I suffer from migraines 5-10 times a month - #10828
Hello. I suffer from migraines 5-10 times a month, I take ibuprofen 400-800 mg, but the headache can last up to 2-3 days and recur 2 times a week, help me choose a treatment or tell me what examination I need to undergo. I have no other diseases, I do not take any more medications. Thank you
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Doctors’ responses
Hello Aasha, I am sorry that you are going through this. Migraine headaches can be very distressing and disabling. Stress or anxiety can also exacerbate migraines. Let me know if you are going through such stress. Also, few food items are known to trigger migraines like fermented foods, alcohol, and pickles which better be avoided. Chronic use of NSAIDs like Ibuprofen can lead to rebound headaches and not advisable. You can alternatively start taking either Propranolol 20mg or Flunnarizine 10mg for reducing frequency of migraines. But please seek consultation with neurologist or psychiatrist for detailed evaluation and management. Regards.
Hello dear Please be aware See usually migrane is associated with triad of unilateral headache and vomiting. It always has some triggering factor Usually following medications are prescribed namely Sumitriptan once a day for 1 month Tab paracip accordingly Tab propranolol However i suggest you to please get proper consultation with general physician or neurologist for better clarification Kindly share following tests details also Mri Ct scan Hope iam clear with your doubts Regards
Hello aasha History & examination done by neurologist
Detailed headache diary (timing, triggers, symptoms, medications used)
Neurological examination
Possible investigations (if indicated)
MRI brain (especially if headaches are new, worsening, or atypical)
Blood tests: thyroid function, vitamin B12, vitamin D, iron studies
Eye examination (to rule out eye strain or optic nerve problems)
Blood pressure monitoring
Lifestyle and trigger control Maintain regular sleep, meals, and hydration
Avoid known triggers: certain foods (aged cheese, processed meat, chocolate, caffeine overload), alcohol, skipping meals, dehydration
Reduce screen time glare; use blue-light filters
Manage stress: yoga, meditation, breathing exercises
Keep a migraine diary to identify personal triggers
Tab sumatriptan 50 mg take on onset of migraine Avoid if you have asthma or hypertension
Frequent migraines like yours may require preventive therapy rather than just painkillers, as overuse of ibuprofen can cause rebound headaches. You should see a neurologist for a detailed evaluation and to rule out underlying causes. Recommended tests may include brain MRI, blood work, and an eye exam, along with a personalized migraine management plan.
Considering the frequency and severity of your migraines, it’s important to explore both preventive and acute treatment strategies. Ibuprofen can be helpful, but relying on it frequently may lead to medication-overuse headache. As for diagnostics, you’d want to initially discuss with your healthcare provider about a thorough assessment to rule out secondary causes of migraines (though these are uncommon). This might include a detailed clinical history, possibly imaging like an MRI if there’s a concern about neurological symptoms, or any red-flag signs such as sudden onset, neurological deficits, or changes in headache pattern. If it is confirmed to be primary migraine, preventive treatments could be considered—these might include medications such as beta-blockers, antidepressants like amitriptyline, anti-seizure drugs (e.g., topiramate), or newer CGRP receptor antagonists. For acute attacks, triptans like sumatriptan or eletriptan might be more effective than ibuprofen and are worth discussing with a doctor. Non-pharmacological interventions should also be considered: managing stress, regular exercise, hydration, sufficient sleep, and identifying dietary triggers. Keep a headache diary to identify any triggers, and help tailor the treatment more specifically to your migraines. You might find the app-based ones convenient, as they often offer insights based on your inputs. Speak to a healthcare provider about getting a prescription if the headaches are interfering with daily life and discuss lifestyle adjustments to help manage your migranes. Consider looking into cognitive behavioral therapy or other coping strategies as part of a comprehensive approach to reduce migraine frequency and severity.
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