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What is A 22-years-old man presents with a history of a headache for 6 months which is mainly in the frontal region, occasionally associated with nausea. He has been taking paracetamol 3g per day, Hydroxycodeine 50 mg 3 times a day and Aspirin 300 mg 3 times a day for a headache but only with temporary relief from symptoms no focal signs on neurological examinations. What is the diagnosis? and explain in detail?
Disease Features Analgesic Abuse Headache -Headaches refractory to analgesics -Asthenia, nausea, restlessness, anxiety, irritability, -Difficulty in intellectual concentration, -Depression Migraine -More common in Female -Presents with pulsating throbbing headache with photophobia -Responds to medication Depression Associated Headache -No history of depression -No psychiatric history of patient has been mentioned. Cluster Headache -Retro-orbital pain -Epiphora -Red eye.