How are sinus headaches differentiated from other headaches?

I have summarized the different types of headaches in a recent question posted in Human. Hope this will be useful to you. If in doubt and your husband's headaches has been ongoing for a while, you should ask him to see a General Practitioner first unless he also has concurrent nose symptoms (in which case he may consider seeing an ENT Specialist first). Hope this helps and all the best!

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Answered By

Dr Eng Cern Gan

ENT Doctor

In what cases are IV treatment recommended to treat migraine?

When a migraine attack occurs with severe nausea and vomiting an IV or intramuscular injection can be helpful for relief of pain and nausea. Occasionally IV treatment can be used to wean patients off excessive pain-killer use during a hospital admission. There is presently no role for regular infusions to prevent frequent migraines, although a new drug should be available in Singapore for this purpose next year. For more information on the possible treatments for migraines, you can check out The Ultimate Guide to Migraine Treatments in Singapore (2020) here.

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Answered By

Dr King Hee Ho

Neurologist

Can I safely use acne topical products such as benzoyl peroxide and salicylic acid if I am on antidepressants?

To answer your question, yes, you may. In fact, topical acne medications that you have listed (benzoyl peroxide and salicylic acid) have no interactions with your anti-depressant therapy. With that said, it is also not associated with aggravating depression. On the other hand, if your acne is severe and oral isotretinoin is being considered, then these topical acne medications must be used with caution. This is due to the fact that isotretinoin may aggravate an underlying depressive illness or psychiatric disorders [1].

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Answered By

Dr Chin Yee Choong

Aesthetic

For someone suffering from mild depression, what can I do to stop my constant headaches without relying on painkillers?

The constant nature of chronic daily headaches makes them one of the most disabling headache conditions. Aggressive initial treatment and steady, long-term management might reduce pain and lead to fewer headaches. Chronic daily headaches occur 15 days or more a month, for longer than three months. There are short-lasting and long-lasting chronic daily headaches. Long-lasting headaches last more than four hours.

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Answered By

Dr Beng Yeong Ng

Psychiatrist

When do I need to see a neurologist for a prolonged headache?

Thank you for getting in touch to share your headaches. Headache is extremely common. It will be difficult to diagnose anything without seeing you in person. Headache is one of those conditions where there is no specific "Test" that can 100% diagnose your headache. Doctors come to a reasonable best guess of your condition based on what you describe your headache to sound like and based on the doctor's experience of the "headache story" of all the other headache patients that the doctor has seen.

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Answered By

Dr Paul Ang

General Practitioner

How can I get rid of a stiff neck that's triggering migraines?

Thank you Lynn for getting in touch with us. 1) "Stiff neck" can mean many things, from a normal neck sprain, to wear and tear of the spine. It could even be affected soft tissues around the spine or posture problems that you alluded to. Before we jump to conclusions, it might be helpful to speak to your GP. 2) "Headaches" can also mean many things. It may be wrong to assume that it's definitely due to the stiff neck as well, although you are right in that headaches can also be triggered by a "stiff neck". 3) Panadol Extra contains caffeine, which by itself can trigger headaches.

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Answered By

Dr Paul Ang

General Practitioner

Does sleep deprivation trigger headaches?

Thank you for your enquiry. Sleep deprivation is a common cause of headaches. There are many types of headaches and some of the common ones are as follows: 1. Tension headache - This is the most common type of headache and one feels a pressure-like pain around the head. It is often triggered by stress, anxiety and sleep deprivation. Lifestyle changes and over the counter pain relievers can often keep the headache under control. 2. Migraine - This is usually a one-sided throbbing pain and can be triggered by stress, lack of sleep, dehydration and food additives.

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Answered By

Dr Eng Cern Gan

ENT Doctor

How do I know if daily headaches are due to a dental cause such as previous dental work or dental issues?

Headaches, especially in the scalp, temples and in the sides of the face are usually caused by excessive muscle tension. Patients with a history of clenching, grinding of teeth and generally enlarged muscles (a head that appears large, a square jaw) may have frequent headaches. This type of headaches can occur regardless of the type of dental work done. Generally, the muscles and joints in the skull are very tolerant of changes to the teeth and bite. There may be patients who are hypersensitive to minor changes who cannot tolerate even minor changes to their teeth.

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Answered By

Dr Jaclyn Toh

Dentist

Why do I get a migraine and see halos when looking at bright lights?

Different individuals can have different triggers for migraines. These triggers include bright lights. Some migraine suffers also have an 'aura' (a focal symptom before the headache) which comprises visual distortions. So visual issues can be both due to as well as lead to migraines.

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Answered By

Dr King Hee Ho

Neurologist

How can I best manage my symptoms of headaches, dizziness and light sensitivity?

These symptoms are consistent with a migraine. If they occur frequently, it is advisable to take steps to reduce the attack severity and frequency. This can be done by well-chosen daily preventative medication used for about 6 months. Although there is no cure for migraines, the condition is very treatable.

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Answered By

Dr King Hee Ho

Neurologist

When is a headache a sign of a brain tumor?

Headaches are sinister if they occur in the mornings and gradually progressive worse. The headaches are usually due to increase in pressures in the brain. In the event of that, it is important to see a doctor and get a brain scan ( MRI).

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Answered By

Dr Ivan Ng

Neurosurgeon

Why do I get recurring headaches that affect my sleep, and how can I tell this apart from a tension headache or migraine?

You should see a specialist if the headache persists. An MRI if the brain may be necessary.

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Answered By

Dr Ivan Ng

Neurosurgeon

What are possible causes of cervicogenic headaches?

Cervicogenic headaches result from structural problems in the neck and are often due to problems with vertebrae at the top of the spine, called the cervical vertebrae, and specifically the C2-3 vertebra. Because cervicogenic headaches arise from problems in the neck, different conditions can trigger this type of pain. These include degenerative conditions like osteoarthritis, a prolapsed disc in the neck, or a whiplash injury. A compressed or pinched nerve in or near the neck may be the cause of cervicogenic headaches.

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Answered By

Dr Beng Yeong Ng

Psychiatrist

What are the possible reasons for a combination of spotting, headaches, vomiting and lightheadedness?

By spotting, I think you mean that you have light vaginal bleeding that happens outside of your regular periods. A small amount of blood is involved in spotting and this can be noticed on the toilet paper after using the bathroom or in the undergarments. Bleeding or spotting any time other than when a woman has her period is considered abnormal vaginal bleeding. There are many different causes of spotting between periods. Sometimes, it can be a sign of a serious problem, but oftentimes there is nothing to be concerned about.

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Answered By

Dr Beng Yeong Ng

Psychiatrist

What are the complications of over-dependence on aspirin/acetylsalicylic acid?

Aspirin is just as effective as paracetamol in the treatment of trivial acute pain (e. g. headaches, dental pain, or colds). However, it is also used for chronic states of pain, e. g. for cancer patients and (in high doses) for rheumatic fever. For other rheumatic diseases (chronic polyarthritis, osteoarthritis, etc.) and for dysmenorrhea aspirin is not as efficient or not as well tolerated as other prostaglandin synthesis inhibitors such as ibuprofen.

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Answered By

Dr Beng Yeong Ng

Psychiatrist

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