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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Chronic Headaches?

A friend of mine is suffering from what he calls cluster headaches. He said he s had them for decades but hadn t had an episode for years and this past week has been struggling with one that s lasted nearly 2 weeks. What causes them? What are the triggers (food, environmental, etc.). He s got an appointment to see a neurologist this week for an hour. How can I help him? He s 60 years old. Thanks, Ingrid
posted on Wed, 24 Feb 2016
Twitter Thu, 7 Apr 2016 Answered on
Twitter Mon, 11 Apr 2016 Last reviewed on
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General & Family Physician,  's  Response
Hello dear
Understand your concern.
Cluster headache is chronic recurrent type of headache generally unilateral may be associated with eye pain , runny nose.

Exact cause is not known
Genetic predisposition, smoking, alcohol may play role
It is due to dilation of blood vessels in brain that affect the tri geminal nerve and produce headache and pain.
Treatment is below:
Tablet calan Sr help to relieve and prevent pain
If not responds, you can use sumatriptan, combination of ergots and caffine
Oxygen therapy in severe unresponsive case

Stay hydrated
eat health diet.

Life style changes should be done as below
1. Enough sleep
2. Muscle relaxation exercise
3. Rest and relaxation
4. Keep headache diary: Identify trigger factor and which treatment is effective
Alternate therapy:
Acupuncture therapy
Massage and music therapy
Cognitive behavioral therapy


Hope this may help you.
Best regards
Dr. Sagar

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What Causes Persistent Chronic Headaches?

Hello dear Understand your concern. Cluster headache is chronic recurrent type of headache generally unilateral may be associated with eye pain , runny nose. Exact cause is not known Genetic predisposition, smoking, alcohol may play role It is due to dilation of blood vessels in brain that affect the tri geminal nerve and produce headache and pain. Treatment is below: Tablet calan Sr help to relieve and prevent pain If not responds, you can use sumatriptan, combination of ergots and caffine Oxygen therapy in severe unresponsive case Stay hydrated eat health diet. Life style changes should be done as below 1. Enough sleep 2. Muscle relaxation exercise 3. Rest and relaxation 4. Keep headache diary: Identify trigger factor and which treatment is effective Alternate therapy: Acupuncture therapy Massage and music therapy Cognitive behavioral therapy Hope this may help you. Best regards Dr. Sagar