I've been having burning headaches and insomnia. What could be the cause?
Person's Gender: Male
Person's Age: 36
HI I am a neurologist and can attempt to answer your question
I am waiting for you to come on a chat line
no problem so tell me your story and I will read it
where is it burning?
do you have high blood pressure
why did you choose doxycycline?
are you stressed out?
well, I mean if you put those two things together , you get concerned about meningitis, but not for 3 months. Do you have this thing called kernig's sign
if you lay flat on a bed, and then just lift your head up a bit, do you have neck pain?
really. so did anyone consider an MRI with gadolinium?
have you ever had aseptic meningitis in the past? there is a thing called Mollarets meningitis which is a recurrent form
could you have lyme meningitis, you would be much sicker
gadolinium is a contrast agent used in MRI, we would be looking for enhancement in the coverings of your brain, the meninges for lyme meningitis
very rare and u have to be immunocompromized, I think I am off the tract and want to switch it
there is a headache syndrome which classically makes your head hot and red, and can classically also wake you up from sleep, and that is cluster headache
it makes your head hot and red because it affects the autonomic system.
anyway, this is a headache of type 1A driven men, obsessive types, is that you?
it is also often familial, following the male lines
ok. well the treatment is a medicine called Imitrex or sumitryptan for the initial trial,
you should call your gp and ask him if you can have cluster headaches and ask for a sample pack of imitrex, he should have it and will give you a tab or two to try
do you think this headache thing has come in a "cluster" and then will go away for awhile
well cluster headache get their name because of the frequency of headache, they usually come on strong for two to three weeks, allmost daily, and then dissapear for a while
they have an autonomic effect, so sometimes you get an unequal pupillary response, if you look in the mirror one pupil will be smaller than the other, and the headache can also
effect that eye, causing it to tear and turn red. have you seen that?
that is possible for cluster. If you get a response from the imitrex that will help to confirm it. there are also other treatments that work like nasal oxygen via a nasal cannula at 6 l/min
other meds to, but they have more side effects.
you can have cluster and not have the "oculocephalic" presentation with the eye and all that
but it is one of the few headaches that can wake you up from sleep, is the headache waking you from sleep or are you an insomniac?
it is that green tubing that runs in your nose, you see old people wearing them
you dont have to wear it all the time, just when the headache starts, and you can kill it then. do you feel the headache coming on?
then it is a vascular headache, either cluster or common migraine, but I am betting cluster because you don't ususally wake from a migraine.
do you have the headache or fear that you will get it?
well maybe that is it cluster, but I wanted to ask one more thing, do you snore a ton, or have wild leg movements at night while sleeping in bed,has anyone noticed that you stop breathing while you sleep?
are you obese with a big collar on your shirt (like an 18 or something)
wow, so if you look at your two statements, you have insomnia and you have headaches, (not so much burning though) then you could have a central type of sleep apnea
do you feel groggy during the day? do you have EDS, excessive daytime sleepiness?
I think you should consider cluster headaches, and if the imitrex doesn't do anything, then consider a sleep study to exclude sleep apnea and the resultant headaches
yes, central apnea is rare, if you arent' obese, that pretty much kills that diagnosis, if you run, then forget it
That is about all I can come up with, could you please hit the accept button if you feel I answered your question as that is how I get credited for this work. Please get back to me if you have further questions
Hey.. so maybe that was it, number 3!!! headaches and insomnia.,,
it can change, you need another polysomnogram
that will tell you for sure, go to a good lab, though, there are many shady ambulatory type labs floating around the US making money
do you humidify your air where you sleep?
not for sleep apnea headaches , you probably know the treatment is cpap
so I have to go, please hit the accept for me if you can. and come back with your polysomnogram, how many hypopneas, O2 sat. drop, whatever, your eeg recording
well you wont kill yourself with the imitrex trial, then you can get the polysomnogram???
ok see you,,no problem
You can print it, if the chat doesn't print, I am going to switch this to a q and a format which might print betteer, and you can always come back to ask more questions, ok?
General Adult Neurologist. Board Certified. Experimental Neuroimaging and Neurodiagnostics
Hi. Please let me know how it worked out. Sometimes you need to go with Imitrex injectable at 6 mg for cluster, so if you get a positive response from the 100mg oral dose, but not 100% try the injectable. good luck