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What Does Prolonged Severe Headache Indicate?
Hi . I had a sudden severe headache a couple days ago , went to urgent care and recused two injections , one for the pain one for nausea And was sent home w imitrex The headache had mostly gone away until this afternoon. When almost at point of a sexual orgasm the same severe pain came on instantly and most severely , I cannot figure out why or what
Mon, 22 Jun 2015
User's Response
Dr. Aida Quka,
Neurologist's Response
Neurologist's Response
Hello!
Thank you for your question on HCM! I understand your concern.
Your symptoms may be related to different disorders:
1- migraine , which can be triggered by different food and activities. The fact that imitrex has helped you is in favor of this diagnosis.
2. A post orgasmic headache. This would only explain the second episode of headache.
3.Uncontrolled blood pressure. I would like to know if you measured your blood pressure during these episodes.
4. An inflammation like a temporal arteritis.
I would recommend you to closely monitor your blood pressure, perform a routine blood test for anemia or inflammation.
A brain CT scan would be necessary to exclude a possible intracranial lesion, which can increase the intracranial pressure.
Hope to have been helpful!
Greetings! Dr. Aida
Thank you for your question on HCM! I understand your concern.
Your symptoms may be related to different disorders:
1- migraine , which can be triggered by different food and activities. The fact that imitrex has helped you is in favor of this diagnosis.
2. A post orgasmic headache. This would only explain the second episode of headache.
3.Uncontrolled blood pressure. I would like to know if you measured your blood pressure during these episodes.
4. An inflammation like a temporal arteritis.
I would recommend you to closely monitor your blood pressure, perform a routine blood test for anemia or inflammation.
A brain CT scan would be necessary to exclude a possible intracranial lesion, which can increase the intracranial pressure.
Hope to have been helpful!
Greetings! Dr. Aida
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