Conversation: The conversation between human and AI assistant.
[|Human|] Whenever I cough or bend over there s an excruciating pain in my head, always the exact same spot. Several years ago I had a scan after hearing all music off-key. A small pool of blood was found but the doctor felt my body would absorb it and treatment wasn t needed. The pain I m experiencing is in that exact same spot. No answers after an MRI, just had another today but this time with and without contrast. I fear again no one will find anything out of the ordinary. Can you suggest possibilities my neurologist can rule out?
[|AI|]  Hello ! Thank you for your question on Chat Doctor! Regarding your concern I would like to exclude primary stabbing headache, and an occipital neuralgia. I would like to know the location of the pain. If it is in the back of your head it may be occipital neuralgia. As you mention brain MRI is normal. So the main causes of secondary headaches have been excluded. The diagnosis of primary headache is clinical, and no other tests are needed to find out the type of headache. In both the headache types that I have mentioned above, treatment with Indomethacine twice daily is very helpful. If no results I would recommend Tokamak or Amitriptyline. Hope to have been helpful! Greetings!