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What causes SAH-like headaches despite its treatment?

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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. K. Shobana

Published At April 13, 2023
Reviewed AtOctober 11, 2023

Patient's Query

Hello doctor,

Five months ago, I had a SAH and was in the hospital for 20 days including 11 in ICU. After leaving the hospital I was improving till one month after the hospitalization. I had a really bad headache which was similar to before my SAH. After this incident, my blood pressure increased and I have been prescribed various blood pressure tablets since. I currently take 2.5 mg of Indapamide each day. Also, from that day on I have suffered from chest pain on the left side. Pain is 2/10 and is almost constant. I have had two ECGs, chest X-ray, and blood tests, and am awaiting the result of a CT scan. But, so far, my general practitioner cannot find anything- in fact, one has said that he does not know what it is, but I know what it is not. It is not your heart, it is not a chest infection and it is not angina." Last month, I saw a consultant radiologist who showed great concern that I was suffering from angina and that this could impact my further treatment. I take a long walk (three to four miles) twice a week and I am strong after my visit to the hospital last year. I have never smoked and do not drink alcohol. I only get out of breath after strenuous exercise, can lift and use my left arm okay, and do not get any real pain anywhere else. Can you suggest what I might be suffering from I am worried about strokes and want my treatment to continue?

Hello,

Welcome to icliniq.com.

Angina pectoris occurs on exertion when the heart rate increases and pain is relieved on rest. If you do not have chest pain on exertion, you do not have angina in most cases. In some rare cases, episodic angina can occur on rest especially in cold weather when arteries of the heart narrow due to spasms. But such pain is rare in male, and sometimes occur in young females. Please tell me whether you have such pain regularly or had it only once. Please share your ECG (electrocardiogram) and other reports so that I may guide you accordingly. Also, read my articles in the articles section to know more. Thank you.

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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