Head Pain After Cold: When to Seek Medical Advice - Neurosurgery

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Hello! It sounds like you’re experiencing some concerning symptoms following a recent cold and fever. Given your history of epilepsy and the medications you are taking, it’s important to approach this situation carefully.

Head pain, especially after a cold or fever, can have various causes. In your case, the intermittent sharp pain you are experiencing could be related to several factors. First, it’s essential to consider that viral infections, such as the one you might have had, can lead to post-viral headaches. These headaches can manifest as tension-type headaches or even migraines, particularly if you have a history of migraines or other headache disorders.

The fact that you mentioned experiencing a fever of 38.9°C (102°F) suggests that your body was fighting an infection. While the fever itself may have subsided, it’s not uncommon for headaches to persist even after other symptoms have improved. This could be due to lingering inflammation or irritation in the body, particularly in the sinuses or the nervous system.

Moreover, since you are on medication for epilepsy (specifically Lamotrigine), it’s crucial to consider how this might interact with any other medications you are taking for your cold. While your pharmacist indicated that the medications you are taking shouldn’t cause such symptoms, it’s always possible that individual reactions can vary. Some medications can lead to side effects that include headaches, dizziness, or changes in mood and cognition.

Given that you have been experiencing these symptoms for two to three days, and considering your medical history, it would be prudent to seek medical advice again. Here are a few reasons why:
1. Persistent Symptoms: If your headache is not improving or is worsening, it’s essential to have a healthcare professional evaluate your condition. Persistent headaches can sometimes indicate complications, especially following a viral infection.

2. Neurological Evaluation: Since you have a history of epilepsy, any new or unusual headache pattern should be assessed by a neurologist. They can determine if your current symptoms are related to your epilepsy or if they are indicative of another issue.

3. Medication Review: A healthcare provider can review your current medications to ensure there are no interactions or side effects contributing to your symptoms. They may also consider adjusting your medication if necessary.

4. Other Causes: There are other potential causes of headaches that should be ruled out, such as sinusitis, tension headaches, or even more serious conditions like meningitis, especially if you have had a fever.

In summary, while it’s possible that your symptoms are a benign post-viral effect, the combination of your recent illness, ongoing headaches, and your epilepsy medication warrants a follow-up with your healthcare provider. They can perform a thorough evaluation, possibly including imaging studies if deemed necessary, and provide you with the appropriate treatment or referrals. Don’t hesitate to reach out to your doctor, as they can help ensure your health and well-being. Take care!