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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 been suffering from left temple migraines for years . Severe. Sharp nerve pain that comes in pulses. Had sharp nerve pain all day. Sometimes wakes me up at night time. So bad I ve bitten all the inside of my left cheek and got jaw ache from tensing when in pain.
Thu, 8 Jun 2017
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Get your headache diagnosed whether it is migraine or neuralgia pain. For that detail history needs to be taken.

If repeated migraine attack comes than Amitriptyline can be prescribed as prophylaxis. During acute migraine attack (if it is from migraine) Ibuprofen can be taken. And if it is not effective Rizatriptan IS prescribed.

Avoid stress, smoking, irregular meal, dark light, excess coffee, which are like headache precipitating factors.

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

Regards,
Dr. Parth Goswami
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Suggest Treatment For Chronic Migraine

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Get your headache diagnosed whether it is migraine or neuralgia pain. For that detail history needs to be taken. If repeated migraine attack comes than Amitriptyline can be prescribed as prophylaxis. During acute migraine attack (if it is from migraine) Ibuprofen can be taken. And if it is not effective Rizatriptan IS prescribed. Avoid stress, smoking, irregular meal, dark light, excess coffee, which are like headache precipitating factors. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami