Suggest Treatment For Chronic Head Pain

Posted on Sun, 1 May 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 1 May 2016 Answered on

Thu, 16 Jun 2016 Last reviewed on

Question : Can a XXXXXXX infection cause chronic head pain?

I have a horrible pain in my head while I'm awake and the only time I don't feed pain is when I'm asleep.

Answered by Dr. Neeraj Kumar (56 minutes later)

Brief Answer:
Headache not likely due to skin staph infection

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Headache in brain infection due to staph is usually associated with fever, vomiting, drowsiness and neck stiffness. It is acute and doesn't remain for months.
Skin lesions showing staph is not related to headache.
Provide more description about headache.
Location, unilateral, bilateral?
Intensity?
Nature of headache, throbbing, Bursting, piercing?
Associated nausea, vomiting, sensitivity to sound or light?
Aggravating factors?
Sleep?
Anxiety or stress?
Possibility of chronic migraine or chronic tension type headache is to be considered.
Treatment with amitryptiline, clonazepam or sertraline for chronic tension type headache.
For migraine Flunarizine, Topiramate, amitryptiline, propranolol or Valproate can be taken for prophylaxis.
Regular timely diet and sound sleep.
Hope you found the answer helpful.
Do get back to me with details.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (31 minutes later)

To answer your questions, the pain and loud high pitched noise in my head covers my entire head (front, back,and sides). I have had this pain since the beginning of December of 2016. If I'm awake, it's there...it never goes away. The noise is constant and my head feels like it's in a vice grip.

My level never drops below an 8 and often breaks the 1-10 scale and hits a 12. The headache is piercing. Too much noise aggravates it and I have been on migraines med for about two months now with no relief. I've had an MRI of the brain and cat scan of the same and came back negative. My pain is real and I don't know which way to turn next...I'm at a loss.

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Possibility of chronic tension type headache

Detailed Answer:
Hello,
I have gone through all your details.
The character of headache is more like chronic tension type.
You need to take amitryptiline with other medications like sertraline or duloxetine if depression is associated.
The response is usually delayed and yoga, meditation will also be helpful.
Consultation with a headache specialist will be beneficial.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Sonia Raina