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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Facial Swelling And Pain, Dizziness And Severe Migraine?

We have a friend who has been having problems for over 2 years. He has severe migraines, facial swelling and pain, dizziness on and off, needs to pull over when driving because he doesn t know where he is or how he got there. He has seen numerous doctors with no real results. Seen a primary care, ENT, infectious disease doctor, rheumatologist, orthopedist, and on and on - tested for ms, lyme disease, mini stroke,and has recently had a lumbar puncture. Nothing is coming out with a definitive answer and it is horrible watching him. Do you have any suggestions?
Mon, 18 Mar 2019
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General Surgeon,  's  Response
Hi,

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Pain relievers such as Aspirin or ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines. Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people.

Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain.

Triptans effectively relieve the pain and other symptoms that are associated with migraines. They are available in pill, nasal spray and injection form.

Anti-nausea medications,opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep. If there won't be an improvement it would be good to do an MRI scan and have a neurological exam.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Facial Swelling And Pain, Dizziness And Severe Migraine?

Hi, Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions. Pain relievers such as Aspirin or ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines. Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people. Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain. Triptans effectively relieve the pain and other symptoms that are associated with migraines. They are available in pill, nasal spray and injection form. Anti-nausea medications,opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep. If there won t be an improvement it would be good to do an MRI scan and have a neurological exam. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon