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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Migraine Headache And Vomiting

I woke up yesterday with a migraine and then began vomiting. Stayed in bed all day. Ate a Popsicle around midnight it stayed down. I took my usual meds and went to bed. I woke up today feeling a little wishy washy but I had coffee, cereal and juice and took my morning meds. Then about 20 minutes later I got another headache so I took ibuprofen. I decided to have soft boiled eggs with dry toast for dinner and as I was making it my heart began to race and I got very anxious. My heart has been doing this for at least 3 months and I did have an echocardiogram that came back normal. I still don t feel right. My question is should I be concerned? I know that when my heart has raced in the past it was in the 130 s. My father, mother and brothers 2 have heart disease.
Wed, 30 Mar 2016
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General & Family Physician,  's  Response
Understand your concern.

Following are the treatment of your problem:
1. Pain relieving medication:
- first use:Ibuprufen 500 mg three times a day or you can use aspirin or acetaminophen
- If not responds, you can use sumatriptan, combination of ergots and caffine
- In resistance case you can use opioids and glucocorticoids like prednisolone
- Tablet Panmax-D thrice daily , 30 minutes before meal
- If medicine not responds you can take injection of diclofenac intramuscular at near clinicc
- You can put ice pack on head.
- Stay hydrated
- eat healthy diet

Life style changes should be done as below
1. Enough sleep
2. Muscle relaxation exercise
3. Rest and relaxation
4. Keep headache diary: Identify trigger factor and which treatment is effective
Alternate therapy:
Acupuncture therapy
Massage and music therapy
Cognitive behavioral therapy
Vitamin B-2 and CO Q can be useful in relieving pain.

Hope this may help you.
Best regards
Dr. Sagar
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Suggest Treatment For Severe Migraine Headache And Vomiting

Understand your concern. Following are the treatment of your problem: 1. Pain relieving medication: - first use:Ibuprufen 500 mg three times a day or you can use aspirin or acetaminophen - If not responds, you can use sumatriptan, combination of ergots and caffine - In resistance case you can use opioids and glucocorticoids like prednisolone - Tablet Panmax-D thrice daily , 30 minutes before meal - If medicine not responds you can take injection of diclofenac intramuscular at near clinicc - You can put ice pack on head. - Stay hydrated - eat healthy diet Life style changes should be done as below 1. Enough sleep 2. Muscle relaxation exercise 3. Rest and relaxation 4. Keep headache diary: Identify trigger factor and which treatment is effective Alternate therapy: Acupuncture therapy Massage and music therapy Cognitive behavioral therapy Vitamin B-2 and CO Q can be useful in relieving pain. Hope this may help you. Best regards Dr. Sagar