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What could be causing severe headaches and scalp tenderness after 3-4 years?
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Nervous System Disorders
Question #30562
48 days ago
154

What could be causing severe headaches and scalp tenderness after 3-4 years?

Client_2e8dea

Hello Doctor, I have been suffering from severe headaches for the last 3–4 years, and I have had migraine symptoms for about 2 years. The pain is often very intense. I also have extreme tenderness on my scalp. If someone touches my head, applies oil, massages my scalp, or even when I comb my hair, I feel severe pain and sometimes cry out because of it. I would like to know what could be causing these symptoms and whether I need a CT scan or any other tests. Thank you.

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Doctors' responses

Hello dear See as per clinical history it seems chances of migraine Differential diagnosis includes dermatitis jor vision problems Iam suggesting some tests for confirmation Please share the result with neurologist in person for better clarity and for safety please donot take any medication without consulting the concerned physician Ct scan skull Mri CBC Esr Emr Eeg Vision test Ishihara test Slit lamp test Echo ECG Brain USG Hopefully you recover soon Regards

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The symptoms you’re describing - severe headaches, migraine-like symptoms, and scalp tenderness - could be related to a few different conditions. One possibility is that you are experiencing chronic migraines, which can include scalp or cutaneous allodynia (pain on the skin’s surface). This is where normally non-painful stimuli, like brushing your hair, become painful. Another potential cause could be occipital neuralgia, which involves irritation or injury to occipital nerves, leading to severe head pain and scalp sensitivity. It’s also possible that tension headaches, which can create pressure around the head and tenderness over the scalp, might be contributing to your symptoms.

Given the chronic nature and severity, it would be prudent to explore further diagnostic testing. A CT scan or MRI could help rule out other structural causes of headache, such as a mass or other pathology that might be influencing nerve sensitivity. It’s also essential to review your symptoms in detail with a neurologist or specialist in headaches, as they can assess whether your pain might be connected to any other underlying issues, including potential neurological conditions. Discussing preventive treatment options would be beneficial, as there are medications and lifestyle adjustments that can reduce the frequency and intensity of migraine attacks.

Meanwhile, try to track your triggers - anything from food to stress or lack of sleep can exacerbate headache patterns. Recognizing these could help in managing symptoms. Be mindful of the frequency and intensity of headaches, and any additional neurological symptoms, such as blurred vision or confusion, as these warrant immediate evaluation. Ultimately, a tailored and comprehensive approach involving both diagnostic tests and a deeper symptom evaluation can help clarify the root cause of your symptoms and lead to more effective treatment strategies.

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