Sunday, April 5, 2015

I see people...

A young woman came in complaining of a severe headache in the front part of her head.

According to the patient, the headaches would usually happen before the start of her periods. This time however the headache started after her period. The patient was experiencing nausea and vomiting. She was very sensitive to loud sounds and light. It was a recurring headache every menstrual cycle. But there were no other neurological symptoms. Patient denied any family history of migraine headaches.

Doc concluded that menstruation related to migraine headaches was the likely cause. This diagnosis makes sense because of hormonal changes during a period.

Treatment options were simply anti-migraine medicine (sumatriptan). The medicine does not prevent headaches, only relieves the symptoms before it starts.

Doc noted that some some patients experience a visual "aura". Some people see some light changes in their vision. So it is almost like a clue that a migraine headache was the likely cause.  In extreme cases, some people can get a stroke from their migraine headaches.

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