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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for severe headache, dizziness, nausea and chronic back pain

Answered by
Dr. Neeraj Kumar


Practicing since :2006

Answered : 2263 Questions

Posted on Tue, 20 Sep 2016 in Headache and Migraines
Question: I've had a persistent headache for 2 weeks. Last week it turned into a really nasty migraine; then I was very weak for 2 days after. I've had gastrointestinal (loose stool) for the past 4 days. Weakness, some dizziness. A bit shaky, too.
I've got chronic back pain (2 surgeries - L5-Si in 1999 and L4 - L3 in 2012). Sometimes I get a bit nauseous when it's really bad, but nothing like the current situation)
I am generally a very active person - dog trainer, horse trainer, lots of hiking, resistance swimming, etc.
Answered by Dr. Neeraj Kumar 1 hour later
Brief Answer:
Take treatment as advised

Detailed Answer:
I have gone through your question and understand your concerns.
You seem to suffering from migraine attack which is more severe than earlier episodes.
The management of migraine starts with precautions like timely food, proper sleep, avoiding triggers like fasting, stress, excessive tea or coffee or chocolate.
Pain killers like Naproxen or Aceclofenac can be taken as soon as headache starts.
Prophylaxis is needed if episodes are frequent involving 10-15 days in a month.
Drugs like Flunarizine, propranolol, Topiramate, Valproate, amitryptiline can be used for prophylaxis.
Visit and prescription from a neurologist is advised.
Abdominal discomfort may abate in a week.
Rest medications can be continued.
Hope you found the answer helpful.
Do get back to me for further queries.
Dr N Kumar
Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

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