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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,floaters In Eyes & Dizziness

Hello,i am 20 years of age. i went to get my nexplanon taken out and replaced yesterday after having it in for three years. i was on my way home where i fainted and hit my head on a concrete wall. when i came round i was screaming in pain and do not recall what happened (including the screaming). i then was told that i pushed myself up from the floor and pushed someone out of the way when coming round and used the arm that it had just been re-inserted on to do so. I also suffer frequent chronic migraines and regularly (almost always) have aura/floaters in my eyes, dizziness and blurred vision as well as a pretty much constant head ache. So i was wondering if i should see a specialist about hitting my head and also about whether i could have pushed out the nexplanon when i was coming round. Thank you
Tue, 13 Oct 2015
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  User's Response
Hello!

Welcome and thank you for asking on HCM!

I read carefully your question and understand your concern.

Your symptoms seem to be related to a low blood pressure, probably caused by the small intervention you had.

It is normal to have some headache after hitting your head.

You will recover spontaneously. But if your symptoms worsen, instead of getting better, I recommend going to the ER for a head CT scan, to exclude possible delayed intracranial hemorrhage, related to the head trauma.

Regarding chronic migraine and all the other symptoms (aura), I would recommend starting a preventive therapy to help you reduce the frequency and severity of the migraine attacks. I would recommend propranolol or topiramate for this purpose, based on the fact that you are a young woman. It would be a long term therapy (more than 6 months).

I recommend you to discuss with your doctor on the above issues.

Regarding your new nexplanon, it is usually fixed well in the uterine walls and it is resistant to body movements.

But, if you have bleeding, you should consult with your doctor for a physical exam and an ultrasound.

Hope to have been helpful!

Best wishes,
Dr. Aida
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Suggest Treatment For Chronic Migraine,floaters In Eyes & Dizziness

Hello! Welcome and thank you for asking on HCM! I read carefully your question and understand your concern. Your symptoms seem to be related to a low blood pressure, probably caused by the small intervention you had. It is normal to have some headache after hitting your head. You will recover spontaneously. But if your symptoms worsen, instead of getting better, I recommend going to the ER for a head CT scan, to exclude possible delayed intracranial hemorrhage, related to the head trauma. Regarding chronic migraine and all the other symptoms (aura), I would recommend starting a preventive therapy to help you reduce the frequency and severity of the migraine attacks. I would recommend propranolol or topiramate for this purpose, based on the fact that you are a young woman. It would be a long term therapy (more than 6 months). I recommend you to discuss with your doctor on the above issues. Regarding your new nexplanon, it is usually fixed well in the uterine walls and it is resistant to body movements. But, if you have bleeding, you should consult with your doctor for a physical exam and an ultrasound. Hope to have been helpful! Best wishes, Dr. Aida