FIRST LADY

[FIRSTLADY1]

I HAVE A SEVERE HEADACHE AND NECKACHE FOR TWO DAYS

[FIRSTLADY1]

I DO HAVE MIGRAINES, HOWEVER HAVE NO INSURANCE AND HAVENOT SEEN A DOCTOR SINCE 2002. I WAS DIAGNOSE WITH ANGINA PECTORIS AND HAVE
ARTHRITIS. WHEN EVER I HAVE SHRORTHNESS OF BREATH I TAKE MY HUSBAND NITRO. AND WHEN I GET ASTMA I TAKE AIBUTEROL THAT ONE OF MY FRIENDS GIVE ME. THE SAME IF MY MIGRAINES GET TOO SEVERE OR I TAKE 5 ALEVES AND COVER MY EYES AND TRY NOT TO TROWN UP.I DONNOT HAVE HYPERTENTION.
I PASS MENOPAUSE FINE . BUT NOW WITH THIS HEAHACH I SWEAT, I AKE MY PRESSURE AND ITS NORMAL. HOPEFULLY ILL GET INS AND SEE A DOCTOR SOON. THANKYOU SO MUCH. I AM NOT THE ONLY PERSON THAT DONT SEE A DOCTOR BECAUSE OF NO INSURANCE...

[Dr Sharma]

Hi there. These headaches could be migraines or tension headaches, sinus headaches radiating to the ear, headache usually front of head, on one or both  the sides of temples along with nausea, vomiting, irritability, low blood pressure, sensitivity to lights, sound, etc. aura associated with migraines could include blind spots, blindness in half of your visual field, paresthesia, weakness or visual hallucinations. Your vision needs detailed testing by an ophthalmologist. Hypertension and hypotension need to be checked. An MRI brain is warranted to rule out any intracranial lesion and since you have neck pain, MRI spine for ruling out cervical spondylosis and degenerative disc disease.  Temporal tendinitis mimics migraines including TMJ pain temporal headaches, tooth sensitivity, neck and shoulder pain. Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Hope this helps. Take care.