Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
199 Doctors are Online

Migraine and tension headache - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi
User :   hello doctor
Doctor :   How can i HELP YOU?
User :   I have been suffering from Migraines for three years
User :   now
User :   although I don't know if it is Migraines or Tension Headaches
User :   since I don't suffer from Nausea or Sensitivity to Light
Doctor :   ok
Doctor :   Can you describe the headache
User :   I get a lot of headaches
User :   ache on the front or side of the head
User :   the level of pain is sporadic depending on the event
User :   it is usually triggered by stress
User :   i get pain usually on the forehead area
User :   and I get spots on my forehead aswell in a stressful environment
Doctor :   Ok
Doctor :   What is your age
User :   i have been to stress management courses and I have found techniques to help me relax more and the headaches are still there
User :   i am 23 years old
User :   is there any cure?
Doctor :   Ok
Doctor :  
In fact there is no cure of migraine
User :   so what can i do?
Doctor :   Since how many years you hvae this problem
User :   3
User :   as i said from above
Doctor :   What is the doctor saying

User :   still have the same problem
User :   manage my stress
User :   one told me to take anti-depressants which don't work
User :   i am not depressed at all
User :   i live a very happy life, it is just that i could do without these headaches
Doctor :   Did the doctor say it as Tension headache or Migraine
User :   one said it is a tension headache
User :   one said it is a common migraine
Doctor :   What is the frequency of the headaches?
User :   it comes in stressful situations
User :   usually when something requires a lot of thinking such as decision making
Doctor :   ok
User :   but yesterday i wasn't thinking much but i had a massive headache
User :   and i think it was due to travelling
User :   i caught a plane that was a 4 hour flight and caught a bus that was a 5 hour journey
Doctor :   Ok
User :   i am taking citalopram at the moment but I want to stop because it is not working
User :   that was recommended by the doctor
Doctor :   ok
User :   only 10mg dose per day
Doctor :   It is an antidepressant
Doctor :   Ok let me ask you few questions
User :   it contains them yes
User :   ok
Doctor :   How long does each episode stay
User :   around a few hours
Doctor :   what will you do when you have a headache
User :   some a bit more
User :   i try to ignore it, i use a meditation technique i learnt from yoga
User :   and it really works a lot
User :   it helps me get on with life even while i have the headache
Doctor :   Ok
Doctor :   Wonderful
Doctor :   It is one of the relaxation technique
User :   yes
Doctor :   Does resting in a dark and quiet room
Doctor :   help
User :   no
Doctor :   Placing a ice pack over the head help

User :   i realise i always need to be doing something
User :   yes that does help
Doctor :   Ok
Doctor :   Listen the nature of headaches is different from one person to other
User :   i get spots in my head and usually on my scalp
User :   is it very common?
Doctor :   how are they?
Doctor :   Do you mean pain spots?
User :   yes
User :   i get a lot of them
Doctor :   Yes it is common
Doctor :  
it is variable from person to person
User :   i mean, are headaches very common
Doctor :   One has to learn the techniques of getting over it
Doctor :   Yes
User :   does water help?
User :   and a healthy diet?
Doctor :   There is no said method to reduce the headache
Doctor :   every one can adopt their own
Doctor :   methods
User :   are migraines harmful to one's overall health
Doctor :   Not really
User :   i do have a healthy diet
User :   i do a lot of exercise as well
Doctor :   good
Doctor :   Keep a headache diary.
Doctor :   It will help you learn more about what triggers your migraines
User :   i know what does
User :   thinking
Doctor :   and what treatment is most effective
User :   over thinking and obsessive thoughts cause the headaches
User :   what treatment would you recommend
Doctor :   Do you get to know before the headache start?
Doctor :   with some signs?

Doctor :   make a note of these signs

Doctor :   For best results, take pain-relieving drugs as soon as you experience signs or symptoms of such sort
User :   does aspirin help?
Doctor :   Yes
Doctor :   why not
User :   it is over thinking
Doctor :   In fact you hve to rely on the pain medicine like Aspirin, Motrin, Advil or Tylenol during an acute episode
Doctor :   Whenever you have a premonitory sign
User :   ok
Doctor :   immediately take Motrin 400mg
User :   motrin
User :   what about migraleve?
Doctor :   You may but the best is the pain killer first
User :   what about paracetamol and ibuprofen
Doctor :   that is Motrin
User :   motrin contains both?
Doctor :   Yes that too helps better than Motrin alone
Doctor :  
No it contains Ibuprofen
Doctor :   alone
User :   can you combine both?
Doctor :   Yes
User :   have paracetamol and ibuprofen?
Doctor :   You can take 400mg Motrin and 325mg Tylenol
User :   i cannot have it too often though
Doctor :   Yes
User :   shall i stick with ibuprofen and paracetamol?
Doctor :   Yes
Doctor Stick to them
Doctor :   Follow this
Doctor :   Once you have a premonitory sign of headache
Doctor :   take just Motrin
Doctor :   200mg
Doctor :   first
Doctor :   before you get the full fledged pain
Doctor :   it may reduce the severity
User :   ok
Doctor :   IF does not help take one more Motrin
Doctor :   200mg
User :   there is definitely no cure is there?
Doctor :   Although there's no cure, medications can help reduce the frequency and severity of migraines
User :   what about acupuncture?
Doctor :   The right medicines combined with self-help remedies and lifestyle changes may make a tremendous difference.
Doctor :   Look there are many alternative therapies
Doctor :   including Acupuncture
Doctor :   You may adapt any one for the relief
Doctor :   Some times massages help
Doctor :   Ok
User :   ok, but that is just relaxation
User :   is this something everyone goes through?
Doctor :   Do you mean all migraine sufferers?
User :   everyone
Doctor :   Not everyone
User :   oh well
Doctor :   See if this self assessment help you
Doctor :  
WWW.WWWW.WW Doctor :   Ok?
Doctor :   Just get back to me in case of any other help
Doctor :   Please fill the feedback form
Doctor :   are yuo there
Doctor :   I have to close the window as there is no response from your side.

Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor