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Suggest Treatment For Persistent Dull Headaches And Frequent Migraine And Vision Problems

Posted on Wed, 21 Jun 2023

Question: Hi
I have had a dull headache for at least a month now with lots of migraine vision problems and I keep smelling ammonia that no one else can. What can I do?

Answered by Dr. Neeraj Kumar (2 minutes later)

Brief Answer:
Take treatment and precautions as advised

Detailed Answer:

Hello,

Migraine headache needs to be managed adequately. Preventive steps are timely meals, proper sleep, avoiding fasting, excessive tea or coffee or chocolates.

Prophylaxis medications like Amitriptyline, Flunarizine, Divalproate or Topiramate can be initiated. Pain killers like Aceclofenac, Naproxen or Mefenamic acid can be taken during pain.

Hope you found the answer helpful. Do get back to me for further information.

Regards
Dr. Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (48 minutes later)

I have had all of those and pitzofen in the past. I also feel like I am on a boat, with a tight band around head and not a full migraine. why the ammonia smell?

Answered by Dr. Neeraj Kumar (2 hours later)

Brief Answer:
Take treatment as advised on prescription

Detailed Answer:

Hello,

Ammonia smell may be a part of aura before migraine attack.
Topiramate or Valproate will be the best option with Amitriptyline.
All symptoms will improve with precautions and prophylaxis medications.

Hope I have answered your query. Wishing you good health and early recovery.

Regards,
Dr. Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad