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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headache For Almost 2 Years?

I m a 56 yr, old male. Began having a headaches about a yr and 1/2 ago on right side some time shoots down Back o neck or front to eye. A spot on my scalp about the size of a quarter in my head on top right side always hurts, had mamagram1 yr ago, showed nothing. Been to neurologist but just saw N.P. both times, tried meds and vitas recommened. Alergist said alergic to dust and grass, but not causing head ache. Thought it could be stress, I ruled that out myself. It s really getting on my nerves. Had polio as child, spinal tap worked, rt. Leg shorter, and muscle is deteriating. Was diagnosed with PPSmany yrs ago. Full time supv job in school system and full time work horse trainer and farmer. Can you advise what to do whobto see. Will not take narcotics or antidepressants. Trainer and farmer. Hate meds but take recommended and doesn t work.
Fri, 23 Jan 2015
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Psychiatrist,  's  Response
Hi.

I had gone through your query.

Need to evaluate headache by following investigations.
Eye sight check up/ Fundus examinations/ blood pressure/CT scan and MRI.

If all come normal then need to evaluate psychological reasons behind chronic headache.
Tension type headache is common in middle age female and can be treated with medicines and behavior therapy.

Without medicines it would be difficult to treat it. TCA antidepressant like amitryptiline is one the best medicines that has been used to treat chronic headache.

Take proper rest/ diet/ sleep./ stress free work and activities/ meditations/ exercise can help.

I hope i have answered your query.

Get well soon. Thank you.

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What Causes Headache For Almost 2 Years?

Hi. I had gone through your query. Need to evaluate headache by following investigations. Eye sight check up/ Fundus examinations/ blood pressure/CT scan and MRI. If all come normal then need to evaluate psychological reasons behind chronic headache. Tension type headache is common in middle age female and can be treated with medicines and behavior therapy. Without medicines it would be difficult to treat it. TCA antidepressant like amitryptiline is one the best medicines that has been used to treat chronic headache. Take proper rest/ diet/ sleep./ stress free work and activities/ meditations/ exercise can help. I hope i have answered your query. Get well soon. Thank you.