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Hi, I'm Writing On Behalf Of My Wife. For The
Question: Hi, I'm writing on behalf of my wife. For the past 45 days she's had non-stop pain in her temple area (both sides) along with other symptoms such as sharp
Brief Answer:
Could you complete the query?
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your wife's symptoms. It seems as though you could not complete the query. Can you mention other details- such as any nausea or vomiting, hypersensitivity to light/sound and any visual disturbances.
Please get back.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
Could you complete the query?
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your wife's symptoms. It seems as though you could not complete the query. Can you mention other details- such as any nausea or vomiting, hypersensitivity to light/sound and any visual disturbances.
Please get back.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
She has had no nausea or vomiting or hypersensitivity to light/sound. She has had an issue for a long time with eye floaters and that continues and has gotten a bit worse over the last few months. She met with an optometrist a month ago but there was nothing they could find wrong.
Brief Answer:
As of now, we can treat like migraine.
Detailed Answer:
Thank you for getting back.
As of now, we can treat her like migraine. Since the headache frequency is high, we need to start preventive medications to reduce the frequency and severity of headaches.
Propranolol is a good drug for that purpose. Usual dose is 40 mg once daily after breakfast.
For relief from headache, naproxen tablets can be used.
Best wishes,
Dr Sudhir Kumar MD DM
As of now, we can treat like migraine.
Detailed Answer:
Thank you for getting back.
As of now, we can treat her like migraine. Since the headache frequency is high, we need to start preventive medications to reduce the frequency and severity of headaches.
Propranolol is a good drug for that purpose. Usual dose is 40 mg once daily after breakfast.
For relief from headache, naproxen tablets can be used.
Best wishes,
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by :
Dr. Nagamani Ng
They have tried multiple migraine medicines at the ER with no success. We don't believe it to be a migraine. What else could it be?
Brief Answer:
Other possibilities to exclude would be vasculitis/venous thrombosis, etc
Detailed Answer:
Thank you for getting back.
In about 30% of cases, other causes are found out on further investigations. Initial test is MRI with MR Venogram brain. This can show conditions such as vasculitis (inflammation of blood vessels) or cerebral venous thrombosis (clotting of blood in veins).
In some cases, it could be idiopathic intracranial hypertension, which can cause headache with visual disturbances. This can be found out by eye examination to look for papilloedema.
Best wishes,
Dr Sudhir Kumar MD DM
Other possibilities to exclude would be vasculitis/venous thrombosis, etc
Detailed Answer:
Thank you for getting back.
In about 30% of cases, other causes are found out on further investigations. Initial test is MRI with MR Venogram brain. This can show conditions such as vasculitis (inflammation of blood vessels) or cerebral venous thrombosis (clotting of blood in veins).
In some cases, it could be idiopathic intracranial hypertension, which can cause headache with visual disturbances. This can be found out by eye examination to look for papilloedema.
Best wishes,
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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