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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Head Pulse When In Supine Position?

My head pounds when I lay down at night I can hear it thumping my dr tells me I am stressed is it one of the tablets I m taking. I have mythenia gravis and I m on prenisolone I m getting desperate I had this happen years ago I was having injection once a week for mythenia gravis I don t know what it was but my head used to pound I saw a specialist and he told me I should have been off it months ago as it sends some people mad can you help me I hate putting my head down at night as my head starts to throb
posted on Thu, 28 May 2015
Twitter Wed, 10 Feb 2021 Answered on
Twitter Wed, 10 Feb 2021 Last reviewed on
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General & Family Physician 's  Response
Hello,

You have history of MG. Myasthenia gravis patients often complain of headache. It can be tension or cluster headache that is triggered due to depression, feeling of tiredness all the time, irritability, food cravings, dehydration, etc. You are presently experiencing pounding headache when you lay down in supine position. Cervicogenic headaches begins as a dull ache in the neck and radiates upward along the back of the head, almost always one-sided. Pain may also spread to the forehead, temple or around the eyes and ears.

The cause of cervicogenic headache is underlying disc, joint, muscle, or nerve disorder in the neck. You are suggested to get clinically examined by an Orthopedics or GP. Get X-ray, MRI, CT done for the cervical vertebrae to detect the pathology causing you discomfort so that the treatment can be started at the earliest. You will be treated with medicines and physiotherapy. Surgery if needed. In the meantime, take acetaminophen or Combiflam, one SOS after food to get relieve from pain.

You can also apply pain relieving ointments and sprays (Volini) to ease discomfort. Gentle massage may help. Stay adequately hydrated. Maintain your eating time table and take quality sleep. Inadequate sleep or lack of sleep triggers the symptoms.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Causes Chronic Head Pulse When In Supine Position?

Hello, You have history of MG. Myasthenia gravis patients often complain of headache. It can be tension or cluster headache that is triggered due to depression, feeling of tiredness all the time, irritability, food cravings, dehydration, etc. You are presently experiencing pounding headache when you lay down in supine position. Cervicogenic headaches begins as a dull ache in the neck and radiates upward along the back of the head, almost always one-sided. Pain may also spread to the forehead, temple or around the eyes and ears. The cause of cervicogenic headache is underlying disc, joint, muscle, or nerve disorder in the neck. You are suggested to get clinically examined by an Orthopedics or GP. Get X-ray, MRI, CT done for the cervical vertebrae to detect the pathology causing you discomfort so that the treatment can be started at the earliest. You will be treated with medicines and physiotherapy. Surgery if needed. In the meantime, take acetaminophen or Combiflam, one SOS after food to get relieve from pain. You can also apply pain relieving ointments and sprays (Volini) to ease discomfort. Gentle massage may help. Stay adequately hydrated. Maintain your eating time table and take quality sleep. Inadequate sleep or lack of sleep triggers the symptoms. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician