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Causes of a headache and various treatments recommended

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I have suffered for nearly a month now with different symptoms effecting my head. It started off with a constant headache that lasted 3 days, every waking hour. It began as great pressure in my head, especially around the temple, and a numb/tingling feeling on the left side of my head and face. This lasted morning to night for about a week. I also had a crawling/tingling sensation on the left side of my head, towards the back and up top. The doctor suggested it would clear in a week. It did not and I still had this insane crawling feeling on my head, couple with dull headaches that would come and go. I returend to the doctors they suggested sinusitus and prescribed some kind of nose spray stereoid and ibuprofen. This did nothing, but the ibuprofen helped numb the headaches. A week later I returned and another doctor suggested I had a rash on my head, that was like echsma and prescribed Betnovate scalp application and Amitriptyline for the never ending crawling/tingling on my head.

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replied March 15th, 2010
Headache and Migraines Answer A10662

Given the data you provided (headache with tingling/itching sensation on the left side of the face and temple that lasted for almost a month, ibuprofen eased the symptoms a little), it cannot be determined for sure what caused the headache.

The itching sensation might be related to a sort of allergic reaction including eczema. However, eczema is usually associated with skin changes that can be easily recognized by a doctor.

The presence of the headache only on one side of the head might indicate that it was caused by a migraine. Migraine is associated with severe headaches, nausea and altered perception (increased sensitivity to light and/or sound). It seems that the latter symptoms did not appear in your case. This means that the condition is not so severe as it might be.

The therapy for a migraine is not clearly established yet, because the very causes and the mechanisms are not yet identified. However, certain patients report a decrease of the symptoms when taking non-steroidal anti-inflammatory drugs (ibuprofen being one of them). Other patients find taking paracetamol useful. Caffeine is also reported to have a beneficial effect in certain patients.

You might want to visit a neurologist for a physical examination to exclude other conditions. Other medications such as: ergot alkaloids, serotonin agonists (sumatriptan) and specific forms of antidepressants might be recommended. Meanwhile, you might want to avoid certain of the well known triggers: physical or emotional stress, changes in sleeping patterns, bright lights and loud noises.

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