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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
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Experience:  MD
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I have had intense headaches that start in the back of my head

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I have had intense headaches that start in the back of my head and radiate around to the front of my face. I also feel tightness in my jaw. Any thoughts on what his could be?

mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hello,

mysticdoc :

Thanks for your question.

mysticdoc :

Since how long you have these headaches?

mysticdoc :

Any other symptoms with headache?

mysticdoc :

Have you tried any medication for headache?

Customer: About 1 month. I have fatties OTC meds but I think they make them worse. Light sensitivity and increased pain while standing up.
mysticdoc :

Thanks for your reply.

mysticdoc :

any nausea vomiting or fever?

Customer: No.
Customer: Sorry about the auto correct. That's a new one.
mysticdoc :

Any tingling or numbness or weakness of the face, arms or legs?

Customer: No numbness or tingling
mysticdoc :

ok

mysticdoc :

thanks for your reply.

mysticdoc :

Based on your description this sounds like a benign condition.

mysticdoc :

This is likely migraine headache.

mysticdoc :

Migraine commonly cause light sensitivity and may not respond well to the some OTC medication.

mysticdoc :

Also other possibilities include sinus congestion related or allergy related headaches.

mysticdoc :

Neck muscle stiffness also can cause headaches.

mysticdoc :

All these conditions are easily treatable.

mysticdoc :

For migraine related headaches, Naproxen ( Aleve) may be tried.

mysticdoc :

However daily use of medication may make the symptoms worse as the body tries to rebound against the medication.

Customer: Sometimes with these headache my face gets flushed. Is that related to migraines
mysticdoc :

Yes correct

mysticdoc :

this is due to the sudden widening of the blood vessels in the brain as well as the face

mysticdoc :

this causes the headache and flushing.

Customer: Ok. Any recommendations for relief
mysticdoc :

Naproxen or Aleve upto 4 tablets in a day should provide relief.

mysticdoc :

this is over the counter.

mysticdoc :

If naproxen does not help, then prescription medication is required.

mysticdoc :

Triptans like zolmitriptan can be used after discussing with your doctor in that case to stop the headache.

mysticdoc :

Prophylactic medications like propranolol can be used on daily basis if you get frequent migraine attacks.

mysticdoc :

But that is not an initial consideration.

Customer: Ok thanks.
mysticdoc :

Also avoid too much sugar or simple carbs, alcohol, hot and spicy food, salty food --known to trigger headaches

Customer: Any other things to consider
mysticdoc :

serious conditions like brain tumor, aneurysm, or infection unlikely since you do not have any other symptoms as I asked you above.


mysticdoc :

Hence, no other things are likely.

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