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What Causes Severe Headache Despite Taking Ibuprofen?

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Posted on Thu, 8 Jun 2017
Question: Hello, I have had a headache since thursday evening. It has been severe to dull pain at rt temple and behind rt ear, but has moved to rt forehead, too. I have taken ibuprofen which has helped but dullness comes back. Right now it is dull. Also noticed that my neck cracks every now and then.
doctor
Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Please answer some questions related to your problem

Detailed Answer:
Hello,

Thank you for using Healthcaremagic to post your health query.
I read carefully your question and I understand your concern.

Can I please ask some more questions to clarify and understand what is going on with you so I can advice better and accurately.
- Is it the first time you have this type of pain, or you have suffered from it before?
- Is Ibuprofen helping to relieve the pain?
- What else makes the headache better or worse?
- Does moving your jaw makes it worse?
- Is it painful when you touch the area at the right temple?
- From 0-10 how strong is the pain, with and without Ibuprofen?
- Do you have pain in the neck also, or is it only crack? - Please answer as many of these questions about the neck too, and tell me a bit more about it.

I know these may seem like a lot of questions, but all of them help me give you a better care.

Looking forward to your follow up question.

Regards,
Dr. Papaqako

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (45 minutes later)
This is the first time I have had this type of headache. I don't typically get headaches and the duration is unusual for me.

Ibuprofen that I have taken seems to help at first, but after time the dull pain returns. I think I stated I've taken several doses of ibuprofen ranging from 400mg to -800mg. I took 800mg before bed last night slept well. I have not taken any today.

The headache does not change from intensity. It does periodically change in location but right temple is continual. I have noticed it feels like pressure currently in front of my rt ear. I have also felt pressure over rt eye/forehead and also now rt temple.

there is pain/ tenderness at rt temple on scale of 3-4 out of 10 being the worst.

On Friday morning when I awoke the pain intensified and pain level was a 6-7. I remained in a supine position for a while I did take my first dose of ibuprofen 400mg. I can't remember but believe it helped at first.

the neck is not painful just with noticeable cracking

no nausea or vomiting. no fever


I think you asked about my jaw. no pain movement from side to side cracks. No it does not make it worse. Thank You

finally, I am tired no energy, trying to move about... had a physical in early March blood work fine except cholesterol higher than normal...working on that!
doctor
Answered by Dr. Klarida Papaqako (1 hour later)
Brief Answer:
Headache with some red flags- not common.

Detailed Answer:
Hello,

Thank you for the information that you provided and for answering every question.

I see some red flags in your headache.
- It is a new headache.
- It doesn't get relieved by the common analgesics.
- Has not a typical location and it is not related with the temporo-mandibular joint despite the location.

So, if I was your caring doctor, I would suggest that you see a neurologist and so they can do a physical exam, a neurological exam and MRI/other tests if needed.
- It may be a new migraine, but it is not common that it is lasting so much.
- Also, it may be a temporal artheritis headache, but in that case, it would be an emergency because it may cause lose of vision if you don't get the needed treatment.
- These above are the most common, but it may be many things, all depending on the neurological exam and the tests.

I hope this helps.
Feel free to write again if you have any other question or concerns.

Kind regards,
Dr. Papaqako.


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (1 hour later)
Thank you, I will follow your advice and see a neurologist for further evaluation.
doctor
Answered by Dr. Klarida Papaqako (23 minutes later)
Brief Answer:
Glad to have been of help

Detailed Answer:
You are welcomed.

Glad to have been of help somehow.
Feel free to follow up with me anytime if you wish.

If you do not have other questions about this matter, please kindly close and rate the answer.

All the best,
Dr. Papaqako
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1803 Questions

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What Causes Severe Headache Despite Taking Ibuprofen?

Brief Answer: Please answer some questions related to your problem Detailed Answer: Hello, Thank you for using Healthcaremagic to post your health query. I read carefully your question and I understand your concern. Can I please ask some more questions to clarify and understand what is going on with you so I can advice better and accurately. - Is it the first time you have this type of pain, or you have suffered from it before? - Is Ibuprofen helping to relieve the pain? - What else makes the headache better or worse? - Does moving your jaw makes it worse? - Is it painful when you touch the area at the right temple? - From 0-10 how strong is the pain, with and without Ibuprofen? - Do you have pain in the neck also, or is it only crack? - Please answer as many of these questions about the neck too, and tell me a bit more about it. I know these may seem like a lot of questions, but all of them help me give you a better care. Looking forward to your follow up question. Regards, Dr. Papaqako