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Hi, I Am Having Migraine For Over 3 Years Now
Question: Hi, I am having migraine for over 3 years now for which I am taking medications such as Ibrufen, Dolo 650 on a daily basis.
Also, I take Pan 40 daily twice for acidity issues.
As a side effect of all this during my routine check, I came to know my hemoglobin is very low (6.5) and iron is in the range of 15.
Please let me know how can I increase my hemoglobin level and as well manage the acidity and headache.
Also, I take Pan 40 daily twice for acidity issues.
As a side effect of all this during my routine check, I came to know my hemoglobin is very low (6.5) and iron is in the range of 15.
Please let me know how can I increase my hemoglobin level and as well manage the acidity and headache.
Brief Answer:
Loss of blood by peptic ulcers
Detailed Answer:
Hello and thank you for asking query on this forum,
Firstly hemoglobin levels less then 6 gm/dl is an indiacation of blood transfusion and you are just on border line.
Secondly you are taking anti inflammatory pain killers constantly.They causes ulcers in stomach or small bleeding points which acts as a site of lose of blood.This causes blood to be lost through stools.
I would suggest you to get a stool test done .Stool for occult blood along with an endoscopy in which a camera would be put into your stomach to see any bleed or ulcer.
For migraine till then take tramadol if required 50 mg.
There are two phases in treatment if migraine-
1)To stop the acute attack of migraine pain-Only during this phase pain killers are taken.
2)Chronic phase-The main motive of treatment is to increase the interval between two attack and slowly and slowly they vanishes out completely.
You can start with Flunarazine 10mg once daily at night and see the effect in 1month.
However in case if acute pain you can take tramadol 50 mg.
For increasing hemoglobin start taking Iron polypeptides tablets 12 mg once daily for 3 month but initially get the tests done to rule out ulcers stomach or duodenum.
For acidity take Rabeprazole DSR one tablet a day instead of plain Pan.However acidity isost likely due to excessive intake of ibuprofen.
Hope I was helpful,
Follow up with reports,
Thanks.
Loss of blood by peptic ulcers
Detailed Answer:
Hello and thank you for asking query on this forum,
Firstly hemoglobin levels less then 6 gm/dl is an indiacation of blood transfusion and you are just on border line.
Secondly you are taking anti inflammatory pain killers constantly.They causes ulcers in stomach or small bleeding points which acts as a site of lose of blood.This causes blood to be lost through stools.
I would suggest you to get a stool test done .Stool for occult blood along with an endoscopy in which a camera would be put into your stomach to see any bleed or ulcer.
For migraine till then take tramadol if required 50 mg.
There are two phases in treatment if migraine-
1)To stop the acute attack of migraine pain-Only during this phase pain killers are taken.
2)Chronic phase-The main motive of treatment is to increase the interval between two attack and slowly and slowly they vanishes out completely.
You can start with Flunarazine 10mg once daily at night and see the effect in 1month.
However in case if acute pain you can take tramadol 50 mg.
For increasing hemoglobin start taking Iron polypeptides tablets 12 mg once daily for 3 month but initially get the tests done to rule out ulcers stomach or duodenum.
For acidity take Rabeprazole DSR one tablet a day instead of plain Pan.However acidity isost likely due to excessive intake of ibuprofen.
Hope I was helpful,
Follow up with reports,
Thanks.
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you for your detailed reply.
I have taken some radical steps and changed my lifestyle like avoiding tea/coffee, anything spicy or oily and intaking more milk, bananas, coconut and other foods for my acidity.
As per your advice, I will try taking Rabeprazole DSR and leave out Pan 40.
I do not get any severe attacks of migraine - I tried cutting down Ibrufen 400 which I take once a day - but the headache is now persistent throughout the day now for which I am taking crocin as needed. Wanted to know which of the two is a better option
1)Taking Imol once per day around noon or
2)Taking crocin 3 times a day
Also, will Iron supplements be enough or do I need to get Iron Injections since my count is low?
Brief Answer:
Follow up.
Detailed Answer:
Hello again and thanks for following up,
As per your query answers are-
Take a single tablet with an antacid is a better option. Take Rabeprazole-DSR 30 minutes before taking a single tablet at 2 pm. This would prevent acidity.
At a Hemoglobin level of 6.5, a better option is to get an injection of iron. It would take just 45 minutes only and after that start taking Iron polypeptide tablets as suggested.
Do consider getting the tests done which I've suggested earlier.
Hope I answered your query.
Follow-ups are welcome.
Regards
Follow up.
Detailed Answer:
Hello again and thanks for following up,
As per your query answers are-
Take a single tablet with an antacid is a better option. Take Rabeprazole-DSR 30 minutes before taking a single tablet at 2 pm. This would prevent acidity.
At a Hemoglobin level of 6.5, a better option is to get an injection of iron. It would take just 45 minutes only and after that start taking Iron polypeptide tablets as suggested.
Do consider getting the tests done which I've suggested earlier.
Hope I answered your query.
Follow-ups are welcome.
Regards
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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