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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurring Headaches

I went to the ER today for a headache near my temples on both sides of my head and was treated with fluids, reglan, and Benadryl. Within an hour I went from a pain of 7 to about a 3. I was discharged, but now the headache and nausea is back at a 7/8. I had blood work done and everything was normal. No imaging was done since they didn t want to expose me to unneeded radiation. I have a PMH of chronic daily headache for the past three years, but it has always been over my left eye and only moves to my right eye when my pain is really bad. Nothing aggravates the headache. The headaches over the eyes started after I was diagnosed with Lyme disease three years ago. Should I return to the ER? I have a neurology consult in a few weeks, but I m not sure if I can wait that long.
posted on Wed, 7 Jan 2015
Twitter Wed, 24 Jun 2015 Answered on
Twitter Wed, 24 Jun 2015 Last reviewed on
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  User's Response
Hello!

Thank you for asking on HCM! I understand your concern.

Your past medical history for Lyme disease is very concerning. This is a chronic infection which can cause several neurological complication in the central and also peripheral nervous system.

I recommend you to return to the ER and perform a routine blood test, kidney and liver function tests, blood electrolytes, and a brain CT scan or MRI. A spinal tap may be needed.

It is necessary to exclude a possible intracranial lesion ( a Lyme disease complication or other lesions), which may increase the intracranial pressure and cause this clinical scenario.

Hope to have been helpful!

Greetings! Dr. Aida
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Suggest Treatment For Recurring Headaches

Hello! Thank you for asking on HCM! I understand your concern. Your past medical history for Lyme disease is very concerning. This is a chronic infection which can cause several neurological complication in the central and also peripheral nervous system. I recommend you to return to the ER and perform a routine blood test, kidney and liver function tests, blood electrolytes, and a brain CT scan or MRI. A spinal tap may be needed. It is necessary to exclude a possible intracranial lesion ( a Lyme disease complication or other lesions), which may increase the intracranial pressure and cause this clinical scenario. Hope to have been helpful! Greetings! Dr. Aida