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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Migraine And Vertigo

I think I ve got a migraine. Started with severe vertigo Sunday night after moving my head in a weird way. I tried the maneuvers that help mitigate vertigo and I m afraid that may have triggered a migraine. I had the a severe headache all day yesterday - a super tight pressure in my entire head, right side of my face feels kind of numb and tingly (still), right eye feels odd, intermitent head tingling, facial flushing, dizziness. Tylenol helped relieve some of the pressure yesterday but I still don t feel quite right. I ve been to the urgent care (where they evaluated me for stroke) and told me to continue taking tylenol and see my primary doctor (who I can t get an appointment with until tomorrow.) I d just like to know if you think this could be a migraine and what type
Tue, 7 Jun 2022
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General & Family Physician 's  Response
Hello,

You are suffering from migraine and vertigo. You have been on Tylenol, it gives you partial relief. You also experience intermittent head tingling, facial flushing, dizziness, etc. You are suffering from vestibular migraine. You have balance problems, vertigo, nausea, and dizziness. This kind usually happens in people who have a history of motion sickness. Since your right eye feels odd and is in discomfort you are suggested to get clinically examined by an Eye specialist to detect or rule out ophthalmic migraine. This is also known as an ocular or retinal migraine.

Get required tests, investigations done. You will be treated accordingly with triptans, like sumatriptan, nausea medication, acetaminophen / ibuprofen. You are also suggested resting your eyes in a closed, dark, quiet room. Applying a cool compress or ice pack on your forehead may help. Drink adequate amount of fluids and water to avoid dehydration. Stay away from addictions if any. Do moderate exercises, avoid triggers, massage, acupressure therapy may help, neuromodulation devices may help if required.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Suggest Treatment For Migraine And Vertigo

Hello, You are suffering from migraine and vertigo. You have been on Tylenol, it gives you partial relief. You also experience intermittent head tingling, facial flushing, dizziness, etc. You are suffering from vestibular migraine. You have balance problems, vertigo, nausea, and dizziness. This kind usually happens in people who have a history of motion sickness. Since your right eye feels odd and is in discomfort you are suggested to get clinically examined by an Eye specialist to detect or rule out ophthalmic migraine. This is also known as an ocular or retinal migraine. Get required tests, investigations done. You will be treated accordingly with triptans, like sumatriptan, nausea medication, acetaminophen / ibuprofen. You are also suggested resting your eyes in a closed, dark, quiet room. Applying a cool compress or ice pack on your forehead may help. Drink adequate amount of fluids and water to avoid dehydration. Stay away from addictions if any. Do moderate exercises, avoid triggers, massage, acupressure therapy may help, neuromodulation devices may help if required. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician