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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Nausea, Dizziness And Headache In A 34-year-old

My large size son age 34 has had a nausea, dizzy, headache and nausea, sneezing, for two days (today is the second day). Today he is much worse and he is in bed. He had a migrane earlier now a headache, chest pressure when lying down, shortness of breath, bad nausea even into his chest. Feels like someone is pushing on his chest when lying down. Also some diarrhea, mild back ache, clammy hands, very cold feeling so has the heater turned up. He can t eat or drink water or anything. he is very nausea and feels like he will throw up (but hasn t yet). His blood pressure is 158 over 110, and no fever and no sore throat. He had not urinated in over 5 hours.
Tue, 27 Feb 2018
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General & Family Physician 's  Response
Hello. All his symptoms may be due to migraine. He needs to get treated well for the same.

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, ImitrexSTATdose System, SumavelDosePro, Zecuity, Treximet)

2. rizatriptan (Maxalt, Maxalt-MLT)

3. eletriptan (Relpax)

4. zolmitriptan (Zomig, Zomig-ZMT)

5. naratriptanAmerge)

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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Suggest Medication For Nausea, Dizziness And Headache In A 34-year-old

Hello. All his symptoms may be due to migraine. He needs to get treated well for the same. 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, ImitrexSTATdose System, SumavelDosePro, Zecuity, Treximet) 2. rizatriptan (Maxalt, Maxalt-MLT) 3. eletriptan (Relpax) 4. zolmitriptan (Zomig, Zomig-ZMT) 5. naratriptanAmerge) 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