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Migraine with fainting spells - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3609 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   My wife has been running out stamina - feeling drowsy - she is up from 530am managing the kids and also taking care of household chores - back to back and does not get a break. However this is a common routine in ... for most housewives - but she seems to running out of stamina and today she almost fainted. Wondering if you could advise a solution here
Doctor :   May I know her age?
User :   34
Doctor :   Does she have any medical illness>
Doctor :   Are you there?
Doctor :   I need few history details to help you better.
Doctor :   These questions are relevant in understanding the condition.
Doctor :   Are you there?
User :   None in particular barring she gets a migrain when goes out in the sun
User :   She does not have any medical illness - only migrain problem when she goes out in the sun
Doctor :   Since when is she having the drowsiness?
User :   None in particular barring migrain when is goes out in sun.
User :   Do let me know what more details would you need
Doctor :   Since when is she having the drowsiness?
User :   Are you there doc
Doctor :   Yes, I am here.
Doctor :   Since when is she having the drowsiness?
User :   Tell me what more you need to know doctor
User :   She has had about 3-4 occassions in the last 6 months when she has suddenly ( at home and outside) blanked out and felt like she would faint
Doctor :   Ok
User :   She has been taking Shelcal - prescribed by our GP
Doctor :   Can you briefly describe those episodes of fainting?
Doctor :   Does she loose consciousness during those episodes?
User :   Bout of migrain where she feels blanking out and would faint - no she has'nt lost consciousness ever though in any of the episodes
Doctor :   Ok
Doctor :   Does she vomit during those episodes?
User :   no
Doctor :   Have these symptoms seen when she has those headaches?
Doctor :   Or are these symptoms independent of those headaches?
User :   Are you there doc
Doctor :   I am here.
User :   They come together on most occassions
Doctor :   Ok
Doctor :   Is she regular with her food habits?
User :   She was'nt six months ago - but she is more disciplined now
User :   Would help if you could guide what she should take as a healthy and nuticious diet
User :   you there
Doctor :   Yes.
Doctor :   Ok.
Doctor :   Let me brief you.
Doctor :   Since most of her fainting episodes are following the headaches,
Doctor :   the symptoms are probably related to the migraine headaches.
User :   What should she do to get this sorted
Doctor :   I shall suggest a few measures that may prevent these headaches from occuring and hence those fainting episodes too.
Doctor :   1. She needs to take a pain killer as soon as she feels that these headaches are going to start or
Doctor :   at the time when these headaches are mild.
Doctor :   2. Most often these headaches are precipitated or aggravated by stress and physical activity.
Doctor :   Hence when she has these headaches it is advisable that gets to the bed for rest.
Doctor :   Avoid working during these headaches.
Doctor :   3. Migraine headaches are precipitated by other factors such as strong odour, lack of sleep at night, being hungry and off course in some sun light.
Doctor :   She needs to avoid all these.
Doctor :   Hence proper sleep at night, being regular with her meals, avoiding fasting, avoiding perfumes are also important.
Doctor :   These are the few modifications that she needs to apply.
Doctor :   Apart from these measures, I would also suggest you to get her evaluated for possible anaemia.
Doctor :   Continue with her shelcal.
Doctor :   Have you followed what I have suggested?
User :   Yes. She had shown a shade low of haemoglobin which has since been corrected in the foll reports
Doctor :   Anaemia is a very common entity seen in Indian house wives and they should be corrected.
Doctor :   This can be done in the form of good nutrition.
User :   The situation has been stressing her as well - leading to lack of proper sleep while she tries to go to bed by 10am since she has to be up by 530am in the morning
User :   What would good nutrition imply?
Doctor :   And since you had asked for nutritional advice, I shall suggest you those too.
Doctor :   1. The most important is timely eating habits.
Doctor :   2. Diet should be a mixed and balanced diet comprising of vegetables and fruits.
User :   What about cereals/dals
Doctor :   If you are a non vegetarian, I would suggest you one of the non vegetarian diets atleast once or twice a diet.
User :   She is a vege
Doctor :   You can include ragi in your diet.
Doctor :   Ragi is a good source of iron.
User :   Sorry what is ragi
Doctor :   Ragi is a cereal. I am not aware of its name in Hindi.
User :   ok... what should be her diet plan thru the day
User :   Thanks
User :   could you help put out a diet plan for her.
Doctor :   Include milk in the diet.
Doctor :   Apart from this, she also needs to drink sufficient amount of water.
Doctor :   If you want a diet plan, i would suggest you to use the option of get a diet plan from our dietician.
Doctor :   Have you followed?
User :   Ok...thanks
Doctor :   Do you have any other query?
User :   no bye
Doctor :   Thanks for consulting me. Bye for now.
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