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Treatment and precautions for migraine due to anxiety and stress - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
Doctor :   hi
User :   hello
Doctor :   how can i help you
User :   i would like to ask, is there any cure for migraines?
User :   i have been suffering of tension headaches for a long times now
User :   about three years
Doctor :   yes, firstly i want history of head ache
Doctor :   age
User :   23
Doctor :   gender
User :   male#
Doctor :   is it a half sided headache
User :   i am not entirely if it is a migraine or a tension headache
Doctor :   do you any prodromal symptoms
User :   the pain changes from one side but usually the whole forehead
Doctor :   like nausea, blurring of eyes
User :   no
Doctor :   any family history of headache
User :   never had that
User :   no
Doctor :   do you smoke
User :   possibly my mother gets them but not very frequently
User :   no
Doctor :   alchohol
User :   i am quite a healthy human being, i eat a lot of fruit and veg and i do a lot of sport
User :   i don't really drink at all
Doctor :   you work or study
User :   i study at university at the moment
Doctor :   when do get the head ache like in the morning
User :   it is usually triggered by stress
User :   or excessive thinking
User :   anxiety
Doctor :   exam time does it increase
User :   not really
User :   my main problem is decision making
Doctor :   any ent problem you have
User :   i take so long to make one
User :   i tend to think obsessively as well
Doctor :   tats ok, can you eloborate on the descion making problem
User :   i tend to take long and ruminate about either decision
Doctor :   how is your sleep
User :   when i make one decision, i tend to think about the other
User :   sleep is quite good, roughly 8 hours a day
Doctor :   is the sleep continous
User :   yes
Doctor :   you play any sports
Doctor :   migrane could be due to stess, food, envirniment shanges
User :   a lot of sport
User :   it is usually stress
User :   i am not sure about food though
User :   i wasn't under any stress yesterday
Doctor :   stress is modifiable factor
User :   but i caught a severe headache as i was travelling yesterday
Doctor :   so you have to learn to handle stress
User :   that is what i have been doing
User :   i can handle it fairly well now
Doctor :   may that was a motion sick ness
User :   still could be improved
User :   i have a headache now
User :   but i am not under any stress at all
Doctor :   you have to do relaxing exercise
User :   i am doing some meditation but so far the headache is still there
Doctor :   what you do when you get head ache
Doctor :   how long it stays
Doctor :   do you get it every day
User :   i get it every day however the mildness of headache
User :   i mean the level of pain varies
Doctor :   do you have any relatationship problem
Doctor :   any other personal probs
Doctor :   finacial problem
Doctor :   how is your studies inthe univwersity
User :   no
User :   i can handle those quite well
User :   although what happened this year
User :   was that i couldn't control my obsessional thoughts
Doctor :   have you consulted a neurologist any time to rule out any cns causes
User :   cns?
Doctor :   obessional thoughts, can you give an example
User :   well, over analysing things
Doctor :   central nervous systemis cns
User :   thinking too much about life
User :   i've stopped that now
User :   this is not an issue at the moment as I have resolved this issue
Doctor :   that is a good think to have
User :   but I was just hoping that I can resolve the migraine pains
Doctor :   covert you thinking into positive one
User :   i have learnt to continue with life while i have a headache
User :   but i was hoping that the migraines can be ridden of
Doctor :   yes definitly, migrane can be controled
User :   but there is no cure is there
User :   the doctors have told me to take ibuprofen and paracetamol
Doctor :   cure is only possible when know the root cause
User :   in case if the headache gets worse
Doctor :   there are lot of new drugs now
Doctor :   you have treatment during attacks
User :   the doctors recommended that i use citalopram
Doctor :   you can stsrt with prophalatic one
User :   i have been using that for 3 months but it doesn't make a difference
Doctor :   prophalatic drugs like beta blokers
Doctor :   ergot group of drugs for attacks
User :   i was told motrin or tynenol work
Doctor :   new line of thearpy like color thearpy, music thearpy
Doctor :   yes your right, have tried those?
User :   not yet
User :   i'll ask
Doctor :   avoid food like caffine, chocolates
User :   i do a lot of sport, what can i have instead of sugar?
Doctor :   control oily, spicy and fried foods
User :   i mean as a substitute for sugar
Doctor :   you can have honey, it contains fructose good for health
User :   instead of chocolate?
User :   what about flapjacks
Doctor :   im sorry no substitute for chocolates, you can reduce the intake
Doctor :   flapjacks?
User :   hey contain honey and oats
User :   they are used instead of chocolate for energy
Doctor :   do you have any idea about yoga thearpy
Doctor :   ok then fine, go head with flapjacks
User :   i do meditation
User :   there is a technique i learnt from yoga class
User :   that works very well to get me going on with lif
Doctor :   thats fine, its agood thing, has it reduced
User :   i can manage them migraines ok, however i have one now and i don't know why i have it
User :   i went travelling yesterday and i had a 4 hour flight and a 5 hour bus journey
Doctor :   ok really nice,
Doctor :   ok ,listen to music ,have light food
Doctor :   take travelling tips
User :   i did tha
User :   i wasn't under any stress at all
Doctor :   migrane is controllable disorder
User :   i have a headache now however i don't know why because i am not under any stress
Doctor :   obessive thoughts if you get convert it to positive acts
Doctor :   is your headache varies in intensity within a single day
User :   yes
User :   i was just hoping that there is a cure for migraines, as in it can be eradicated
Doctor :   check your food, lot of cheese cna cause
Doctor :   its matter of time, it can dissapper any time
User :   avoid dairy products?
