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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Migraine Headache

Hi I suffer from chronic migraines every 3 weeks. I see a neurologist also. Last week I had a migraine that lasted 4 days along with this I suffer cyclic vomiting syndrome so then became dehydrated. I havent fully recovered and am now experiencing waves of intermitent excruciating pain on right side of head. Ive never experienced this pain before and am worried . My right arm is also heavy . Should I be worried or is it normal. Thank you
Tue, 29 Mar 2016
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General & Family Physician 's  Response
Hello dear,
Understand your concern.
Following are the treatment of your problem:
1. Pain relieving medication:
- first use:Ibuprufen 500 mg three times a day or you can use aspirin or acetaminophen
- If not responds, you can use sumatriptan, combination of ergots and caffine
- In resistance case you can use opioids and glucocorticoids like prednisolone
- You can put ice pack on head.
Stay hydrated
eat health diet.

Life style changes should be done as below
1. Enough sleep
2. Muscle relaxation exercise
3. Rest and relaxation
4. Keep headache diary: Identify trigger factor and which treatment is effective
Alternate therapy:
Acupuncture therapy
Massage and music therapy
Cognitive behavioral therapy
Vitamin B-2 and CO Q can be useful in relieving pain.

Hope this may help you.
Best regards
Dr. Sagar
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Suggest Treatment For Chronic Migraine Headache

Hello dear, Understand your concern. Following are the treatment of your problem: 1. Pain relieving medication: - first use:Ibuprufen 500 mg three times a day or you can use aspirin or acetaminophen - If not responds, you can use sumatriptan, combination of ergots and caffine - In resistance case you can use opioids and glucocorticoids like prednisolone - You can put ice pack on head. Stay hydrated eat health diet. Life style changes should be done as below 1. Enough sleep 2. Muscle relaxation exercise 3. Rest and relaxation 4. Keep headache diary: Identify trigger factor and which treatment is effective Alternate therapy: Acupuncture therapy Massage and music therapy Cognitive behavioral therapy Vitamin B-2 and CO Q can be useful in relieving pain. Hope this may help you. Best regards Dr. Sagar