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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Migraine

I have chronic migraine and headaches. I am 37 years old and in good health otherwise. I also have entered perimenopause early. That being said my headaches have increased from nearly half the time to nearly all the time and I am so saddened by this. Also, the nature of my headaches has changed. They start while I am sleeping almost all the time. They are more of a burning pain than a stabbing pain. My eyes burn and my nose feels like I got water up it... sort of burning as well. I have slept every night for the past week in an almost entirely inclined position, on my back. It hasn t helped. Any suggestion?
Mon, 19 Sep 2016
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General & Family Physician,  's  Response
Hello dear
I understand your concern
I would suggest to consult the MD physicaisn/DM neurologist for better management
Following are the treatment of your problem:
1. Pain relieving medication:
- first use:Ibuprufen 500 mg three times a day or you can use aspirin or acetaminophen
- If not responds, you can use sumatriptan, combination of ergots and caffine
- In resistance case you can use opioids and glucocorticoids like prednisolone
- You can put ice pack on head.
Stay hydrated
eat health diet.
Lifestyle changes should be done as below
1. Enough sleep
2. Muscle relaxation exercise
3. Rest and relaxation
4. Keep headache diary: Identify trigger factor and which treatment is effective
Alternative therapy:
Acupuncture therapy
Massage and music therapy
Cognitive behavioral therapy
Vitamin B-2 and CO Q can be useful in relieving pain.

Hope this may help you.
Best regards
Dr. Sagar
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Suggest Treatment For Chronic Migraine

Hello dear I understand your concern I would suggest to consult the MD physicaisn/DM neurologist for better management Following are the treatment of your problem: 1. Pain relieving medication: - first use:Ibuprufen 500 mg three times a day or you can use aspirin or acetaminophen - If not responds, you can use sumatriptan, combination of ergots and caffine - In resistance case you can use opioids and glucocorticoids like prednisolone - You can put ice pack on head. Stay hydrated eat health diet. Lifestyle changes should be done as below 1. Enough sleep 2. Muscle relaxation exercise 3. Rest and relaxation 4. Keep headache diary: Identify trigger factor and which treatment is effective Alternative therapy: Acupuncture therapy Massage and music therapy Cognitive behavioral therapy Vitamin B-2 and CO Q can be useful in relieving pain. Hope this may help you. Best regards Dr. Sagar