Since last month, I get migraine headaches almost every day. Please help.

Question

Hi doctor,

I suffer from migraines for the past four years. I have throbbing pain on one corner of the head and the next day, it shifts to the other side. This cycle continues and the frequency is around two headaches in a week. If I take pain killer within the first half an hour of pain, it gives me good results. Before two years, my family doctor prescribed me Eliwel 10 mg one tablet at night, and Inderal 10 mg in the morning. It gave me good results for a while and again I started to have migraines. I use to have severe headaches after washing my head. I have this headache for three days. Now, I have headaches every day. I have consulted an ENT specialist and he advised me to do a CT PNS scan. On the scan, they founded that I have a large polyp in the maxillary sinus. But the doctor has confirmed that it is not the cause for headache. Please suggest.

Answer 1

Hi,

Welcome to icliniq.com.

In migraine, it is necessary to find the triggering factors first. In some cases, there is a presence of an associated aura. Sometimes there is a ringing sensation in the ears or blurring of vision. It is usually consistent on one side. There is irritability when there is a headache and the MRI (magnetic resonance imaging) brain seems to be normal. The common medication taken is Naproxen with Domperidone. I suggest you take Naxdom 500 mg one tablet in the morning and evening after taking food for ten days. Triggering factors should be ascertained first. The persistence of these factors usually creates a relapse of symptoms when the medications are tapered. You can also have some other triggering factors such as prolonged exposure to a mobile screen or laptop screen or TV (television). Exposure to loud noise, long hours of cell phone use, exposure to the sun, stress, lack of physical exercise, and improper dietary habits also cause migraines. Maxillary sinus retention polyp is unlikely to cause headaches associated with allergic issues. If it is present, then you need to treat them accordingly and it can contribute to the problem.