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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Headaches, Head Pressure. High TSH And Prolactin Levels. History Of PCOS. Cure?

Hi, I ve always had migraines - but they ve been manageable. I ve been to the neurologist about 3 times in as many months and he keeps giving me strong meds that just don t seem to work. I have an MRI scheduled a week from now. The headaches have gone from occurring about twice a week to every day now. It s a constant pressure around the edges of my head that gets worse with movement. I feel lethargic all the time. Also, the last time I was hospitalised - the doctor said I had elevated TSH level and prolactin levels. I have also have a mild form of polycystic ovaries.
Thu, 27 Dec 2012
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Neurologist 's  Response
Hi,
You are suffering from vascular headache not relieved by routine migraine drugs.Your blood reports suggestive of hypothyroidism ( need to mention the t3 and t4 level to know whether primary or secondary hypothyroidism)You need to get done your eye check up refractory and visual field testing.Raised prolactin level requires MRI brain with sellar cuts to rule out pituitary adenomas. Raised prolactin in turn can interfere with function of ovary.I feel everything is correlated. Practin (cyproheptadine) is the drug of choice in such headache.,Correct your thyroid function after consulting endocrinologist
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Chronic Headaches, Head Pressure. High TSH And Prolactin Levels. History Of PCOS. Cure?

Hi, You are suffering from vascular headache not relieved by routine migraine drugs.Your blood reports suggestive of hypothyroidism ( need to mention the t3 and t4 level to know whether primary or secondary hypothyroidism)You need to get done your eye check up refractory and visual field testing.Raised prolactin level requires MRI brain with sellar cuts to rule out pituitary adenomas. Raised prolactin in turn can interfere with function of ovary.I feel everything is correlated. Practin (cyproheptadine) is the drug of choice in such headache.,Correct your thyroid function after consulting endocrinologist