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Question
Posted by: ANON | 2006/03/30

STRANGE HEADACHE

iHAVE HAD A CONSTANT HEADACHE NOW FOR A WEEK.WHICH DOESN'T RESPOND TO PANADOS.I DON'T THINK IT'S A MIGRAINE BECAUSE MY SINUS AND THROAT IS ALSO A BIT SORE. THE PAIN IS IN THE FRONT OF MY FOREHEAD.PLEASE ASSIST.IS IT A HEAD COLD??

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Our expert says:
Expert ImageHeadache expert

Dear Anon,

If the headache has happened together with a sore throat and sinus, then it may well be related to flu, which is doing the rounds at the moment. The first thing to do is let your GP examine you and treat you if you have a cold or flu. If it is not related to a cold or flu, then you have to have a proper medical assessment, which should include a neurological examination. The reason for this is to make absolutely certain that there is not some serious or life threatening underlying medical condition causing the headaches. Although this is uncommon, it is essential to exclude this possibility before doing anything else.

Once this has been done, then the next part of the investigation is started. The correct way to deal with the problem is to have a proper diagnosis of the underlying causes of the headache. If these are treated, the headaches no longer occur, and it is no longer necessary to rely on potentially harmful “rescue” medication.

To get to the root of the problem, you need what is called a “multidisciplinary” assessment. There are many different structures in the head and neck, all of which can be involved in the headache process, and no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For this reason, the combined the expertise of different specialists who would normally treat headache patients in isolation, are co-ordinated into a single more comprehensive body of knowledge. This enables a more comprehensive treatment plan, in which all the contributing factors are addressed. This assessment must include examination to determine the presence of tension in the head and neck muscles.

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 on 0861 678 911 (Johannesburg, Cape Town, Durban).

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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