Hello Dear. You are having migraine and gastritis. 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, Imitrex STATdose System, Sumavel DosePro, Zecuity, Treximet) 2. rizatriptan (Maxalt, Maxalt-MLT) 3. eletriptan (Relpax) 4. zolmitriptan (Zomig, Zomig-ZMT) 5. naratriptan Amerge) 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. Gastritis can be caused by irritation due to excessive alcohol use, chronic vomiting, stress, or the use of certain medications such asaspirin or other anti-inflammatory drugs. It may also be caused by any of the following: • Helicobacter pylori (H. pylori): A bacteria that lives in the mucous lining of the stomach; without treatment, the infection can lead toulcers, and in some people, stomach cancer. • Pernicious anemia: A form of anemia that occurs when the stomach lacks a naturally occurring substance needed to properly absorb and digest vitamin B12 • Bile reflux: A backflow of bile into the stomach from the bile tract (that connects to the liver and gallbladder) • Infections caused by bacteria and viruses If gastritis is left untreated, it can lead to a severe loss of blood and may increase the risk of developing stomach cancer. Symptoms of gastritis vary among individuals, and in many people there are no symptoms. However, the most common symptoms include: • Nausea or recurrent upset stomach • Abdominal bloating • Abdominal pain • Vomiting • Indigestion • Burning or gnawing feeling in the stomach between meals or at night • Hiccups • Loss of appetite • Vomiting blood or coffee ground-like material • Black, tarry stools How Is Gastritis Diagnosed? To diagnose gastritis, your doctor will review your personal and family medical history, perform a thorough physical evaluation, and may recommend any of the following tests: • Upper endoscopy. An endoscope, a thin tube containing a tiny camera, is inserted through your mouth and down into your stomach to look at the stomach lining. The doctor will check for inflammationand may perform a biopsy, a procedure in which a tiny sample of tissue is removed and then sent to a laboratory for analysis. • Blood tests. The doctor may perform various blood tests, such as checking your red blood cell count to determine whether you have anemia, which means that you do not have enough red blood cells. He or she can also screen for H. pylori infection and pernicious anemia with blood tests. • Fecal occult blood test (stool test). This test checks for the presence of blood in your stool, a possible sign of gastritis. Treatment for gastritis usually involves: • Taking antacids and other drugs (such as proton pump inhibitors or H-2 blockers) to reduce stomach acid • Avoiding hot and spicy foods • For gastritis caused by H. pyloriinfection, your doctor will prescribe a regimen of several antibiotics plus an acid blocking drug (used for heartburn) • If the gastritis is caused by pernicious anemia, B12 vitamin shots will be given. • Eliminating irritating foods from your diet such as lactose from dairy or gluten from wheat Once the underlying problem disappears, the gastritis usually does, too. You should talk to your doctor before stopping any medicine or starting any gastritis treatment on your own. with regards- Dr Sanjay Kini