Sir my younger sister age 16 year old. She is suffering heavy headache and the second problem she is sleepless in whole night .MRI test result show that pain happen due to tension. So we start her treatment with a psychiatrist because the reason behind of her pain is tension but after 2 year treatment there is no result she still live in tension .she live in a hostel and far from family. Please help my sister pls.

Dr. Poonam Patel VasaniPain Management Specialist11yrs exp

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Your sisters headache could be due to insomnia or vice versa. She has already consulted a psychiatrist with not much benefit. Since deatils of her headache pattern is not described, its difficult tp comment. You should consult a neurologist or pain specialist in your city with her MRI reports. Meanwhile I will share some basic information regarding headache. Headache at young age can be due to 1. Tension headache: Pain is band like constriction at forehead. Simple analgesics like paracetamol will help. 2. Migraine: episodes of severe headache, generally one sided and associated with nausea or vomiting, photophobia / phonophobia. Migraine treatment requires lifestyle modifications and painkillers. 3. Headache can be due to refractive error (vision defect ). Simple vision check and wearing spectacles accordingly can help. 4. Sinusitis: Headache with nasal discharge, fever and throat pain. Consult an ENT specialist in such cases. Other causes of headache can be cluster headache, tumour, meningitis, cervical spine diseases, and many more. For relief your sister can take simple analgesics like paracetamol. Follow these lifestyle changes to avoid headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 

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