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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persistent Migraine With Nausea And Vision Problems, Diarrhea. Taking Phenegran, Advised Prednisone. What Should Be Done?

I have had a migraine for a week with nausea and vision issues, now have added diahrrea to it. I m not taking any new meds since this started, so it s not from that. Taking phenegran for the nausea but have a history with phenegran with no side effects. Have been to personal doctor twice - once gave me a toradol shot and the other game me Imitrex - neither got rid of headache. He now thinks I should take prednisone - but I m skeptical. What should my next move be?
Fri, 10 Aug 2012
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Neurologist 's  Response
Hello,
A patient with history of migraine may sometimes have headache lasting more than 72 hours with associated nausea and other symptoms and this condition is referred to as status migrainosus. The medications for migraine work best in the initial part of the starting of headache. once headache gets established it becomes difficult to control with routine medications. Best options are to give injections for control of pain and nausea. You have been given injection but probably you need to be given more often till the headache comes down. Steroid too are recommended and acceptable treatment because it needs to be given only for short period and so is not associated with typical complications seen with long term steroid usage.
Good luck.
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Persistent Migraine With Nausea And Vision Problems, Diarrhea. Taking Phenegran, Advised Prednisone. What Should Be Done?

Hello, A patient with history of migraine may sometimes have headache lasting more than 72 hours with associated nausea and other symptoms and this condition is referred to as status migrainosus. The medications for migraine work best in the initial part of the starting of headache. once headache gets established it becomes difficult to control with routine medications. Best options are to give injections for control of pain and nausea. You have been given injection but probably you need to be given more often till the headache comes down. Steroid too are recommended and acceptable treatment because it needs to be given only for short period and so is not associated with typical complications seen with long term steroid usage. Good luck.