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Which specialist doctor have you seen so far?
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Hi There, A couple of 'Headache specialists'
Alright, is the headache sharp stabbing or dull aching?
Or is it a throbbing headache?
Its dull aching, that throbs when bad, its 24/7 Doctor
Okay, how long have you been having these headaches for?
for 6 years continually daily
Alright, do you have any nausea or vomiting with the headache?
Okay Mark, this does not seem to be an ordinary kind of headache nor does it follow the pattern of a Migraine. An ordinary headache specialist will not suffice for a diagnosis, it is best to seek help from a Rheumatologist to evaluate on the lines of Temporal arteritis being the working diagnosis.
This will require a thorough evaluation and a temporal artery biopsy, if required. Treatment is with steroids.
I did have a blood test 'ESR' which came back normal ?
There is a criteria for diagnosis of Temporal arteritis.
Out of these 5 criteria, 3 need to be fulfilled in order to diagnose the condition.
Since, the MRI is also clear, that does not leave much room for other conditions apart from trigeminal neuralgia and temporal arteritis and atypical headache or glaucoma etc.
But these need to be ruled out carefully and a thorough examination is warranted by a Specialist. A Rheumatologist will be a good start.
Ok Doctor, I will persue this course, i do feel most comfortable when my body is cold so its a possibility
Alright, best of luck and feel better soon.
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Most definately, Thank you Sir, best regards Mark
It was a pleasure Mark, thanks.