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Migraines and prophylactic treatment to prevent it - 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 : 2005
Answered : 2226 Questions
User :   I have migraine problem since childhood. But now it has become unbearable. I get headache almost everyday and I have to have 2-3 VAsograin tablet to get relef. I had taken sibellium, Flunarin 10 etc for long but did not effect me. Please advice how can I get rid of this pain. I am 37 years old and my height 5 ft 4 inch and body weight 54 KG. I do not take unhealthy or junk food also I have stopped takeing food which are trigger for migraine like coffee, raisin etc.                         
Doctor :   Hi
Doctor :   Let me read your query
User :   ok
Doctor :   If you are getting headaches everyday, then you shall need prophylactic treatment
User :   pls explain what is prophylactic treatment
Doctor :   that is preventive treatment
User :   how can I receive that?
Doctor :   to ease the pain
Doctor :   You can consult your doctor for that
User :   please prescribe some medicines
Doctor :   there are certain medications for the same
User :   can you not prescribe medicines for me
Doctor :   I cannot prescribe medications on this portal
Doctor :   I can give you the guidance part as such
User :   then what do you suggest?
Doctor :   I would suggest you to consult a Physician
Doctor :   for the same
Doctor :   and discuss it with him
User :   then why did I pay here for consultation with a physician. Are you not a physician?
Doctor :   since the frequency is very much on the higher side
Doctor :   you shall need a physical examination
User :   If you are aphysician then you can give me some guide lines. I have gone to many physicians and also done many examinations.
Doctor :   and only after an examination will I be allowed to prescribe
User :   u can ask me about my reports what exactly u want to know
Doctor :   Have you spoken about prophylactic treatment with your physician before?
User :   yes
Doctor :   Ok
Doctor :   What were you prescribed with?
Doctor :   what were the prophylactic medicines I mean to ask?
User :   flunarin 10, sibellium, amitryn 10 etc and to continue medicine for 6 months at least
Doctor :   Ok
Doctor :   How long have you taken it?
User :   I did not ahve all the medicines I mentioned together
Doctor :   I got i
Doctor :   but how long have you taken each?
User :   more than 6 months each
Doctor :   Ok
Doctor :   And dint you find any improvement?
User :   after taking amyitrin 10 and stemitil 5 together the frequency reduced but not completely cured.
Doctor :   Ok
Doctor :   What was the frequency at that time?
User :   2-3 times in a week
Doctor :   Ok
Doctor :   How about the conservative measures?
Doctor :   Have you worked in that aspect?
User :   i did not get u
Doctor :   Like exercise, diet and lifestyle changes
User :   I dont get time for exercise. diet wise I am quite conscious I don't know what lifestyle change you mean to say
Doctor :   Ok
Doctor :   lifestyle involves timely food intake, sleep, relaxation
Doctor :   keeping stress levels under check
Doctor :   habits like smoking/alcohol
Doctor :   these are the factors which can trigger a migraine attack
User :   i dont drink dont smoke at all
Doctor :   Ok
Doctor :   Have you noticed your trigger factor for headache?
User :   stress is there
User :   for that I can't do anything. Its my nature that I get tensed, stressed up very easily
Doctor :   it can be a specific food, hunger, stress, exposure to sun?
Doctor :   stress level should be kept under check
Doctor :   with exercise, aerobic type
User :   how can I do so, please suggest
Doctor :   where you can divert your mind for some time
Doctor :   a brisk walk/jog is one
User :   ok, i will try to do so
Doctor :   spending time in your favorite activity
User :   but what I think is I don't get a sound sleep may be that is one of the factors
Doctor :   That is a major factor
Doctor :   Sleep is the mother of all activities
Doctor :   with disturbance in that
Doctor :   there shall be problems
Doctor :   especially migraine
User :   should I take alpazolam for that regularly
Doctor :   Alprazolam
Doctor :   is a drug
Doctor :   with addictive potential
Doctor :   you should not take it on your own
User :   I know that's why I avoid it
Doctor :   only when it is inevitable, your doctor shall prescribe it
User :   then what can I do know?
Doctor :   Stress and sleep are interlinked
Doctor :   with reduced stress reduction
Doctor :   sleep shall improve
Doctor :   Exercise and meditation shall benefit you in that
User :   I always feel sleepy but when I go to sleep its not sound sleep that I get
Doctor :   Only medical treatment does not help
Doctor :   You should change your stress patterns
Doctor :   I would suggest you to go for Biofeedback therapy or a cognitive behavioural therapy
Doctor :   by a Psychotherapist
Doctor :   that shall help
Doctor :   especially Biofeedback has been of good success
Doctor :   for migraine
Doctor :   CBT shall be effective as well
Doctor :   for both migraine and stress
User :   what is biofeedback therapy
Doctor :   It is psychological treatment
Doctor :   with the use of electrodes
Doctor :   where in your response to stressful situations shall be changed
Doctor :   by training your mind
Doctor :   it works on the reaction pattern in the mind
User :   who can do so, psychologist or psychiatrist
Doctor :   Clinical Psychologist
User :   can u name some
Doctor :   If that is not available in your city
Doctor :   then you can opt for CBT
Doctor :   Therapists/methods
User :   clinical psychologist's name
Doctor :   Ok
Doctor :   It is available in leading mental health institutes
Doctor :   Ok
Doctor :   Give me a minute
Doctor :   I shall get back with the details
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