Suffering From Headache. Taking Tryptalins And Midrin. Vomiting Occasionally. Remedy?

Posted on Sun, 16 Jun 2013

Question: My doctor thinks I have both cluster and migraine headaches. Tried tryptalins and nose spray and midrin. Nothing has worked. Now go for Tordol shots when bad and have vicodin. I sometimes have the headache every day in varying degrees of pain. Any other suggestions? I have kept diairy and found no connections to food, or anything. Begin at various times of day. Sometimes make me vomit. Need dark and quiet. Sometimes pain above eye. Usually feel burning at top center of head. Not stabbing pain, more of radiating pain. and constant.

Answered by Dr. Sudhir Kumar (1 hour later)

Hi,

Thank you for posting your query.

It is unfortunate that your headaches are not improving despite treatment.

Since you have frequent headaches, you should start preventive medications, to prevent repeated attacks of headache. The medications useful for migraine prevention are divalproex, Topiramate, diltiazem, beta blockers, etc.

You need to continue them for at least 2-3 months to see the benefit. In case you do not respond, Botox injections are another alternative.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (13 hours later)

I also have alot of stress and anxiety in my life that also triggers my migraines. Do you have any suggestions for that. Is there something that would calm me during these elevated times. Also should I be concerned that sometimes I will be fine, relaxing, enjoying a tv show for instance and suddenly I will feel sharp pains coming thru my head to the front of my forehead generally regulated to one side above the eye. And is the burning in the top of my head normal to migraine?

Answered by Dr. Sudhir Kumar (13 minutes later)

Thank you for getting back with more details.

Stress and anxiety are known to aggravate and precipitate migraine attacks. Therefore, relieving stress would help in controlling migraine too. Yoga and meditation are helpful in this. Clonazepam is a medication, which is very helpful in anxiety states.

Pain while watching TV are also migraine attacks. Burning of scalp over top of head also occurs in migraines.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (16 minutes later)

Thank you for all the help, last, do you feel I need to see a neurologist personally or can a general md be the way to go still for trying to seek help.
Again thank you .

Answered by Dr. Sudhir Kumar (16 minutes later)

If you have an easy access, then a neurologist would be preferable. However, a good General Medicine MD would also be able to manage your treatment well.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar