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What Causes Chronic Right-sided Headaches And Fluid In Mastoid Bone?
Question: hello, ive had chronic daily headaches on my rite side of head this whole month. i had an mri done and ct scan and the only thing my ent found was some fluid in my mastiod bone. he said to take zyrtec d. what else could be causing headaches on the one side of head? i get one everyday for the last month or so? it seems.worse in morning and in evening.
Brief Answer:
need some details to guide you better
Detailed Answer:
Hello
My name is Dr Muhammad Ali Rauf & i will look into your problem.
I have gone through your query and would try to help you in the best possible way. There could be a number of causes for your symptoms. I would be in a better position to reach to a conclusion if you answer following questions please:
1. Does anyone in your family has similar complaints? if yes then who and since when?
2. Does pain aggravate with movement?
3. Is there any associated history of:
a. visual symptoms like bright light flashing in your eyes or unable to focus from eyes at particular point?
b. Nausea, vomiting or anorexia?
4. Do you then prefer to lie in a dark room so that you headache improves?
5. Does headache occurs only during awakening?
6. Does headache starts if you are tired or did not take ample sleep?
7. Did you take any type of medication for this?
8. Are you on any kind of medication?
9. Is there any family history of hypertension, diabetes or any other illness?
I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
need some details to guide you better
Detailed Answer:
Hello
My name is Dr Muhammad Ali Rauf & i will look into your problem.
I have gone through your query and would try to help you in the best possible way. There could be a number of causes for your symptoms. I would be in a better position to reach to a conclusion if you answer following questions please:
1. Does anyone in your family has similar complaints? if yes then who and since when?
2. Does pain aggravate with movement?
3. Is there any associated history of:
a. visual symptoms like bright light flashing in your eyes or unable to focus from eyes at particular point?
b. Nausea, vomiting or anorexia?
4. Do you then prefer to lie in a dark room so that you headache improves?
5. Does headache occurs only during awakening?
6. Does headache starts if you are tired or did not take ample sleep?
7. Did you take any type of medication for this?
8. Are you on any kind of medication?
9. Is there any family history of hypertension, diabetes or any other illness?
I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
1 no family history
2 sometimes yes but mainly stay on right side
3no bright lights flashing but sensitive to lights and sounds sometimes
4 sometimes yes
5 yes! every morning for the past month
6 yes happens also when tired
7 tylenol and advill
8 synthroid,lexapro and lorazepam as needed
9 no diabetes, blood pressure falls in ranges of 127/78 when calm or 130/80 or higher when nervous. i have hashimotos and ruling out pcos. also have some cfs from Epstein barr cause had mono 10 yrs ago and still have high antibodies 750 high. endo doc said some insulin resistance but a1c normal and said diet and excersise for that and should be fine. i am very active and watch closly what i eat. hope these answers help and thank you.
2 sometimes yes but mainly stay on right side
3no bright lights flashing but sensitive to lights and sounds sometimes
4 sometimes yes
5 yes! every morning for the past month
6 yes happens also when tired
7 tylenol and advill
8 synthroid,lexapro and lorazepam as needed
9 no diabetes, blood pressure falls in ranges of 127/78 when calm or 130/80 or higher when nervous. i have hashimotos and ruling out pcos. also have some cfs from Epstein barr cause had mono 10 yrs ago and still have high antibodies 750 high. endo doc said some insulin resistance but a1c normal and said diet and excersise for that and should be fine. i am very active and watch closly what i eat. hope these answers help and thank you.
Brief Answer:
Most probably migraine headache
Detailed Answer:
Hello
Thank you for getting back with the answers. I have gone through them and conclude that you most probably have migraine headache exaggerated by stress/anxiety. In this, brain sends waves which causes pain. Initially its unilateral but later on can spread to whole head. There are two kinds of treatment for it; immediate & preventive. I usually start my patients with sumatriptan at an initial dose of 25 mg for pain relief. In addition, preventive medication can also be started to reduce the frequency(if headache occurs often). Options include propanolol & amitriptyline. Most of these drugs are prescription drugs so you need to visit hospital to get them. You can also confirm the diagnosis by visiting a neurologist as well.
General Measures:
1. Diet:
Following food aggravates symptoms:
> Alcohol
> Caffeine overuse
> Chocolates
> Citrus Food & banana
> Dairy cheese
> Vinegar
2. Stress:
Stress is a potent stimulator of headache. If you have past history of stress related issues then you need to visit hospital to get medication for it as they are prescription only.
3. Exercise:
Try to have a walk in the evening for 30-45 mins. Change in environment will help to reduce stress & improve health.
4. Sleep:
Adequate sleep is very important. Sleep deprivation is a potent stimulator of headache. You need to manage adequate sleep of at least 5-7 hrs/day.
5. Light:
Flashing lights like in clubs also stimulates the headache so you need to avoid them.
6. Keep a Headache Diary:
It can help you keeping the record of triggers. Write down everything you eat and drink, your exercise routine and schedule, the weather, strong feelings and emotions you may be having, your medications and their effects, and times and severity of your headaches. This can help you see a pattern in your migraine occurrences, and will make avoiding one easier.
7. Hormonal Changes:
Particularly important for females as it may aggravate the headache, specially oral contraceptive pills.
8. Weather may also effect:
Humidity and hot temperatures can stimulate headaches, as can rainy days, so it’s important to be aware of your environment.
Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Most probably migraine headache
Detailed Answer:
Hello
Thank you for getting back with the answers. I have gone through them and conclude that you most probably have migraine headache exaggerated by stress/anxiety. In this, brain sends waves which causes pain. Initially its unilateral but later on can spread to whole head. There are two kinds of treatment for it; immediate & preventive. I usually start my patients with sumatriptan at an initial dose of 25 mg for pain relief. In addition, preventive medication can also be started to reduce the frequency(if headache occurs often). Options include propanolol & amitriptyline. Most of these drugs are prescription drugs so you need to visit hospital to get them. You can also confirm the diagnosis by visiting a neurologist as well.
General Measures:
1. Diet:
Following food aggravates symptoms:
> Alcohol
> Caffeine overuse
> Chocolates
> Citrus Food & banana
> Dairy cheese
> Vinegar
2. Stress:
Stress is a potent stimulator of headache. If you have past history of stress related issues then you need to visit hospital to get medication for it as they are prescription only.
3. Exercise:
Try to have a walk in the evening for 30-45 mins. Change in environment will help to reduce stress & improve health.
4. Sleep:
Adequate sleep is very important. Sleep deprivation is a potent stimulator of headache. You need to manage adequate sleep of at least 5-7 hrs/day.
5. Light:
Flashing lights like in clubs also stimulates the headache so you need to avoid them.
6. Keep a Headache Diary:
It can help you keeping the record of triggers. Write down everything you eat and drink, your exercise routine and schedule, the weather, strong feelings and emotions you may be having, your medications and their effects, and times and severity of your headaches. This can help you see a pattern in your migraine occurrences, and will make avoiding one easier.
7. Hormonal Changes:
Particularly important for females as it may aggravate the headache, specially oral contraceptive pills.
8. Weather may also effect:
Humidity and hot temperatures can stimulate headaches, as can rainy days, so it’s important to be aware of your environment.
Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
okay thank you for your input and i would have to agree just was worried cause it seems like i get them everyday and mri and cat scan came back good. thanks again
Brief Answer:
You are welcome
Detailed Answer:
Hello
You are most welcome. I'll be available 24/7 for if you ever need any assistance. Don't forget to close the discussion & rate it.
Wishing you good health!
You are welcome
Detailed Answer:
Hello
You are most welcome. I'll be available 24/7 for if you ever need any assistance. Don't forget to close the discussion & rate it.
Wishing you good health!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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