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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57198
Experience:  GP in the United States
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I have had a headache in my left temple just beside my left

Customer Question

I have had a headache in my left temple just beside my left eye for11 months. Ive had an mri which was normal and seen an optician (i have 20/20 vision) 2 different dentists (no cause found) a neurologist and various gp's. The headache is there all day everyday as a throbbing sensation and pain is managed by ibuprofen, i take 10mg of amitryptiline at night to help me sleep, the amount varies depending on level of pain. Im currently on a waiting list for a headache clinic neurologist but would love to get some information sooner. Im restricted on physical activity due to the headache getting worse, even when i walk sometimes.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.
Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

please enter chat

Dr. Phil, MD :

Hi I'm Dr. Phil

Dr. Phil, MD :

Can I ask your first name?

Customer:

Craig

Dr. Phil, MD :

hi Craig nice to meet you

Dr. Phil, MD :

do you have pain with chewing?

Customer:

The headache is constant

Dr. Phil, MD :

okay

Dr. Phil, MD :

are you obese?

Customer:

Im not,overweight maybe. Im about 88kg

Dr. Phil, MD :

okay do you snore?

Customer:

According to my wife yes

Dr. Phil, MD :

okay

Dr. Phil, MD :

a huge cause of headache is sleep apnea

Dr. Phil, MD :

being overweight and snoring is a big sign of sleep apnea.

Dr. Phil, MD :

I think treatment for your sleep apnea will fix the headaches

Customer:

What kind of treatment would that entail?

Dr. Phil, MD :

wearing a sleep mask called a CPAP

Customer:

But ive snored for years and have been roughly the same weight as long as i remember why would it just start?

Dr. Phil, MD :

I am not sure

Dr. Phil, MD :

you are getting older and the body has less ability to adapt

Dr. Phil, MD :

all problems start with age!

Customer:

So if i had this treatment on average how long would it take for my headache to clear and not suffer from sleep apnea?

Dr. Phil, MD :

one month

Dr. Phil, MD :

hello?

Dr. Phil, MD :

?

Dr. Phil, MD :

Why did you rate bad service?

Dr. Phil, MD :

you have a chronic headaache

Dr. Phil, MD :

I have told you something that you didn't know that I see commonly causes chronic headache

Dr. Phil, MD :

I have suggested treatment for that problem which I believe will improve your headache

Dr. Phil, MD :

And in my experience has helped many people

Dr. Phil, MD :

So I gave you a diagnosis, treatment plan and follow up suggestions.

Dr. Phil, MD :

Is that bad service?

Customer:

So what would you recommend lifestyle wise i could do to get rid of sleep apnea

Dr. Phil, MD :

I recommend you lose weight and exercise

Dr. Phil, MD :

getting your weight down and being physically active can help to fix sleep apnea

Customer:

Is it curable completely?

Dr. Phil, MD :

yes

Customer:

I clicked bad service accidentally and my wifi connection is slow, dont take it personal as you can imagine im desperate to get rid of this constant headache and appreciate any helpand advice. Im in the royal navy and am fit and was physically active until i got this damn headache, thats a problem see cos im stuggling to do physical exercise cos it makes my headache worse.

Dr. Phil, MD :

No problem but please understand on my end that I work hard here to try and help people

Dr. Phil, MD :

and yes I know it can be frustrating

Dr. Phil, MD :

but sleep apnea can come with age

Dr. Phil, MD :

I think you should work on getting into shape and losing weight and it will improve

Dr. Phil, MD :

also get tested for sleep apnea.

Dr. Phil, MD :

my final piece of advice is that you should keep a very detailed headache diary

Dr. Phil, MD :

for the headache clinic

Dr. Phil, MD :

what makes it better, worse, etc

Customer:

No doubt, i didnt say you didnt. I shall ask my gp to look into sleep apnea when i seeher on thursday. At least its something that hasnt been looked at yet.

Dr. Phil, MD :

great!

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