instruction: hi doc good morning I have been having really bad headache for weeks now its a throbbing headache that affects the front and back part of my head I also notice that it gets worse when I am lying down there are times I vomited also last week I noticed that I have fever for days but the fever went away this week I tried drinking painkillers to last week medical seemed to work but I noticed the headache was getting worse and the painkiller is no longer working
output: hi good morning headache vomiting starting with fever is suggestive of infection we need to rule out meningitis and raised intracranial pressure my questions do you have blurring of vision or double vision do you have neck rigidity you will feel like stiffness and pain in back of neck you will not be able to touch your chest with chin if any of the above is there please consult locally as early as possible to your go neurologist if above things are not then you need to do two things get on mri brain with contrast done to look for invective focus or parenchymal lesion get your eyes checked for pappiloedema to look for raised intracranial pressure meanwhile you can take pantoprazole and domperdon pantocid before breakfast take tablet naproxen 500mg in place of medical when required for headache thank you