Head Pain

[lelapin]

A friend's wife has been suffering for a while with severe headaches and nose bleed and although having visited a couple of hospitals, her condition is getting worse. Can anyone recommend a Dr. in Bangkok who is a specialist with this type of problem.

[Nyonya]

Sorry to hear this. Your best bet is to send her to Mount Elizabeth I'm Singapore. Thai hospital are now overwhelmed with covid patients and are known to have poor quality doctors or specialists. It's like sending her to death. Arrange an appointment at Mt. Elizabeth.

[Sheryl]

The combination of headache and nosebleed immediately raises suspicion of hypertension. What is her blood pressure?

 

Makes a big difference as if hypertensive she does not need a neurologist specializing in headache but rather an internist or cardiovascular specialist

[lelapin]

Just now, Sheryl said:

The combination of headache and nosebleed immediately raises suspicion of hypertension. What is her blood pressure?

 

Makes a big difference as if hypertensive she does not need a neurologist specializing in headache but rather an internist or cardiovascular specialist

I will check and get back to you.

[lelapin]

Just now, lelapin said:

I will check and get back to you.

It appears that her blood pressure was normal at her last hospital visit.

[Sheryl]

Still nto enough information to even know what type of doctor to suggest

 

Does she suffer from allergies/sinus problems?

 

Has she had a recent blood count done?

 

What diagnosis did she receive qat the hospital she went to?

[KarenBravo]

These symptoms sound too serious to not go and see a doctor immediately.

An MRI scan might put your mind at ease with a negative result on a potentially fatal condition.

If it was me, I would be off for an MRI scan this afternoon.

[Sheryl]

1 hour ago, KarenBravo said:

These symptoms sound too serious to not go and see a doctor immediately.

An MRI scan might put your mind at ease with a negative result on a potentially fatal condition.

If it was me, I would be off for an MRI scan this afternoon.

 

If you read the OP, the woman (it is not the OP) has already been to a hospital several times. He is asking for a suggested source of second opinion.

 

Unfortunately not enough information provided on the patient, tests/treatments and diagnosis to date for me to yet make a suggestion.

 

MRI does not detect everything and is not necessarily indicated.

[KarenBravo]

4 minutes ago, Sheryl said:

 

If you read the OP, the woman (it is not the OP) has already been to a hospital several times. He is asking for a suggested source of second opinion.

 

Unfortunately not enough information provided on the patient, tests/treatments and diagnosis to date for me to yet make a suggestion.

 

MRI does not detect everything and is not necessarily indicated.

The OP hasn't mentioned any tests performed whatsoever and I know an MRI will detect what I have in mind.

[marin]

On 9/15/2021 at 11:01 PM, Nyonya said:

and are known to have poor quality doctors or specialists. It's like sending her to death. Arrange an appointment at Mt. Elizabeth.

You have got to be kidding me!!  Samidtiwej, Bangkok, and Bumrungrat hospitals  are all international quality with a great supply of medical specialists in all fields. Yes you are going to pay, but you will get  very good results. Patients fly from all over the world to be treated there.  If you dont know sometimes the best thing to do is to simply keep your mouth shut..

[lelapin]

Just now, Sheryl said:

 

 

If you read the OP, the woman (it is not the OP) has already been to a hospital several times. He is asking for a suggested source of second opinion.

 

Unfortunately not enough information provided on the patient, tests/treatments and diagnosis to date for me to yet make a suggestion.

 

MRI does not detect everything and is not necessarily indicated.

My friend has passed on this info to me:-

 

 This problem started about 4 months ago. So I dismissed allergies. What I considered most and she informed the Doctor was ,that this problem started about 2 weeks after she recovered from Dengue Fever, but seems to have been dismissed by the Doctor. They never tested her blood,  

I had to ask the Hospital for a CATSCAN, which according to the Pyathai Siracha hospital revealed nothing irregular. I have arranged for her to take her medical file and prescribed medicine to see a neurologist Dr Sith Sathorn Sumetee on the 25th this month.

Is this a Dr you have heard of?

Many thanks for your help.

[Sheryl]

Dr Sith Sathorn Sumetee  is a specialist in brain tumors so may be  an odd choice if the CT was normal.

 

This woman should definitely have an immediate CBC (complete blood count) with platlets, any lab can do this and no need to fast first. I would do that ahead of the upcoming appointment. I would also get a home BP machine (type that goes around the upper arm) and take BOP at home every day and record it. In particular take the BP when having headache or nosebleed.

 

To be clear - do the headaches and nosebleeds occur always together or are these separate problems?