Brief Answer: Proton pump inhibitors and domperidone before food Detailed Answer: Hello, Welcome to XXXXXXX I have gone through your query and understand your concern. Bad gastric reflux and gas in abdomen can cause headaches. Treatment is a combination of drugs to reduce the gastric acid and lifestyle changes. You will need to take a combination of medications like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole with domperidone in empty stomach in the morning 30 to 20 minutes before breakfast and night and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment. Other than this, it is difficult to diagnose the cause of headaches from your query. Some other causes for headache are 1. Sinusitis 2. Refractive errors of the eye 3. Migraine 4. Cluster headaches 5. High blood pressure 6. Tension headaches 7. Temporal arteritis 8. Pinched cervical spinal nerve 9. Poor or disturbed sleep etc . Dental pain and ear ache due to infection or impacted wax can cause similar symptoms. If the Headache persists even after the treatment for H.Pylori, then you must do Upper GI Endoscopy and investigations for other possible causes which i mentioned above. Hope this helps. Please reply for further queries. Wishing you good health.

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Brief Answer: Cervicogenic Headache. Physiotherapy is ideal. Detailed Answer: Hello, Currently you are suffering from Cervicogenic Headache. During certain neck movements or sustained postures, stretching or compression force is placed on the joints, muscles, ligaments and nerves of the neck. This may cause damage to these structures if the forces are beyond what the tissues can withstand and can occur traumatically due to a specific incident or gradually over time. When this occurs pain may be referred to the head causing a headache. It occurs due to damage to one or more joints, muscles, ligaments or nerves of the top 3 vertebra of the neck. The nerves that supply the upper neck also supply the skin overlying the head, forehead, jaw line, back of the eyes and ears. As a result, pain arising from structures of the upper neck may refer pain to any of these regions causing a cervicogenic headache. Thus you are getting headache frequently while turning back. There are plenty of causes for Cervicogenic Headache. Few important causes are 1. Acute excessive stress on upper neck joints like Whiplash or Heavy weight lifting 2. Repetitive or prolonged activities such as prolonged slouching, poor posture 3. Lifting or carrying (especially in poor posture), excessive bending or twisting of the neck 4. Working at a computer or activities using the arms in front of the body. Just a physical examination and complete clinical history is enough. But your treating physician may recommend 1. X-Ray Neck 2. CT- Neck 3.. MRI- Neck Physiotherapy is initially recommended for Cervicogenic Headache. With ideal treatment, patients with minor cases of cervicogenic headache may be pain free in as little as a couple of days, although sometimes it may take 2 – 3 weeks. In severe or chronic cases a full recovery may take weeks to months. Please consult a Physiotherapy and your Primary care physician. Hope this helps. Please write back for further queries. Wishing your good health.

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