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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Management Of Multiple Sclerosis

My wife has symptoms of ms. Right now, she has a severe headache one the left side of her head, and the her mouth hurts worse than a toothache. I have put a cold wrap on her head and this seems to help. Also, she feels like she could throw-up . Any suggestions? She is 51, 5 5 in height, and weights around 175.
posted on Fri, 14 Mar 2014
Twitter Sat, 23 May 2015 Answered on
Twitter Mon, 25 May 2015 Last reviewed on
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Neurologist,  's  Response
I'm sorry that your wife has multiple sclerosis (MS) as well as severe headaches.

First, headaches and MS very commonly occur together. Second, the headaches can still be classified. It sounds like you could be describing two types of headaches.

One headache that is typically unilateral and severe is migraine and should be treated as such with triptans or non-steroidal anti-inflammatory drugs

The other headache in the mouth could be what is called trigeminal neuralgia which often occurs in patients with MS. This is typically an electric or searing type pain that can last up to a couple of minutes and then subside but then return.

Treatment for trigeminal neuralgia is usually antiseizure medicine such as carbamazepine. One recommended medicine that can help both types of headache would be gabapentin or even sodium divalproex.

I highly recommend you see a neurologist or if possible, a headache specialist.
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Suggest Management Of Multiple Sclerosis

I m sorry that your wife has multiple sclerosis (MS) as well as severe headaches. First, headaches and MS very commonly occur together. Second, the headaches can still be classified. It sounds like you could be describing two types of headaches. One headache that is typically unilateral and severe is migraine and should be treated as such with triptans or non-steroidal anti-inflammatory drugs The other headache in the mouth could be what is called trigeminal neuralgia which often occurs in patients with MS. This is typically an electric or searing type pain that can last up to a couple of minutes and then subside but then return. Treatment for trigeminal neuralgia is usually antiseizure medicine such as carbamazepine. One recommended medicine that can help both types of headache would be gabapentin or even sodium divalproex. I highly recommend you see a neurologist or if possible, a headache specialist.