I'm a chartered accountancy student who's prepping for my final exams. I tackled my first attempt in May after a hardcore four-month study spree. But right before that, in April, I started getting these chronic headaches that only went away after long naps. Now, I'm gearing up for my second attempt in November, and those headaches are back again. They really hit me hard on the sides and the lower back of my skull. I've made sure to get an eye test done, and everything's fine there, no need for specs. I'm at a bit of a loss here. Any insights on what might be causing these headaches and how I can manage them?

Dr Ranjith Darla

General Practitioner

• MBBS
• 3+ Yrs

Consult Now

Post-Exposure Prophylaxis (PEP) and Treatment for Dog Bite_

Since you were bitten by a dog two years ago and received a tetanus injection one year ago, here are some suggestions:

Immediate Action

1. Wound Care: Ensure the wound is clean and healed. If you notice any signs of infection, such as redness, swelling, or pus, seek medical attention.
2. Rabies Risk Assessment: If you haven't already, consult a doctor to assess the risk of rabies transmission. Even if it's been two years, it's essential to evaluate the risk.

Medical Consultation

1. Consult a Doctor: Schedule an appointment with your primary care physician or a specialist, such as an infectious disease expert.
2. Post-Exposure Prophylaxis (PEP): Depending on the doctor's assessment, you may require PEP, which includes a series of injections with rabies immunoglobulin and a rabies vaccine.

Additional Precautions

1. Monitor for Symptoms: Keep an eye out for any symptoms of rabies, such as fever, headache, or flu-like symptoms.
2. Maintain Good Hygiene: Ensure you practice good hygiene, including washing your hands regularly, especially after coming into contact with animals.

Important Notes

1. Time-Sensitive: Rabies PEP is most effective when administered promptly. If you're advised to undergo PEP, follow the recommended schedule.
2. Individualized Advice: Consult a doctor for personalized advice, as the risk of rabies transmission and the need for PEP depend on various factors, including the dog's vaccination status and the severity of the bite.

Answered 04/07/2025