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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sharp Pain Behind Head On Pressing, Headaches, Pregnant. History Of Migraines. Causes For Symptoms?

I have a history of migraines. Been to a few doctors & they never could really figure out why I get them. But the past 3-4 months I ve noticed that when I push on the back of my head and when I lay down to go to sleep it immediately causes a horrible/sharp pain. So I have to roll over on my side. What could this be? Im currently 23 weeks pregnant so my headaches have gotten worse & the only things I can take don t really help at all, even before I was pregnant. Thank you
Mon, 18 Mar 2013
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General & Family Physician,  's  Response
Migraine is a vascular headache & not the routeine headache.The severity of migraine is generally reduced during pregnancy in many women due to the influence of estrogen but in some like you, the intensity is increased for reasons unknown.
Although the severity of your head ache justifies drug threapy, most of the drugs given in the treatment of migraine like Sumatriptan, procloperazine & ergotamine are contraindicated during pregnancy & this leads to additional difficulty in treating your migraine. So,
1. Identify & avoid triggers like coffee, cakes & chocolate. Avoid stress.
2. Try ice packs, massage.
3. If the pain is severe, Tab. Paracetamol 625mg. Risk is minimal if taken less freequently.
4. Biofeedback.
Since you are pregnant, even the drugs given in prophylaxis(prevention) like metoprolol should be used cautiously & only with doctors advice. Visit your Dr. immediately if your headache becomes more freequent or if it is accompanied by blurred vision.
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Sharp Pain Behind Head On Pressing, Headaches, Pregnant. History Of Migraines. Causes For Symptoms?

Migraine is a vascular headache & not the routeine headache.The severity of migraine is generally reduced during pregnancy in many women due to the influence of estrogen but in some like you, the intensity is increased for reasons unknown. Although the severity of your head ache justifies drug threapy, most of the drugs given in the treatment of migraine like Sumatriptan, procloperazine & ergotamine are contraindicated during pregnancy & this leads to additional difficulty in treating your migraine. So, 1. Identify & avoid triggers like coffee, cakes & chocolate. Avoid stress. 2. Try ice packs, massage. 3. If the pain is severe, Tab. Paracetamol 625mg. Risk is minimal if taken less freequently. 4. Biofeedback. Since you are pregnant, even the drugs given in prophylaxis(prevention) like metoprolol should be used cautiously & only with doctors advice. Visit your Dr. immediately if your headache becomes more freequent or if it is accompanied by blurred vision.