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Do you have any previously diagnosed medical conditions?
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Are you currently on any medication?
I've been taking Ibupurefen and some alegy tablets over summer
Alright, is there any nausea or vomiting with the headaches?
Any visual changes? Like floaters in front of the eyes or blurry vision?
Do you have any right sided ear ache?
i had my eyes tested last week to make sure my vision was ok all clear
Headaches due to vision are bilateral (both sides) and associated with visual changes or difficulty focusing on objects.
Okay. Have you had an ESR test (blood test)?
my doctor sent me for two blood tests one was a protein type and inflammation i think it was an ESR
all came back clear
Okay. There are some possibilities left, now that the CT scan is clear and the blood tests are also clear and since the vision and the ear symptom have been ruled out.
ok, what are those?
One possibility is of this being due to Temporal arteritis which presents in your age group with the signs and symptoms you mention.
The other which is the lesser likely of the two is Trigeminal neuralgia.
Temporomandibular joint disorder (TMJ) is also a possibility.
I think i was tested for temporal arteritis
and that test was clear
There is no single test for temporal arteritis, there is a criteria of five things. 3 out of the 5 criteria have to be present for this to be Temporal arteritis.
One of the 5 tests and the most sensitive and specific one is the temporal artery biopsy.
It is the gold standard for Temporal arteritis.
if it had been something nasty the ct scan would have picked that up i take it?
and there would have been some kind of markers in the blood?
Yes, the sinister conditions are picked up on the CT scan.
ok, so i can stop worrying about that can i?
With tumors - blood tests are usually clear, but CT scans are most sensitive and had this been a tumor, a CT scan would have picked it up.
Yes, you do not need to worry about that.
worry about what?
Plus, tumors present with other symptoms as well, like nausea, vomiting, visual changes, weight loss, fatigue, low grade fever, cold sweats, loss of appetite etc.
You can stop worrying about this being a tumor.
so I can stop worrying that it's a tuma is what i mean?
It's funny because i don't get it all the time, however, it does ache every day at some point and has been this way for three weeks
with it moving one minute from my temple then it will stop and move to my eye
That is because the Giant cell arteritis or Temporal arteritis involves the Ophthalmic artery (artery that supplies the eyes) in most cases.
Yes, that best course of action will be to see a Rheumatologist who can diagnose and treat these conditions.
I'm being sent to see a neurologist .....the hospital are referring me so i guess this is something they will look into...the temporal arteritis???
Yes, a Neurologist can help with other diagnoses as well. So, I think that is a good idea.
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I will....Can I ask you then having been told all of my current history on this what you believe it is?
If I were your physician, my working diagnosis will be Temporal arteritis.
Can this be successfully treated ?
Yes, it can, steroids is the mainstay of treatment. However, it needs to be diagnosed first.
I've been very worried even though ct scan and blood test have all been normal...so it's good to get a second opinion and especially on the "not something nasty front" Thank you!
Glad to help.
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Feel better soon and best wishes.
Thanks Dr Uzair
I will....Thank you!