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I have had a headache for six weeks straight

by Michell
(Nashville, Ar)

The week before my headache started I lost my voice. I was working in an environment that was hot and I would sweat, and then go out into the main plant were it was cold. I thought I had a sinus infection and that is why I was having the headaches. I went to my doctor who gave me a shot of tramadol and a prescription for flexural. That didn't work so he put me on feriocet. That didn't work so he gave me a shot of steroids and put me on valium. He thought it was a tension headache. When that didn't work he ordered a ct scan. It showed that there was a hyperdense lesion anterior and above the suprasellar cistern that is 9mm. They thought it was either an aneurysm or meningioma. It also says that it is in the region of the anterior communicating artery. So my doctor sent me to a neuro surgeon who ordered a cta scan. I never got the results of that scan. The doctor just said that it was calcified and nothing to worry about. He gave me Mobic to take and said that if it didn't go away, he would give me an injection in my neck. I went back to my doctor and had blood work done. The only thing that showed was that my cholesterol was high and he put me on Lipitor. He also gave me Hydrocodone's for my headache because it wasn't getting any better. I went back and got the injection in my neck that was steroid and cortisone. I still have a headache, and the neuro surgeon told me that I would need to see a neurologist. I haven't been able to work for six weeks, and just getting up is hard to do. I get dizzy, my eyes hurt and get blurry, and my left hand has tremors. The headache started behind my left ear and radiates forward. I don't know what to do next. What do you think.

Answer
With out a doubt you need a neurologist, preferably a headache specialist. Opioid medications (Fiorcet, hydrocodone) will only fuel the headache over time causing analgesic rebound headaches now called headache due to medication overuse. I would recommend a two week course of steroid to break a headache that has gone on this long
Mary Kay Betz MS RPA-C

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