Hi, Thanks for your question on HCM I do understand your pain and discomforts As per your history is concerned your problem might be due to migraine. So you need detailed clinical examination to confirm it. Treatment for it which your doctor will suggest you as below-:check all trigger points 1)Hormonal imbalances 2)Certain foods like aged cheeses, salty foods, skipping foods, or fasting 3)food additives like sweetener aspartame and mono sodium glutamate 4)Drinks like coffee, alcohol 5)stress at work or home 6)sensory stimuli like bright lights, sun glares, loud sounds, smells from perfumes 7)missing sleep or getting too much sleep can trigger migraines 8)intense physical exertion, including sexual activity 9)medication like oral contraceptives and vasodilators like nitroglycerin can aggravate migraines So check it if it helps otherwise you will take medication as usual after a clinical check up. Hope that helps