Headache flatulence

Long history of recurrent seasonal headache (appers for a month /week ) which arises after unable to pass flatus as said by patient (my father), dx, endoscopy and ct done with null pathology, please give your valuable opinion on cause and management.

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Rule out hypertension Rule out Diabetes Rule out sinusitis Rule out migraine Rule out Tension headache Rule out irritable bowel syndrome Rule out refractory errors Rule out allergy. Rule out GERD Coming to the treatment Identify the cause and treat it. Symptomatic treatment Psychological counseling Anxiolytics Tab paracetamol 650 mg sos PPI
Valuable opinion
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Advice To get check eye sites To get check sugar level To get check sinus Meanwhile take this medication Adv. Tab. Naproxen 10tab 1-0-0 Tab vertin 8mg 10tab1-0-1 Tab. Pan40 20tab 1-0-1b4 meals Tab. Rinifol 20tab1-0-1 Syp. Cremafin 10-15ml at bed time ....change life style ...
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Here are possible causes to rull out 1) ref Error check eye sites 2) sinusitis check x ray PNS 3) HTN 4) sugar level 5) ICSOL 6) Migraine 7) Cluster headache Find the cause and treat accordingly
Valuable opinion
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Ask for CBC ESR Blood SUGAR IgE RE URINE, Vision Test, ask to avoid Coffee, And Give Amitriptyline 25 one bd, Tab Naprosyn 250 sos , Syrup Momplus 2 tsf at 8 pm
Valuable opinion
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Allergic Sinusitis.. Check PNS...
Valuable opinion
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Agreed with Dr.Md Ansari
Thank u so much dr. Neelam sreemani mam
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