An unusual cause of headache in a medical tourist

With booming medical tourism, Indian doctors are seeing a lot of patients from other countries for varied medical conditions. A citizen of Nairobi presented for treatment of his complaints consisting of severe episodic headache, with abdominal pain, spermatorrhea, decreased libido, constipation, and...

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Bibliographic Details
Published inJournal of family medicine and primary care Vol. 4; no. 1; pp. 142 - 144
Main Authors Desai, Soaham Dilip, Mehta, Manan M
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.01.2015
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Addiction
Care and treatment
Case Report
Case studies
Diagnosis
Headache
khat
medical tourism
migraine
Substance withdrawal syndrome
medical tourism
khat
migraine
Addiction
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Summary:With booming medical tourism, Indian doctors are seeing a lot of patients from other countries for varied medical conditions. A citizen of Nairobi presented for treatment of his complaints consisting of severe episodic headache, with abdominal pain, spermatorrhea, decreased libido, constipation, and impotence. On detailed evaluation, he was found to have developed dependence to khat chewing; a social habit in his native country and his symptoms were attributed to effects of khat withdrawal. He improved after treatment with topiramate and escitalopram and lifestyle modification. Physicians need to be aware about various cultural habits of addiction in different parts of the world and their common presentations in view of globalization of health care.
ISSN:2249-4863
2278-7135
DOI:10.4103/2249-4863.152275