Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

132 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Severe headache, feeling nausea and vomiting. Cause and cure?

Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 5665 Questions

default
Posted on Sat, 9 Feb 2013 in Brain and Spine
Question: I have very severe headache every now n then from last 3 years which is not bearable at times mostly half part of head what do i do
even while headache sometimes vomiting n nausea feeling do occur.
doctor
Answered by Dr. Sudhir Kumar 47 minutes later
Hi XXXXXXX

Thank you for posting your query.

Your headache is most likely due to a condition called as migraine.

In this condition, patients have headache, which is often on only one side of head; associated with nausea and vomiting. Headache may get worse in sunlight, after travel, or on exposure to loud noise.

Generally, no tests are required to confirm the diagnosis. However, a brain scan may be required if the features are not typical of migraine (as detailed above).

Since you have frequent headaches, you need preventive medications (to prevent headaches in future). These medications include flunarizine, beta blockers, topiramate or divalproex.

For pain relief, when you have headache, you may take rizatriptan or sumatriptan tablets.

I hope it helps. Please get back if you have any more queries.

Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir Kumar 13 minutes later
Thanks doctor for your great reply.
Just let me know whether i'll have to get the brain scan. My headache do get worsen by factors mentioned by you.
even want to know whether i can start taking the medicines prescribed by you whenevr i've headache.
Are below the name of medicines or content in medicines which i should look for.
flunarizine, beta blockers, topiramate or divalproex.
doctor
Answered by Dr. Sudhir Kumar 4 minutes later
Hi,

Thank you for getting back.

If your symptoms are what I described, you need not do a brain scan now.

You can start taking the medicines from now for headache- Rizatriptan for headache (as and when you have headache).

Topiramate would be a good choice for preventive therapy, which has to be taken daily.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir Kumar 5 minutes later
Rizatriptan & Topiramate of what mg needs to be taken
Daily dose of Topiramate i've to continue for how many days/ months and when to be taken morning or evening
doctor
Answered by Dr. Sudhir Kumar 4 minutes later
Rizatriptan dose is usually 10 mg.

Topiramate is usually started at a daily dose of 25 mg, and the dose needs to be increased after one month to 50 mg depending on the response.

Topiramate can be taken at night after dinner.

Medicines may be required for at least three months.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir Kumar 2 minutes later
Just one more last question since i'm underweight (5.4" & 48 Kg) hope this wont have adverse effect on my health
doctor
Answered by Dr. Sudhir Kumar 7 minutes later
These medications are fairly safe with no significant adverse effects.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication ,   ,  

Recent questions on  Headaches

doctor1 MD

My 30 year old stepson has been having an irregular heartbeat for about 4 weeks and now he is experiencing his vision completely blacks out when he stands up and he is shaking uncontrollably. He can't even hold a cup. He has alot of pressure behind his eyes and a headache. All these symptoms besides the irregular heartbeat started a week ago

doctor1 MD

Three days ago my 23 year old son hit his head on a steal beam. Went to the doctor and had the gash glued, but now it is pussing and he sleeps all of the time, has bad headaches, and getting dark circles around eyes and lips are turning a little purplish. should I be concerned?

doctor1 MD

Hello,
I am a 38 yo white heathly attractive male who masturbates at least twice a day or more. I am not promiscuous, not as in my younger days...now I just watch internet porn or think about it. I Love sex and have since I can remember back to five years old playing with girls. I expected the intesity to lessen with age, but I have come to find out it is not and I am more and more beginning to embrace my nature as it seems this is how I am wired. Will the fire ever subside?

doctor1 MD

hi there! so i have lately (over the past 2 months) become extremely tired even when i have a good nights sleep. I have been getting headaches- which i dont normally have, and am much more easily annoyed. Also, i gained almost 10 lbs in 2 weeks and 3 months ago about half the hair on the left side of my head fell out. I am just wondering if all these can be consequences of stress or something more serious.

doctor1 MD

I have been struggling with weight loss for many years and am planning a new attempt with a local weight loss clinic. I have heard of a new product called Qsymia , which apparently can only be used in conjunction with doctor s supervision and...

doctor1 MD

I have three sets of symptoms which may and may not be related to each other. 1) Since last spring I have felt a slight light-headedness after eating. It happens every day or two and is only a few seconds long. 2) (and most important) I have had...

doctor1 MD

Hi I'm a 41 yr Old male.. My symptoms started nearly 2 weeks ago. I've noticed fatigue , tender glands in my neck/under my jaw that's also painful. I do not have a throat infection . I feel like my head is in a vice (pressure) slight headache & I...