Hello,
As per your clinical history is concerned, please follow like this:
1) Do a clinical examination by your Doctor [Neurologist] and ruled out other pathological disorders do
MRI scan.
2) Discuss with your Doctor about preventive medications like [Amitriptyline] and you need it regularly.
Do follow lifestyle modification like this:
1) Try to avoid triggers. If certain foods or odors seem to have triggered your
headaches in the past, avoid them.
2) Try to reduce your caffeine and alcohol intake and avoid tobacco.
3) Try to establish a daily routine with regular sleep patterns and regular meals. In addition, try to control
stress.
4) Do exercise regularly. Regular
aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming, and cycling.
5) Obesity is also thought to be a factor in headaches, and regular exercise can help you maintain a healthy weight or lose weight.
6) Try to reduce the effects of
estrogen and try to avoid or reduce the medications you take that contain estrogen. These medications include birth control pills and
hormone replacement therapy. Talk with your doctor about the appropriate alternatives or dosages for you.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Uday Nath Sahoo