Q. I have a constant headache on one side. Please help.

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 08, 2017 and last reviewed on: Nov 19, 2021

Hi doctor,

I am a 20 year old male, and I have constant headaches on one side of the head for 19 consecutive months. When I was studying for exams two years back, I had a sudden headache that was concentrated on the right back side of my head. It was uncomfortable enough for me to miss classes for the next two days, after which the pain lessened but did not go away, and I have had it since. Also, my sinus on the right side is often blocked then the left side.

The headache is always in the same place, the back right side of my head. I take Aspirin, occasionally for it. Depending on what I am doing, the pain may get slightly worse, but more or less it is a constant dull and achy feeling, a very similar feeling to if you have a bruise and someone gently presses their fingers against it. There are periods when it feels better, but there has not been a time since onset when it has gone away. I have been to a doctor once, and after briefly asking few questions, he advised that I massage that area of my head. I did, but the headache remained. Thank you, and I would greatly appreciate any help.



Welcome to

  • I am a headache consultant, and I need further information from you to classify the type of headache you have and the treatment required:
  1. Is the headache pulsating in nature?
  2. Any vomitings associated with the headaches?
  3. Any visual issues associated?
  4. Any sleeping disturbances?
  5. How severe is your headache on the scale of 0 to 10?
  6. Does taking Aspirin put it at ease?
  7. How frequent is it? Please mention approximate frequency like daily, once a week, once a month.
  • Revert with the asked details for better help.

Revert with more information to a neurologist online -->

Hi doctor,

Thank you very much for replying. The headache is not pulsating in nature, it is a constant dull achy feeling. The feeling changes slightly anytime I move my eyes, but generally, it is constantly the same. I do not have vomiting since the headache began. No visual issues either. I get very vivid dreams that for a while induce sweating in my sleep. The night sweats have stopped, but the dreams are still very vivid. However, I have always dreamt somewhat vividly. On a scale of 1 to 10, the pain is a 5. Since I have been taking Aspirin, the headache has gotten very slightly better, but it does not make the headache go away. There are no periods where it has not been there since its onset. It is very slightly worse when I first wake up, but generally, it is a fairly constant and consistent feeling. Thank you again.



Welcome back to

  • Based on the history given by you, your symptoms are classically suggestive of chronic tension-type headache. It is not that one develops it if he or she is under some stress, but without it also a lot of people develop it.
  • The treatment for it would be drugs like Amitriptyline and Escitalopram. These are to be taken under the guidance of your doctor for a long term and once started, a good response is seen within 2 to 3 weeks.
  • I would also recommend you for yoga and meditation, as they help you naturally to fight with such headaches. Please share my opinion with your doctor.

If you have any further query, please ask me.

For more information consult a neurologist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I feel a tight band like pressure on my head while wearing specs. Why?

You probably have a tension-type headache ... Even with specs, you can manage these headache symptoms ...   Read full

Is it dangerous to smoke marijuana while on Vyvanse, and Escitalopram?

My main concern is the way my body will react on being on a combo of an Amphetamine, an SSRI, and a psychoactive drug ...   Read full

Can I take 20 mg of Citalopram with 10 mg of Amitriptyline?

.. are right in this regard but clinically it is proven to give if patient's symptoms are resistant on medication but there are few options to try before prescribing this, and for sleep to prescribe Noncrystalline is not suitable decision, rather you...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.