Patient: I believe I’m diabetic, I’m getting headaches every day. What do you think my daily headaches are from, because they are getting to be unbearable.
Doctor: Welcome to Ask The Doctor. We are here to help you.Frequent chronic headaches are most commonly due to:1. Migraine Headache.2. Chronic Tension Headache.Migraine headaches are usually unilateral, associated with throbbing, vomiting sensations, photophobia and phonophobia.Chronic Tension Headaches usually present with heaviness in head, band-like sensation over the head with sleeping difficulties.Important here is to differentiate between the two.A clinical examination specially Neurological Examination, fundus examination are must to rule out any other Neurological problem which might also require Neuroimaging.You should see your Doctor.He will classify the headache and if it is Migrainous, treatment would be with the drugs like Flunarizine, Propanolol, Amitriptyline.Tension Headaches are treated with Amitriptyline, Escitalopram with behavioral modification treatment.I hope it helps.Stay Healthy.