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dr abid
dr abid, Board Certified Physician
Category: Neurology
Satisfied Customers: 5985
Experience:  I have ten years of experience to handle patients in different fields including Neurology.
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I have migraines and daily headaches and I've had chronic

Customer Question

Hi, I have migraines and daily headaches and I've had chronic headaches since last Thursday (9 days). I've taken my Imitrex 5 times, ibuprofen 11 times, and Tylenol 5 times. I'm on day 5 of a steroid pack and I can't get rid of it. I'm able to function but have alternating lancing and dull pain. I've left a message on the nurses line at the doc's office but can't get a call back. What's the next step?
JA: Is the headache episodic or daily? And what about nausea?
Customer: Daily. No vomiting but uneasy stomach.
JA: Anything else in your medical history you think the doctor should know?
Customer: No, just history of headaches and migraines
Submitted: 12 months ago.
Category: Neurology
Expert:  dr abid replied 12 months ago.

Hi. I am Dr Abid.Welcome to Just Answer and thank you for the question.
I'm reviewing your question now and will post back with your reply.

Expert:  dr abid replied 12 months ago.

It would be ideal for you to visit ER and get CT Scan please to be sure that there is nothing abnormality in the brain , as ideally migraine should settle within such time period , even you are on steroid but still in pain , so please visit ER and get CT Scan brain .

Good luck , this is best next plan of management .

Regards .

“Please let me know if you have any further questions. And please take the time to leave me a positive rating if you are satisfied with the answer. You can always ask me for a follow-up question post rating the answer. You can also ask for me in the future by going on the link”

Expert:  dr abid replied 12 months ago.

Are you there ...

Customer: replied 12 months ago.
I am. Just reviewing response. If everything is normal, what would the ER do next?
Expert:  dr abid replied 12 months ago.

If everything is normal than next step is to give you Valium injection along with Inj Epival infusion to break pain circuit .

Regards .

Please leave positive feedback for me .

Thanks .

Customer: replied 12 months ago.
What are potential other causes for headache such as this?
Expert:  dr abid replied 12 months ago.

This could be CNS infection like Encephalitis , other least likely possibility is Pituitary adenoma .

But it would be good to have CT Scan please .

Many regards .