Headache, no energy, sore shoulders - what is the reason?

Patient's question:

I have been experiencing headaches occasionally, and recently the pain has been more on the left side when I have a headache. In the mornings, after sleeping well, I feel dizzy and weak, with a bit of shoulder pain. When I massage my temples during a headache, the left temple hurts. What could be the reason for this? What kind of medicine can I buy at a pharmacy to alleviate the pain? What should I pay attention to in my daily life?

Doctor's answer:

Headache can be caused by many factors, such as sinusitis, which can lead to this symptom, or migraines can also cause this condition. Hypertension can also result in headaches. For advice and guidance in this situation, it is necessary to undergo a sinus CT scan to rule out sinusitis. If sinusitis is detected, anti-infection medication should be administered. Blood pressure should be measured, and if hypertension is present, antihypertensive medication is needed to stabilize and promote recovery. If none of these conditions are present, it should be considered a migraine, and flunarizine should be used for treatment.

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