Q. I am suffering from headache and my MRI is normal. Please help.

Answered by
Dr. Lalit Bansal
and medically reviewed by Dr. Nithila A
Published on Oct 03, 2019 and last reviewed on: Oct 05, 2019

Hello doctor,

I have disorientation, headache, sensitivity to light, forgetfulness, and drowsiness. I went to the hospital to rule out brain aneurysm, nothing was found, but I need a resolution for the pain. Please help.

Dr. Lalit Bansal

Neurology Paediatrics
#

Hello,

Welcome to icliniq.com.

Headache with sudden onset and the worst headache of life need evaluation. Since your MRI brain is normal, it is reassuring. One thing that still needs to evaluate is, has there been any change in your vision, how is your fundus (eye) examination (to make sure there is no increased intracranial pressure). If all these tests are normal, then you might be suffering from status migrainous.

Fioricet should be avoided as this may cause dependence. Things that would help,

1. ER visit for migraine cocktail for headache relief.

2. Water intake two liters per day.

3. Exercise daily.

4. A good sleep of at least five to six hours.

5. Preventive medications like Riboflavin 100 mg oral daily or Magnesium oxide 400 mg oral daily (trial for a month).

6. See a neurologist for detail evaluation.


Investigations to be done:

eye examination (fundoscopy)

Treatment plan:

Migraine cocktail if secondary Headache is ruled out.

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