Pain. The pain starts immediately after waking up. Getting pain throught the head. No vomi
doctor
Answered by Dr. Abhijit Sonawane (2 hours later)
Brief Answer:
Sounds like migraine. kindly read ahead

Detailed Answer:
Hello,
Thanks for posting in HCM.
From your age and symptoms it seems to be migraine. It is quite common in you age group to have it.
The medications you are taking should work mostly.
I would like to know some more details about your complaints.

1. Is the pain coming on daily basis?
2.Since when did it start occurring?
3. When does it go away? As any time in day? By noon or evening or continues throughout day?
4. Do you have aura before headache start? Like do you get a hunch of impending or upcoming headache before it starts?
5. How frequently are you taking the medications that you've mentioned? When do you take it?

Kindly answer my above questions so I can answer you in better way.
Thank you
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Abhijit Sonawane (9 hours later)
1. Is the pain coming on daily basis?
ans : Yes.
2.Since when did it start occurring?
ans : One month
3. When does it go away? As any time in day? By noon or evening or continues throughout day?
ans : continues throughout day (however no pain during sleep)
4. Do you have aura before headache start? Like do you get a hunch of impending or upcoming headache before it starts?
No
5. How frequently are you taking the medications that you've mentioned? When do you take it?

ans : Every day the pain starts immediately after the wake up and I take medicine when the pain starts. However no relief yet.
doctor
Answered by Dr. Abhijit Sonawane (10 minutes later)
Brief Answer:
Need some more information

Detailed Answer:
Hello,
Thanks for answering my questions.
It looks like a common migraine headache.
But it could start abruptly or there could be some other thing which might be causing this.
I am sorry I didn't ask you this in previous reply but have you do any kind of investigations for this?
Like CT brain or MRI brain or any other blood workup?
I am very sorry to ask another question again but this is important because if not done then it will be required to do to rule out any other obvious cause which is causing this headache.
Answer me this above question and I will help you out with further workup. Sorry once again.
Thank you
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Abhijit Sonawane (19 minutes later)
Done EEG and is normal and verified by Neuro physician. No CT or MRI done.

Done CBP and details are as below :

Hemoglobin : 11.6
Eosinophilia : 500

Rest all fine.
doctor
Answered by Dr. Abhijit Sonawane (22 minutes later)
Brief Answer:
CT or MRI advised, can start sumatriptan 25mg

Detailed Answer:
Hello again.
Thanks for answer. I will strongly recommend an imaging study like CT or MRI brain to just rule out any other cause for headache which might have been over looked.
Please ask your neurophysician for getting one of these done. If all is normal, migraine diagnosis can be confirmed.
Also meanwhile you can start on tablet sumatriptan 25mg when you start having pain. It has good effect on migraine headaches and is pretty specifically used for that.
You will need prescription for the same from a doctor as its not available over the counter.
Migraine usually have some triggering factors which differ from person to person. It can be anything from some food item to even stress.
So by trial and error method find out your trigger factor and try to avoid it as much as possible.
I hope I have answered your query well.
If you have any questions kindly ask me back.
Thank you
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Abhijit Sonawane

General & Family Physician

Practicing since :2011

Answered : 603 Questions

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