User :   like cheese, milk,
User :   chocolate
Doctor :   i have seen patients who have suffered for many years and to few days
Doctor :   cheese yes, dairy one
Doctor :   so try to control when you get that, consult you physcian
User :   ok
User :   there is a migraine clinic in london, shall i go there?
Doctor :   sudden change of envirnoment can also lead to this
Doctor :   you can try spcelity clinic like that, you may get good tips and treatment
Doctor :   what sports you play every day
User :   football
Doctor :   t seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   muay thai
User :   but there is no cure right?
Doctor :   thats AAAAAAA sports, do you play in cold conditions
User :   i mean completely get rid of migraines?
User :   i noticed that the cold makes it better
Doctor :   if you get the triggering factor it can be cured, if you avoid it
User :   as in food
User :   but is it usually triggered by stress
Doctor :   it depends on individual,
Doctor :   there are stress reducing stuffs
User :   ok there is no cure
User :   but there are ways to manage it
Doctor :   yes, cure inthe sense you can postphone the attacks by 6 months to year
User :   ok
Doctor :   with proper prophalatic nad advice
User :   but i got one now however i don't feel stressed at all
Doctor :   then it could be organic, like ent problems
Doctor :   do you have any other illnes
Doctor :   like anemia, hormonal disorder
User :   ok, no i am quite a healthy person
Doctor :   are you sexualy active
User :   i eat well
User :   erm, this may sound dodgy
User :   i was too sexually active
Doctor :   see sometimes that also can add to stress list
Doctor :   was ?
User :   i can control now
User :   but that was stressful
Doctor :   ok now the stess is not connected to that
User :   ok
Doctor :   how is your studies
User :   but i have noticed the headaches are more frequent
User :   the studies are well
Doctor :   how long it stays
User :   about a few hours
Doctor :   what you do when you get it
User :   i can control myself quite well
User :   but the headache is still there and it gets annoying
Doctor :   do you have lot of friends
User :   yes
User :   well, normal amount of friends
User :   i do socialise
Doctor :   do you share this problem with them
User :   no
Doctor :   councelling really helps in some cases
User :   yes that helps
Doctor :   so i advice you to manage this intelligently
Doctor :   do you stay with your oarents?
User :   yes
Doctor :   i mean parents
User :   i do take care of myself and I do eat well
Doctor :   are they helpful tp you?
User :   i used to worry a lot
User :   almost endlessly
Doctor :   like wat?
User :   everything
Doctor :   not stop thinking everybody does you know..
Doctor :   has the thinking affected your normal routine
User :   yes
Doctor :   like what
User :   i have a tendency to think obsessively
Doctor :   any incidences
User :   erm well
Doctor :   since how many years you are thinking lik that
Doctor :   is it recently aquired?
User :   no i don't think like that anymore
Doctor :   thats great?
User :   it is not a problem
User :   the only slight issue is the decision making
Doctor :   no not at all, is that causing any problems to others?
Doctor :   tell me one example of decision making
User :   i wasn't sure whether to do taekwondo or kickboxing
Doctor :   if you any specific problem you can tel?
User :   well i wanted to do kickboxing
Doctor :   take both for few days? then decide which is more comfortable, then continue that
Doctor :   if have decided thats even better, just do it
User :   i wanted to do kickboxing but i wasn't sure whether to do it and leave taekwondo
User :   since i really enjoyed it and i had a lot of friends there
User :   i made a decision already and i am going to continue with taekwondo and quit it after a year
User :   at the end of the day, if a decision is 50:50, make one, doesn't really matter if you make the wrong one
Doctor :   if your like that that really nice one,
Doctor :   if dont like forget it
Doctor :   if the decision is 50 50, then take help of your friends, parents, or experts
User :   ok
User :   i guess counselling helps a lot
Doctor :   so no need to worry too much
User :   the main thing is not to worry
Doctor :   every problem is going to be solved
User :   ok
User :   but is the best thing to do is to take paracetamol every time the headache is sore?
Doctor :   i think can go to a specalised center
Doctor :   yes paracetomol helps in the attacks..
User :   ok tgank you
User :   i think that's enough
User :   thanks
Doctor :   nice , thank you. any quires you can log on any time, we are there to help you
User :   before you go
Doctor :   yes
User :   i am taking citalopram
User :   for 3 months now
User :   but i am going to stop because it doesn't help me
Doctor :   what is the dose,,when are you taking that
User :   10mg
User :   so it is a small dose
User :   once a day
Doctor :   before stopping consult your doctor, and try the newer drugs
Doctor :   ther is good amount of research going on
User :   ok
User :   like motrin and tylenol?
Doctor :   that you can take as prescribed,, it has some preventive property
User :   ok
Doctor :   good sleep, good food, good thinking will help to prevent the attack
User :   ok thanks
Doctor :   there are lot articles on migrane
Doctor :   ok, bye, take care
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Diseases and Conditions
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