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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Back Of Head When Laughing Or Smiling?

I have within the past year experienced pain in the back of my head when I laugh or smile. It doesn t happen all of the time but I was wondering what causes it. I don t get headaches at all. Yesterday I was smiling at someone during a conversation and started to get this pain in the back of my head. It goes away and I haven t experienced it at all today.
Mon, 7 Dec 2015
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  User's Response
Hello!

Welcome and thank you for asking on HCM!

I would like to know more about your headache:
- Is is throbbing or just a dull headache?
- does this occur also when you cough ?

I recommend consulting with a neurologist for a careful physical examination.

An Arnold Chiary malformation (from birth) could be related to clinical situation. That is why it is necessary performing a brain CT scan to exclude this possibility.

If this disorder is excluded, I would recommend therapy with indomethacine twice daily, if you have no contraindications for up to 10 days.

Hope to have been helpful!
Greetings!Dr. Aida Quka
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What Causes Pain In The Back Of Head When Laughing Or Smiling?

Hello! Welcome and thank you for asking on HCM! I would like to know more about your headache: - Is is throbbing or just a dull headache? - does this occur also when you cough ? I recommend consulting with a neurologist for a careful physical examination. An Arnold Chiary malformation (from birth) could be related to clinical situation. That is why it is necessary performing a brain CT scan to exclude this possibility. If this disorder is excluded, I would recommend therapy with indomethacine twice daily, if you have no contraindications for up to 10 days. Hope to have been helpful! Greetings!Dr. Aida Quka