Hi XXXXXXX

Thank you for posting your query.

Most likely, you have a tendency for migraine, as migraine headaches tend to get worse with exertion.

First of all, you need to avoid the likely triggers for these headaches:

1. Foods such as cakes, cheese, Chinese food, too much coffee, chocolates, etc may aggravate these headaches. If you are sensitive to any of them, you should avoid them.

2. Avoid direct exposure to sunlight,

3. Avoid exposure to loud noises,

4. Eat food on time and avoid fasting,

5. Avoid excessive stress and tension.

The role of preventive medications comes in, when someone has more than two episodes of headaches per month.

Good medicines in this category include beta blockers, flunarizine, Topiramate, divalproex, etc.

For relief of pain when severe headaches come, good medications are rizatriptan, vasograine, ibuprofen, diclofenac, naproxen, etc.

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

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

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Hi,

Thank you for getting back.

You can go back to gym. Start in a graded fashion, and gradually increase the duration of exercises in the gym.

At home, try spending most of time sitting. Lie down only for resting and sleeping.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

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Thank you for getting back.

Smoking has no health benefits, and can cause problems with breathing, etc. Alcohol in small amounts may prevent heart attacks. However, I do not advocate either smoking or drinking. In your case, there is no direct linkage to your situation with either smoking or drinking.

You should adopt a good posture while sitting. Take a small break and walk around every hour. Keep stretching your neck for a few minutes every hour. At home, you can do stretching exercises for lower back too.

You can see a physician for advice, if your symptoms continue to recur.

Best wishes,
Dr Sudhir Kumar MD DM

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