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Suffering from severe migraine - 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 : 2305 Questions
User :   My daughter is having pains. Her symptoms were pain behind her eye, blurry vision, speaking strangely, walking oddly, and a terrible headache. She visited her gastroenterologist and her internist who sent her to the hospital where she had a CT scan. They said it was a migraine. She is 24 and has never had a migraine. She went back to her internist who sent her for an MRI and to a neurologist. Everyone said it was a migraine. The pain lasted 7 days. Her headache is much better today just some pain behind eye but she says she has shooting pains in her arm, a tighteness in her chest, her blood feels like it is hardening in her system, and pain in her legs when she walks. Is that what recovering from a migraine feels like. The only medicine she is taking is predisone for the migraine and GERD medicine.
Doctor :   hello
User :   hello
Doctor :   give me a min please, let me read your query
Doctor :   at present how is she feeling ?
Doctor :   is the shooting pain unbearable ?
Doctor :   since how many days she has been on prednisone ?
User :   Not good. She is Worried. she has shooting pains in her arm, a tighteness in her chest, her blood feels like it is hardening in her system, and pain in her legs when she walks. Is it possible to have a blood clot that the hospital and neurologist missed with the MRI and CT Scan?
User :   Her headache is much better and her speech is OK.
Doctor :   its HIGHLY UNLIKELY that a CT and a MRI would have missed anything as they are very very sensitive tests
Doctor :   how is her vision today ?
User :   Her vision is OK. The symptoms that she described. Could that be left over from a migraine? I can't get her to go back to the hospital.
Doctor :   and yes she is having very typical symptoms of a migraine
User :   Do you have any idea how long the symptoms might last?
Doctor :   is she taking her medications on time ?
User :   Yes.
Doctor :   tell her to do the following \
Doctor :   1) Drink water to avoid dehydration
Doctor :   2) Rest in a quiet, darkened room
Doctor :   3) Place a cool cloth on her head
Doctor :   Over-the-counter pain medications such as acetaminophen, ibuprofen, or aspirin are often helpful,
User :   She is at a basketball game. Not a good idea, huh?
Doctor :   by whom was she prescribed prednisone ?
User :   The neurologist.
Doctor :   the medication of migraine are drugs called as Triptans.
Doctor :   prednisone is usually not given in migraine
Doctor :   also she needs to do the following
User :   Her internist gave her some migraine medicine that dissolved in her mouth in his office. I wasn't there and don't know what she took. She said that it didn't help at all. That is when he sent her for the MRI and to the neurologist. He gave her predisone and told her to take over-the-counter medication. The hospital gave her floricet but it didn't help. The neurologist told her not to take that.
Doctor :   muscle relaxation exercises.
Doctor :   like yoga
Doctor :   also It's best to go to bed and wake up at regular times, as well.
Doctor :   i suggest you please do mention TRIPTANS to your neurologist and ask his views on them
Doctor :   as they are the FIRST line of treatment
User :   Ok thanks. Mostly I was worried about a blood clot but you think the tests should took and the doctors she saw would have seen that, right? Her doctor were all board certified.
Doctor :   yes it would have shown
Doctor :   dont worry about that
User :   OK, Thanks for your help.
Doctor :   your most welcome
Doctor :   take care
Doctor :   good bye
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