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Sir Gastric Related Head Ache ( Migraine ) Almost Weekly

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Posted on Sat, 27 Feb 2021
Question: Sir gastric related head ache (migraine) almost weekly thrice
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
Sir gastric related head ache (migraine) almost weekly thrice
doctor
Answered by Dr. Prof. Kunal Saha (5 hours later)
Brief Answer:
More details needed

Detailed Answer:
Thanks for using the Ask a Doctor service.

Unfortunately the given details are not enough to reach a diagnosis. Please let me know how long you have been having headache, it's nature, duration, associated symptoms like nausea. Also mention if it is associated with abdominal pain, if so, also describe it. Also mention if medicines help.

I will await your response.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Prof. Kunal Saha (0 minute later)
Brief Answer:
More details needed

Detailed Answer:
Thanks for using the Ask a Doctor service.

Unfortunately the given details are not enough to reach a diagnosis. Please let me know how long you have been having headache, it's nature, duration, associated symptoms like nausea. Also mention if it is associated with abdominal pain, if so, also describe it. Also mention if medicines help.

I will await your response.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Prof. Kunal Saha (6 hours later)
Sir alternate days I am getting this migraine without nausea,No abdominal pain,, since from many years and belching and bloating of abdomen is present with mild constipation,and presently I am taking vasograin along with rabeprazole + domperidodone ,
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
Sir alternate days I am getting this migraine without nausea,No abdominal pain,, since from many years and belching and bloating of abdomen is present with mild constipation,and presently I am taking vasograin along with rabeprazole + domperidodone ,
doctor
Answered by Dr. Prof. Kunal Saha (2 days later)
Brief Answer:
Due to slow bowel movements

Detailed Answer:
Pardon me for the inadvertent delay in responding.

I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take omeprazole or rabeprazole with or without domperidone once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Hopefully that should help.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Prof. Kunal Saha (0 minute later)
Brief Answer:
Due to slow bowel movements

Detailed Answer:
Pardon me for the inadvertent delay in responding.

I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take omeprazole or rabeprazole with or without domperidone once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Hopefully that should help.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Sir Gastric Related Head Ache ( Migraine ) Almost Weekly

Sir gastric related head ache (migraine) almost weekly thrice