Dr. Aida Abaz Quka
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 28-year-old female suffering from a sharp one-sided headache and it lasts for a second. Please suggest.
Hi,
Welcome to icliniq.com.
I understand your concern. It seems to be an ice pick headache and it is a benign type of headache. So, there is no need for doing brain imaging. I recommend taking Indomethacin 50 mg twice a day for a week. You can also take Melatonin 5 mg at bedtime for a month for regulating your sleep.
Patient's Query
Thank you doctor,
I have migraine for a year. I never had a migraine before that. I will get regular tension headaches. Migraine presents with a one-sided pulsating headache and it lasted for three days. I also noted some triggers. It was extreme when I took caffeine and cheese. So I avoided taking it and after that, I did not have migraines. After that, I started to have occasional headaches on one side. After that, I did not have any short headaches for six months.
Before two months, I started to have a one-sided headache suddenly. It came for every ten to twenty minutes a day. Then it got stopped for two months. Yesterday I waked up at night to use the restroom. I came back to the bed with my head down. I felt this one-sided pain on my left temple and it lasted for a second. The pain was similar to migraine and it hit only once. Then I closed my eyes and I am not sure whether I was dreaming or not. But after that, I started to have red and green lights. It worries me a lot. I want to know about these random headaches. Is it common? Is there something wrong with my brain?
Hi,
Welcome back to icliniq.com.
Based on the description of the headache, it seems to be a vascular headache similar to migraine. The red and green light can occur due to migraine aura as the duration of headache is not typical of migraine. You should know that sometimes we can experience aura without migraine attacks. Another possible cause can be temporal arteritis. In such cases, there is a blurring of vision in one eye and headaches are more frequent. I recommend you do an MRI (magnetic imaging) of brain, complete blood count, PCR (polymerase chain reaction), and ESR (erythrocyte sedimentation rate) for inflammation. You should discuss this with your doctor. I also recommend you start taking Propanolol or Verapamil. It helps to prevent the recurrence of headaches.
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Neurology
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