Brief Answer: Not a cause for concern; but cause: gastric acid? Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. Based on the provided medical history, I will have to start by saying that a high gastric acid level is one of the major cause for headaches/migraines, so I would request you to initiate medication (eg. proton pump inhibitors, H2 histamine blockers, etc.) that should help in reducing the gastric acid level and help reduce the occurrence of these headaches. You could also help by keeping yourself well hydrated, reduce stress levels, reduce/avoid smoking or consumption of alcohol, and have small more frequent meals. In response to your query, this should be a cause for concern, but rather a reason for discomfort, as explained above. This can be avoided, and so I would request you to try by following my above listed suggestions. Could you also help me by letting me know if you have any current ear, nose or throat infection-like symptoms? If so, could you kindly list them out for me. Thank you. In my opinion, the gastric acid issue will have to be addressed at the earliest to avoid late complications of the same. I hope you find my response both helpful and informative ma'am. Please feel free to write back to me for any further clarifications, I would be more than happy to help. Best wishes.

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Brief Answer: Sincere apologies; two possible causes Detailed Answer: Hello XXXXXXX and my sincere apologies as I misread the history details. In view of the provided information I am assuming there could be two causes for such a presentation: 1. The increased mucus production/congestion that you are experiencing could be due to a ear, nose, throat (ENT) or sinus condition that could easily be the cause for the presentation you are experiencing. For example, most patients with a throat infection wonder why they are experiencing pain in the ear or headaches. This is because the ear, nose and throat regions are all inter-connected and thus can present with symptoms even if that particular region is not involved. So, the headaches you are experiencing could be due to a condition that is currently present, and is causing the increased mucus production and/or congestion 2. I am assuming the betaine XXXXXXX was prescribed by a doctor, but it is important to discuss the instructions of intake of this as many patients have reported worsening of symptoms with the prescription of betaine XXXXXXX Let me list some of the most common problems that can arise: -Avoid consumption of any pain management medication along with this as it can lead to a vulnerable stomach lining that is then attacked by the intake of betaine XXXXXXX resulting in serious complications (eg. ulcers, bleeding, etc.) -Take betaine XXXXXXX with pepsin, which will help in proper action of the betaine XXXXXXX -Appropriate diet to be taken with the betaine XXXXXXX -Taking the right dose that will help you (average dose is 5-7 pills of 650 mg) The reason why I have stated these common instructions, is because the consumption of the betaine XXXXXXX without this knowledge can result in an imbalance in the gastric acid levels, which can result in the headache that you are experiencing. I hope I have successfully explained this to you in a manner you best understand. Once again, my sincere apologies for the previous mistake, and please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.

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Brief Answer: Do not worry, avoid stress; visit Dr if required Detailed Answer: Hello once again XXXXXXX Well it would be best to give the medication some more time, to help take effect in the most appropriate manner. But, if the headaches (which can be frustrating and restricting, I understand) continue, then it would be best to visit your doctor and get physically examined. In cases with unexplained headaches, usually an ophthalmic and neurological examination is also advised. Testing of your eyes and an imaging study like MRI brain would be ordered only if the cause is found not to be related to the stomach acid levels. Also do not take any stress, and request for a blood pressure measurement if at all you do visit your doctor. I hope this helps and I really hope your gastric acid levels reach normal soon, which then result in normalization of your health and disappearance of your headaches completely. Please also feel free to write to me regarding any further queries you have ma'am, I would be more than happy to help you. Best wishes.

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