Dr. Upendra Kumar Shah
Neurology
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Patient's Query
Hello doctor,
I recently have recurring headaches. Some a little intense and some not. I usually just take Paracetamol and the pain goes away. Last night, the pain started at top of my head but mostly on the left side. The pain eases when I try to massage my head but what is different was the pain intensifies when I lie down. I take 2.5 mg Nebivolol in the morning for my hypertension. I also have panic disorder. Yesterday, I did experience a panic attack in the morning then my headache started in the afternoon then again at night. I took Clonidine 75 mcg which got rid of the headache and helped me sleep.
Hi,
Welcome to icliniq.com.
With the given information I think you are having a migraine. Please tell me what is the current frequency of headache per month?
Additionally please answer the following questions.
Do you have nausea or vomiting like sensation with a headache? Is it a throbbing type or tension-type? Is it mostly one side? Is there irritation to light and sound? How long it goes? Do you have disturbed sleep? Any visual disturbances?
Patient's Query
Thank you doctor,
The frequency of headache is three to four times a month. Sometimes it is throbbing but it starts first as tension. Yes, mostly it starts on the left side and I easily get irritated with the noise. It lasts for maybe one or two hours, or longer but the pain comes and goes. Sometimes, I wake up with the pain and no visual disturbances.
Hello,
Welcome back to icliniq.com.
Yes, it seems to be migraine. Three to four times per month is low frequency. You may not require prophylactic medicine but you require a simple abortive medicine. You can continue taking Paracetamol for headache, if it is not relieved then you can take tablet Naproxen 500 mg in the place of Paracetamol.
It is common in period days and with sleep disturbances. If it is increasing in frequency or became troublesome then you can take prophylactic medicine tablet Amitryptyline 5 mg in the night daily for three months.
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Neurology
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