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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ventriculomegaly And Migraine

I am 30 and have been having severe headaches, nausea, eye pain and off and on blurry vision for the last week. I have had a CT which revealed ventriculomegaly. I had a MRI done and they said there were no obstructions found and a lumbar puncture revealed a pressure of 12. I was told that I am having my first migraine. Do you think this is true? I have taken the topiramate once a day and naproxen 500mg every 12 hours like they said and I even added Excedrin migraine ontop of that on my own tonight and it still isn t helping.
Wed, 26 Jun 2019
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General Surgeon,  's  Response
Hi,

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions. Pain relievers such as Aspirin or ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines. Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people. Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain. Triptans effectively relieve the pain and other symptoms that are associated with migraines. They are available in pill, nasal spray and injection form. Anti-nausea medications,opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep. If there is no improvement it would be good to do an MRI scan and have a neurological exam.

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

Regards,
Dr. Ivan R. Rommstein, General Surgeon

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Suggest Treatment For Ventriculomegaly And Migraine

Hi, Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions. Pain relievers such as Aspirin or ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines. Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people. Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain. Triptans effectively relieve the pain and other symptoms that are associated with migraines. They are available in pill, nasal spray and injection form. Anti-nausea medications,opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep. If there is no improvement it would be good to do an MRI scan and have a neurological exam. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon