sharp headache

[FordMustang12]

I am typing this on behalf of my girlfriend.She is 23 years old and has been having headaches since she was18.She has got her MRI tests done about 6 years back and the reports were clear.With some medication the headache did supress for few years and was less as compared to earlier but now a days again the pain has started showing up.She gets this pain normally when she gets up in the morning,when someone plays loud music or if someone yells or fights with her.The pain is so sharp and severe that sometimes she starts crying because of it.Earlier normal head pain medicines used to do the job but these days they are in vein and do not have an effect on the pain.The pain would last for a long time and she would feel as if someone is hammering her head.Due to this reason she gets angry very soon and starts yelling like never before and gets upset soon on certain small things which usually wouldnt upset her or anyone for that matter.I just cannot see her into so much of pain and she is adament of not visiting a normal doctor as according to her their medicines do not work.Please can you tell me what could be the reason for the pain and what tests should be done or what medicines should be taken for this?I would really be obliged for the help offered
Thankyou.

[FordMustang12]

Thank you sir for your valuable reply.Well you said first i need to evaluate if she is suffering from migrane problem.Which tests can evaluate this problem?She does eat choclates almost everyday and has a pain which keeps on shifting i.e sometimes left or sometimes right and sometimes even both sides.I will take into account all that you have said and ask her to avoid the things said above.
thank you once again

[Dr. A. Srivastava]

Thank you for your question. Although without being able to examine her I can not offer her the specific advice on diagnosis and treatment that she needs, but I would try to provide some relevant information about her health concern.

I can understand your worrying concern about her long term headaches and no sure success treatments that you have tried. First & foremost, I would that she should be evaluated for migraine (throbbing, one sided severe headache) and tension headache. The mainstay of the migraine treatment is always to identify the triggering factors and to avoid them. Triggering factors could be different foods such as cheese, chocolate, alcohol and even few fruits. Other factors that may induce your migraine attack may be contraceptive pills, stress or depression, bright lights, loud noise and traveling. Few women experience headache more commonly during the time of their menstrual periods & at the time of hormonal imbalance. I would suggest careful record of events that have proceeded with the attack and avoid those factors. In addition, try to rest in a dark & quiet room, meditate, have a balanced diet and avoid taking unnecessary drugs. Even then if you suffer continuous headache, please arrange an appointment with a neurologist right away who will evaluate the further underlying disorders here that may be the main reasons of your migraine attacks and can provide you an appropriate treatment. Hope this information proves helpful to you.