Conversation: The conversation between human and AI assistant.
[|Human|] Hi. My malfunction is that on left side of top of head is tender. When I touch one spot the opposite, on same side, hurts. When I touch a different spot, on same side, the opposite hurts. I have also been up for 2 nights in a row till approx. 1 - 2 am with this migraine where water, pressure points, etc don t work. Ive laid still for at least an hour and does not work. My head has also been itchy, not severely, for the last 2 weeks without progressing to major itchiness. What might the possibilities of whatever illness might this be? Oh, to add, I ruled out lice or any form of pest that can be seen by the naked eye. Also if this cost money then there is no need to respond to my email. Sincerely, Tiffany
[|AI|]  Hello Tiffany, Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to tension type headache. An allergic reaction can not be excluded too. Do you have any other symptoms like running nose, sneezing, itchiness in other parts of your body? Have you tried any new hair product lately (shampoo, hairstyle, etc.)? I recommend consulting with your GP for a careful physical exam and some tests: -complete blood count-inflammation tests-allergy tests-blood electrolytes. A brain MRI may be needed in case that abnormal neurological signs are encountered during physical exam. If all the above tests are normal, and a possible allergy is excluded, I would recommend starting Topiramate or Amitriptyline as a preventive therapy. Meanwhile, I would recommend taking painkillers like ibuprofen for the pain. Hope to have been of help! Best wishes,