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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Headaches And Nausea Be Treated?

The last few months I have suffered from on and off migraines, usually related to sinus infections. This time is different. I started getting small pain headaches, kind of like hunger headaches also associated with a light nauseous feeling. Lately I have noticed a change in my stool it is more loose, I have major fatigue, these headaches and nausea with cramps. I have a really uneven cycle so I was assuming it is near my period, but nothing yet. I took a test just to see it came out negative. yesterday I had debilitating cramps with no bleeding and today an outrageous headache and nausea. I couldn t even eat all of my dinner. The sight and smell of some foods make it worse. My husband and I are trying, but no luck for the past year. I m worried about being obsessed with that and missing something else. Can you help?
Mon, 4 Sep 2017
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General & Family Physician 's  Response
Hello Dear. Some of the factors that trigger migraine headaches are

1. Allergies and allergic reactions

2. Bright lights, loud noises, flickering lights, smoky rooms, temperature changes, strong smells and certain odors or perfumes

3. Physical or emotional stress, tension, anxiety, depression, excitement

4. Physical triggers such as tiredness, jet lag, exercise

5. Changes in sleep patterns or irregular sleep

6. Smoking or exposure to smoke

7. Skipping meals or fasting causing low blood sugar

8. Dehydration

9. Alcohol

10. Hormonal triggers such as menstrual cycle fluctuations, birth control pills, menopause

11. Tension headaches

12. Foods containing tyramine (red wine, aged cheese, smoked fish, chicken livers, figs, and some beans), monosodium glutamate (MSG), or nitrates (like bacon, hot dogs and salami)

13. Other foods such as chocolate, nuts, peanut butter, avocado, banana, citrus, onions, dairy products and fermented or pickled foods

14. Medication such as sleeping tablets, the contraceptive pill, hormone replacement therapy.
Treatments for migraines

Some lifestyle alterations might help reduce migraine frequency. These include:

1. Getting enough sleep
2. Reducing stress
3. Drinking plenty of water
4. Avoiding certain foods
5. Regular physical exercise.

Migraine treatment (abortive therapies) and prevention (prophylactic therapies) focus on avoiding triggers, controlling symptoms and taking medicines.

Migraine is mainly treated by giving Paracetamol tablets. If the pain doesnot subside other medications may be tried.
Other prescription medications used to relieve the pain of migraine include the triptans, for example,

1. sumatriptan (Imitrex, Alsuma, Imitrex STATdose System, Sumavel DosePro, Zecuity, Treximet)

2. rizatriptan (Maxalt, Maxalt-MLT)

3. eletriptan (Relpax)

4. zolmitriptan (Zomig, Zomig-ZMT)

5. naratriptan Amerge)

6. almotriptan (Axert), and

7. frovatriptan (Frova).

Preventive measures
• Go to bed and wake up on the same time.
• Exercise: regular exercising improves the quality of sleep and reduces frequency and severity
of migraine headaches.
• Avoiding prolonged fasting and not skipping meals.
• Limit caffeine intake to two cups/day.
• Avoid bright light, can wear sunglasses to avoid the trigger of sunlight.
• Identify what food causes migraine and avoid it.
• stress-management training.

with regards- Dr Sanjay Kini
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How Can Headaches And Nausea Be Treated?

Hello Dear. Some of the factors that trigger migraine headaches are 1. Allergies and allergic reactions 2. Bright lights, loud noises, flickering lights, smoky rooms, temperature changes, strong smells and certain odors or perfumes 3. Physical or emotional stress, tension, anxiety, depression, excitement 4. Physical triggers such as tiredness, jet lag, exercise 5. Changes in sleep patterns or irregular sleep 6. Smoking or exposure to smoke 7. Skipping meals or fasting causing low blood sugar 8. Dehydration 9. Alcohol 10. Hormonal triggers such as menstrual cycle fluctuations, birth control pills, menopause 11. Tension headaches 12. Foods containing tyramine (red wine, aged cheese, smoked fish, chicken livers, figs, and some beans), monosodium glutamate (MSG), or nitrates (like bacon, hot dogs and salami) 13. Other foods such as chocolate, nuts, peanut butter, avocado, banana, citrus, onions, dairy products and fermented or pickled foods 14. Medication such as sleeping tablets, the contraceptive pill, hormone replacement therapy. Treatments for migraines Some lifestyle alterations might help reduce migraine frequency. These include: 1. Getting enough sleep 2. Reducing stress 3. Drinking plenty of water 4. Avoiding certain foods 5. Regular physical exercise. Migraine treatment (abortive therapies) and prevention (prophylactic therapies) focus on avoiding triggers, controlling symptoms and taking medicines. Migraine is mainly treated by giving Paracetamol tablets. If the pain doesnot subside other medications may be tried. Other prescription medications used to relieve the pain of migraine include the triptans, for example, 1. sumatriptan (Imitrex, Alsuma, Imitrex STATdose System, Sumavel DosePro, Zecuity, Treximet) 2. rizatriptan (Maxalt, Maxalt-MLT) 3. eletriptan (Relpax) 4. zolmitriptan (Zomig, Zomig-ZMT) 5. naratriptan Amerge) 6. almotriptan (Axert), and 7. frovatriptan (Frova). Preventive measures • Go to bed and wake up on the same time. • Exercise: regular exercising improves the quality of sleep and reduces frequency and severity of migraine headaches. • Avoiding prolonged fasting and not skipping meals. • Limit caffeine intake to two cups/day. • Avoid bright light, can wear sunglasses to avoid the trigger of sunlight. • Identify what food causes migraine and avoid it. • stress-management training. with regards- Dr Sanjay Kini