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Dr. Andrew Rynne

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Suggest Treatment For Pulsating And Burning Pain In Head

HI,

Dr. my father who is 53 yrs old is complaining of pulsating and burning pain on the left side of his head.The pain is sudden in onset and severe as he wakes up from sleep.The pain reduces with pain killers and has decresed in intensity over the past 3 days.There are no other complains relatd to vision,nausea or vomiting but he has smalll pimples on the site of pain which hurt on touching but there is no pus or reddness over that area.

My father is a none hypertensive,non-smoker and non daibetic patient. Kinddly guide me as to what are the posibilities associated with the complains and also if they indicate any thing critical.

Thanku.
Mon, 8 Sep 2014
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Diabetologist 's  Response
Hi, welcome to our site. I am Dr Saumya Mittal, MD.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

There are couple of possibilities I can think of. Ideally I would have liked to see you live, so I could have taken more details.

I think the first possibility we may have to consider is migraine. The description of the headache is typical to it. Even though the associated features are not present (as mentioned in the query), I will consider it if there had been headaches in the past.

Second possibility is giant cell arteritis. the age group and the symptoms suggest this diagnosis quite significantly.

Third possibility is an intracranial lesion.

And finally, I will consider vasculitis.

I will suggest an MRI Brain, ESR, ANA for you. One these test are done, we may be able to differentiate between these conditions. Treatment can be suggested accordingly

I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
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Suggest Treatment For Pulsating And Burning Pain In Head

Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query There are couple of possibilities I can think of. Ideally I would have liked to see you live, so I could have taken more details. I think the first possibility we may have to consider is migraine. The description of the headache is typical to it. Even though the associated features are not present (as mentioned in the query), I will consider it if there had been headaches in the past. Second possibility is giant cell arteritis. the age group and the symptoms suggest this diagnosis quite significantly. Third possibility is an intracranial lesion. And finally, I will consider vasculitis. I will suggest an MRI Brain, ESR, ANA for you. One these test are done, we may be able to differentiate between these conditions. Treatment can be suggested accordingly I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) Consultant Physician and Diabetologist JS Hospital Ex Apollo Hospital, Delhi Ex Kailash Hospital, Noida