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Posted By : cokie - 2/18/2017 10:30 AM
I had a terrible norovirus with vomiting diarrhea and fever in early January. As I was recovering, I noticed my scalp on top was very sore to the touch. Since then, I have suffered constant headache pain. I wake up with the sore scalp every day and the pain starts above my neck under the bones in back of also hurts on left top of head, my forehead and sometime temples. These are present from awakening and throughout the day-sometimes a level3 and sometimes about a 7.i saw my internist and orthopedic doctors and have an appointment with a neurologist on March 12...they did blood work and MRIs of neck and brain-all clear except some bulging discs in neck...I was given Tramadol and Flexoril which don't end the headache.. can anyone help and suggest what might be causing this and what to take to help it. I am living in fear and frustration. Thanking you in advance

Posted By : bcfromfl - 2/18/2017 2:11 PM
Your mention of the norovirus is perhaps important in your diagnosis. However, for some reason, your doctors have chosen a course of action in their treatment that does not address a possible immune response. Tramadol is an opioid, and Flexeril is a muscle relaxant. They are focusing upon muscular and perhaps vertebral involvement.

If, indeed, your CNS has become irritated and inflamed as a result of the infection (a symptom which those with autoimmune headaches are familiar), about the only medication to break the headache is a triptan, which acts as a vasoconstrictor. Triptans are often highly specific amongst individuals, with some working better than others. Out of the several I have tried, I get the most satisfactory results from naratriptan. On the downside, it doesn't start working until about the three-hour mark, with full effect at six hours, but in my case, it lasts almost 48 hours. But it is effective at a dose of 2.5mg, a fraction of the dose of others. Zolmitriptan is another good one, at 5mg -- faster acting but shorter lived. (Don't drive a car for the first few hours of zolmitriptan.) By comparison, sumatriptan, the most commonly-prescribed, is usually given in a 50mg dose.

Your body actually has two immune systems. One, housed in the gut, is highly sophisticated in fighting infection. The second in the CNS is very primitive and rudimentary, and once the CNS becomes activated, it is like swatting a fly with a shovel. Also, when an infection or irritant (such as a chemical toxin) has been present over a length of time, the CNS can remain in an inflammatory state longer than is safe for it to be so. The pain experienced under such a condition is actually from nerves and tissue pressing against the inside of the skull, or overall compression in tight spaces. This is where the vasoconstrictor is helpful.

Best wishes,

Posted By : BnotAfraid - 2/19/2017 10:11 AM
I would keep a daily pain log 1-10 scale 10 being the worse.

It may help the neuro.

Moderator - Depression

"...when the gift of sight is cause enough for jubilation."
Billy Collins from the poem. HIGH

DX: reverse Trigeminal Neuralgia;Cluster headaches; Atypical face pain;Hemicrania Continua; raynauds;complex PTSD; recurring MDD,disassociative disorder;

Posted By : cokie - 2/19/2017 8:24 PM
Are Triptans safe to take. I have felt a bit better the past two days but still have a mild headache and wake up feeling like I just ache in my back, neck and head. I just wish I could see a neurologist sooner

Posted By : bcfromfl - 2/19/2017 10:06 PM
Triptans are safe to take -- but only for severe headaches. It does not sound like they would be appropriate any longer in your case.


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