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Dr. Andrew Rynne

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Exp 50 years

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How to treat migraine?

Hi! My daughter usually has migraines and Has benn on inderal, also on yaz. She has been getting pregnancy symptoms, fatigue, loss of appetite, feeling nauseous in the mornings for,several weeks. Negative urine and blood tests for hcg. She had a period which was very light. She has reduced taking the inderal lately in case she is pregnant. I have read stories on line about women who have low levels of hcg even up unto several months of pregnancy. She also has a very small tumour in the brain (assumed to be benign, approx 9mm). Today she has been up at 4 am, every time she gets up she feels faint, and dizzy and vomited twice this morning. I am very concerned. Please advise what may be wrong, what we should do next? Thanks very much!
Mon, 1 Apr 2019
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General Surgeon 's  Response
Hi,

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Pain relievers such as Aspirin or Ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines.

Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people.

Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain.

Triptans effectively relieve the pain and other symptoms that are associated with migraines.

They are available in pill, nasal spray and injection form. Anti-nausea medications,opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep.

If there won't be an improvement it would be good to do an MRI scan and have a neurological exam.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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