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What Causes Severe Pain At Base Of Skull While On Ibuprofen?

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Posted on Mon, 18 Jan 2016
Question: I have pain in the back of my head from base of my skull down my left arm and my hand is swollen.
This has been going on for about a week. I've been taking 800 mg of ibuprofen. It doesn't seem to help much. I Should also tell you I have chrohns disease.
Thank you XXXXXXX Cannata
doctor
Answered by Dr. Ajay Panwar (2 hours later)
Brief Answer:
Please tell a few details:

Detailed Answer:
Hi Cannata,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I understand your concerns well and I shall address them at my best but I need to know a few extra details:
1)Is the headache accompanied with nausea?
2)Does the headache increases on exposure to bright lights or sound?
3)Is the headache persistent or intermittent?If intermittent,how much duration does the each episode lasts?
4)Are you on any medicines except ibuprofen?If yes,please list them?
5)Lastly,do you have tingling or numbness in arms?

I shall be looking forward to your follow-up query with details.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (2 hours later)
Dr. Panwar
The headache is not light sensitive and No nausea, just pain in the back of my head and pain radiating down my left arm and my left hand is swollen. I'm taking 800 mg of ibuprofen and finding some relief with heat therapy to my neck, and then switching to an ice pack. I take lorazepam 1mg 3x a day for anxiety when needed. I'm also taking pantessa 1000 mg 2x daily for chrohns disease and over the counter Imodium 2 capsules daily.
Thank you XXXXXXX Cannata
doctor
Answered by Dr. Ajay Panwar (8 hours later)
Brief Answer:
Cervical spine X-ray/Trial of antineuralgic medicines.

Detailed Answer:
Hi Cannata,
Thanks for being in follow-up and providing further details.

Considering your clinical details,this pain appears to be related to either degenerative cervical spine changes or it may be a variant of Tension type headache.

I suggest you to get a cervical spine X-ray done.

In the meantime,for pain,you should start a trial of antineuralgic medicines like Amitriptyline or Duloxetine.These will probably improve the symptoms.

Further,swelling in hand must be examined by a physician.Is this swelling getting depressed when you press it with a finger.I mean-is it pitting or non-pitting swelling?

PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE ONLY.

If you have some further questions,I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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What Causes Severe Pain At Base Of Skull While On Ibuprofen?

Brief Answer: Please tell a few details: Detailed Answer: Hi Cannata, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I understand your concerns well and I shall address them at my best but I need to know a few extra details: 1)Is the headache accompanied with nausea? 2)Does the headache increases on exposure to bright lights or sound? 3)Is the headache persistent or intermittent?If intermittent,how much duration does the each episode lasts? 4)Are you on any medicines except ibuprofen?If yes,please list them? 5)Lastly,do you have tingling or numbness in arms? I shall be looking forward to your follow-up query with details. Regards Dr.Ajay Panwar, MD,DM(Neurology)