Aa
persistant headache!
ok so this is going on week three for a headache that will not go away its not a migrane its just a persistant pain in my head. I have taken tylenol ibprophen advil and excedrine and it will not go away. does anyone have any ideas what would be causing such a persistant headache? or have any ideas on how to get rid of it?
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
Since you have a headache almost daily, what you have is in all probability not a simple migraine but a chronic daily headache (CDH). This can be the primary type—without any cause. One simple reason for daily headaches with nausea is compression of cervical spinal nerves. Another reason is TMJ, especially if the headache starts with chewing. The third reason could be severe acidity with or without GERD. The CDH could also be secondary to trauma, raised intracranial hypertension, high blood pressure, temporal arteritis etc. Hence all these need to be ruled out.
If the headache lasts for less than 4 hours then it could be a chronic cluster headache or a chronic paroxysmal hemicranias. If it lasts for more than 4 hours it could be chronic tension headache, chronic migraine or altered migraine or hemicranias continua. Indomethacin is the drug of choice in hemicranias continua. In fact the diagnosis is considered confirmed if a patient responds to Indomethacin. Also consult a gynecologist and rule out hormone imbalance and low estrogen as the cause of your headaches. Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your doctor once. You may need some tests for confirmed diagnosis which may include blood tests, MRI etc.
You should consult a migraine and headache specialist. Take care!
There is a similar discussion on MedHelp which may interest you: http://www.medhelp.org/posts/Neurology/DAILY-HEADACHES-MIGRAINES/show/294752
Welcome to the MedHelp forum!
Since you have a headache almost daily, what you have is in all probability not a simple migraine but a chronic daily headache (CDH). This can be the primary type—without any cause. One simple reason for daily headaches with nausea is compression of cervical spinal nerves. Another reason is TMJ, especially if the headache starts with chewing. The third reason could be severe acidity with or without GERD. The CDH could also be secondary to trauma, raised intracranial hypertension, high blood pressure, temporal arteritis etc. Hence all these need to be ruled out.
If the headache lasts for less than 4 hours then it could be a chronic cluster headache or a chronic paroxysmal hemicranias. If it lasts for more than 4 hours it could be chronic tension headache, chronic migraine or altered migraine or hemicranias continua. Indomethacin is the drug of choice in hemicranias continua. In fact the diagnosis is considered confirmed if a patient responds to Indomethacin. Also consult a gynecologist and rule out hormone imbalance and low estrogen as the cause of your headaches. Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your doctor once. You may need some tests for confirmed diagnosis which may include blood tests, MRI etc.
You should consult a migraine and headache specialist. Take care!
There is a similar discussion on MedHelp which may interest you: http://www.medhelp.org/posts/Neurology/DAILY-HEADACHES-MIGRAINES/show/294752
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