Posted by: mondes | 2009/04/16

4 weeks of severe headache

Dear Doc
My sister has had a headache for the oast 4 weeks and she says she feels somthing moving inside the head exactly on top.
She has highblood pressure and she is overweight. She is 51 years this year. The doctors said it could be low blood, they gave her iron tablets and took blood to test some other things. She aske them if they could scan the head to see what' s moving inside they told her they need to do blood test first. She is not on medical aid.

What could be the problem?

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Our expert says:
Expert ImageHeadache expert

Dear Mondes,

Although it may feel as though there is something moving inside, it is most unlikely that anything is actually moving. Unfortunately whether a person is on medical aid doesn’t change the diagnostic procedure.

If the blood tests are clear, then to get to the root of the problem, your sister needs what is called a “multidisciplinary assessment”. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain.

Headache sufferers often have a poor Quality of Life due to the constant pain and associated symptoms. For a free assessment of how your headaches are affecting your Quality of Life, click on

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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