I have to consult regarding my sister who is an epileptic patient. She has been having severe headaches since few days.
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Can you describe her headache in details, like since how many days she is suffering from headache? It started suddenly? Which part of head is paining ? What are the triggers? What are the reliver factors? Any history of fever? How many attacks of headache in a day /week? Once it starts how long it remains? Send me radiographic report of MRI.
Thank you doctor,
Headache since 3 months, started suddenly. Sometimes left side eyebrow area or right side above headline on one point. Noises trigger, taking painkiller and sleeping reliefs the pain. No fever history. Two times a day at least headaches. For hours it remains like this last one I am still having is almost 5 hours. I do not have a radiographic MRI report.
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It seems migraine like headaches with MRI partial images normal (attachment removed to protect patient identity). I will advise to start treatment for migraine prophylaxis. Initially for 5 days give her tablet Indomethacin 75 mg once daily for 5 days and also start tablet B40 mg daily in the morning, if BP, heart rate normal, and she does not have asthma. Take it for 1 month. If good response then will need it for 3 months. Continue anti-epileptic Lamtec and consult me after 1 month and send me MRI report if possible.
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