Hi Babita, thank you for sharing. I'm really sorry to hear you've been suffering from a bad headache for the past month—that’s a long time to be in pain. Let’s gently go over what could be causing it, and then I’ll guide you on treatment options and whether it might be something serious.
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### **Step 1: Ask These Key Questions**
To understand the possible cause, please think about these:
- **Where exactly is the pain?** (forehead, sides, back of head, behind eyes?)
- **Is it constant or comes and goes?**
- **Is it sharp, throbbing, dull, or pressing?**
- **Any vision problems?** (blurriness, double vision, sensitivity to light?)
- **Do you have nausea, neck pain, or vomiting?**
- **Do you use a lot of phone/screens? Poor posture?**
- **Any recent stress, irregular sleep, or hormonal issues (like missed periods)?**
These clues can help point to whether it’s a:
- **Tension headache** – common, caused by stress, poor posture
- **Migraine** – throbbing pain, nausea, light sensitivity
- **Eye strain** – due to screen time or weak vision
- **Sinus headache** – facial pain, blocked nose
- **Cervicogenic headache** – from neck tension
- Or rarely, something more serious (but we check that too)
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### **Step 2: Could It Be Eye-Related?**
Yes, there’s a **good chance it could be related to vision problems**, especially if:
- You feel pain behind the eyes or forehead
- You haven’t had an eye test recently
- Your eyes get tired after phone or laptop use
**Next Step:** Please get an **eye check-up with an optometrist or ophthalmologist** to rule this out. It’s simple and can often explain long-term headaches.
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### **Step 3: Basic Treatments to Try Now**
#### **1. If it’s tension-related or stress/migraine:**
- **Tab. Naproxen 250mg** (e.g., Naprosyn) – 1 tablet when headache starts
- **Tab. Panadol / Paracetamol 500mg** – safe option, can combine with caffeine
- **Tab. Domperidone** – if you feel nausea with headache
- **Use a cold compress** on forehead or warm compress on neck
*3. Eye & Screen Care:**
- Follow **20-20-20 rule**: every 20 mins, look 20 feet away for 20 seconds
- Use **anti-glare screen filter** or blue light filter on phone/laptop
- Avoid using phone in bed, especially in dark
### **Step 4: When to See a Doctor Immediately**
Please **see a neurologist or general physician soon** if you have:
- Headaches worsening over time
- Vision changes (blurred, loss of vision)
- Pain that wakes you from sleep
- Vomiting or balance issues
- Weakness or numbness in limbs
- History of trauma or high blood pressure