Hello, The headache, heart burn while going through menopause, may be a part of underlying hormone imbalance as well rather than migraine or migraine flare up due to certain physiologic changes. My guidelines at present: - Meditations and YOGA - Deep breathing exercises will prove cornerstone of therapy - Medicines as paracetamol, acetaminophen or tramadol hydrochloride after meals as per choice and guidelines of your consultant - Secondary consideration of Ergotamine or Tryptan molecules come into picture if above fails - Antacid as Mylanta or proton pump inhibitor as Esomeprazole with sips of water on empty stomach - Discuss the scope and need of HRT (Hormone replacement therapy) with your doctor if not done already - Control of blood sugar, cholesterol, body weight - Control of anxiety, stress - A regular sound sleep of 6-7 hours - Avoidance of smoking or alcohol if consuming - Avoid caffeine or recreational drugs if consuming as well Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon