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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Migraine Flareups, Eye Strain, Nausea. Smelling Smoke. Strain From Fluorescent Lights. Solution?

Hi I have had migrane flare ups for the past several wks, eye strain, temples, nausea etc... I have noticed I have been especially sensitive to the florescent lighting here at work, also T.V. and computer use can set things off worse. Now yesterday I started smelling smoke ? I thought I was going nuts . I began to read about others having the same issues with related symptoms. I have even tried the fl-40 tint in my lenses to try to reduce the strain from the lights, computer etc.. with minimal improvement. What is my next step ? This is very very bothersome and I m looking for a solution. I have read that this possibly Vasculitis related ? I don t think I have a sinus infection or anything like that. I ll have that checked to make sure. Thank you for any assistance. Sincerely Jay
Mon, 25 Feb 2013
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Ophthalmologist,  's  Response
Hi Jay. The combination of symptoms you describe are classically found in migraine and that includes the olfactory effect wher you appear to smell something that does not exist. Patients over the age of 40 are also investigated for Temporal arteritis. Smptoms include Jaw claudication, fever, weight loss scalp tenderness and muscle pain or myalgia. Tests done are an ESR and C reactive protein but a normal ESR does not always rule out diagnosis. Treatment of migraine is divided into acute stage treatment and preventive treatment. Nonsteroidal antiinflammatory oral medications work sometimes like Ibuprofen and Acetaminophen.
Certain other measures help like getting adequate sleep, resting in a dark room and placing ice packs over the eyes. Preventive measures may be useful as well. Migranil, containing Pizotifen as a tablet works in many cases to prevent attacks. Continue the use of dark glasses. They help upto a point but staying away from bright lights for a little while till the episodes abate would be a better option.
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Migraine Flareups, Eye Strain, Nausea. Smelling Smoke. Strain From Fluorescent Lights. Solution?

Hi Jay. The combination of symptoms you describe are classically found in migraine and that includes the olfactory effect wher you appear to smell something that does not exist. Patients over the age of 40 are also investigated for Temporal arteritis. Smptoms include Jaw claudication, fever, weight loss scalp tenderness and muscle pain or myalgia. Tests done are an ESR and C reactive protein but a normal ESR does not always rule out diagnosis. Treatment of migraine is divided into acute stage treatment and preventive treatment. Nonsteroidal antiinflammatory oral medications work sometimes like Ibuprofen and Acetaminophen. Certain other measures help like getting adequate sleep, resting in a dark room and placing ice packs over the eyes. Preventive measures may be useful as well. Migranil, containing Pizotifen as a tablet works in many cases to prevent attacks. Continue the use of dark glasses. They help upto a point but staying away from bright lights for a little while till the episodes abate would be a better option.