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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Headaches And Pelvic Pain

I have a pain on my right side, was always told it was endometriosis related. I m on birth control now so the endometriosis pain has settled down drastically but there is still this pain on my right side. My OBGYN said it s not OBGYN related. I ve had my appendix taken out already. In addition to my pain, I ve had severe sinus problems that my specialist can t explain, I have pounding headaches said to be tension headaches almost 2-3 times a week now. Some times takes 3 days before they go away. I feel dizzy and often times sick to my stomach almost once a week for unknown reasons. Could all these symptoms be related to something wrong? What doctor should I see next? What tests should I ask for? In the past when I complain about pelvic pain they blame it on endometriosis. My OBGYN says this is not related it s something else.
Fri, 9 Dec 2016
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General & Family Physician,  's  Response
As per your history is concerned your headache has many reasons and as per severity it looks like migraine attack.So follow these steps care fully ,please 1)check your BP,Pulse,RR rate,Temp and record it
2)please note your triggar points lack of sleep, fatigue, stress, certain foods, use of vasodilators,oral contraceptive,any hormone therapy going on,if it is due to following points then corect it or stop it.
3)use Cerena Transcranial Magnetic Stimulator to control pain
4)Use following patch Zecuity or NuPathe Inc or talk with your local doctor regarding any one drug as below -
Sumatriptan
Rizatriptan
Zolmitriptan
Naratriptan
Almotriptan
Eletriptan
Frovatriptan
5)use promethazine for vomiting
6)for preventive use following-
Beta blockers
Tricyclic antidepressants
Divalproex
Topiramate
For pelvic pain do an ultrasound and send me the report,as per report medications will be prescribed.
Any doubt let me know.
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Suggest Treatment For Severe Headaches And Pelvic Pain

As per your history is concerned your headache has many reasons and as per severity it looks like migraine attack.So follow these steps care fully ,please 1)check your BP,Pulse,RR rate,Temp and record it 2)please note your triggar points lack of sleep, fatigue, stress, certain foods, use of vasodilators,oral contraceptive,any hormone therapy going on,if it is due to following points then corect it or stop it. 3)use Cerena Transcranial Magnetic Stimulator to control pain 4)Use following patch Zecuity or NuPathe Inc or talk with your local doctor regarding any one drug as below - Sumatriptan Rizatriptan Zolmitriptan Naratriptan Almotriptan Eletriptan Frovatriptan 5)use promethazine for vomiting 6)for preventive use following- Beta blockers Tricyclic antidepressants Divalproex Topiramate For pelvic pain do an ultrasound and send me the report,as per report medications will be prescribed. Any doubt let me know.