I suffer from severe headache, nausea and vomiting. Why?

Question

Hello doctor,

I suffer a lot from headaches. Sometimes I have this pain on my whole head, but one side pains more. Sometimes I just have this pain on the back of my head. My neck and everything just pains I cannot even keep my eyes open or put my head down, or sleep. I have these headaches almost every day it is like off and on the whole day. Sometimes I spew, or I feel nauseous. I only take strong tablets like Syndol, Myprodol, Pynstop, and Damadol. But sometimes these pills do not work for me. I do not take Panado, Disprin or Grand-pa, it does not work for me and makes me spewy like. I would like your doctor's advice because these headaches have been going on for a very long time, and every year it is getting worse. Is this serious? What can I do about this? What type of headache is this? I know taking so many pills is not good. Please advice.

Answer 1

Hello,

Welcome to icliniq.com. If you would have presented to me as an outpatient, I would have advised you to do mental relaxation exercises, yoga, and meditation. If I am asked to make a clinical diagnosis on the basis of medical history, I would say tension-type headache (TTH) without any doubt. Headache at the back of the head with associated neck pain, inability to put the head down and difficulty in getting sleep all are very classical for TTH. Meditation and yoga will definitely help if it is TTH. Regarding drug therapy, my advice is to stop all the current medications you are taking and start taking tablet Tryptomer (Amitriptyline) 25 mg half tablet for initial two days and then full tablet daily while going to sleep in the night. Please take the medicines under the guidance of a physician only.