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What investigations are necessary for frequent headaches?

Dear doctor,

My name is Sophia Hagedorn and I have been suffering from severe headaches for some time now. These headaches occur frequently and significantly impact my daily life. I have tried various painkillers, but they only provide temporary relief.

I am concerned that the headaches may be a sign of a serious health issue. Therefore, I would like to know what tests are necessary in such a case to determine the cause of my headaches.

So far, I have not noticed any changes in my lifestyle or diet that could explain the headaches. I get enough sleep and try to avoid stress. However, the headaches persist and increasingly affect my well-being.

I would greatly appreciate your assessment on which tests would be appropriate in my case to identify the cause of my headaches. I hope that you can help me so that I can soon manage my daily life pain-free and without limitations.

Thank you in advance for your assistance.

Sincerely,
Sophia Hagedorn

Tobias Helbig

Dear Mrs. Hagedorn,

Thank you for your message and your trust in my expertise. I am sorry to hear that you are suffering from severe headaches that are significantly impacting your daily life. Headaches can have various causes and it is important to accurately identify them in order to initiate appropriate treatment.

In your case, where the headaches persist despite adequate sleep, stress avoidance, and no apparent changes in your lifestyle or diet, it is advisable to undergo further investigations to determine the cause.

Initially, a detailed medical history is important to identify possible triggers for the headaches. This includes questions about your general health, family medical history, stress level, diet, sleep patterns, and any other symptoms.

Furthermore, a neurological examination may be necessary to rule out possible neurological causes for the headaches. During this examination, the doctor will assess your reflexes, strength, coordination, sensitivity, and other neurological functions.

Depending on the results of the neurological examination, additional imaging procedures such as a CT or MRI scan of the head may be necessary to rule out structural changes in the brain. These tests can provide clues to possible causes such as tumors, inflammation, or vascular changes.

Additionally, an eye examination by an ophthalmologist may be useful, as headaches can also be caused by eye conditions such as vision problems, glaucoma, or other eye issues.

It is important that you consult a doctor if you are experiencing persistent headaches to determine the cause and receive appropriate treatment. I recommend scheduling an appointment with a neurologist or an ophthalmologist to undergo the necessary investigations.

I hope my response is helpful to you and that you find a solution for your headaches soon. Please do not hesitate to contact me again if you have any further questions or concerns.

Best regards,
Tobias Helbig

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Tobias Helbig