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Query about migraines - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
User :   I have joint pains and headache which subsides immediately after vomiting. The joint pains are through out the day and night. I have thyroid problem. Hypothyroidism. I am a female and my age is 30 yrs
User :   is there any doc from india
Doctor :   hi
Doctor :   please describe your symptoms in detail
User :   yes doctor. thanks. my wife has been complaining of severe joint pains for the past 1 year
User :   we did a RH test for rheumatism, but did not find anything abnormal
User :   Doctor she has been complaining of headaches and after she vomits the pain subsides
Doctor :   does she have belching, burping, upper stomach discomfort, burning sensation in chest?
User :   yes very much
User :   she has a discomfort in her esophagus area and there is a pain in the area just below the diaphragm.
Doctor :   are her symptoms of joint pains and vomiting worse when she is having these other symptoms?
User :   vomiting occurs only after the headache..joint pain complaining is there through out the day. she is unable to move her fingers also at times to wash utensils and clothes
User :   she has severe mood swings before and after her menses. she also tends to get into depression.
Doctor :   ok. the vomiting and headache could be attributed to the gastric issues.
Doctor :   what medications is she taking at present?
User :   she does not take any medicines for any of these pblms. i wanted to get a thorough check up done with respect to her blood and if necessary radiological investigations and then consult a doctor for some medicines. Now based on ur inputs i will move ahead.
User :   she has a thyroid pblm and she is on thryonorm 75mcg
User :   sorry thyronorm
Doctor :   ok
Doctor :   she can continue with thyronorm
Doctor :   and proceed with these steps
Doctor :   1) take a thorough consultation for the gastric problems. and control diet along with taking medicines for gastric acid suppression
User :   a gastroenterologist shud be consulted
Doctor :   yes
User :   for joint pains which is hurting her so much what do u suggest ?
Doctor :   she can take Tab Dolo 650 mg 2 times a day and proceed with orthopedic consultation to look for causes of non-rheumatoid arthritis
User :   the headache is very severe and very bad and after that she vomits and the pain subsides. my worry was whether it is a migraine.
User :   do u suggest any blood tests to be done understand her present status w.r.t thyroid and any other factors.
Doctor :   if vomiting is accompanied, it could be migraine also. she should take the medication to control headache right when the headaches start
Doctor :   she should avoid having stale food, avoid use of choclates, cheese and pickles.
Doctor :   keep a diary of what situations or events cause the headaches to start
User :   with multiple issues my worry was how to go about attending her pblms..
User :   r u there doc
User :   doctore
Doctor :   yes I am here.
Doctor :   proced with what I have sugggested
Doctor :   she should start feeling better
User :   ok sir. shud any blood tests to be done now.
Doctor :   you can get back to me next week with the further investigation results
User :   what investigations do u suggest
Doctor :   yes, the blood tests will involve testing for the non rheumatoid arthritis causes
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