HomeAnswersInternal MedicineheadacheI have a headache near the temporal region. Please help.

How can headache be controlled in a hypertensive patient?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At May 9, 2019
Reviewed AtNovember 15, 2023

Patient's Query

Hi doctor,

I am 31 years old, male. Since last 3 to 4 days I am having a headache on my left side of head above temporal randomly on irregular interval for 4 to 5 seconds. The pain feeling like knife pinch and intensity is mild. Apart from this there is no other symptom and not able to find any trigger for this pain. In past, I was treated for hypertension which is now well under control with medication. I am an anxious person and taking medicine for last two years for anxiety control. Also, I am a person who is working on the computer for long time. Medicine taken currently- Telma CT 80 12.5, Embeta XR 50, Es Nax plus (Clonazepam 0.5, Escitalopram 5). Can you suggest what is causing this pain and what is the remedy?

Hi,

Welcome to icliniq.com.

As you told, you have hypertension and anxiety disorder, where both the conditions can cause a headache if uncontrolled and in your case pain is on temporal side unilateral, so you have to rule out temporal arteritis. Kindly follow the following instructions.

Do CBC, ESR. Start any pain killer analgesic like Ibuprofen or Naproxen tablet. If not controlled with medicine and ESR is normal, go for CT head. Once visit an ophthalmologist to check fundus.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vedprakash Verma
Dr. Vedprakash Verma

General Practitioner

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