Hello, Sir Welcome to healthcaremagic. I can certainly understand your concern I have worked through your query in detail. It is evident that she had bilious vomiting initially, you need to get investigations like CT scan, ultrasound abdomen,ERCP to rule out any major pathology with gall bladder as fever needs to get evaluated thoroughly with all routine blood investigations like TC, DC, ESR, LFT,MALARIA, WIDAL,and URINE ROUTINE you can start on NAXDOM for acute attack of migraine headache, and can start on TOPIRAMATE prophylactically to prevent further attacks and you can continue medications protonix and pepcid as they protect from gastritis Please check with your physician if he shares my view Post your further queries if any. Thank you