What could be the reason for the continuous headache for three months that was not relieved by medication?

Question

Hello doctor,

I have had continuous headaches for the past three months. I underwent an MRI scan, and the reports were normal. The doctor told me it was a migraine, but tablets did not relieve the headache.

Currently, I am on the following tablets,

Amitone plus.
Ciplar LA - 20.
Sibelium - 5.
Pantosec - 40
Naxdom - 500.

Answer 1

Hello,

Welcome to icliniq.com.

I would like to know some further details about your headache:

Since when did you start to have these headaches? Is it since three months only or they used to occur intermittently before also?
In which part of the head do you feel headaches? (You can attach your photo, clicked from a little distance, with your hand kept over the part of the head where you feel a headache. Can attach two to three pictures from the front or sides if the headache area is large).
What kind of headaches do you feel like heaviness, bursting, squeezing, stretching, throbbing, or some other type?
Are your headaches intermittent or persistent?
If intermittent, one episode of headache lasts for how much duration (without pain killer tablet)?
Do you feel any nausea or vomiting during headache episodes?
Is headache associated with any redness in the eyes, watering from the eyes, or nasal blockage?
Have you noticed any specific trigger factor for this headache till now?
How frequent are these headaches? How many times in a week do they occur?
For how long have you started taking Amitone (Amitriptyline), Ciplar LA (Propranolol) - 20, and Sibelium (Flunarizine) - 5?
How is your vision for distant and near objects?

Other information:

How is your sleep routine? Do you sleep sooner or later after lying in bed? Is your sleep disturbed? Do you feel fresh on awakening from sleep in the morning?
What is your usual mood in daily activities? Do you think of past or future things?

Answer 2

Hello,

Welcome back to icliniq.com.

Your description is very short and not detailed as I tried to ask for. As the MRI reports are normal, your condition looks like a tension headache.

I suggest,

Tablet Amitone (Amitriptyline) may be beneficial in it.

The effect of the medicine may start from 10 to 14 days. Based on the response with a dose, the next dose is decided. Also, I would suggest you consult an opthalmologist to look for refraction, intraocular pressure, and fundus. Along with this, try to start an exercise program like jogging for 20 to 30 minutes in the morning.