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New cases in Pous 2064, HIV = 175, AIDS = 26, Death = 2. HIV rate is very high in Housewives than sex workers in Nepal ! ! ! HIV status in Nepal till 2005: Total Adult=70000, Adult Prevalence (15-49)=0.55%, Number of Women (15-49) LWHA=15,310 (22%), HIV Prevalence rate in IDUs=32.7%, HIV prevalence rate in sex worker=3.8%, HIV prevalence rate in client of SW=2.1%. The latest U.N. report shows that 65 million people have been infected with HIV since it was first identified 25 years ago. Twenty five million people have died of AIDS.

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headache - 01-11-2005, 12:52 AM

i have headache for the last 1 year.before when it started the ache started all around my head specially forhead.my headache started every 3-4 days n lasted for a day till i took paracetamol or other painkiller.but now recently i have headache unilaterally and sometimes at my frontal sinuses.type is very sharp and continuous.i have no eyes problem n when i had a checkup the doc said i was alright n instead adviced me to have painkiller.still now every 3-4 days it starts n i need to have a painkiller.

so can u tell me wats wrong?is it migraine or somethig else?wat r the medications to be used?right now used using painkiller everytime i have the pain.i think i cant use pain killer again n again for every episode of headache.


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01-11-2005, 11:14 AM

shashank,
Since you are a medical student, I don't think I should tell you what to do and what not. Your sign and symptoms do not match with migraine, however you can go through some of the literature below:

What is Headache?

There are four types of headache: vascular, muscle contraction (tension), traction, and inflammatory. The most common type of vascular headache is migraine. Migraine headaches are usually characterized by severe pain on one or both sides of the head, an upset stomach, and, at times, disturbed vision. Women are more likely than men to have migraine headaches. After migraine, the most common type of vascular headache is the toxic headache produced by fever. Other kinds of vascular headaches include "cluster” headaches, which cause repeated episodes of intense pain, and headaches resulting from high blood pressure. Muscle contraction headaches appear to involve the tightening or tensing of facial and neck muscles. Traction and inflammatory headaches are symptoms of other disorders, ranging from stroke to sinus infection. Like other types of pain, headaches can serve as warning signals of more serious disorders. This is particularly true for headaches caused by inflammation, including those related to meningitis as well as those resulting from diseases of the sinuses, spine, neck, ears, and teeth.


Is there any treatment?

When headaches occur three or more times a month, preventive treatment is usually recommended. Drug therapy, biofeedback training, stress reduction, and elimination of certain foods from the diet are the most common methods of preventing and controlling migraine and other vascular headaches. Regular exercise, such as swimming or vigorous walking, can also reduce the frequency and severity of migraine headaches. Drug therapy for migraine is often combined with biofeedback and relaxation training. One of the most commonly used drugs for the relief of migraine symptoms is sumatriptan. Drugs used to prevent migraine also include methysergide maleate, which counteracts blood vessel constriction; propranolol hydrochloride, which also reduces the frequency and severity of migraine headaches; ergotamine tartrate, a vasoconstrictor that helps counteract the painful dilation stage of the headache; amitriptyline, an antidepressant; valproic acid, an anticonvulsant; and verapamil, a calcium channel blocker.


What is the prognosis?

Not all headaches require medical attention. But some types of headache are signals of more serious disorders and call for prompt medical care. These include: sudden, severe headache or sudden headache associated with a stiff neck; headaches associated with fever, convulsions, or accompanied by confusion or loss of consciousness; headaches following a blow to the head, or associated with pain in the eye or ear; persistent headache in a person who was previously headache free; and recurring headache in children. Migraine headaches may last a day or more and can strike as often as several times a week or as rarely as once every few years.


What research is being done?
The National Institute of Neurological Disorders and Stroke (NINDS) conducts research relating to headaches at its laboratories at the National Institutes of Health (NIH), and supports additional research through grants to major medical institutions across the country. NINDS also supports and conducts studies to improve the diagnosis of headaches and to find ways to prevent them. Click Here for more info on research.

causes of symptom headache
InfectionVarious possible types of headache:Lifestyle causesDyspepsia
Eye conditionsMedical procedures
  • Spinal tap treatment or Lumbar puncture
  • Epidural - this anaesthetic procedure (common for childbirth) can occasionally cause damage to the spinal area and cause headache.
Systemic or metabolic conditionsBrain or head conditionsPsychogenic pain syndromes
Congestion
Hyperemia
Dental conditions
Ear conditions
Nasal conditions



Further reading:
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02-11-2005, 12:35 AM

Hi Sashank..
I guess its due to migraine..So I will advice u to get check up with the doctors ...
what about ur eyesight ???


Dr. R. K. Sah

Queen Mary, University Of London
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hi - 04-11-2005, 03:33 AM

dear shasank,
i am sorry to learn about your problem, by the way how is it now, i pray for your improvement. and well, have a thorough check up, every thing will be fine.
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04-12-2005, 03:09 AM

What I Suggest Is Better Not To U.se Painkillers Now And Then
First Be Sure About The Diagnosis.
Pain Killer Itself Causes Various Side Effects .
So Plz Be Careful Before U Take Any Medication
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28-02-2006, 02:24 AM

You need not fear so much of migraine coz there are preventive drugs & measures for it. Just you need to take care & prevent the causative factors.


http://tinypic.com/view.php?pic=t9gk91&s=2
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