My sister gets severe headache every other day. It happens for no apparent reason and lasts for hours. She experiences intense pain in the back of her head, sides of skull, neck, shoulder blades and upper back. Her forehead hurts too but not as much. She also feels very nauseous during these headaches. The only thing that helps is painkillers (� combiflam tablet) and a few times paracetamol (crocin) and nothing else. Can you tell us why these headaches happens so frequently and how we can avoid it? And if not that, then how can we remedy it without medicines, that is, naturally or through ayurvedic medicines? Thank you.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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If you have recurrent attack of headache1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist. 

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